DERR-2024-004276

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 [phone]

OVERFILL ALARM OPERATION INSPECTION
Facility Name: Smith’s 147 Owner: Smith’s Food and Drug Centers, Inc.
Address: 5620 West 4100 South Address: P.O. Box 305103
City, State, Zip: West Valley City, Utah 84128 City, State, Zip: Nashville, Tennessee 37230
Facility I.D.#: 4002269 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 1/30/24
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 350 TLS 350 TLS 350
1. Tank Volume, gallons 14,545 7,796 6,953
2. Tank Diameter, inches 91 5/8 91 5/8 91 5/8
3. Overfill alarm activates in the test mode at the
console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
4. When activated, overfill alarm can be heard or seen
while delivering to the tank? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
5. After removing the probe from the tank, it has been
inspected and any damaged or missing parts replaced? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
6. Float moves freely on stem without binding? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
7. Moving product level float up the stem trigger
alarm? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
8. Inch level from bottom of stem when 90% alarm is
triggered? 76 7/8 76 5/8 77 1/4
9. Tank volume at inch level in Line 8. 13,089 7,016 6,258
10. Calculate (Line 9 / Line 1) X 100 90% 90% 90%
11. Is line 10 less than 90%? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
12. Fuel float level on the console agrees with the
gauge stick reading? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
13. Overfill alarm activates at any product level above
90% tank capacity? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
If any answers in Lines 3, 4, 5, 6, 7, or 11 are "No," or Line 13 is “Yes,” the system has failed the test.
Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail
Comments:
Tester’s Name Jon Sainsbury, UT-0395 Tester’s Signature