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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 ❑ Pressure ❑ vacuum ❑✓ Hydrostatic <br /> Tank ID T1 : Regular T2 : Premium T3 : Diesel <br /> Spill Container Manufacturer: oPw oPw oPw <br /> ❑✓ Nonmetallic ❑✓ Nonmetallic ❑✓ Nonmetallic El Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ✓❑ Yes ❑✓ Yes ❑✓ Yes ❑ Yes <br /> capacity five gallons excluding <br /> riser volume? ❑ No* ❑ No* ❑ No* ❑ No* <br /> ❑✓ Drain ❑✓ Drain ❑✓ Drain ❑ Drain <br /> Method to keep spill container El ElPump ElPump ElPump <br /> empty <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> [!pill Container Test Results ✓❑ Pass ❑✓ Pass ❑✓ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding No* No* No* No* <br /> riser volume? ❑ ❑ ❑ ❑ <br /> ❑ Drain El Drain El Drain ❑ Drain <br /> Method to keep spill container El ElPump ElPump ElPump <br /> empty <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <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 2of2 <br />