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Underground Store a Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS` <br /> rest Method Developed by ❑ Manufacturer N Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum N Hydrostatic <br /> Tank ID 87 91 DL <br /> Spill Container Manufacturer: PHIL TITS PHIL TITE PHIL TITS <br /> Method of Cathodic Protection N Nonmetallic ® Nonmetallic N Nonmetallic N Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum N Yes N Yes N Yes ❑ Yes <br /> capacity five gallons excluding ® Now ® N®* ® No* ® N®* <br /> riser volume? <br /> M ® Drain N Drain ® Drain ❑ Drain <br /> Method to keep spill container <br /> ❑ Pump ❑ Pump El Pump ❑ Pump <br /> empty <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results N Pass N Pass N 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 ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ 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 /> ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> Spill Container Test Results <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> S. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> Mark here if: <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />