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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6 , SPILL CONTAINER DETAILS <br /> Test Method Developed by D Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type D Pressure J Vacuum ® Hydrostatic <br /> Tank ID T1 T2 T3 <br /> Spill Container Manufacturer: Opw Opw Opw <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic 0 Nonmetallic LJ Nonmetallic <br /> LJ Other LJ Other LJ Other L) Other <br /> Is the spill container minimum ® Yes ® Yes 0 Yes L) Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* I❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ® Drain LJ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other Ll Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ® Pass C) Pass <br /> g Fail LJ Fail D Fail El Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection g Nonmetallic L) Nonmetallic D Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ pump LJ Pump ❑ Pump ❑ Pump <br /> empty D Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results 9 Pass D Pass D Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ 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 />