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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by 0 Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type © Pressure ❑ Vacuum ❑ Hydrostatic <br /> Tank ID 87 <br /> Spill Container Manufacturer: OPW <br /> E] Nonmetallic ® Nonmetallic El Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection ® 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 0 Drain ❑ Drain © Drain ❑ Drain <br /> empty ® Pump ® Pump ❑ Pump ❑ Pump <br /> © Other ❑ Other 0 Other ❑ Other <br /> Spill Container Test Results <br /> Pass ® Pass ❑ Pass ❑ Pass <br /> ❑ 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 8 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 0 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. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />