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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by E Manufacturer 0 Industry Standard 0 Professional Engineer <br /> Test Type r] Pressure 0 Vacuum E Hydrostatic <br /> Tank ID 87 91 Diesel <br /> Spill Container Manufacturer: OPW OPW OPW <br /> El Nonmetallic El Nonmetallic E] Nonmetallic Ej Nonmetallic <br /> Method of Cathodic Protection r] Other ® Other © Other E] Other <br /> Is the spill container minimum El Yes 0 Yes El Yes © Yes <br /> capacity five gallons excluding © No* 0 No* © No* 17 No* <br /> riser volume? <br /> Drain 0 Drain Ej Drain 0 Drain <br /> Method to keep spill container ® Pump 0 Pump E Pump M Pump <br /> empty © Other 0 Other ® Other [Cl Other <br /> Spill Container Test Results F, Pass 0 Pass F1 Pass 0 Pass <br /> R7 Fail Ej Fail ® Fail 0 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection © Nonmetallic © Nonmetallic 0 Nonmetallic 17 Nonmetallic <br /> E] Other © Other © Other © Other <br /> Is the spill container minimum © Yes 0 Yes El Yes ® Yes <br /> capacity five gallons excluding 0 No* C No* 17 No* 8 No* <br /> riser volume? <br /> Method to keep spill container ® Drain r] Drain El Drain 8 Drain <br /> empty © Pump 17 Pump r Pump 17 Pump <br /> 17 Other ® Other E] Other ® Other <br /> Spill Container Test Results M Pass © Pass ® Pass ® Pass <br /> 0 Fail I © Fail I El Fail I ® 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 />