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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type ❑ Pressure El D Hydrostatic Tank ID 87 DIESEL DT 1 DIESEL DT 2 Spill Container Manufacturer: OPW OPW OPW IZI Nonmetallic 0 Nonmetallic El Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum El Yes ❑✓ Yes 0 Yes ❑ Yes capacity five gallons excluding ElNo* [INo* ElNo* EDNo* riser volume? D Drain O Drain 0 Drain ElDrain Method to keep spill container El Pump ❑ Pump El Pump El Pump empty ❑ Other ❑ Other ❑ Other ❑ Other O Pass 0 Pass 0 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? El Drain El Drain El Drain El Drain Method to keep spill container El Pump ❑ Pump El Pump El Pump empty ❑ Other ❑ Other ❑ Other ❑ Other ❑ Pass ❑ Pass ❑ Pass ❑ Pass Spill Container Test Results ❑ 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