DERR-2024-009981

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]

SPILL BUCKET INTEGRITY TESTING HYDROSTATIC TEST METHOD
SINGLE- AND DOUBLE-WALLED VACUUM TEST METHOD
Facility Name: Smith’s #475 Owner: Smith’s Food and Drug Centers, Inc.
Address: 3171 East 3300 South Address: P.O. Box 305103
City, State, Zip: Salt Lake City, Utah 84109 City, State, Zip: Nashville, Tennessee 37230
Facility I.D.#: 4002338 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 5/16/23
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 (South)
Product Stored RUL
Spill Bucket
Capacity 5-Gallon
Manufacturer 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”
Test Start Time 0:00
Ending Level 0
Test End Time 1:00
Test Period 1 Minute
Level Change -15”
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: RUL (south) inner bucket wall cracked and needs replacement.
*All liquids and debris must be disposed of properly
Tester’s Name Taber DeHart, UT-0394 Tester’s Signature