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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by ® Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ® Pressure ® Vacuum E]Hydrostatic ::d Tank ID 87-1 87-2 91 DSL Spill Container Manufacturer: CNI CNI CNI CNI ® Nonmetallic ® Nonmetallic M Nonmetallic ® Nonmetallic Method of Cathodic Protection ® Other ® Other ❑ Other ® Other Is the spill container minimum ❑ Yes ® Yes ® Yes ® Yes capacity five gallons excluding ® No* ❑ No* ❑ No* ❑ No* riser volume? ❑ Drain ® Drain ❑ Drain p Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other 0�1 Pass ® Pass C'j Pass ® Pass Spill Container Test Results ❑ Fail ® Fail ® Fail ❑ Fail Tank ID Spill Container Manufacturer: ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ 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 IM Drain ❑ Drain ❑ Drain ❑ Drain ® Pump ❑ Pump [17 Pump ❑ Pump empty ❑ 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. * 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. Page 2 of 2