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Underground Storage Tank Spill Container Testing Report Form 6. VILL CONTAINER DETAILS Test Method Developed by IR Manufacturer ❑ Industry Standard ❑ Professional Engineer Test Type LJ Pressure ❑ Vacuum 0 Hydrostatic Tank 1D Diesel Regular Premium Spill Container Manufacturer: OPW Phil Tits Phil Tito Method of Cathodic Protection Is the spill container minimum opacity five gallons excluding riser volume? Method to keep spill container empty Spill Container Test Results Tank ID Spill Container Manufacturer - Method of Cathodic Protection ❑ Nonmetallic ` ❑ NonmetallicI ElNonmetallic El Nonmetallic ® Other ® Other ` ® Other ❑ Cher M Yes ❑ Naw ! M Yes ❑ No* 9 Yes ❑ No* ❑ Drain X Drain N Drain ❑ Pump ❑ Purnp ❑ Pump ❑ Other ❑ Other ❑ Other Q Pass 23 Pass Z Pass ❑ Fail ❑ Fail 9 Fail ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Other ❑ Other ❑ Other Is the spill container minirnum ❑ Yes capacity five gallons excluding ❑ No* riser volume? ❑ Yes ❑ Yes ❑ No* ❑ No* 8. COMMENTS Describe all answers marked "Other, „ Wo" " or "Fair'" and each proposed remedy. ❑ Yes ❑ No* ❑ Drain ❑ Pump ❑ Other ❑ Pass ❑ Fail ❑ Nonmetallic ❑ Other ❑ Yes ❑ No* Q Drain ❑ Pump ❑ Other— El ther_❑ Pass ❑ Fail *Mark herelf' D Spill containers do not have a minimum capacfty of five gallons and require replacement. Additional copies of this gage may be attached. Page 2 of ❑ Drain ❑ Drain ❑ Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump empty ❑ Other la Pass ❑ Other ❑ Pass ❑ Other ❑ Pass Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all answers marked "Other, „ Wo" " or "Fair'" and each proposed remedy. ❑ Yes ❑ No* ❑ Drain ❑ Pump ❑ Other ❑ Pass ❑ Fail ❑ Nonmetallic ❑ Other ❑ Yes ❑ No* Q Drain ❑ Pump ❑ Other— El ther_❑ Pass ❑ Fail *Mark herelf' D Spill containers do not have a minimum capacfty of five gallons and require replacement. Additional copies of this gage may be attached. Page 2 of