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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Lj Manufacturer Z Industry Standard Professional Engineer <br /> Test Type Pressure M Vacuum ./ Hydrostatic <br /> Tank ID 87-1 Fill 87-2 Fill 87-3 Fill 91 Fill <br /> Spill Container Manufacturer: oPW OPW oPW oPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic 7/Nonmetallic �/ Nonmetallic Nonmetallic <br /> Other ❑Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ✓❑Yes V✓ Yes <br /> capacity five gallons excluding �No* �No* [:]No* �No* <br /> riser volume? <br /> Drain Drain ❑DrainDrain <br /> Method to keep spill container Pump Z/ Pump Pump [Z]Pumpempty Other Other F70ther Other <br /> Spill Container Test Results ✓I Pass 0✓ Pass 7Pass QPass <br /> ❑Fail ❑Fail DFail Fail <br /> Tank ID 87-1 vapor 87-2 vapor 87-3 vapor 91 vapor <br /> Spill Container Manufacturer: oPW oPW oPW oPW <br /> Method of Cathodic Protection F✓ Nonmetallic ONonmetallic 71Nonmetallic �/ Nonmetallic <br /> Other DOther ❑Other Other <br /> Is the spill container minimum ❑✓ Yes [Z]Yes ✓ Yes W]Yes <br /> capacity five gallons excluding ❑No* [:]No* �No* <br /> riser volume? <br /> Drain Drain Drain [::]Drain <br /> to keep spill container Pump OPump Pump QPump <br /> empty <br /> Other LjOther ❑Other F7710ther <br /> Spill Container Test Results F./—]Pass QPass Pass F./—]Pass <br /> Fail ❑Fail Fail DFail <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 capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />