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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ® Manufacturer in Industry Standard rl Professional Engineer <br /> Test Type El Pressure 17 Vacuum Ej Hydrostatic <br /> Tank lD 87 91 Diesel E-85 <br /> Spill Container Manufacturer: OPW OPW OPW OPW <br /> Method of Cathodic Protection © Nonmetallic L Nonmetallic 0 Nonmetallic r Nonmetallic <br /> r] Other r] Other E] Other ® Other <br /> Is the spill container minimum ® Yes ® Yes © Yes ® Yes <br /> capacity five gallons excluding ® No* r No* 0 No* 0 No* <br /> riser volume? <br /> Method to keep spill container El Drain ® Drain ® Drain © Drain <br /> empty 17 Pump 97 Pump © Pump [n Pump <br /> [F] Other 17 Other 0 Other 0 Other <br /> Spill Container Test Results V Pass FT Pass [M Pass C Pass <br /> Fail I FI Fail I [M Fail 0 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection El Nonmetallic El Nonmetallic ® Nonmetallic 0 Nonmetallic <br /> © Other r Other r Other 0 Other <br /> Is the spill container minimum 97 Yes El Yes r Yes 0 Yes <br /> capacity five gallons excluding © No* Ir No* E No* 0 No* <br /> riser volume? <br /> Method to keep spill container 0 Drain ® Drain ® Drain Il Drain <br /> empty El Pump 17 Pump r Pump 0 Pump <br /> ® Other ® Other ® Other ® Other <br /> Spill Container Test Results M Pass ® Pass IM Pass ® Pass <br /> 0 Fail © Fail 0 Fail 0 Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> rl Spill containers do not have a minimum ca a ity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2of2 <br />