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Underground Storage Tank <br /> Spill Containment Testing Report Form <br /> 6. SPILL CONTAINMENT DETAILS <br /> Test Method Developed by ✓❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑✓ Hydrostatic <br /> ❑Check this box if Appendix 6.1 continuation page is attached. <br /> Tank ID REGULAR-NORTH REGULAR-SOUTH PREMIUM <br /> Spill Containment Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic ❑✓ Nonmetallic ❑✓ Nonmetallic ❑ Nonmetallic <br /> ❑Other ❑Other ❑Other ❑Other <br /> Is the spill containment Z Yes Z Yes ❑✓ Yes ❑Yes <br /> minimum capacity five gallons <br /> excluding riser volume? ❑No* ❑No* ❑No* ❑ No* <br /> Method to keep spill ❑✓ Drain ❑✓ Drain ✓❑Drain ❑ Drain <br /> containment empty ❑Pump ❑Pump ❑Pump ❑ Pump <br /> ❑Other ❑Other ❑Other ❑Other <br /> Spill Containment Test Results ❑✓ Pass ❑✓ Pass ❑✓ Pass ❑ Pass <br /> ❑Fail ❑Fail ❑Fail ❑ Fail <br /> Tank ID <br /> Spill Containment Manufacturer: <br /> Method of Cathodic Protection ❑Nonmetallic ❑Nonmetallic [-]Nonmetallic ❑Nonmetallic <br /> ❑Other ❑Other ❑Other ❑Other <br /> Is the spill containment ❑Yes ❑Yes ❑Yes ❑Yes <br /> minimum capacity five gallons <br /> excluding riser volume? ❑No* ❑No* ❑No* ❑No* <br /> Method to keep spill ❑Drain ❑Drain ❑Drain ❑Drain <br /> containment empty ❑Pump ❑Pump ❑Pump ❑Pump <br /> ❑Other ❑Other ❑Other ❑Other <br /> Spill Containment Test Results El Pass El Pass El Pass El Pass <br /> ❑Fail ❑Fail ❑Fail ❑Fail <br /> 7. COMMENTS <br /> 87 South Failed - Cap Leaking - Replaced, Retested & Passed. <br /> *❑Check this box if any spill containment has less than 5 gallons capacity and requires <br /> replacement. <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy in Section 7. <br /> Page 2 of 2 <br />