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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic Tank ID 1#=Supreme #2 -Diesel #3 -Regular Spill Container Manufacturer: Phil-tite Phil-tite Phil-tite Method of Cathodic Protection ® Nonmetallic ❑ Other ® Nonmetallic ❑ Other ® Nonmetallic ❑ Other [I Nonmetallic ❑ Other Is the spill container minimum capacity five gallons excluding riser volume? ® Yes ElNo* ® Yes ElNo* ® Yes ❑ No* ❑ Yes ❑ No* Method to keep spill container empty ❑ Drain ® Pump ❑ Other ❑ Drain ® Pump ❑ Other ❑ Drain ® Pump ❑ Other ❑ Drain ❑ Pump ❑ Other Spill Container Test Results ® Pass ❑ Fail ® Pass ❑ Fail ® Pass ❑ Fail ❑ Pass ❑ Fail Tank ID Spill Container Manufacturer: Method of Cathodic Protection ❑ Nonmetallic ❑ Other El Nonmetallic ❑ Other ❑ Nonmetallic ❑ Other El Nonmetallic ❑ Other Is the spill container minimum capacity five gallons excluding riser volume? ❑ Yes ElNo* ❑ Yes ElNo* ❑ Yes ElNo* ❑ Yes ElNo* Method to keep spill container empty ❑ Drain ❑ Pump ❑ Other ❑ Drain ❑ Pump ❑ Other ❑ Drain ❑ Pump ❑ Other ❑ Drain ❑ Pump ❑ Other Spill Container Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail 8. COMMENTS Describe all answers marked "Other, " "No, "or "Fail" and each proposed remedy. Inspector Gabriela on site. * Mark here if: ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. Additional copies of this page maybe attached. Page 0 of 0