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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer 10 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 9 Hydrostatic <br /> Tank ID T1 Diesel T2 Diesel T3 Diesel T6 Auto Diesel <br /> Spill Container Manufacturer: Phil-Tite OPW OPW Phil-Tite <br /> Method of Cathodic Protection 12 Nonmetallic 12 Nonmetallic 12 Nonmetallic 12 Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 12 Yes 12 Yes 12 Yes 12 Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> 12 Drain 12 Drain 12 Drain 12 Drain <br /> Method to keep spill container El Pump El Pump El Pump El Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results [2 Pass 2 Pass 2 Pass 2 Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID T4 87 T5 91 T1 Bio <br /> Spill Container Manufacturer: Phil-Tite Phil-Tite OPW <br /> Method of Cathodic Protection 2 Nonmetallic 2 Nonmetallic 12 Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 12 Yes 12 Yes 12 Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> 12 Drain 12 Drain 12 Drain ElDrain <br /> Method to keep spill container El Pump El Pump El Pump El Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results [Z Pass [21 Pass [21 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 2of2 <br />