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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6 . SPILL CONTAINER DETAILS <br /> Test Method Developed by Z✓ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type E] Pressure ❑ Vacuum Z✓ Hydrostatic <br /> Tank ID T-1 Regular T-2 Premium <br /> Spill Container Manufacturer : oPw oPw <br /> ❑✓ Nonmetallic ❑✓ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑✓ Yes Z✓ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding * <br /> riser volume ? ❑ No * No * ❑ No * F'] No <br /> Method to keep spill container ❑✓ Drain ❑✓ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑✓ Pass Z✓ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection Ej Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding * <br /> riser volume ? E] No * No * ❑ No * ❑ No <br /> ❑ Drain El Drain ❑ Drain E] Drain <br /> Method to keep spill container F] Pump ElPump ❑ Pump ElPump <br /> empty <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 />