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Underground Storage Tank <br /> 9 � <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 °t -_ 9 1 uaL- T r)<, l� <br /> Spill Container Manufacturer: 0,F 0-r me-,L) <br /> Method of Cathodic Protection Nonmetallic onmetaliic Nonmetallic ❑ Nonmetallic <br /> ❑ O!Per ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimumYes Yes Yes ❑ Yes <br /> capacity five gallons excluding ❑ ® No* ❑ No* ❑ No* <br /> riser volume? <br /> Drain Drain Drain ❑ Drain <br /> Method to keep spill container ❑ Pump El Pump El Pump El Pump <br /> empty ❑ Qther ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results Pf Pass Pass Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ 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 /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail _LCT 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 ca acit of five allons and re uire re lacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />