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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> Test Type ❑ Pressure ❑ Vacuum x Hydrostatic <br /> Tank ID T1:87 S FILL T1:87 N Fill T2: 91 FILL <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection xNonmetallic xNonmetallic xNonmetallic Nonmetallic <br /> ❑Other ❑Other ❑Other ❑Other <br /> Is the spill container minimum xYes xYes xYes Yes <br /> capacity five gallons excluding riser ❑No* ❑No* El No* ❑No* <br /> volume? <br /> Method to keep spill ontainer xDrain xDrain xDrain Drain <br /> empty ❑Pump ❑Pump ❑Pump El Pump <br /> ❑Other ❑Other ❑Other El Other <br /> Spill Container Test IResults xPass xPass xPass Pass <br /> ❑Fail ❑Fail ❑Fail ❑Fail <br /> Tank ID <br /> Spill Container Man facturer: <br /> Method of Cathodic Protection ❑Nonmetallic ❑Nonmetallic []Nonmetallic ❑Nonmetallic <br /> ❑Other ❑Other ❑Other ❑Other <br /> Is the spill container rninimum ❑Yes ❑Yes ❑Yes ❑Yes <br /> capacity five gallons excluding riser ❑No* ElNo* ❑No* ElNo* <br /> volume? <br /> Method to keep spill container ❑Drain El Drain ❑Drain El Drain <br /> empty ❑Pump OPump ❑Pump ❑Pump <br /> ❑Other ❑Other ❑Other ❑Other <br /> Spill Container Test Results O Pass ❑Pass O Pass ❑Pass <br /> ❑Fail ❑Fail ❑Fail ❑Fail <br /> 8. COMMENTS <br /> Describe allanswers marked "Other,""No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> ❑ Spill containers d not have a minimum capacity of five gallons and require replacement. <br /> Additional copies c f this page may be attached. <br /> Page 2 of 2 <br />