Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL O NTAINER DETAILS <br /> Test Method Developed by 0 Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 9f Hydrostatic <br /> Tank ID � <br /> Spill Container Manufacturer, <br /> Method of Cathodic Protection Nonmetallic V Nonmetallic EXNonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 51 Yes Ayes Yes Q Yes <br /> capacity five gallons excluding L1 No* ❑ No* ❑ Noy ❑ No*riser volume'? _ <br /> Drain 1 Drain Drain El Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ pump El Pump <br /> empty ty+ El Other EJ Other Q Other ❑ Other <br /> Spill Container Test Results ass Cy Pass Pass ❑ Pass <br /> 11 Fail El Fail ❑ Fail ❑ I`aiI <br /> Tank 1D <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic D Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other 11 Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* Q No* El No* L1 No* <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass Ej Pass L1 Pass ❑ Pass <br /> ❑ Fail ❑ Fall ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," Wo," or "Fait'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 <br />