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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> Tank ID 879-TFUG01 879-TFUD01 <br /> Spill Container Manufacturer: OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic 0 Nonmetallic ❑ Nonmetallic m Nonmetallic <br /> ® Other ® Other ❑ Other ® Other <br /> Is the spill container minimum ❑ Yes ® Yes ® Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ® No" ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain p Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> 0 Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ pass ® Pass ❑ Pass ® Pass <br /> ® Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection 0 Nonmetallic ❑ Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other m Other <br /> Is the spill container minimum 0 Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* m No* ❑ No* 0 No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ® Pump ® Pump ❑ Pump ❑ Pump <br /> ❑ Other 0 Other ® Other ® Other <br /> Spill Container Test Results ❑ Pass ® Pass ® Pass ❑ Pass <br /> ❑ Fail j ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,""No,"or"Fail"and each proposed remedy_ <br /> Using the Caldwell Sump Level Change Indicator from: <br /> TFUG01: 9:53a @ 12.25" to 10:14a @ 12.23" =-0.D2 change =<0.10gph = Pass <br /> TFUD01: 10:25a @ 12.50"to 10:45a @ 12.49" =-0.01 change=<0.10gph = 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 />