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Underground Storage Tank <br />Spill Container Testing Report Form <br />16. SPILL CONTAINER DETAILS I <br />Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br />Tank ID <br />T-1/ Diesel <br />Spill Container Manufacturer: <br />OPW <br />Method of Cathodic Protection <br />Nonmetallic <br />❑Nonmetallic <br />❑Nonmetallic <br />❑Nonmetallic <br />❑Other <br />❑Other <br />❑Other <br />❑Other <br />Is the spill container minimum <br />Fv_1 Yes <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />capacity five gallons excluding <br />❑ No* <br />❑ No* <br />❑ No* <br />❑ No* <br />riser volume? <br />Drain <br />❑Drain <br />❑Drain <br />❑Valve <br />Method to keep spill container <br />❑Pum p <br />❑Pump <br />❑Pump <br />❑Pump <br />empty <br />❑Other <br />❑Other <br />❑Other <br />❑Other <br />Spill Container Test Results <br />Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />Tank ID <br />Spill Container Manufacturer: <br />❑Nonmetallic <br />❑Nonmetallic <br />❑Nonmetallic <br />❑Nonmetallic <br />Method of Cathodic Protection <br />❑Other <br />❑Other <br />❑Other <br />❑Other <br />Is the spill container minimum <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />capacity five gallons excluding <br />riser volume? <br />❑ No* <br />❑ No* <br />ElNo* <br />ElNo* <br />❑Drain <br />❑Drain <br />❑Drain <br />❑Drain <br />Method to keep spill container <br />empty <br />❑Pump <br />❑Pump <br />❑Onsite <br />❑ Pump <br />❑Other <br />❑Other <br />❑Other <br />❑Other <br />Spill Container Test Results <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />18. COMMENTS <br />I 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 />