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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure 0 Vacuum ❑ Hydrostatic <br />Tank 10 <br />DSL #1 DSL #2 <br />BIO DSL <br />Spill Container Manufacturer: <br />OPw <br />OPw <br />OPw <br />A N€�nmeta#lic <br />R) Nonmetallic <br />U Nonmetallic <br />Li nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />p❑ Yes <br />R3 Yes <br />0 Yes <br />J Yes <br />capacity five gallons excluding <br />riser volume? <br />❑ No* <br />❑ No* <br />❑ No* <br />❑ No* <br />A Drain <br />R) Drain <br />0 drain <br />❑ Drain <br />Method to keep sp11 container <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />empty <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Pass <br />❑ Pass <br />❑ Pass <br />Ll Pass <br />Spill Carxtainer Test Results <br />❑ Fail <br />L) Fail J. <br />❑ Fail <br />❑ Fail <br />Tank ID <br />Spill Container Manufacturer: <br />❑ Nanmeta#lic <br />❑Nonmetallic <br />LJ Nonmetallic <br />❑Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />capacity five gallons excluding <br />❑ No* <br />❑ No* <br />❑ Ne* <br />❑ No* <br />riser volume? <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />Method to keep spill container <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />empty <br />LJ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />S. COMMENTS <br />Describe all answers marked "'Other,' "No," or "Fail" and each proposed remedy. <br />You have to take Fill sump lids off to be able to pull vacuum. Or you have to test with H2O leak test. <br />* Mark here if: <br />F1 Spill containers do not have a minimum capacity of five gallons and require <br />Additional copies of this page may be attached. <br />lacement. <br />Page 2 of 2 <br />