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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer y/I Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum VHydrostatic <br /> Tank ID 87-A Fill 87-B Fill 91 Fill L5L Fill <br /> Spill Container Manufacturer: oPw oPW oPw oPW <br /> Method of Cathodic Protection Nonmetallic Nonmetallic ,I Nonmetallic ,I Nonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum W]Yes W]Yes W]Yes W]Yes <br /> capacity five gallons excluding [:]No* [:]No' ❑No* ❑No* <br /> riser volume? <br /> Method to keep spill container Drain Drain Drain ❑Drain <br /> empty ❑►I Pump Z Pump [Z]Pump QPump <br /> Other Other Other Other <br /> Spill Container Test Results , Pass QPass OPasS �[Z]Pass <br /> ❑Fail ❑Fail ❑Fail ❑Fail <br /> Tank ID 87-A Vapor 87-B Vapor 91 Vapor <br /> Spill Container Manufacturer: OPw oPw oPw <br /> Method of Cathodic Protection Nonmetallic ONonmetallic ,/ Nonmetallic Nonmetallic <br /> Other ❑Other ❑Other ❑other <br /> Is the spill container minimum W]Yes QYes Yes ❑Yes <br /> capacity five gallons excluding No* ❑No* [:]No* ❑Na* <br /> riser volume? <br /> Method to keep spill container Drain Drain Drain ❑Drain <br /> empty [Z]Pump Pump 0 Pump ❑Pump <br /> Other Other ❑Other ther <br /> Spill Container Test Results F71Pass ,/ Pass [Z]Pass ❑Pass <br /> []Fail Fail Fail ❑Fail <br /> B. COMMENTS <br /> Describe all answers marked "Other,""No,"or"Fall"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 />