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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> Test Type ❑ Pressure ❑ Vacuum x Hydrostatic <br /> Tank ID T1:87 West T1:87 East T2: 91 T3: DIESEL <br /> Spill Container Manufacturer: I Phil-Tite Phi!-Tice Phil-rite Phil-Tice <br /> xNonmetallic xNonmetallic xNonmetallic xNonmetallic <br /> Method of Cathodic Protection ❑ether ❑Other ❑Other ❑other <br /> Is the spill container minimum xYes xYes xYes xYes <br /> capacity five gallons excluding riser [] <br /> No* ❑No* ❑No* pNa* <br /> volume? <br /> Method to keep spill container xDrain xDrain xDrain xDrain <br /> empty ❑Pump ❑Pump ❑Pump <br /> empty El Other ❑Other ❑Other ❑Other <br /> Spill Container Test Results xPass xPass xPass xpass <br /> ❑Fail ❑Fail ❑Fait ❑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 El Yes ❑Yes ❑Yes <br /> capacity five gallons excluding riser ❑No* ❑No* ❑No* []No* <br /> volume? <br /> Method to keep spill container ❑Drain ❑Drain ❑Drain ❑Drain <br /> empty ❑Pump ❑Pump ❑Pump ❑Pump <br /> ❑Other ❑Other ❑Other ❑Other <br /> Spill Container Test Results ❑Pass ❑Pass ❑Pass ❑Pass <br /> ❑Fail []Fail ❑Fail ❑Fail <br /> B. COMMENTS <br /> Describe allanswers marked"Other,""No,"or"Fail'and each proposed remedy. <br /> 1}The 87 and 91 fill drain valves 0-rings were replaced <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 />