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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 4 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by p Manufacturer O Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum B Hydrostatic <br /> Tank ID 87 OCTANE DIESEL # 2 <br /> Spill Container Manufacturer: O P W O P W <br /> Method of Cathodic Protection El Nonmetallic ❑ Nonmetallic El Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum p Yes ❑ Yes El Yes ❑Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container El Drain ❑ Drain 0 Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> El Pass El El Pass ❑ Pass <br /> Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ 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 ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ 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. J <br /> Additional copies of this page may be attached <br /> Page 2 of 2 <br />