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Underground Storage Tank <br /> Spill ContainerTesting Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by p Manufacturer ❑ Industry Standard El Profe ssion al Engineer <br /> Test Type ® Pressure r Vacuum Hydrostatic <br /> Tank ID 87 91 DSL E-85 <br /> Spill Container Manufacturer: PHILTITE PHILTITE PHILTITE PHILTITE <br /> Method of Cathodic Protection ❑ Nonmetallic E] Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other U7 Other ❑ Other <br /> Is the spall container minimurr3 ❑ Yes l[� Yes � *des El Yes <br /> five gallons excluding U7 No* Cl No* rl fro* ❑ No- <br /> El <br /> riser volume? <br /> Method to keep spill container ❑ Drain ❑ Drain ® Drain 123 Drain <br /> empty ❑ Pump ❑ Pump Q Pump Q Pump <br /> El Other p Other I❑ Other Other — - <br /> pill Container Test Results M Pass 0 Pass ❑ Pass 0 Pass <br /> ❑ Fail P71 Fail 117 Fail © Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection El Nonmetallic ❑ Nonmetallic r] Nonmetallic [I Nonmetallic <br /> ® Other E] Other ❑ Other Q Other <br /> Is the spill container minimum <br /> 17 Yes Q 'fes es ❑ Yes <br /> capacity fire gallons excluding ❑ No* ❑ No* El No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ❑ Drain fl Drain Drain <br /> empty Pump D Pump <br /> ❑ p <br /> Pum E] Pump <br /> E) Other d Other ❑ Other L] Other <br /> Spill Container Test Results ❑ Pass Q Pass ❑ Pass r] Pass <br /> 10 Fail ❑ Fail ❑ Fail ❑ Fail <br /> B. :OMMENTS <br /> Describe all answers marked "Other," Wo,"or "Fail'arra' each proposed remedy. <br /> I <br /> Mark here if: <br /> 0 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 <br />