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Underground Storage Tarok <br /> Spill Container Testing port Form <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID T 1 Diesel T 2 Regular T3Suprerne <br /> Spill Container Manufacturer: PHIP-TITE PHIP-TITE PHIP-TITE <br /> X Nonmetallic ®Nonmetallic ®Nonmetallic ❑Nonmetallic <br /> Method of Cathodic Protection ❑Other ❑Other ❑Other ❑Other <br /> Is the spill container minimum ®Yes ®Yes ®Yes ❑Yes <br /> capacity five gallons excluding riser ONo* ONo* ONo* ONo* <br /> volume? <br /> ®Drain ®Drain ®Drain ❑Drain <br /> Method to keep spill container <br /> empty ❑Pump ❑Pump ❑Pump <br /> empty ❑Other ❑Other ❑Other ❑Other <br /> Spill Container Test Results ®Pass ®Pass Pass ❑Pass <br /> ❑Fail ❑Fail X 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 riser ONo* ONo* ONo* ONo* <br /> volume? <br /> ❑Drain ❑Drain ❑Drain ❑Drain <br /> Method to keep spill container ❑Pump ❑Pump ❑Pump ❑Pump <br /> empty ❑Other ❑Other ❑Other ❑Other <br /> Spill Container Test Results ❑Pass ❑Pass ❑Pass ❑Pass <br /> O Fail ❑Fail ❑Fail ❑Fail <br /> 8. COMMENTS <br /> Describe allanswers marked "Other,""No,"or"Fail'and each proposed remedy. <br /> 91 SPILL BUCKET FAILED <br /> * Mark here if: <br /> ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> x <br /> Additional copies of this page may be attached <br />