Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID T-1 UfL <br /> Spill Container Manufacturer: OPW <br /> Method of Cathodic Protection ® 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? ❑ No* ❑ Noy I El No* ❑ No's <br /> Method to keep spill container ® Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty <br /> El Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other '❑ Other <br /> Spill Container Test Results ® Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ N❑* El No* ❑ No* ❑ N❑" <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump 13 Pump ❑ Pump ❑ Pump <br /> empty ❑ 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 /> Liquid tested for 1 hr with no loss <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 />