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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Ll Manufacturer A Industry Standard Ll Professional Engineer <br /> Test Type Ll Pressure j Vacuum 0 Hydrostatic, <br /> Tank IC REG. PREM. DSL <br /> Spill Container Manufacturer: OPw OPw OPw <br /> Method of Cathodic Protection V) Nonmetallic 0 Nonmetallic 0 Nonmet0ic Ll Nonmetallic <br /> 2 Other LA Other L] Other D Other <br /> Is the spill container minimum 0 Yes 0 Yes 0 Yes L1 Yes <br /> capacity five gallons excluding L No* LA No* LA No* A No* <br /> riser volume? <br /> 0 Drain 14 Drain 0 Drain Ll Drain <br /> Method to keep spill container El pump El Pump L1 Pump Li Pump <br /> empty L Other L) Other L) Other 11 Other <br /> Spill Container Test Results Z Pass ® Pass ® Pass 0 Pass <br /> Li Fail LA Fail LA Fail D Fail <br /> Tank la <br /> Spill Container Manufacturer: <br /> Li Nonmetallic LA Nonmetallic, LA Nonmetallic LJ Nonmetallic <br /> Method of Cathodic Protection D Other El Other El Other 11 Other <br /> Is the spill container minimum Ll Yes LA Yes El Yes El Yes <br /> capacity five gallons excluding L No* 2 fro* LI No* L1 No* <br /> riser volume? <br /> Ll Drain 0 Drain LJ Drain L1 Drain <br /> Method to keep spill container L pump LJ Pump Ll Pump L1 Pump <br /> empty L Other L-1 Other El Other 11 Other <br /> Spill Container Test Results Li Pass LA Pass Ll Pass LA Pass <br /> O Fail Ll Fail 0 Fail A Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,n"No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> Ll Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additionaf copies of this page may be attached. <br /> Page 2 of 2 <br />