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unaergrouna titorage 1 anK <br /> Spill Containment Testing Report Form <br /> 6. SPILL CONTAINMENT DETAILS <br /> Test Method Developed by ❑ Manufacturer X Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum X Hydrostatic <br /> ❑ Check this box if Appendix 6-1 continuation page is attached. <br /> Tank ID T1: Diesel Fill T2: 91 Fill <br /> Spill Containment Manufacturer: OPW OPW <br /> Method of Cathodic Protection X Nonmetallic X Nonmetallic Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill containment X Yes X Yes Yes <br /> ❑ Yes <br /> minimum capacity five gallons ❑ No* ❑ No* ❑ No* ❑ No* <br /> excluding riser volume? <br /> Method to keep spill X Drain X Drain Drain ❑ Drain <br /> containment empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Containment Test Results X Pass X Pass Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Containment Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill containment ElYes ❑ Yes ❑ Yes ❑ Yes <br /> minimum capacity five gallons ❑ No* ❑ No* ❑ No* ❑ No* <br /> excluding riser volume? <br /> Method to keep spill ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> containment empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Containment Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 7. COMMENTS <br /> ❑ Check this box if any spill containment has less than 5 gallons capacity and requires <br /> replacement. <br /> Describe all answers marked "Other," "No,"or"Fare'and each proposed remedy in Section 7. <br /> Page 2 of 2 <br />