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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure 0 vacuum ❑ Hydrostatic <br /> Tank ID RUL. PUL. DSL <br /> Spill Container Manufacturer: oPw oPw oPw <br /> Method of Cathodic Protection 0 Nonmetallic 0 Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ® Yes 0 Yes A Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> Drain R) Drain ® Drain Ll Drain <br /> Method to keep spill container ❑ pump Ll Pump ❑ Pump L1 Pump <br /> empty ❑ 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 LJ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic J 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 /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container D pump L) Pump ❑ Pump ❑ Pump <br /> empty C-9 Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass J Pass ❑ Pass ❑ Pass <br /> Fail ❑ Fail ❑ Fail ❑ Fail <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 />