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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer 62 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 12 Hydrostatic <br /> Tank ID T-1 T-2 T-3 T-4 <br /> Spill Container Manufacturer: FFS OPW OPW OPW <br /> Method of Cathodic Protection 52 Nonmetallic 2 Nonmetallic 52 Nonmetallic 2 Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 2 Yes 52 Yes 2 Yes 52 Yes <br /> capacity five gallons excluding riser volume? ❑ No* ❑ No* ❑ No* ❑ No* <br /> 62 Drain 62 Drain 62 Drain 62Drain <br /> Method to keep spill container El Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results 52 Pass 52 Pass Ca Pass 52 Pass <br /> ❑ Fail 1 ❑ Fail 1 ❑ Fail 1 ❑ Fail <br /> Tank ID T-5 <br /> Spill Container Manufacturer: OPW <br /> Method of Cathodic Protection 62 Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 2 Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> 2Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump El Pump El Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results 2 Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,"Wo,"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 />