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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Manufacturer I] Industry Standard ❑ Professional Engineer <br /> Test Method Developed by ❑ r H drostatic <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Y <br /> Tank ID <br /> 87 N E 91 87 87 SW <br /> Spill Container Manufacturer: OPW <br /> OPW OPW OPW <br /> CI Nonmetallic 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum Yes Yes 0 Yes 0 Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? p Drain 0 Drain El Drain <br /> p Drain <br /> Method to keep spill container ❑ Pump Pump El ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Ot:her ❑ Other <br /> Q Pass ❑ Pass ❑ PC ❑ Pass, <br /> Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> ❑ <br /> Method of Cathodic Protection Nonmetallic ❑I Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑I Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑Yes ❑I Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑I No* ❑ No* ❑ Noy` <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Plump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> ❑ Pass ElPass ElF'ass ❑ Pass <br /> Spill Container Test Results ❑ Fail Cl Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or"Fail'and each proposed remedy. <br /> L3* Mark here if: <br /> S ill containE;rs do not have a rninimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2of2 <br />