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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer y/ Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum 1,/IHydrostatic <br /> Tank ID 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: OPw oPw oPw <br /> Method of Cathodic Protection ❑✓ Nonmetallic �/ Nonmetallic f Nonmetallic Nonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes ❑Yes <br /> capacity five gallons excluding ❑No* ❑No* [:]No* ❑No* <br /> riser volume? <br /> Method to keep spill container ❑Drain Drain LjDrain ❑Drain <br /> empty ❑✓ Pump ✓ Pump [Z]Pump ❑Pump <br /> Other 170ther MOther Other <br /> Spill Container Test Results ✓ Pass OPass [Z]Pass ❑Pass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID 87 Vapor 91 Vapor DSL Vapor <br /> Spill Container Manufacturer: oPw OPw oPw <br /> Method of Cathodic Protection ❑✓ Nonmetallic J/ Nonmetallic nmetallic Nonmetallic <br /> Other ❑Other ❑Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ✓❑Yes ✓ Yes ❑Yes <br /> capacity five gallons excluding ❑No* ❑No* ❑No* ❑No* <br /> riser volume? <br /> Method to keep spill container ❑Drain LjDrain LJDrain rain <br /> empty [Z]Pump Pump ✓❑Pump �ump <br /> Other Other ❑Other ther <br /> Spill Container Test Results Pass ✓ ass ✓ Pass Pass <br /> [::]Failail F7FaiI Gail <br /> 8. COMMENTS <br /> Describe all answers marked Other," "No," or"Fail"and each proposed remedy <br /> * Mark here if: <br /> Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />