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Underground Storage Tank <br />Spill Container Testing Report Form <br />Additional copies of this page may be attached. <br />Page 2 of 3 <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by Manufacturer Industry Standard Professional Engineer <br />Test Type Pressure Vacuum Hydrostatic <br />Tank ID T-1/ Diesel <br />Spill Container Manufacturer: OPW <br />Method of Cathodic Protection Nonmetallic <br />Other <br /> Nonmetallic <br />Other <br /> Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br /> Yes <br /> No* <br /> Yes <br /> No* <br /> Yes <br /> No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br /> Drain <br /> Pump <br />Other <br /> Drain <br /> Pump <br />Other <br /> Drain <br /> Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br /> Pass <br />Fail <br /> Pass <br />Fail <br />Pass <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Nonmetallic <br />Other <br />Is the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br /> Yes <br /> No* <br /> Yes <br /> No* <br /> Yes <br /> No* <br />Yes <br />No* <br />Method to keep spill container <br />empty <br /> Drain <br /> Pump <br />Other <br /> Drain <br /> Pump <br />Other <br /> Drain <br /> Pump <br />Other <br />Drain <br />Pump <br />Other <br />Spill Container Test Results Pass <br />Fail <br /> Pass <br />Fail <br /> Pass <br />Fail <br />Pass <br />Fail1 <br />8. COMMENTS <br />Describe all answers marked "Other," "No," or "Fail" and each proposed remedy. <br />Other Cathodic Protection Comments: || Other Method Comments: || Failure <br />Explanations: || Additional Comments: <br /> <br /> <br /> <br /> <br /> <br />* Mark here if: <br /> Spill containers do not have a minimum capacity of five gallons and require replacement.