SPILL BUCKET INTEGRITY TESTING HYDROSTATIC TEST METHOD

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Wilkesville, Ohio, 45695

123123

TANKS DATA LLC

JLG 4 Food Mart LLC

, , 47201

765-481-7475

Tank Number Tank 1 Tank 2 Tank 3 Tank 4
Product Stored
Spill Bucket Capacity
Manufacturer
Construction
Test Type
Spill Bucket Type
Liquid and debris removed from spill bucket?*
Visual Inspection (No cracks, loose parts or separation of the bucket from the fill pipe.)
Tank riser cap included in test?
Drain valve included in test?
Starting Level
Test Start Time
Ending Level
Test End Time
Test Period
Level Change
Test Results