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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILLCONTAINER DETAILS <br /> Test Method Developed by Manufacturer �/j Industry Standard Lj Professional Engineer <br /> Test Type Pressure Vacuum VHydrostatic <br /> Tank ID 87-1 Fill 87-2 Fill 87-3 Fill 91 Fill <br /> Spill Container Manufacturer: oPW oPW oPW oPW <br /> Method of Cathodic Protection F,/-]Nonmetallic Nonmetallic �/ Nonmetallic �/ Nonmetallic <br /> ❑Other ❑Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes <br /> capacity five gallons excluding ✓ Yes <br /> riser volume? No* ❑No* [:]No* No* <br /> Method to keep spill container ❑Drain Drain ❑Drain Drain <br /> empty F✓ Pump ✓❑Pump [Z]Pump [Z]Pump <br /> Other Other Other Other <br /> Spill Container Test Results ✓I Pass QPass [✓ Pass Pass <br /> ❑Fail ❑Fail ❑Fail Fail <br /> Tank ID 87-1 Vapor 87-2 Vapor 87-3 Vapor 91 Vapor <br /> Spill Container Manufacturer: oPW oPW oPW oPW <br /> Method of Cathodic Protection 7Nonmetallic Nonmetallic ✓ Nonmetallic MNonmetallic <br /> Other DOther ❑Other DOther <br /> Is the spill container minimum ❑✓ Yes ✓❑Yes ✓ Yes ❑✓ Yes <br /> capacity five gallons excluding [:]No* ❑No* [:]No* [:]No* <br /> volume? <br /> F,—/]Drain Drain ✓ Drain [Z]DrainMethod to keep spill container <br /> empty ❑Pump Pump ❑Pump p <br /> PumOther EjOther ❑Other they <br /> Spill Container Test Results ✓❑Pass Pass FV—]Pass [Z]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 />