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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 ❑ Vacuum 0 Hydrostatic <br />Tank ID <br />87 <br />91 <br />DIESEL <br />87-2 <br />Spill Container Manufacturer: <br />OPW <br />OPW <br />OPW <br />OPW <br />0 Nonmetallic <br />0 Nonmetallic <br />0 Nonmetallic <br />0 Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />0 Yes <br />0 Yes <br />0 Yes <br />0 Yes <br />capacity five gallons excluding <br />❑ No* <br />❑ No* <br />❑ No* <br />❑ No* <br />riser volume? <br />D Drain <br />El Drain <br />0 Drain <br />0 Drain <br />Method to keep spill container <br />El Pump <br />El Pump <br />El Pump <br />El Pump <br />empty <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />p Pass <br />0 Pass <br />0 Pass <br />0 Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />Tank ID <br />Spill Container Manufacturer: <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />capacity five gallons excluding <br />❑ No* <br />❑ No* <br />❑ No* <br />❑ No* <br />riser volume? <br />E]Drain <br />El Drain <br />El Drain <br />E:1Drain <br />Method to keep spill container <br />El Pump <br />El Pump <br />El Pump <br />El Pump <br />empty <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ 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 caaa <br />Additional copies of this page may be attached. <br />of five aallons and reauire replacement. <br />Page 2 of 2 <br />