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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 Z Hydrostatic <br /> Tank ID 001 / Diesel <br /> Spill Container Manufacturer : PhilTite <br /> ZNonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum F Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No * ❑ No * ❑ No* ❑ No * <br /> riser volume ? <br /> ODrain ❑ Drain ❑ Drain ❑ Valve <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other <br /> ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results <br /> Q Pass El Pass ❑ Pass ❑ Pass <br /> El Fail Fl Fn9l F-1 Pnvl- <br /> TankID <br /> Spill Container Manufacturer : <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ 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 /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Onsite El 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 />