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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by it Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type © Pressure 0 Vacuum © Hydrostatic <br /> Tank ID 87 91 Diesel <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic I❑ Nonmetallic ® Nonmetallic I❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other 0 Other <br /> Is the spill container minimum ® Yes IM Yes © Yes 0 Yes <br /> capacity five gallons excluding © No* ® No* 0 No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain © Drain © Drain ❑ Drain <br /> empty ❑ Pump 0 Pump 0 Pump ❑ Pump <br /> © Other C Other 0 Other ® Other <br /> Spill Container Test Results F-1 Pass C Pass ❑ Pass ❑ Pass <br /> Fail ❑ Fail ❑ Fail 117 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ® Nonmetallic © Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> © Other © Other 0 Other ❑ Other <br /> Is the spill container minimum © Yes ❑I Yes 0 Yes ® Yes <br /> capacity five gallons excluding ❑ No* I❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain 7 Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump [M Pump <br /> ❑ Other 0 Other 0 Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass 0 Pass ❑ Pass <br /> © Fail ❑ Fail 0 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 2 of 2 <br />