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Underground Sto rage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by IR Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum N Hydrostatic <br /> Tank ID Diesel <br /> Spill Container Manufacturer: OPW <br /> Method of Cathodic Protection ® Nonmetallic i ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other Q Other ❑ Other <br /> Es the sell container minimum Z Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ElNo' ❑ No* ❑ No- Q No* <br /> riser volume? <br /> N Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Purnp ❑ Pump ❑ Purnp ❑ Pump <br /> empty a Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results 0 Vass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Skill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other 0 Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ Igo* ❑ 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 /> Spill Container Test Results ❑ Fuss ❑ Pass ❑ Pass ❑ Pass — - <br /> ❑ Fail a Fail ❑ Fail ❑ Fail <br /> B. COMMENTS <br /> Describe afI answers marked "Other," Wo,"or "Fare'and each proposed remedy. <br /> I <br /> * Mark here it <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 <br />