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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6 , SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑✓ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑✓ Hydrostatic <br /> Tank ID 87 OCTANE 91 OCTANE <br /> Spill Container Manufacturer : C N I CNI <br /> D Nonmetallic El Nonmetallic 0 Nonmetallic El Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑✓ Yes ❑ Yes 0 Yes ❑ Yes <br /> capacity five gallons excluding ❑ No * ❑ No * ❑ No * ❑ No * <br /> riser volume ? <br /> ❑✓ Drain ❑ Drain 0 Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results 17,7 Pass ❑ Pass 0 Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer : <br /> Method of Cathodic Protection El Nonmetallic El Nonmetallic ❑ Nonmetallic El 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 /> Method to keep spill container El Drain El Drain ❑ Drain El Drain <br /> empty El Pump El Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ 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 />