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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type Ll Pressure 0 Vacuum LJ Hydrostatic Tank ID REG SUP DSL Spill Container Manufacturer. OPW OPW OPW 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic ❑ nonmetallic Method of Cathodic Protection ❑ Other ❑ Other IJ Other El Other Is the spill container minimum 0 Yes 0 Yes R1 Yes ❑ Yes capacity five gallons excluding ❑ No* LlNo* ❑ ❑" riser volume? 0 Drain R) Drain R1 Drain El Drain Method to keep spill container ❑ Pump ❑ Pump LJ Pump LJ Pump empty ❑ Other ❑ Other Ll Other ❑ Other 0 Pass 23 Pass ✓❑ Pass ❑ Pass Spill Container Test Results ❑ Fail ❑ Fail 0 Fail D Fail Tank ID SpiJI Container Manufacturer - P Nonmetallic El Nonmetallic Ej Nonmetallic Method Method of Cathodic Protection ❑ Other ❑ Other ❑ Other LJ Other Is the spill container minimum ❑ yes ❑ Yes LJ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? ❑ Drain ❑ Drain LJ Drain ❑ Drain Method to keep spill container ❑ pump ❑ Pump Ll Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other LJ Other ❑ Pass ❑ Pass ❑ Pass ❑ Pass Spill Container Test Results Q Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all answers marked 'Other, ""No," or "Fart' and each proposed remedy, * Mark here if: ❑ Spill containers do not have a minimum capacity of five gaiions and require replacement. Additionef copies of this page maybe attached. Page 2 of 2