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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by Ll Manufacturer R) Industry Standard LJ Professional Engineer <br />Test Type Ll Pressure A Vacuum ® Hydrostatic <br />Tank ID <br />T1 <br />Spill Container Manufacturer. <br />°pw <br />A Nonmetallic <br />El Nonmetallic <br />Ll Nonmetallic <br />J Nonmetallic <br />Method of Cathodic Protection <br />E] Other <br />E) Other <br />0 Other <br />11 Other <br />Is the spill container minimum <br />J Yes <br />E) Yes <br />E) Yes <br />D Yes <br />capacity five gallons excluding <br />riser volume? <br />0 No* <br />L1 No* <br />Ll No* <br />El No* <br />A Drain <br />J Drain <br />Ll Drain <br />J Drain <br />Method to keep spill container <br />Ll pump <br />Ll Pump <br />Ll Pump <br />ll Purnp <br />empty <br />J Other <br />0 Other <br />E) Other <br />D Other <br />® Pass <br />L1 Pass <br />Ll Pass <br />El Pass <br />Spill Container Test Results <br />Fail j <br />L) Fail <br />Ll Fail <br />A Fail <br />Tank 10 <br />Spill Container Manufacturer: <br />E] Nonmetailic <br />L) Nonmetallic <br />L1 Nonmetallic <br />Ell Nonmetallic <br />Method of Cathodic Protection <br />L1 Other <br />L1 Other <br />L Other <br />El Other <br />Is the spill container minimum <br />L1 Yes <br />L1 Yes <br />Ll Yes <br />ll Yes <br />capacity five gallons excluding <br />Ll No* <br />El No* <br />Ll No* <br />ll No* <br />riser volume? <br />Il Drain <br />El Drain <br />Ll Drain <br />ll Drain <br />Method to keep spill container <br />E] pump <br />E] Pump <br />D Pump <br />El Pump <br />empty <br />❑ Other <br />L-3 Other <br />LJ Other <br />J Other <br />El pass <br />Ll Pass <br />L) Pass <br />J Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ Fail <br />L Fail <br />ll Fail <br />B. COMMENTS <br />Describe all answers marked "Other," "No," or "Fail" and each proposed remedy. <br />* Mark here if: <br />:)ill containers do not have a minimum capacity of five gallons and <br />Additional copies of this page may be attached. <br />Page 2of2 <br />