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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ® Pressure ❑ Vacuum ❑ Hydrostatic Tank ID 87-1 87-2 91 DSL Spill Container Manufacturer: OPW OPW OPW OPW ❑ Nonmetallic ❑ Nonmetallic ® Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ® Other ® Other ® Other ❑ Other Is the spill container minimum ❑ Yes ® Yes ® Yes ® Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? ❑ Drain p Drain ❑ Drain E Drain Method to keep spill container ❑ Pump m Pump El Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other ❑Pass ❑ Pass ('] Pass ®Pass Spill Container Test Results ® Fail ❑ Fail 10 Fail 117 Fail Tank ID Spill Container Manufacturer: ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ Other ® Other ® Other ❑ Other Is the spill container minimum ® Yes ❑ Yes ® Yes ® Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? ® Drain ❑ Drain ❑ Drain ❑ Drain Method to keep spill container [3 r] Pump Q"I Pump 17 Pump empty ❑ Other E] ❑ Other ❑ Other ❑ Other ® Pass ❑ Pass ❑ Pass ❑ Pass Spill Container Test Results ❑ Fail ❑ Fail ® Fail ❑ Fail 8. COMMENTS Describe all answers marked "Other, " "No, " or "Fail" and each proposed remedy. DSL bucket needs a new fill cap. 87-1, 87-2 and 91 buckets need new drain valves and fill caps. * Mark here if: ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. Additional copies of this page may be attached. Page 2 of 2