Laserfiche WebLink
Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by © Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br />Tank ID <br />87 <br />91 <br />Diesel <br />Spill Container Manufacturer: <br />OPW <br />OPW <br />OPW <br />Method of Cathodic Protection <br />® <br />Nonmetallic <br />© <br />Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />0 <br />Other <br />0 <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />® <br />Yes <br />D <br />Yes <br />© <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />0 <br />No* <br />0 <br />No* <br />❑ <br />No* <br />❑ <br />No* <br />riser volume? <br />Method to keep spill container <br />❑ <br />Drain <br />© <br />Drain <br />® <br />Drain <br />❑ <br />Drain <br />empty <br />❑ <br />Pump <br />0 <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />0 <br />Other <br />0 <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Spill Container Test Results <br />C <br />Pass <br />D <br />Pass <br />® <br />Pass <br />❑ <br />Pass <br />Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />117 <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />Method of Cathodic Protection <br />© <br />Nonmetallic <br />0 <br />Nonmetallic <br />0 <br />Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Other <br />❑ <br />Other <br />0 <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />❑ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />❑ <br />No* <br />ID <br />No* <br />© <br />No* <br />❑ <br />No* <br />riser volume? <br />Method to keep spill container <br />® <br />Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />empty <br />❑ <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />0 <br />Other <br />® <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Spill Container Test Results <br />❑ <br />Pass <br />❑ <br />Pass <br />© <br />Pass <br />❑ <br />Pass <br />❑ <br />Fail <br />© <br />Fail <br />0 <br />Fail <br />© <br />Fail <br />8. COMMENTS <br />Describe all answers marked "Other, "'Wo, " or "Fail" and each proposed remedy. <br />Replaced Cap in 91 spill container. It was Retested and passing results were yielded. <br />* Mark here if: <br />Spill containers do not have a minimum ca <br />Additional copies of this page may be attached. <br />of five gallons and <br />uire replacement. <br />Page 2 of 2 <br />