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Home My WebLink AboutDERR-2024-010527EZY 3 LOCATOR PLUS Manufactured by ESTABROOKS, INC 877-368-7215 TEST DATE Location TANK # TIGHT TANK THIS UNDERGROUND STORAGE TANK PASSES THE CRITERIA SET FORTH BY THE U.S. EPA. ULLAGE (DRY) PORTION OF LEAK THIS UNDERGROUND STORAGE TANK FAILS THE CRITERIA SET FORTH BY THE U.S. EPA. FINAL REPORT STATE FACILITY ID# PRODUCT TYPE ULLAGE VOL. PRODUCT VOL. TOTAL TANK VOL. THE ACOUSTIC CHARACTERISTIC OF A LEAK REVEALS: BELOW PRODUCT LEVEL (WET) PORTION LEAK THIS UNDERGROUND STORAGE TANK FAILS THE CRITERIA SET FORTH BY THE U.S. EPA. Print Name Testing Firm Address Certification # Expiration Date: Telephone #801-886-9224 Operator Information No Water Intrusion Water Instrusion Not Applicable WATER SENSOR INDICATES: (CHECK ONLY ONE) Precision Testing Tech, Inc. 2026 Elk Creek Crt. Bluffdale, UT Eagles Landing Flying J Beaver 653 W. 1400 Rd. Beaver, UT 64713 08/30/2024 19,782 14,088 5,734 Auto Dsl 600006 9 4 4 Dominic Salas UT-378 02-15-26 DATA LOG Fill out the site location, tank information and test boxes below. Be sure to choose the correct test box according to the diameter of the tank being tested. Follow the test procedures on the other side of this form. A separate test form is needed for every tank. For additional copies of the form, contact the Customer Service Representative at the Xerxes manufacturing facility nearest you. (See back cover for information.) SITE LOCATION AND TANK INFORMATION Site Location: Tank Information: Address: Nominal Gallons: Diameter: Phone: Approximate Standpipe Length: Contact Name: Product Type: Test Date: Person Performing Test: 4-FOOT-, 6-FOOT- AND 8-FOOT-DIAMETER DOUBLE-WALL TANKS 95% - 5% TEST 99% - 1% TEST 1a.Start level (inches in standpipe)1b.Start level (inches in standpipe) 2a.End level after 4 hours -2b.End level after 10 hours - 3.Difference (subtract 2a from 1a)=3.Difference (subtract 2b from 1b)= 4.Calibration factor x .20 4.Calibration factor x .20 5.Volume change =5.Volume change = 6.Test hours ÷ 4 6.Test hours ÷ 10 7.Gallons-per-hour loss =7.Gallons-per-hour loss = (If 0.05 gallons/hour or less, tank passed.)(If 0.05 gallons/hour or less, tank passed.) Note: maximum allowable dispensing volume during test:Note: No product dispensing allowed. 8-foot-diameter tank – 1,200 gallons maximum 6-foot-diameter tank – 500 gallons maximum 4-foot-diameter tank – 300 gallons maximum 10-FOOT-DIAMETER DOUBLE-WALL TANKS 95% - 5% TEST 99% - 1% TEST 1a.Start level (inches in standpipe)1b.Start level (inches in standpipe) 2a.End level after 6 hours -2b.End level after 10 hours - 3.Difference (subtract 2a from 1a)=3.Difference (subtract 2b from 1b)= 4.Calibration factor x .30 4.Calibration factor x .30 5.Volume change =5.Volume change = 6.Test hours ÷ 6 6.Test hours ÷ 10 7.Gallons-per-hour loss =7.Gallons-per-hour loss = (If 0.05 gallons/hour or less, tank passed.)(If 0.05 gallons/hour or less, tank passed.) Note: Maximum allowable dispensing volume during test:Note: No product dispensing allowed. 10-foot-diameter tank – 750 gallons maximum Eagles Landing Beaver 653 W. 1400 Rd. Beaver, UT 64713 08/30/2024 19,782 118.5" 50" Auto Dsl Dominic Salas 7 3/4" 7 3/4" 0 0 0 Dave Eichorn EZY CHEK SYSTEMS TEST DATE PRODUCT LINE TESTER Testing Company Information DATA SHEET Name Address City Test Location Information Precision Testing Technologies, Inc. 2026 W. Elk Creek Crt. Bluffdale, UT Test Location Information Phone Name Address Technican Information City Name Phone Cert # 801-886-9224 Contact Applied Pressure #1 Product Type:#2 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.00370.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: #3 Product Type:#4 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.00370.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: #5 Product Type:#6 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.000000.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: Facility ID# : 08/30/2024 6000061 Eagles Landing Flying J Beaver 653 W. 1400 Rd. Beaver, UT 64713 Dominic Salas UT-378 40-60psi Auto Dsl 0 80 15 80 0 0 0 30 80 0 0 0 Pass Truck Dsl 0 70 15 67 -3 .0111 .0444 30 64 -3 .0111 .0444 Pass 08/30/2024 Dominic Salas UT-378 pei.org 49 Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities APPENDIX C-9 MECHANICAL AND ELECTRONIC LINE LEAK DETECTORS PERFORMANCE TEST )DFLOLW\1DPH2ZQHU $GGUHVV$GGUHVV &LW\6WDWH=LS&RGH&LW\6WDWH=LS&RGH )DFLOLW\,'3KRQH 7HVWLQJ&RPSDQ\3KRQH'DWH 7KLVGDWDVKHHWFDQEHXVHGWRWHVWPHFKDQLFDOOLQHOHDNGHWHFWRUV0//'DQGHOHFWURQLFOLQHOHDNGHWHFWRUV(//'ZLWKVXEPHUVLEOH WXUELQHSXPS673V\VWHPV6HH3(,536HFWLRQVDQGIRUWHVWSURFHGXUHV /LQH1XPEHU 3URGXFW6WRUHG /HDN'HWHFWRU0DQXIDFWXUHU /HDN'HWHFWRU0RGHO 7\SHRI/HDN'HWHFWRU 0//' (//' 0//' (//' 0//' (//' 0//' (//' 0//' (//' 0//' (//' MLLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG) 673)XOO2SHUDWLQJ3UHVVXUH &KHFN9DOYH+ROGLQJ3UHVVXUH /LQH5HVLOLHQF\POOLQHEOHHGEDFNYRO XPHDVPHDVXUHGIURPFKHFNYDOYHKROG LQJSUHVVXUHWR]HURSVLJ 6WHS7KURXJK7LPHLQ6HFRQGVWLPHWKH 0//'KHVLWDWHVDWPHWHULQJSUHVVXUH EHIRUHJRLQJWRIXOORSHUDWLQJSUHVVXUH DVPHDVXUHGIURPSVLJZLWKQROHDN LQGXFHGRQWKHOLQH 0HWHULQJ3UHVVXUH673SUHVVXUHZKHQ VLPXODWHGOHDNUDWHJSKDWSVLJ 2SHQLQJ7LPHLQ6HFRQGVWKHWLPHWKH 0//'RSHQVWRDOORZIXOOSUHVVXUHDIWHU VLPXODWHGOHDNLVVWRSSHG 'RHVWKH673SUHVVXUHUHPDLQDWRU EHORZWKHPHWHULQJSUHVVXUHIRUDWOHDVW VHFRQGVZKHQWKHVLPXODWHGOHDNLV LQGXFHG" <HV1R<HV1R <HV1R <HV1R <HV1R <HV1R 'RHVWKHOHDNGHWHFWRUUHVHWWULSZKHQ WKHOLQHSUHVVXUHLVEOHGRIIWR]HURSVLJ"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R 'RHVWKH673SURSHUO\F\FOHRQRIIXQGHU QRUPDOIXHOV\VWHPRSHUDWLRQFRQGLWLRQV"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R $´1RµDQVZHUWRHLWKHURIWKHDERYHTXHVWLRQVLQGLFDWHVWKH0//'IDLOVWKHWHVW ELLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG) 673)XOO2SHUDWLQJ3UHVVXUH +RZPDQ\WHVWF\FOHVDUHREVHUYHG EHIRUHDODUPVKXWGRZQRFFXUV" 'RHVWKHVLPXODWHGOHDNFDXVHDQDODUP"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R $´1RµDQVZHUWRWKHDERYHTXHVWLRQLQGL FDWHVWKH(//'IDLOVWKHWHVW 'RHVWKHVLPXODWHGOHDNFDXVHDQ673 VKXWGRZQ" <HV1R 1$ <HV1R 1$ <HV1R 1$ <HV1R 1$ <HV1R 1$ <HV1R 1$ Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Eagles Landing Flying J Beaver 653 W. 1400 Rd Beaver, UT 64713 600006 Mark K. 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Reg Int Reg 4 4 4 4 4 4 4 4 Prm Trans. Prm 4 4 4 4 4 4 4 4 Dominic Salas UT-378 Annual Checklist Page 1 of 4 STI SP001 Annual Inspection Checklist General Inspection Information: Inspection Date: __________________ Prior Inspection Date: _________________ Retain until date: __________________ Inspector Name (print):________________________________________________________________ Title: _____________________________ Inspector’s Signature: ___________________________________________________________________________ Tank(s) inspected ID ___________________________________________________________________ Regulatory facility name and ID number (if applicable) ____________________________________________________________________ Inspection Guidance: ¾This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent (as applicable). ¾For equipment not included in this Standard, follow the manufacturer recommended inspection/testing schedules and procedures. ¾The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure. This visual inspection does not require a Certified Inspector. It shall be performed by an owner’s inspector per paragraph 4.1.2 of the standard. ¾Remove promptly standing water or liquid discovered in the primary tank, secondary containment