Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> Test Type ❑ Pressure ❑ Vacuum x Hydrostatic <br /> Tank ID T1:87 Master T2:87 Slave T3: 31 <br /> Spill Container Man facturer: ❑PW DPW OPW <br /> xNonmetallic xNonmetallic xNonmetallic Nonmetallic <br /> Method of Cathodic rotection ❑Other ❑Other El Other ❑Other <br /> Is the spill container minimum xYes xYes xYes Yes <br /> capacity five gallons excluding riser [I No* El No* ❑No* ❑No* <br /> volume? <br /> xDrain xDrain xDrain Drain <br /> Method to keep spill container ❑pump ❑Pump ❑Pump ❑Pump <br /> empty ❑Other ❑Other ❑ether El Other <br /> Spill Container Test Results xPass xPass xPass Pass <br /> ❑Fail ❑Fail ❑Fail []Fail <br /> Tank ID <br /> Spill Container Man facturer: <br /> Method of Cathodic rotection ❑Nonmetallic ❑Nonmetallic ❑Nonmetallic ❑Nonmetallic <br /> ❑Other ❑Other ❑Other ❑Other <br /> Is the spill container minimum El Yes ❑Yes El Yes ❑Yes <br /> capacity five gallons excluding riser ❑Noy" ❑No* []No* ❑No* <br /> volume? <br /> ❑Drain ❑Drain ❑Drain ❑Drain <br /> Method to keep spill container ❑Pump ❑Pump ❑Pump ❑Pump <br /> empty ❑Other ❑Other El Other ❑Other <br /> Spill Container Test Results ❑Pass ❑Pass El Pass ❑Pass <br /> ❑Fail []Fail ❑Fail ❑Fail <br /> 8. COMMENTS <br /> Describe allanswers 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 c f this page may be attached. <br /> Page 2 of 2 <br />