DERR-2024-004685

1000383
1000383
1000383
LIQUID SENSOR FUNCTIONALITY TESTING
Facility Name: Maverik # 511 Owner:
Address: Address:
City, State, Zip Code:
Phone#:
City, State, Zip
Code: Facility I.D. #:
Testing Company: Precision Testing Technologies Inc. Phone#: [phone] Date:01/19/2024
This procedure is to determine whether liquid sensors located in the interstitial space of UST systems are able to detect the presence of water and fuel. See PEI/RP1200,
Section 8.3 for the test procedure.
Sensor Location Reg stp
Product Stored Reg □Discriminating
Type of Sensor El Non-discrimi-
nating
Test Liquid El Water
D Product
Is the ATG console clear of any active
or recurring warnings or alarms
regarding the leak sensor? If the El Yes □No
sensor is in alarm and functioning,
indicate why.
Is the sensor alarm circuit El Yes □No operational?
Has sensor been inspected and in El Yes □No good operating condition?
When placed in the test liquid, does El Yes □No the sensor trigger an alarm?
When an alarm is triggered, is the
sensor properly identified on the ATG El Yes □No
console?
Any "No" answers indicates the sensor fails the test.
Test Results El Pass
Comments:
Tester's Name Danny Jones Ur 379
□Fail
Disp 1/2 3/4 5/6 7/8
Lines Lines Lines Lines □Discriminating □ Discriminating □ Discriminating □ Discriminating □ Discriminating □ Discriminating
El Non-discrimi-El Non-discrimi-El Non-discrimi-El Non-discrimi-□ Non-discrimi-□ Non-discrimi-
nating nating nating nating nating nating
El Water El Water El Water El Water □Water □Water
D Product D Product D Product D Product D Product D Product
El Yes □No El Yes □No El Yes □No El Yes □No □Yes □No □Yes □No
El Yes □No El Yes □No El Yes □No El Yes □No □Yes □No □Yes □No
El Yes □No El Yes □No El Yes □No El Yes □No □Yes □No □Yes □No
El Yes □No El Yes □No El Yes □No El Yes □No □Yes □No □Yes □No
El Yes □No El Yes □No El Yes □No El Yes □No □Yes □No □Yes □No
El Pass □Fail El Pass □Fail El Pass DI Fail El Pass □Fail D Pass □Fail □Pass D Fail
Tester's Signature ____ D._7-__,,-�_,,,__ntl.4--_______ _
1000383