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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ® Manufacturer ® Industry Standard ® Professional Engineer <br /> Test Type ® Pressure ® Vacuum ® Hydrostatic <br /> Tank ID regular super <br /> Spill Container Manufacturer: OPW OPW <br /> Method of Cathodic Protection ❑ Nonmetallic ® Nonmetallic p1 Nonmetallic ® Nonmetallic <br /> ❑ Other on ❑ Other ❑ Other <br /> Is the spill container minimum capacity five gallons excluding ® Yes ® Yes ® Yes ❑ Yes <br /> riser volume? ® No* ❑ No* p- No* ❑ No* <br /> Method to keep spill container ® Drain 97 Drain ❑ Drain ❑ Drain <br /> empty ® Pump ® Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results r Pass ® Pass r Pass ❑ Pass <br /> ® Fail ❑ Fail I ❑ Fail 1 ❑ 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 7 Yes <br /> capacity five gallons excluding ❑ Yes ❑ Yes <br /> No* <br /> riser volume? ® ® No* ❑ No* ❑ No* <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 I ® 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 />