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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer Z Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum VHydrostatic <br /> Tank ID 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: oPw oPw oPw <br /> Method of Cathodic Protection ❑✓ Nonmetallic 7Nonmetallic ./ Nonmetallic Nonmetallic <br /> ❑Other DOther Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes <br /> capacity five gallons excluding ❑✓ Yes ❑Yes <br /> riser volume? No* No* [:]No* No* <br /> Method to keep spill container ❑Drain Drain ❑Drain Drain <br /> empty ❑✓ Pump Pump Pump EJPumP <br /> Other Other Other Other <br /> Spill Container Test Results ✓ Pass QPass F✓ Pass Pass <br /> ❑Fail Fail Fail Fail <br /> Tank ID 87 vapor 91 vapor <br /> Spill Container Manufacturer: oPw oPw <br /> Method of Cathodic Protection 17 Nonmetallic QNonmetallic Nonmetallic Nonmetallic <br /> DOther Other ❑Other E]Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes Yes E]Yes <br /> capacity five gallons excluding ❑No* �No* �No* [:]No*riser volume? <br /> Drain Drain Drain [::]DrainMethod to keep spill container ✓ Pump OPump ❑Pump Pump <br /> empty Other Other Other ther <br /> Spill Container Test Results 0✓ Pass Pass EjPass Pass <br /> OFail QFaiI DFail DFail <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_2of2__ <br />