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Underground Storage -Vank <br /> l�nderg � �� for <br /> _ pill o�ta��er�est�+�g P <br /> Test t+ ett,od Deveie aatu+ie [ � totatic <br /> ❑ Ptessuse �'] Vacuum <br /> Tank ID 1DSL I DSL 2 <br /> Spill ContaineT Martu#acturef: 4PIN OPW <br /> E Nonmetallic la Nonmetallic d Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection ❑ Other 0 Other [2 Other U Other <br /> Is the spill container minimum ❑ Yes d Yes b Yes El Yes <br /> capacity five gallons excluding ❑ o, d No* ❑ No* t] Flo* <br /> riser volume? <br /> Method to keep spill container ❑ Drain E] Drain d Dram in Drain <br /> [} Pump ❑ Pump ❑ Pump ❑, Pump <br /> empty _ ❑ Other ❑ Other r] Other ❑ Other <br /> Spill Container Test Results d Pass � Pass [J Pass In Pass <br /> Fail E) Fail d Fail 117 Fall <br /> Tank lD <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic p Nonmetallic E Nonmetallic <br /> d Other d Other C Other Other <br /> Is the spill container ninimum <br /> capacitor five gallons excluding d Yes ❑ Yes � Yes Yes d <br /> riser volume? ❑ o" E) No# E) No* No` <br /> Method to keep spill container 7 Drain d Drain d Drain Drain <br /> empty El Pump d Pump d Pump ❑ Pump � <br /> _ ❑ Other I. Other ❑ Other Other <br /> Spill Container Test Results d Pass ® Pass [] Fuss p Pass <br /> ❑ Fail ❑ Fail ❑ Fail d Fail <br /> S. COMMENTS - -- <br /> Descr+be all answers marked "Other, " "No, " or 'Fail" and each proposed rernedy. <br /> * Mark here if.• <br /> 17 S 3 ill containers do not have a min imurn Cape Ci of five galions and re +ire <br /> replacemen#. <br /> Additional copies of this page maybe attached, <br /> Page 2 of 2 <br />