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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Q Manufacturer 0 Industry Standard Q Professional Engineer <br /> Test Type Q Pressure Q Vacuum 0 Hydrostatic <br /> Tank ID RUL PUL <br /> Spill Container Manufacturer oPW oPW <br /> Method of Cathodic Protection 0 Nonmetaflic R3 Nonmetallic Q Nonmetallic Q Nonmetallic <br /> Q Other Q Other F-1 Other Q Other <br /> Is the spill container minimum 0 Yes 0 Yes Q Yes Q Yes <br /> capacity five gallons excluding <br /> ❑ No* ❑ No* Q No* Ll Igo* <br /> riser volume? <br /> A Drain V) Drain L1 Drain Q Drain <br /> Method to keep spill container ® Pump Q Pump Ll Pump Ll Pump <br /> empty Q Other Q Other Q Other Q Other <br /> Spill Container Test Results ❑ Pass ❑ Pass Q Pass ❑ Pass <br /> ❑ Fail ❑ Fail Q Fail Q Fail <br /> Tank ID <br /> SpiJi Container Manufacturer: <br /> Q Nonmetallic Q Nonmetallic Ll Nonmetallic Q Nonmetallic <br /> Method of Cathodic Protection ❑ Other ® Other Ll Other Ll Other <br /> Is the spill container minimum Q yes ❑ Yes LJ Yes Ll Yes <br /> capacity five gallons excluding ❑ No* ❑ No* Q Igo* ❑ No* <br /> riser volume? <br /> ❑ Drain ❑ Drain Q Drain ® Drain <br /> Method to keep spill container Q pump Q Pump Q Pump Q Pump <br /> empty Q Other Q Other Q Other Q Othef <br /> Spill Container Test Results Q Pass Q Pass Q Pass Q Pass <br /> Q Fail ❑ Fail L1 Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe a!i answers marked '`Other." "No,"or"Fail'and each proposed remedy. <br /> *Mark here if: <br /> Ll Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additionef copies of this page maybe attached. <br /> Page 2 of 2 <br />