Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> Test Type ❑ Pressure ❑ Vacuum x Hydrostatic <br /> Tanis ID T1:87 North T1:87 South T2: 91 T3: DIESEL <br /> Spill Container Manufacturer: DPW DPW OPW OPW <br /> xNonmetallic xNonmetallic xNonmetallic xNonmetallic <br /> Method of Cathodic Protection ❑Other El Other ❑Other ❑Other <br /> Is the spill container minimum xYes xYes xYes xYes <br /> capacity five gallons excluding riser ❑ es [INo* ❑ es ❑No* <br /> volume? <br /> xDrain xDrain xDrain xDrain <br /> Method to keep spill container ❑Pump ❑Pump ❑Pump ❑Pump <br /> empty ❑Other ❑Other ❑Other ❑Other <br /> Spill Container Test Results xPass xpass xPass Wass <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* [I No* ❑No* I]No* <br /> volume? <br /> ❑Drain ❑Drain O Drain ❑Drain <br /> Method to keep spill container ❑Pump ❑Pump OPump ❑Pump <br /> empty El Other ❑Other ❑Other El Other <br /> Spill Container Test Results ❑Pass ❑Pass []Pass ❑Pass <br /> ❑Fail ❑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 2 of 2 <br />