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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by 0 Manufacturer El Industry Standard 0 Professional Engineer <br /> Test Type 0 Pressure 171 Vacuum N Hydrostatic <br /> Tank ID DIESEL SUPREME REGULAR <br /> P <br /> Spill Container Manufacturer: HIL TITE PHIL TITE PHIL TITE <br /> Method of Cathodic Protection 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic <br /> 0 Other 0 Other 0 Other [I Other <br /> Is the spill container minimum <br /> Z Yes 0 Yes N Yes 0 Yes <br /> capacity five gallons excluding <br /> 0 No* 0 No* 0 No* 0 No* <br /> riser volume? <br /> 9 Drain C9 Drain 0 Drain 0 Drain <br /> Method to keep spill container <br /> empty El Pump 0 Pump 0 Pump 0 Pump <br /> 0 Other El Other 0 Other 0 Other <br /> Spill Container Test Results N Pass N Pass N Pass 0 Pass <br /> 0 Fail 0 Fail 0 Fail 0 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> F� Nonmetallic <br /> Method of Cathodic Protection 0 Nonmetallic 0 Nonmetallic M Nonmetallic 0 Other 0 Other 0 Other 0 Other <br /> Is the spill container minimum <br /> 0 Yes r-1 Yes 0 Yes 0 Yes <br /> capacity five gallons excluding 0 No* 0 No* 0 No* 0 No* <br /> riser volume? <br /> • Drain 0 Drain 0 Drain 0 Drain <br /> Method to keep spill container <br /> • Pump 0 Pump 0 Pump El Pump <br /> empty <br /> • Other 0 Other 0 Other 0 Other <br /> • Pass El Pass 0 Pass 0 Pass <br /> Spill Container Test Results <br /> 0 Fail 0 Fail 0 Fail 0 Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other, "No, or"Fail"and each proposed remedy. <br /> Mark here if <br /> El 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 />