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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 Ll Pressure ❑ Vacuum 0 Hydrostatic <br /> Tank ID REG. PREM. DSL <br /> Spill Container Manufacturer: OPw OPw OPw <br /> Method of Cathodic Protection A N€�nmeta#lic ✓❑ Nonmetallic � Nonmetallic Li Nonmetallic <br /> ❑ Other ❑ Other L1 Other ❑ Other <br /> Is the spill container minimum p❑ Yes 61 Yes 0 Yes J Yes <br /> capacity five gallons excluding <br /> riser volume? LJ No* LJ No* ❑ No* LJ No* <br /> A Drain R) Drain ® Drain El Drain <br /> Method to keep spill container ❑ Pump ❑ Pump Q Purnp Ill Pump <br /> empty ❑ Other ❑ Other ❑ Other LJ Other <br /> Pass ❑ Pass ❑ Pass Q Pass <br /> Spill Carxtainer Test Results ❑ Fail L) Fail J. ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmeta#lic ❑ Nonmetallic LJ Nonmetallic LJ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other Q Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* Q No* <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain Q Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump LJ Pump <br /> empty ❑ +Other ❑ Other ❑ Other LJ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass Q Pass U Pass <br /> ❑ Fail ❑ Fail ❑ Fail Q Fail <br /> S. COMMENTS <br /> Describe all answers marker! ''Other," "No,"or"Fart"and each proposed remedy. <br /> * Mark here if: <br /> F1 Spill containers do not have a minimum capacity capac.ity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />