DERR-2024-004717

SERVICE ORDER SUMMARY
US TANK ALLIANCE, INC.
7400 Skyline Drive E., Suite A
Columbus, OH 43235
Phone:[phone] Fax:[phone]
Invoice #:0406644
Service Order #0406644 Test Date:2/7/2024
Customer:
Pilot Travel Centers, LLC
5508 Lonas Road
Attention: Environmental Department
Knoxville, TN
Attn: Joey Cupp
Customer PO #:
Location:
Pilot # 0294
1670 West 12th Street
Facility # 1200515
Ogden, UT
Dispatched For:
COMPLIANCE - Overfill Prevention Equipment Operability Inspection.
Notes/Comments:
The PUL, RUL, RUL, DSL, DSL & DSL Overfill Prevention Equipment Operability Inspections Passed.
Test Technician:
Tested by: Precision Testing Technologies, Inc. Tech: Max LaRou UT-0412.
37909 84404-5444
Customer Phone:[phone] ext.Facility Phone:[phone] ext.
Attn: Manager
Other:
COMPLIANCETest Purpose:
Reviewed By:
Tank
Line/LD/Impacts
ATG Certification
Cath. Protect.CP Survey
Pressure Decay
Air-to-Liquid
Blockage
PV Vent Cap
Healy
GPM / Flow Rate
Helium Pinpoint Test
Containment
Residential Tank Test
STAGE II TESTINGUST SYSTEM TESTING OTHER ACTIVITIES
Other ActivitiesOther Stage II