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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by D Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure A Vacuum ❑ Hydrostatic <br /> Tank lD REG. PREM. DSL <br /> Spill Container Manufacturer. OPW OPW OPW <br /> Method of Cathodic Protection A Nonmeta#lic 0 Nonmetallic Z Nonmetallic LA nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum g Yes 0— Yes 0 Yes LJ Yes <br /> capacity five gallons excluding <br /> riser volume? ❑ no" ❑ No* ❑ Nay ❑ No* <br /> A Drain Drain A Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other D Other ❑ Other ❑ Other <br /> ❑ Pass ® Pass >,1 Pass ❑ Pass <br /> Spill Container Test Results g Fail ❑ Fail I ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> ❑ Nonmetailic ❑ Nonmetallic ❑ 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 /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container g Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Othef <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe a!I answers marked `'Other." "No,"or "Fai!"an each proposed remedy. <br /> Was not able to pull vacuum on PREM.spill bucket do to nipple being to long.All spill buckets tested and passed. <br /> * Mark here if: <br /> Ll Spill containefs do not have a minimum capacity of five gallons and require replacement. <br /> Additional conies of this page may be attached. <br /> Page 2 of 2 <br />