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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by p Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Tank ID 87 OCT T-1 87 SYPH T-2 91 OCTANE DIESEL So T-1 <br /> Spill Container Manufacturer: O P W O P W O P W O P W <br /> Method of Cathodic Protection 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 0 Yes 0 Yes 0 Yes 0 Yes <br /> capacity five gallons excluding El No* El No* El No* El No* <br /> riser volume? <br /> Method to keep spill container 0 Drain 0 Drain 0 Drain 0 Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results <br /> p Pass 0 Pass ❑ Pass 0 Pass <br /> ❑ Fail I ❑ Fail El Fail ❑ Fail <br /> Tank ID DIESEL No T-2 <br /> Spill Container Manufacturer: O P W <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic 0 Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes 0 Yes <br /> capacity five gallons excluding El No* El No* El No* El No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain p Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass El Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> 91 FAILED LAKE TEST, REPAIR AND RETEST TO BE DONE BY OTHERS. <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 />