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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by p Manufacturer ❑ Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ❑Vacuum Q Hydrostatic 8. COMMENTS Describe all answers marked "Other," No, or "Fail" and each proposed remedy. * Mark here if: II containers do not have a minimum caaacity of five aallons and reauire replacement. Additional copies of this page maybe attached. Tank ID 87 OCTANE 91 OCTANE Spill Container Manufacturer: p P W O P W Method of Cathodic Protection El Nonmetallic ❑ Nonmetallic M Nonmetallic ❑ Nonmetallic ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum p Yes ❑ Yes El Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? M Drain ❑ Drain 0 Drain ❑ Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other Spill Container Test Results p Pass ❑ Pass p Pass El Pass E] Fail El Fail ❑ Fail El Fail Tank ID Spill Container Manufacturer: 171 Nonmetallic El Nonmetallic 171 Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? El Drain El Drain El Drain El Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other ❑ Pass ❑ Pass ❑ Pass ❑ Pass Spill Container Test Results E] Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all answers marked "Other," No, or "Fail" and each proposed remedy. * Mark here if: II containers do not have a minimum caaacity of five aallons and reauire replacement. Additional copies of this page maybe attached.