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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 ® Hydrostatic <br /> Tank ID 87 91 DSL <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic M Nonmetallic ® Nonmetallic r] Nonmetallic <br /> P7 Other ® Other ® Other M Other <br /> Is the spill container minimum ® Yes on Yes © Yes ® Yes <br /> capacity five gallons excluding El No* ® No* M No* El No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ® Drain ® Drain <br /> empty F] Pump ® Pump Ej Pump ® Pump <br /> ® Other ® Other ® Other E Other <br /> Spill Container Test Results ® Pass ® Pass M Pass ® Pass <br /> ® Fail r] Fail ® Fail ® Fail <br /> Tank ID <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection r] Nonmetallic ® Nonmetallic ® Nonmetallic ® Nonmetallic <br /> ® Other ® Other E Other ® Other <br /> Is the spill container minimum © Yes El Yes [rl Yes p Yes <br /> capacity five gallons excluding C No* ® No* ® No* ® No* <br /> riser volume? <br /> Method to keep spill container © Drain ® Drain [17 Drain ® Drain <br /> empty ® Pump ® Pump r] Pump rn Pump <br /> © Other ® Other ® Other ® Other <br /> Spill Container Test Results El Pass ® Pass ® Pass rl Pass <br /> E] Fail E] Fail ® Fail r] Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail'and each proposed remedy. <br /> * Mark here if: <br /> r] 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 />