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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> h. t N14INER DETAILS <br /> Test Method Developed by U Manufacturer QCT Industry Standard F Professional Engineer t <br /> Test Type 17 Pressure IT Vacuum k7 Hydrostatic <br /> Tank ID 41 regular 1# 2 super E <br /> Spill Container Manufacturer: OPW i OPW <br /> Method of Cathodic Protection EFNonmetallic ' E-Nonmetallic ETNonmetallic [Nonmetallic <br /> U Other JU Other ff Other ET Other <br /> Is the spill container minimum ; F Yes LIQ' Yes [T Yes L7 Yes <br /> capacity five gallons excluding E- No* U No* F No* j ET No* <br /> riser volume? <br /> Method to keep spill container QCT Drain &T Drain ; F Drain i ET Drain <br /> Ej Pump kT Pump i L7 Pump �T Pump <br /> empty ` LT Other F Other [` Other ff Other <br /> Spill Container Test Results U Pass ET Pass F Pass [I Pass <br /> Fail IST Fail F Fail [T Fail <br /> t <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection [TNonmetallic ['Nonmetallic ; ET- Nonmetallic 17Nonmetallic <br /> ET Other ET Other [' Other ET Other <br /> Is the spill container minimum [T Yes U Yes [T Yes ET Yes <br /> capacity five gallons excluding [T No* [.T No* I LT No* Q No* <br /> riser volume? <br /> Method to keep spill container ET Drain F Drain [T Drain k LT Drain <br /> empty [` Pump [f Pump �T Pump [T Pump <br /> ETOther [` Other ICT Other ff Other <br /> rr Pass [T Pass t F Pass F Pass <br /> Spill Container Test Results j , ([T' Fail � Fail[T Fail ; � Fail � <br /> Describe all answers marked "Other," "No,"or"Fail"and each proposed remedy. <br /> i <br /> E <br /> * Mark here if: <br /> Er 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 />