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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer Z Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum ✓ Hydrostatic <br /> Tank ID 87 91 DSL <br /> Spill Container Manufacturer: oPW oPW oPW <br /> Method of Cathodic Protection 7Nonmetallic 7Nonmetallic ✓ Nonmetallic Nonmetallic <br /> DOther Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes ❑Yes <br /> capacity five gallons excluding ❑No* 1:1 No* �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 7 Pass Pass Pass <br /> ❑Fail ❑Fail Fail ]Fail <br /> Tank ID 87 91 DSL <br /> Spill Container Manufacturer: oPW oPW oPW <br /> Method of Cathodic Protection ✓]Nonmetallic F./—]Nonmetallic ✓ Nonmetallic Nonmetallic <br /> Other DOther ❑Other ❑Other <br /> Is the spill container minimum ❑✓ Yes Z✓ Yes ✓ Yes Yes <br /> capacity five gallons excluding �No* [:]No* [:]No* <br /> volume? <br /> Method to keep spill container ❑Drain ❑Drain Drain ]Drain <br /> empty QPump QPump ❑✓ Pump Pump <br /> Other Other ❑Other [::]Other <br /> Spill Container Test Results F✓ Pass ]Pass [Z]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 />