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Underground Storage Tank Spill Container Testing Report Form l v• SPILL CONTAINER DETAILS Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic Tank ID 87 91 DSL Spill Container Manufacturer: OPW I PHIL TITE OPW Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum ® Yes ® Yes ® Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? Method to keep spill container ® Drain ® Drain ® Drain ❑ Drain empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump ❑ Other ❑ Other ❑ Other ❑ Other Spill Container Test Results ® Pass ❑ Pass ® Pass ❑ Pass ❑ Fail ® Fail ❑ Fail ❑ Fail Tank ID Spill Container Manufacturer.- Method anufacturer:Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? Method to keep spill container ❑ Drain ❑ Drain ❑ Drain ❑ Drain empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump ❑ Other ❑ Other ❑ Other ❑ Other Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail ❑ Fail 8._COMMENTS Describe all answers marked "Other," "No,"or"Fail'and each proposed remedy. 91 FAILED. NEED TO RETURN WITH OUTER BUCKET O-RING AND RETEST. * Mark here if: ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. Additional copies of this page may be attached.