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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 WEST T1:87 EAST T2: DIESEL T3: 91 f <br /> Spill Container Manufacturer: OPW DPW QPW ❑PW I <br /> Method of Cathodic Protection xNonmetallic xNonmetallic xNonmetallic xNonmetallic <br /> ❑other ❑Other ❑Other []Other <br /> Is the spill container minimum xYes xYes xYes xYes <br /> capacity five gallons excluding riser ❑No* ❑No* ❑No* ❑No* <br /> volume? <br /> Method to keep spill container xDrain xDrain xDrain xDrain <br /> empty ❑Pump ❑Pump ❑Pump ❑Pump <br /> ❑Other ❑Other ❑Other []Other <br /> Spill Container Test Results xPass xPass xPass xPass <br /> ❑Fail ❑Fail ❑Fail ❑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 ❑Yes ❑Yes ❑Yes <br /> capacity five gallons excluding riser ❑No* ❑No* ❑No* ❑No* <br /> volume? <br /> ❑Drain []Drain ❑Drain [--]DrainMethod to keep spill container ❑Pump ❑Pump ❑Pump ❑Pump <br /> empty ❑Other ❑Other ❑Other ❑Other <br /> Spill Container Test Results ❑Pass ❑Pass ❑Pass ❑Pass <br /> []Fail El 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 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 />