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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by E Manufacturer El Industry Standard D Professional Engineer <br />Test Type 0 Pressure D Vacuum 0 Hydrostatic <br />Tank ID <br />87 <br />91 <br />Diesel <br />Spill Container Manufacturer: <br />OPW <br />OPW <br />OPW <br />Method of Cathodic Protection <br />Nonmetallic <br />D <br />Nonmetallic <br />❑ <br />Nonmetallic <br />E] <br />Nonmetallic <br />❑ <br />Other <br />D <br />Other <br />D <br />Other <br />D <br />Other <br />Is the spill container minimum <br />D <br />Yes <br />D <br />Yes <br />0 <br />Yes <br />D <br />Yes <br />capacity five gallons excluding <br />D <br />No* <br />® <br />No* <br />D <br />No* <br />❑ <br />No* <br />riser volume? <br />Method to keep spill container <br />D <br />Drain <br />❑ <br />Drain <br />El <br />Drain <br />D <br />Drain <br />empty <br />D <br />Pump <br />D <br />Pump <br />© <br />Pump <br />D <br />Pump <br />© <br />Other <br />❑ <br />Other <br />0 <br />Other <br />0 <br />Other <br />Spill Container Test Results <br />C <br />Pass <br />D <br />Pass <br />❑ <br />Pass <br />D <br />Pass <br />Fail <br />D <br />Fail <br />D <br />Fail <br />0 <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection <br />0 <br />Nonmetallic <br />D <br />Nonmetallic <br />® <br />Nonmetallic <br />D <br />Nonmetallic <br />0 <br />Other <br />D <br />Other <br />© <br />Other <br />0 <br />Other <br />Is the spill container minimum <br />0 <br />Yes <br />❑ <br />Yes <br />D <br />Yes <br />0 <br />Yes <br />capacity five gallons excluding <br />© <br />No* <br />® <br />No* <br />0 <br />No* <br />❑ <br />No* <br />riser volume? <br />Method to keep spill container <br />® <br />Drain <br />D <br />Drain <br />® <br />Drain <br />® <br />Drain <br />D <br />Pump <br />® <br />Pump <br />® <br />Pump <br />® <br />Pump <br />empty <br />® <br />Other <br />© <br />Other <br />® <br />Other <br />© <br />Other <br />Spill Container Test Results <br />❑ <br />Pass <br />® <br />Pass <br />D <br />Pass <br />® <br />Pass <br />D <br />Fail <br />D <br />Fail <br />© <br />Fail <br />❑ <br />Fail <br />8. COMMENTS <br />Describe all answers marked "Other," "No,"or "Fail" and each proposed remedy. <br />* Mark here if: <br />Spill containers do not have a minimum <br />Additional copies of this page may be attached. <br />of five aallons and reauire replacement. <br />Page 2 of 2 <br />