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Underground Storag e Tank <br /> Spill Container Testing Report Form <br /> 6, SPILL CONTAINER DETAILS -- <br /> Tesi Method Developed by E) Manufacturer ❑ Industry Standard d Professional Engineer <br /> Test Type - �- ® Pressure 0 Vacuum F) Hydrostatic <br /> Tank ID 87 97 DSL E85 <br /> Spill Container Manufacturer- Philtito Philtite Philtite Philtite <br /> Method of Cathodic Praiection Ej Nonmetallic Nonmetallic rj Nonmetallic ❑ Nonmetallic <br /> Q] Other L Other Other ❑ Other <br /> Is the spill ccntalner minimurn d Yes V) Yes E) Yes M Yes <br /> capacity fine gallons excluding 0 No* ❑ No• ri No' ❑ No- <br /> riser volume? <br /> Method to keep spill container E) Drain p Drain El Drain p Drain <br /> empty [3 Pump ❑ Pump ❑ Pump ❑ Pump <br /> 0 Other ❑ Other ❑1 Other ❑ Other <br /> Spill Container Test Results Pass ❑ Pass F71 Pass ® Pass <br /> T1 Fail ❑ Fail In Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer; <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic r Nonmetallic EI Nonmetallic <br /> El Other 13 Other El Other � Other <br /> Is the spill container minimum <br /> capacity five gallons excluding 07 Yep s ❑ Yes U Yes <br /> El Yes <br /> riser volume'? ❑ No r) NoC Na ❑ fro <br /> Method to keep spall container ri Drain n Drain U-1 brain ❑ Drain <br /> empty r) Pump rl Purrtip 91 Pump ❑ Pump <br /> D Other m Other ICI Other ❑ Other <br /> Spill Container Test Results 0 Pass © Pass D Pass [] Pass <br /> © Fail ❑ Fail ® Fail 10 Fail <br /> B. COMMENTS <br /> Describe all answers marked rcOther," "No,"or "Fail'and each proposer!remedy. <br /> ` Mark here if- <br /> L-1 Sp ill containem do not have a rr-�inim um 2afacity of five 9alion s_and require replacement. V <br /> Addihonal copies of this page maybe attached_ <br /> Page 2 of 2 <br />