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Underground Storage Tank <br />Spill Container Testing Report Form <br />[6.SPILL CONTAINER DETAILS <br />Test Method Developed by [J Manufacturer /Industry Standard [J Professional Engineer <br />Test Type Pressure Vacuum (7]Hydrostatic <br />Tank ID 87 Main Fill 87 Siphon Fill 91 Fill <br />Spill Container Manufacturer:ow OPW ow <br />..Nonmetallic NonmetaIlic 7Nonmetallic ElNonmetallice0oaoic0ec <br />DOther Dther ThOther DOther <br />Is the spill container minimum Yes Yes Yes DYes <br />hser volume? <br />excluding DNO*DN0*DN0*DN0* <br />Drain Drain Drain EDrainMethodtokeepspillcontainerPumpPumpEPumpPump <br />Other Other Other Other <br />.{jPass 7jPass Pass JPasspionameresesuEFailEFailLiFailEFail <br />Tank ID 87 Main Vapor 87 Siph.Vapor 91 Vapor <br />Spill Container Manufacturer:ow ow ow <br />.f7jNonmetallic RiNonmetallic LjNonmetallic LjNonmetallicet0oatoicrotect <br />ZOther LiOther DOther flOther <br />Is the spill container minimum Yes jYes Yes ElyescapacityfivegallonsexcludingNI* *K *M * <br />riser volume?‘.0 ‘.0 “.0 “.0 <br />.JDrain EDrain HDrain LiDrainMethodtokeepspillcontainerPumpEPumpPumpJump <br />Other DOther DOther ther <br />.Pass [ZiPass Pass EPassSpillContainerTestResults <br />UFail flFail ZFaiI EEFaiI <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