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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by I I Manufacturer V/ Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum // Hydrostatic <br /> Tank 1D Tl- Fill T2 Fill T3 Fill T4 Fill <br /> Spill Container Manufacturer: oPW oPW oPW oPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic ,/ Nonmetallic ✓ Nonmetallic ✓ Nonmetallic <br /> ❑Other Other Other [:]Other the spill container minimum ayes ayes <br /> aYes aYes <br /> capacity five gallons excluding ❑No* :]No* [—]No* ❑No* <br /> riser volume? <br /> Method to keep spill container Drain Drain LjDrain ❑Drain <br /> empty ✓❑Pump ZI Pump aPump aPump <br /> Other Other Other LjOther <br /> Spill Container Test Results ✓ Pass QPass ✓❑Pass F,-/]Pass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID Tl Vapor T2 Vapor T3 Vapor T4 Vapor <br /> Spill Container Manufacturer: oPw OPW oPW oPW <br /> Method of Cathodic Protection ✓❑Nonmetallic [Z]Nonmetallic ✓ Nonmetallic v( Nonmetallic <br /> Other ❑Other Other =Other <br /> Is the spill container minimum aYes ✓❑Yes ✓ Yes ❑✓ Yes <br /> capacity five gallons excluding ❑Na* [:]No*? [:]No** [:]No** <br /> riser volume <br /> Method to keep spill container ❑Drain Drain LJDrain [?rain <br /> empty QPump ✓ Pump ✓❑Pump Epump <br /> Other Other [—]Other ther <br /> Spill Container Test Results aPassRail <br /> ass ✓ Pass ✓ Pass <br /> ❑Fail Fail email <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 />