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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer V/ Industry StandardProfessional Engineer <br /> Test Type Pressure Vacuum Hydrostatic <br /> HTank ID Tl 87 Fill T2 87 Fill T3 87 Fill T4 91 Fill <br /> Spill Container Manufacturer: EBW EBW EBW EBW <br /> Method of Cathodic Protection ❑✓ Nonmetallic Z/ Nonmetallic �/ Nonmetallic j( Nonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes <br /> capacity five gallons excluding ❑✓ Yes QYes <br /> riser volume? 1:1 No* ❑No* ❑NO* ❑No* <br /> Method to keep spill container [—,/]Drain ! Drain ✓ Drain [Z]Drain <br /> empty ❑Pump 7 Pump ❑Pump ❑Pump <br /> Other 7 Other 70ther Other <br /> Spill Container Test Results ✓ Pass 0 Pass QPass QPass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID TI 87 Vapor T2 87 Vapor T3 87 Vapor T4 91 Vapor <br /> Spill Container Manufacturer: EBW EBW EBW EBW <br /> Method of Cathodic Protection ❑✓ Nonmetallic O/ Nonmetallic v/ Nonmetallic ZNonmetallic <br /> Other ❑Other ❑Other ❑Other <br /> Is the spill container minimum ❑✓ Yes Wes 1AYes lyes <br /> capacity five gallons excluding <br /> riser volume? ❑No* [:]No* o* ❑No* <br /> Method to keep spill container ❑Drain LiDrain LJ Drain rain <br /> empty OPump ✓ Pump ✓❑Pump opump <br /> Other Other ❑Other ther <br /> Spill Container Test Results ✓❑Pass ✓ ass ✓ Pass ✓ Pass <br /> [_]Fail rli7ail DFail email <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 capacityaf five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />