DERR-2024-011454

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: Speedway Number 9432 Owner: TRMC Retail LLC
Address: 524 West 4500 South Address: 500 Speedway Drive
City, State, Zip: Murray, Utah 84123 City, State, Zip: Enon, Ohio 45323
Facility I.D.#: 4002155 Phone #:
Testing Company: Westech Phone #: [phone] Date: 9/6/23
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 15,041 8,050 7,099
2. Tank Diameter, inches 118 3/8 118 3/8 118 3/8
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? 98 97 1/2 99
9. Tank volume at inch level in Line 8. 13,428 7,208 6,341
10. Calculate (Line 9 / Line 1) X 100 89 89 89
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 Sean Jardine, UT-0397 Tester’s Signature

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]

UST OVERFILL EQUIPMENT INSPECTION
AUTOMATIC SHUTOFF DEVICE AND BALL FLOAT VALVE
Facility Name: Speedway Number 9432 Owner: TRMC Retail LLC
Address: 524 West 4500 South Address: 500 Speedway Drive
City, State, Zip: Murray, Utah 84123 City, State, Zip: Enon, Ohio 45323
Facility I.D.#: 4002155 Phone #:
Testing Company: Westech Phone #: [phone] Date: 9/6/23
This data sheet is for inspecting automatic shutoff devices and ball float valve. See PEI/RP1200 Section 7 for inspection procedures.
Product Grade RUL PUL DSL
Tank Number 1 2 3
Tank Volume, gallons 15,041 8,050 7,099
Tank Diameter, inches 118 3/8 118 3/8 118 3/8
Overfill Prevention Device Brand OPW OPW OPW
Type ☒ Automatic
Shutoff Device
☐ Ball Float
Valve
☒ Automatic
Shutoff Device
☐ Ball Float
Valve
☒ Automatic
Shutoff Device
☐ Ball Float
Valve
☐ Automatic
Shutoff Device
☐ Ball Float
Valve
AUTOMATIC SHUTOFF DEVICE INSPECTION
1. Drop tube removed from tank? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
2. Drop tube and float mechanisms free of debris? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
3. Float moves freely without binding and poppet moves
into flow path? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
4. Bypass valve in the drop tube open and free of
blockage (if present)?
☐Yes ☐No
☒Not Present
☐Yes ☐No
☒Not Present
☐Yes ☐No
☒Not Present
☐Yes ☐No
☐Not Present
5. Flapper adjusted to shut off flow at 95% capacity? * ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
A "No" to any item in Lines 1-5 indicates a test failure.
BALL FLOAT VALVE INSPECTION**
1. Tank top fitting vapor-tight and leak free? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
2. Ball float cage free of debris? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
3. Ball free of holes and cracks and moves freely in cage? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
4. Vent hole in pipe open and near top of tank? ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
5. Ball float pipe proper length to restrict flow to 90%
capacity? *** ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
A "No" to any item in Lines 1-5 indicates a test failure.
Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail
Comments:
*Use manufacturer’s suggested procedure for determining if automatic shutoff device will shut off flow at 95% capacity.
**If a ball float valve is found to fail the inspection, another method of overfill must be used.
***Use manufacturer’s suggested procedure for determining if flow restriction device will restrict flow at 90% capacity.
Tester’s Name Sean Jardine, UT-0397 Tester’s Signature

Overfill Prevention Equipment Inspection
OPW 61 and 71 Series Overfill Prevention Device Inspection (Non Testable)
Customer Name:
Facility ID #:
Address:
Street
Date:
City, State
Tank Designation 1 2 3
Part 1 - Proper Height Setting Calculation YES NO PASS FAIL
OPW Installation Manual H15524PA Rev L 1/30/2014)
Maximum Tank Volume (Gallons) Shown on customers provided tank chart Gallons 15,041 8,050 7,099
Max Shut off requirement for flapper is 95% %95%95%95%
Multiply maximum tank volume by 95% (Gallons)95%Gallons 14,289 7,648 6,744
Find the dip stick number on the tank chart that corresponds with 95%X Inches 106.000''105.250''106.875''
Measure top of fill riser threads, or face seal adapter A Inches 49.750''48.750''48.500''
Find the Dip Stick Volume that corresponds with 100% (FROM TANK CHART)Y Inches 118.375''118.375''118.375''
Upper Tube in tank (Y) -(X) = (Z)Z Inches 12.375''13.125''11.500''
Subtract 2 inches from upper tube in tank Formula: (Z) - 2" = (C )C Inches 10.375''11.125''9.500''
Calculated minimum upper tube length Formula: (C ) + (A) = Upper Tube Length Calculated Inches 60.125''59.875''58.000''
Actual measured upper tube length (without fill adapter)Actual Inches 61.375''61.875''61.875''
Part 2 - Device Certification Citeria Evaluation
Criteria 1 Does the overfill prevention device meet the 95% requirement?YES YES YES
(If Actual is greater than or equal to calculated ( YES)
(If Actual is less than or equal to calculated ( NO)
Criteria 2 Is the actual measured upper tube length 6.5 inches or more than the fill riser?YES YES YES
(C must be 6.5" if not then the upper tube length is 6.5 plus measurement A)
(For testable models ending in "T" upper tube length is (C)+ (A) - 1 -1/2". If less than 6.5" than
it is 6.5" +(A) - 1-1/2")
Criteria 3 Does the overfill prevention device function function as required?YES YES YES
(Inspect the device for damage, contamination, freedom of
movement, weakening due to wear and corrosion)
Part 3 - Device Certification PASS / FAIL PASS PASS PASS
Technician certifies that the device is operationally compliant.
If the response to Criteria 1, 2, and 3 above are YES.
Date:
OPW 71SO-410C Overfill Drop
Tube Make
and Model
Tank
Chart
Comments:
9/6/2023
Signature of
Technician:
Tank Chart
Provided by
Speedway Number 9432
4002155
524 West 4500 South
Murray, Utah 84123
Xerxes
9/6/2023