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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by I I Manufacturer �/ Industry Standard Professional Engineer <br /> Test Type Pressure I Vacuum / Hydrostatic <br /> Tank ID DSL Z Fill DSL 2 Fill DEF <br /> Spill Container Manufacturer: oPw oPW OPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic ZNonmetallic 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 Z/ Pump [Z]Pump ❑Pump <br /> Other Other Other Other <br /> Spill Container Test Results LL/]Pass OPass [Z]Pass ❑Pass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID DSL 1 Vapor DSL 2 Vapor <br /> Spill Container Manufacturer: oPw oPw <br /> Method of Cathodic Protection ✓❑Nonmetallic O/ Nonmetallic 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 LJ Drain rain <br /> empty ✓❑Pump ✓ Pump ❑Pump �ump <br /> Other Other ❑Other ther <br /> Spill Container Test Results ✓❑Pass ass LjPass LjPass <br /> ❑Fail Rail Fail [Dail <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 ca aci of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />