Loading...
HomeMy WebLinkAboutDERR-2024-004269 WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 PRODUCT PIPING INTEGRITY TESTING Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Phone #: 801-266-2545 Date: 2/14/24 This procedure is to test the integrity of product piping. Tests were performed with Petro-Tite line tester. Tank Number 1 2 3 Product Stored RUL PUL DSL Piping Run Only Only Only Piping Type Flew D/W Flew D/W Flew D/W Test Pressure (PSI) 50 50 50 Test Duration (minutes) 30 30 30 Leak Rate (GPH) 0.000 0.000 0.000 Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail Comments: Tester’s Name Taber DeHart, UT-0394 Tester’s Signature PU L DS L RU L WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 MECHANICAL AND ELECTRONIC LINE LEAK DETECTOR PERFORMANCE TESTS Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Phone #: 801-266-2545 Date: 2/14/24 This data sheet can be used to test the mechanical line leak detector (MLLD) and electronic line leak detector (ELLD) with submersible turbine pump (STP) systems. See PEI/RP 1200 Sections 9.1 and 9.2 for test procedures. Line Number 1 2 3 Product Stored RUL PUL DSL Leak Detector Manufacturer FE Petro FE Petro Vaporless Leak Detector Model MLLD MLLD LD2000 Type Of leak Detector ☒MLLD ☐ELLD ☒MLLD ☐ELLD ☒MLLD ☐ELLD ☐MLLD ☐ELLD MLLD (ALL PRESSURE MEASURMENTS ARE MADE IN PSIG) STP full operating pressure 29 30 34 Check valve holding pressure 24 24 24 Line resiliency (ml) (line bleedback volume as measured from check valve holding pressure to 0 psig) 125 135 85 Step through time in seconds (time the MLLD hesitates at metering pressure before going to full operating pressure as measured from 0 sig with no leak induced on the line) 1 1 1 Metering pressure (STP pressure when simulated leak rate 3 gph at 10 psig) 11 11 17 Opening time in seconds (the time the MLLD opens to allow full pressure after simulated leak is stopped) 3 2 2 Does the STP pressure remain at or below the metering pressure for at least 60 seconds when the simulated leak is induced? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No Does the leak detector reset (trip) when the line pressure is bled off to zero psig? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No Does STP properly clycle on/off under normal fuel system operating conditions? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No A "No" answer to any of the above questions indicates that the MLLD fails the test. ELLD (ALL PRESSURE MEASURMENTS ARE MADE IN PSIG) STP full operating pressure How many test cycles are observed before alarm/shutdown occurs? Does the simulated leak cause on alarm? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No A "No" answer to the above question indicates that the ELLD fails the test. Does the simulated leak cause an STP shutdown? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail Comments: Tester’s Name Taber DeHart, UT-0394 Tester’s Signature WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 AUTOMATIC TANK GAUGE OPERATION INSPECTION Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Phone #: 801-266-2545 Date: 2/14/24 This procedure is to determine whether the automatic tank gauge (ATG) is operating properly. See PEI/RP1200 Section 8.2 for the inspection procedure. This procedure is applicable to tank monitor stems the touch the bottom of the tank when in place. Tank Number 1 2 3 Product Stored RUL PUL DSL ATG Brand and Model TLS-450 TLS-450 TLS-450 1. Tank Volume, gallons 11,873 10,318 10,257 2. Tank Diameter, inches 119.63 119.63 119.63 3. After removing the ATG from the tank, it has been inspected and any damaged or missing parts replaced? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 4. Float moves freely on the stem without binding? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 5. Fuel float level agree with the value programmed into the console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 6. Water float level agree with the value programmed into the console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 7. Inch level from the bottom of the stem when 90% alarm is triggered? 99 3/8 100 3/4 99 1/8 8. Inch level at which the overfill alarm activates corresponds with the value programmed in the gauge? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 9. Inch level from the bottom when the water float first triggers an alarm? 2 2 2 10. Inch level at which the water float alarm activates corresponds with the value programmed in the gauge? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No If any answers in Lines 3, 4, 5, or 6 are "No" the system has failed the test. Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail Comments: Battery OK Tester’s Name Taber DeHart, UT-0394 Tester’s Signature WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 LIQUID SENSER FUNCTIONALITY TESTING Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Phone #: 801-266-2545 Date: 2/14/24 This procedure is to determine whether liquid sensors, located in the interstitial spaces of the UST systems, are able to detect t he presence of water and fuel. See PEI/RP1200, Section 8.3 for the test procedure. Sensor Location L1 STP L2 STP L3 STP L4 INT L5 INT L6 UDC 1/2 L7 UDC 3/4 Product Stored RUL PUL DSL RUL PUL/DSL ALL RUL/PUL Type of Sensor ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☒ Non-Discrimi- nating Test Liquid ☒ Water ☐ Product ☒ Water ☐ Product ☒ Water ☐ Product ☒ Water ☐ Product ☒ Water ☐ Product ☒ Water ☐ Product ☒ Water ☐ Product Is the ATG Console clear of any active or recurring warnings or alarms regarding the leak sensor? If the sensor is in alarm and functioning, indicate why. ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No Is sensor alarm circuit operational? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No Has sensor been inspected and in good operating condition? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No When placed in test liquid, does the sensor trigger an alarm? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No When alarm is trigger, is the sensor identified on the ATG console? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No Any “No” answers indicate the sensor fails the test. Test Results: ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail Comments: Tester’s Name: Taber DeHart, UT-0394 Tester’s Signature WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 LIQUID SENSER FUNCTIONALITY TESTING Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Phone #: 801-266-2545 Date: 2/14/24 This procedure is to determine whether liquid sensors, located in the interstitial spaces of the UST systems, are able to detect t he presence of water and fuel. See PEI/RP1200, Section 8.3 for the test procedure. Sensor Location L8 UDC 5/6 L9 UDC 7/8 Product Stored RUL/PUL ALL Type of Sensor ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☒ Non-Discrimi- nating ☐ Discriminating ☐ Non-Discrimi- nating ☐ Discriminating ☐ Non-Discrimi- nating ☐ Discriminating ☐ Non-Discrimi- nating ☐ Discriminating ☐ Non-Discrimi- nating ☐ Discriminating ☐ Non-Discrimi- nating Test Liquid ☒ Water ☐ Product ☒ Water ☐ Product ☐ Water ☐ Product ☐ Water ☐ Product ☐ Water ☐ Product ☐ Water ☐ Product ☐ Water ☐ Product Is the ATG Console clear of any active or recurring warnings or alarms regarding the leak sensor? If the sensor is in alarm and functioning, indicate why. ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No Is sensor alarm circuit operational? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No Has sensor been inspected and in good operating condition? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No When placed in test liquid, does the sensor trigger an alarm? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No When alarm is trigger, is the sensor identified on the ATG console? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No Any “No” answers indicate the sensor fails the test. Test Results: ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail Comments: Tester’s Name: Taber DeHart, UT-0394 Tester’s Signature WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 SPILL BUCKET INTEGRITY TESTING HYDROSTATIC TEST METHOD SINGLE- AND DOUBLE-WALLED VACUUM TEST METHOD Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Fuel Equipment Phone #: 801-266-2545 Date: 2/14/24 This procedure is to test the leak integrity of single- and double-walled spill buckets. See PEI/RP1200 Section 6.2 for hydrostatic test method, Section 6.3 for single-walled vacuum test method and Section 6.4 for double-walled vacuum test method. Tank Number 1 2 3 Product Stored RUL PUL DSL Spill Bucket Capacity 5-Gallon 5-Gallon 5-Gallon Manufacturer OPW OPW OPW Construction ☒Double-walled ☐Single-walled ☒Double-walled ☐Single-walled ☒Double-walled ☐Single-walled ☐Double-walled ☐Single-walled Test Type ☐Hydrostatic ☒Vacuum ☒Double-walled ☐Single-walled ☐Hydrostatic ☒Vacuum ☒Double-walled ☐Single-walled ☐Hydrostatic ☒Vacuum ☒Double-walled ☐Single-walled ☐Hydrostatic ☐Vacuum ☐Double-walled ☐Single-walled Spill Bucket Type ☒Product ☐Vapor ☒Product ☐Vapor ☒Product ☐Vapor ☐Product ☐Vapor Liquid and debris remove from spill bucket?* ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No Visual Inspection (no cracks, loose parts or separation of the bucket from the fill pipe.) ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No Tank Riser cap included in test? ☐Yes ☐No ☒NA ☐Yes ☐No ☒NA ☐Yes ☐No ☒NA ☐Yes ☐No ☐NA Drain valve included in test? ☐Yes ☐No ☐NA ☐Yes ☐No ☐NA ☐Yes ☐No ☐NA ☐Yes ☐No ☐NA Starting Level 15” 15” 15” Test Start Time 10:22 10:07 10:13 Ending Level 15” 15” 14” Test End Time 10:27 10:12 10:18 Test Period 5-Minute 5-minute 5-Minute Level Change 0” 0” -1” Pass/fail criteria: Must pass visual inspection. Hydrostatic: Water level drop of less than 1/8 inch; Vacuum single-walled only: Maintain at least 26 inches water column; Vacuum double-walled: maintain at least 12 inches water column. Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail Comments: *All liquids and debris must be disposed of properly Tester’s Name Taber DeHart, UT-0394 Tester’s Signature WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 UST OVERFILL EQUIPMENT INSPECTION AUTOMATIC SHUTOFF DEVICE AND BALL FLOAT VALVE Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Fuel Equipment Phone #: 801-266-2545 Date: 2/14/24 This data sheet is for inspecting automatic shutoff devices and ball float valve. See PEI/RP1200 Section 7 for inspection procedures. Product Grade RUL PUL DSL Tank Number 1 2 3 Tank Volume, gallons 11,873 10,318 10,257 Tank Diameter, inches 119.63 119.63 119.63 Overfill Prevention Device Brand OPW OPW OPW Type ☒ Automatic Shutoff Device ☐ Ball Float Valve ☒ Automatic Shutoff Device ☐ Ball Float Valve ☒ Automatic Shutoff Device ☐ Ball Float Valve ☐ Automatic Shutoff Device ☐ Ball Float Valve AUTOMATIC SHUTOFF DEVICE INSPECTION 1. Drop tube removed from tank? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 2. Drop tube and float mechanisms free of debris? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 3. Float moves freely without binding and poppet moves into flow path? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No 4. Bypass valve in the drop tube open and free of blockage (if present)? ☒Yes ☐No ☐Not Present ☒Yes ☐No ☐Not Present ☒Yes ☐No ☐Not Present ☐Yes ☐No ☐Not Present 5. Flapper adjusted to shut off flow at 95% capacity? * ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No A "No" to any item in Lines 1-5 indicates a test failure. BALL FLOAT VALVE INSPECTION** 1. Tank top fitting vapor-tight and leak free? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No 2. Ball float cage free of debris? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No 3. Ball free of holes and cracks and moves freely in cage? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No 4. Vent hole in pipe open and near top of tank? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No 5. Ball float pipe proper length to restrict flow to 90% capacity? *** ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No A "No" to any item in Lines 1-5 indicates a test failure. Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail Comments: *Use manufacturer’s suggested procedure for determining if automatic shutoff device will shut off flow at 95% capacity. **If a ball float valve is found to fail the inspection, another method of overfill must be used. ***Use manufacturer’s suggested procedure for determining if flow restriction device will restrict flow at 90% capacity. Tester’s Name Taber DeHart, UT-0394 Tester’s Signature Overfill Prevention Equipment Inspection OPW 61 and 71 Series Overfill Prevention Device Inspection (Non Testable) Customer Name: Facility ID #: Address: Street Date: City, State Tank Designation 1 2 3 Part 1 - Proper Height Setting Calculation YES NO PASS FAIL OPW Installation Manual H15524PA Rev L 1/30/2014) Maximum Tank Volume (Gallons) Shown on customers provided tank chart Gallons 11,873 10,318 10,257 Max Shut off requirement for flapper is 95% %95%95%95%95% Multiply maximum tank volume by 95% (Gallons)95%Gallons 11,279 9,802 9,744 0 Find the dip stick number on the tank chart that corresponds with 95%X Inches 106.625''108.000''106.375'' Measure top of fill riser threads, or face seal adapter A Inches 40.125''43.000''39.625'' Find the Dip Stick Volume that corresponds with 100% (FROM TANK CHART)Y Inches 119.625''119.625''119.63 Upper Tube in tank (Y) -(X) = (Z)Z Inches 13.000''11.625''13.250''0.000'' Subtract 2 inches from upper tube in tank Formula: (Z) - 2" = (C )C Inches 11.000''9.625''11.250''-2.000'' Calculated minimum upper tube length Formula: (C ) + (A) = Upper Tube Length Calculated Inches 51.125''52.625''50.875''-2.000'' Actual measured upper tube length (without fill adapter)Actual Inches 52.500''52.875''51.250'' Part 2 - Device Certification Citeria Evaluation Criteria 1 Does the overfill prevention device meet the 95% requirement?YES YES YES (If Actual is greater than or equal to calculated ( YES) (If Actual is less than or equal to calculated ( NO) Criteria 2 Is the actual measured upper tube length 6.5 inches or more than the fill riser?YES YES YES (C must be 6.5" if not then the upper tube length is 6.5 plus measurement A) (For testable models ending in "T" upper tube length is (C)+ (A) - 1 -1/2". If less than 6.5" than it is 6.5" +(A) - 1-1/2") Criteria 3 Does the overfill prevention device function function as required?YES YES YES (Inspect the device for damage, contamination, freedom of movement, weakening due to wear and corrosion) Part 3 - Device Certification PASS / FAIL PASS PASS PASS Technician certifies that the device is operationally compliant. If the response to Criteria 1, 2, and 3 above are YES. Date: OPW 71SO-410Overfill Drop Tube Make and Model Tank Chart Comments: 2/14/2024 Signature of Technician: Tank Chart Provided by Containment Solutions Harmon's St. Gorge #61 6001013 1189 East 700 South St. George, Utah 84790 Containment Solutions 2/14/2024 WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 CONTAINMENT SUMP INTEGRITY TESTING HYDROSTATIC TESTING METHOD Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Fuel Equipment Phone #: 801-266-2545 Date: 2/14/24 This procedure is to test the leak integrity of containment sumps. See PEI/RP1200 Section 6.5 for the inspection procedure. Containment Sump ID 1 STP 2 STP 3 STP Containment Sump Material FRP FRP FRP Liquid and debris removed from sump?* ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No Visual Inspection (No cracks, loose parts or separation of the containment sump.) ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No Containment Sump Depth 45.5” 49” 44 Height From Bottom to Top of Highest Penetration 16” 17” 14” Starting Water Level 20 1/4” 22 1/4” 18” Test Start Time 7:55 10:08 9:36 Ending Water Level 20 1/4” 20 1/4” 18” Test End Time 8:55 11:08 10:37 Test Period (Minimum test time: 1 hour) 1 Hour 1 Hour 1 Hour Water Level change 0” 0” 0” Pass/fail Criteria: Must pass visual inspection. Water level drop of less than 1/8 inch. Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail Comments: All crossover tubes in place. Secondary piping tested. *All Liquids and debris must be disposed of properly. Tester’s Name Taber DeHart, UT-0394 Tester’s Signature WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 CONTAINMENT SUMP INTEGRITY TESTING HYDROSTATIC TESTING METHOD Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Fuel Equipment Phone #: 801-266-2545 Date: 2/14/24 This procedure is to test the leak integrity of containment sumps. See PEI/RP1200 Section 6.5 for the inspection procedure. Containment Sump ID USC 1/2 UDC 3/4 UDC 5/6 UDC 7/8 Containment Sump Material Poly Poly Poly Poly Liquid and debris removed from sump?* ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No Visual Inspection (No cracks, loose parts or separation of the containment sump.) ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No Containment Sump Depth 28” 30” 31” 31” Height From Bottom to Top of Highest Penetration 5” 8” 8” 8” Starting Water Level 9 1/2” 13 1/2” 14 1/4”” 12” Test Start Time 7:13 7:13 7:19 7:22 Ending Water Level 9 1/2” 13 1/2” 14 1/4”” 12” Test End Time 8:19 8:21 8:21 8:22 Test Period (Minimum test time: 1 hour) 1 Hour 1 Hour 1 Hour 1 hour Water Level change 0” 0” 0” 0” Pass/fail Criteria: Must pass visual inspection. Water level drop of less than 1/8 inch. Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail Comments: All crossover tubes in place. Secondary piping tested. *All Liquids and debris must be disposed of properly. Tester’s Name Taber DeHart, UT-0394 Tester’s Signature WESTECH EQUIPMENT 195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307 801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX 801-261-4054 PIPING SECONDARY CONTAINMENT INTEGRITY TESTING Facility Name: Harmon’s St. George #61 Owner: Harmon’s Taylorsville, LLC Address: 1189 East 700 South Address: 3540 South 4000 West, Suite 500 City, State, Zip: St. George, Utah 84790 City, State, Zip: West Valley City, Utah 84120 Facility I.D.#: 6001013 Phone #: 385-255-1734 Testing Company: Westech Fuel Equipment Phone #: 801-266-2545 Date: 2/14/24 This procedure is to test the integrity of of the interstitial space of double-walled piping. See PEI/RP1200 Section 5 for the test procedure. Tank Number 1 2 3 Piping Run RUL PUL DSL Piping Material Flew D/W Flex D/W Flex D/W Product Stored RUL PUL DSL Test Start Time 7:15 7:15 7:15 Initial Test Pressure, psig (test procedure specifies 5 psig.) 5 5 5 Test End Time 8:15 8:15 8:15 Final Test Pressure, psig 5 5 5 Pressure Change (No reduction in pressure allowed for pass.) 0 0 0 Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail Comments: Tester’s Name Taber DeHart, UT-0394 Tester’s Signature