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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by F] Manufacturer ® Industry Standard ® Professional Engineer <br /> Test Type El Pressure r Vacuum Ej Hydrostatic <br /> Tank ID Diesel <br /> Spill Container Manufacturer: OPW <br /> El Nonmetallic El Nonmetallic ® Nonmetallic 17 Nonmetallic <br /> Method of Cathodic Protection [7 Other ® Other Ej Other El Other <br /> Is the spill container minimum El Yes El Yes © Yes ® Yes <br /> capacity five gallons excluding C No* ® No* ® No* 17 No* <br /> riser volume? <br /> Method to keep spill container E Drain ® Drain ® Drain 17 Drain <br /> empty ® Pump ® Pump F1 Pump 17 Pump <br /> E] Other ® Other Ej Other Ej Other <br /> Spill Container Test Results Pass El Pass 17 Pass 17 Passr Fail ® Fail 0 Fail p Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection El Nonmetallic ® Nonmetallic ® Nonmetallic ® Nonmetallic <br /> E] Other ® Other ® Other ® Other <br /> Is the spill container minimum [7 Yes 17 Yes 0 Yes p Yes <br /> capacity five gallons excluding El No* ® No* El No* El No* <br /> riser volume? <br /> Method to keep spill container ® Drain 17 Drain ® Drain M Drain <br /> empty [7 Pump ® Pump ® Pump r] Pump <br /> ® Other 0 Other ® Other El Other <br /> Spill Container Test Results E! Pass ® Pass r Pass ® Pass <br /> M Fail El Fail © Fail 17 Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> ® Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />