Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> Test Method Developed by � Manufacturer Indust Standard r <br /> Test Type ® Pressure ® Vacuum ® Hydrostatic Spill Container Manufacturer: o <br /> Method of Cathodic Protection onmetallic onmetallic nonmetallic ® Nonmetallic <br /> ® Other ® Other ® Other ® Other <br /> Is the spill container minimum � � � ,� <br /> capacity five gallons excluding I '�s es I,'Yes El Yes <br /> riser volume? ® ® No C NO* ® No* <br /> Method to keep spill container ® Drain C Drain Qj Drain ® Drain <br /> empty ® P mp ® Pump El p Pump <br /> r er ®'��r ® Other <br /> Spill Container Test Results _ ass ass ass ® Pass <br /> ® Fail ® Fail ® Fail Fail <br /> Tank ID ----T--� <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection C Nonmetallic ® Nonmetallic ® Nonmetallic ® Nonmetallic <br /> Other ® Other El Other D Other <br /> Is the spill container minimum El <br /> capacity five gallons excluding ® Yes C Yes ® Yes D Yes <br /> riser volume? ® No* D No* ® No* ® No* <br /> Method to keep spill container ® Drain ® Drain ® Drain ® Drain <br /> empty ® Pump C Pump ® Pump ® Pump <br /> ElOther ® Other ® Other ® Other <br /> Spill Container Test Results ® Pass ® Pass D Pass El Pass <br /> ® Fail C Fail C Fail Fail <br /> � CQ�fI1�l�NT��� <br /> Describe all answers marked 'Other,» " r�No, or Fail"and proposed each p remed <br /> y. <br /> * Mark here if: <br /> ® Spill containers do not have a minimum capacity of five gallons and require re iacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />