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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Tank ID 882-TFUDOI <br /> Spill Container Manufacturer: F OPW <br /> Method of Cathodic Protection ® Nonmetallic ❑ Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ 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 /> m Fail ❑ Fail 117 Fail ❑ Fail <br /> Tank lD <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection El Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other ® Other ® Other m Other <br /> 1s the spill container minimum <br /> ❑ Yes ❑ Yes ® Yes ® Yes <br /> capacity five gallons excluding ❑ No* ❑ No" ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain © Drain <br /> empty El Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ® Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Faii ❑ Fail ❑ Fail <br /> S. 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" =-0.00 change=<0.1 agph= 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 />