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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ElManufacturer El Industry Standard El Professional Engineer <br /> Test Type Ej Pressure 17 Vacuum 0 Hydrostatic <br /> Tank ID 87 91 <br /> Spill Container Manufacturer: OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic [7 Nonmetallic r Nonmetallic 17 Nonmetallic <br /> r] Other r] Other E] Other E] Other <br /> Is the spill container minimum ® Yes ® Yes E Yes El Yes <br /> capacity five gallons excluding El No* C No* r No* El No* <br /> riser volume? <br /> Method to keep spill container El Drain © Drain 0 Drain ® Drain <br /> empty r Pump r Pump 0 Pump C Pump <br /> [F] Other 8 Other 0 Other 0 Other <br /> Spill Container Test Results F! Pass 0 Pass rl Pass [[] Pass <br /> 0 Fail I ® Fail I Ej Fail 1 0 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection Ej Nonmetallic Ej Nonmetallic ® Nonmetallic ] Nonmetallic <br /> 0 Other r Other r Other J7 Other <br /> Is the spill container minimum El Yes El Yes 0 Yes 0 Yes <br /> capacity five gallons excluding © No* I1 No* © No* 0 No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ® Drain 17 Drain <br /> empty © Pump 17 Pump 17 Pump Ej Pump <br /> ® Other ® Other ® Other ® Other <br /> Spill Container Test Results C Pass ® Pass © Pass ® Pass <br /> I Ej Fail © Fail 0 Fail I © Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> Replaced the 91 product spill container fill cap due to an insufficient seal. Retested with <br /> passing results. <br /> * Mark here if: <br /> 0 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 />