area, interstice, or spill container. Before discharge to the environment, inspect the liquid for regulated products or other contaminants and disposed of it properly. ¾In order to comply with EPA SPCC (Spill Prevention, Control and Countermeasure) rules, a facility should regularly test liquid level sensing devices to ensure proper operation (40 CFR 112.8(c)(8)(v)). ¾Non-conforming items important to tank or containment integrity require evaluation by an engineer experienced in AST design, a Certified Inspector, or a tank manufacturer who will determine the corrective action. Note the non-conformance and corresponding corrective action in the comm ent section. ¾Retain the completed checklists for at least 36 months. ¾Complete this checklist on an annual basis, supplemental to the owner monthly-performed inspection checklists. ¾Note: If a change has occurred to the tank system or containment that may affect the SPCC plan, the condition should be evaluated against the current plan requirement by a Professional Engineer knowledgeable in SPCC development and implementation. ,7(067$786&200(176'$7(&255(&7(' Tank Foundation/Supports 1 Free of tank settlement or foundation washout? 2 Concrete pad or ring wall free of cracking and spalling? 08-30-24 Dominic Salas Tester Truck Dsl 1,2,3 Eagles Landing Flying J Beaver Yes Yes Annual Checklist Page 2 of 4 3 Tank supports in satisfactory condition? 4 Is water able to drain away from tank if tank is resting on a foundation or on the ground? 5 Is the grounding strap between the tank and foundation/supports in good condition? Tank Shell, Heads and Roof 6 Free of visible signs of coating failure? 7 Free of noticeable distortions, buckling, denting, or bulging? 8 Free of standing water on roof? 9 Are all labels and tags intact and legible? Tank Manways, Piping, and Equipment 10 Flanged connection bolts tight and fully engaged with no sign of wear or corrosion? Tank Equipment 11 Normal and emergency vents free of obstructions? 12 Normal vent on tanks storing gasoline equipped with pressure/vacuum vent? 13 Are flame arrestors free of corrosion and are air passages free of blockage? 14 Is the emergency vent in good working condition and functional, as required by manufacturer? Consult manufacturer’s requirements. Verify that components are moving freely (including long-bolt manways). 15 Is interstitial leak detection equipment in good condition? Are windows on sight gauges clear? Are wire connections intact? If equipment has a test function, does it activate to confirm operation?” Yes Yes Yes Yes Yes Yes Yes Yes Yes NA Yes NA NA Annual Checklist Page 3 of 4 16 Are all valves free of leaks, corrosion and other damage? Follow manufacturers’ instructions for regular maintenance of these items. Check the following and verify (as applicable): □1. Anti-siphon valve □2. Check valve □3. Gate valve □4. Pressure regulator valve □5. Expansion relief valve □6. Solenoid valve □7. Fire valve □8. Shear valve 17 Are strainers and filters clean and in good condition? Insulated Tanks 18 Free of missing insulation? Insulation free of visible signs of damage? Insulation adequately protected from water intrusion? 19 Insulation free of noticeable areas of moisture? 20 Insulation free of mold? 21 Free of visible signs of coating failure? Tank / Piping Release Detection 22 Is inventory control being performed and documented if required? 23 Is release detection being performed and documented if required? Other Equipment 24 Are electrical wiring and boxes in good condition? 25 Has the cathodic protection system on the tank been tested as required by the designing engineer? 1. 2. 3. 4. 5. 6. 7. 8. NA Yes NA NA NA NA NA NA Yes NA NA NA NA Yes Yes Yes Yes NA Yes NA NA NA NA Yes NA NA NA Yes Yes Yes Yes 60000619/4/2024 9/4/2024 SDW