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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by ID Manufacturer ® Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Tank ID 882-TFUD01 <br /> Spill Container Manufacturer_ OPW <br /> Method of Cathodic Protection ® Nonmetallic ❑ Nonmetallic I❑ Nonmetallic ❑ Nonmetallic <br /> m Other ® Other ❑ Other ❑ Other <br /> Is the spill container minimum ® Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding 0 No* ❑ No' ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results m Pass ❑ Pass ❑ Pass ❑ Pass <br /> ® Fail ❑ Fail 117 Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ® Nonmetallic ®Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ® Other m Other <br /> 1s the spill container minimum <br /> capacity five gallons excluding ® Yes ❑ Yes ® Yes Yes <br /> ® <br /> riser volume? No ❑ No ® No No❑ <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain © Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ® Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> p] Fail ❑ Fail ❑ Fail ❑ Fail <br /> B. COMMENTS <br /> Describe all answers marked "Other,"`No,"or"Fail"and each proposed remedy. <br /> Using the Caldwell Sump Level Change Indicator from: <br /> 9:1 Oa C 14.54"to 9:30a @ 14.50" =-0.04 change=<0.14gph= Pass <br /> SJEHD on site <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 />