DERR-2024-011658

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]

AUTOMATIC TANK GAUGE OPERATION INSPECTION
Facility Name: North Pump Station, SLC Water Rec. Owner: Salt Lake Public Utilities
Address: 1365 West 2300 North Address: 1530 South West Temple
City, State, Zip: Salt Lake City, Utah 84116 City, State, Zip: Salt Lake City, Utah 84115
Facility I.D.#: 4000868 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 10/22/24
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 that touch the bottom of the tank when in place.
Tank Number 1
Product Stored Red DSL
ATG Brand and Model TLS-4
1. Tank Volume, gallons 10,027
2. Tank Diameter, inches 96
3. After removing the ATG from the tank, it has been
inspected and any damaged or missing parts replaced? ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
4. Float moves freely on the stem without binding? ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
5. Fuel float level agree with the value programmed
into the console? ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
6. Water float level agree with the value programmed
into the console? ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
7. Inch level from the bottom of the stem when 90%
alarm is triggered? 76
8. Inch level at which the overfill alarm activates
corresponds with the value programmed in the
gauge?
☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
9. Inch level from the bottom when the water float
first triggers an alarm? 1
10. Inch level at which the water float alarm activates
corresponds with the value programmed in the
gauge?
☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No
If any answers in Lines 3, 4, 5, or 6 are "No" the system has failed the test.
Test Results ☒Pass ☐Fail ☐Pass ☐Fail ☐Pass ☐Fail ☐Pass ☐Fail
Comments:
Tester’s Name Taber DeHart, UT-0394 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]

SPILL BUCKET INTEGRITY TESTING HYDROSTATIC TEST METHOD
SINGLE- AND DOUBLE-WALLED VACUUM TEST METHOD
Facility Name: North Pump Station, SLC Water Rec. Owner: Salt Lake Public Utilities
Address: 1365 West 2300 North Address: 1530 South West Temple
City, State, Zip: Salt Lake City, Utah 84116 City, State, Zip: Salt Lake City, Utah 84115
Facility I.D.#: 4000868 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 10/22/24
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
Product Stored Red DSL
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” WC
Test Start Time 8:14
Ending Level 15” WC
Test End Time 8:19
Test Period 5-Minute
Level Change 0” WC
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:
*All liquids and debris must be disposed of properly
Tester’s Name Taber DeHart, UT-0394 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: North Pump Station, SLC Water Rec. Owner: Salt Lake Public Utilities
Address: 1365 West 2300 North Address: 1530 South West Temple
City, State, Zip: Salt Lake City, Utah 84116 City, State, Zip: Salt Lake City, Utah 84115
Facility I.D.#: 4000868 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 10/22/24
This data sheet is for inspecting automatic shutoff devices and ball float valve. See PEI/RP1200 Section 7 for inspection procedures.
Product Grade Red DSL
Tank Number 1
Tank Volume, gallons 10,027
Tank Diameter, inches 96
Overfill Prevention Device Brand 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 Taber DeHart, UT-0394 Tester’s Signature