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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by E] Manufacturer El Industry Standard El Professional Engineer <br /> Test Type 171 Pressure 171 Vacuum El Hydrostatic <br /> Tank ID 87 OCTANE 91 OCTANE <br /> Spill Container Manufacturer: 0 P W 0 P W <br /> Method of Cathodic Protection El Nonmetallic El Nonmetallic Mv Nonmetallic El Nonmetallic <br /> El Other El Other El Other El Other <br /> Is the spill container minimum F-1 Yes 1771 Yes El Yes D Yes <br /> capacity five gallons excluding D No* 0 No* 1771 No* 171 No* <br /> riser volume? <br /> Method to keep spill container Fv-1 Drain [3 Drain E1 Drain 1711 Drain <br /> empty E7lPump 171 Pump EIPump 0 Pump <br /> El Other 0 Other El Other E3 Other <br /> Spill Container Test Results n7 Pass M Pass E1 Pass El Pass <br /> El Faailil <br /> El Fail 0 Fail El Fail <br /> Tank ID <br /> Spill Container Manufacturer:::::::::::: <br /> Method of Cathodic Protection F-1 Nonmetallic El Nonmetallic 1-1 Nonmetallic F-1 Nonmetallic <br /> El Other El Other El Other D Other <br /> Is the spill container minimum El Yes 1771 Yes El Yes 171 Yes <br /> capacity five gallons excluding 171 No* 171 No* El No* F-1 No* <br /> riser volume? <br /> Method to keep spill container El Drain El Drain El Drain El Drain <br /> empty 0 Pump El Pump 1771 Pump 1771 Pump <br /> El Other El Other El Other El Other <br /> Spill Container Test Results 171 Pass 171 Pass F-1 Pass F-1 Pass <br /> El Fail El Fail D Fail El Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> I El 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 />