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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by p Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ® Hydrostatic <br /> Tank ID 91 <br /> Spill Container Manufacturer: OPW <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ® Other ® Other <br /> Is the spill container minimum ® Yes ❑ Yes © Yes ❑ Yes <br /> capacity five gallons excluding El No* r] No* (�1 No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ® Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ® Pass ❑ Pass ❑ Pass <br /> ❑ Fail ® Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ 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 ❑ Drain ❑ Drain <br /> empty ® Pump ❑ Pump p1 Pump ❑ Pump <br /> ❑ Other ® Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ® Pass ® Pass ® Pass <br /> El Fail p Fail © Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No," or "Fail"and each proposed remedy. <br /> Replaced 91 product fill spill container. Tested with passing results. <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 />