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Underground Storage Tank Spill Containment Testing Report Form 6. SPILL CONTAINMENT DETAILS Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ❑ Vacuum N Hydrostatic ❑ Check this box if Appendix 6.1 continuation page is attached. Tank ID UG01 00001 Spill Containment Manufacturer: Phil-Tite Method of Cathodic Protection E Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Other ❑ Other ❑ Other ❑ Other Is the spill containment N Yes ❑ Yes ❑ Yes ❑ Yes minimum capacity five gallons excluding riser volume? ❑ No* ❑ No* ❑ No* ❑ No* Method to keep spill E Drain ❑ Drain ❑ Drain ❑ Drain containment empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump ❑ Other ❑ Other ❑ Other ❑ Other Spill Containment Test Results E Pass ❑ Pass ❑ Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail ❑ Fail Tank ID Spill Containment Manufacturer: Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Other ❑ Other ❑ Other ❑ Other Is the spill containment ❑ Yes ❑ Yes ❑ Yes ❑ Yes minimum capacity five gallons excluding riser volume? ❑ No* ❑ No* El No* ❑ No* Method to keep spill ❑ Drain ❑ Drain ❑ Drain ❑ Drain containment empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump ❑ Other ❑ Other ❑ Other ❑ Other Spill Containment Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail ❑ Fail 7. COMMENTS * ❑ Check this box if any spill containment has less than 5 gallons capacity and requires replacement. Describe all answers marked "Other," "No,"or "Fail" and each proposed remedy in Section 7. Page 2 of 2