DERR-2024-011762

WESTECH EQUIPMENT
-0307
801-266--433-801-261-4054
PRODUCT PIPING INTEGRITY TESTING
Facility Name: Holy Cross Hospital Mountain Point Owner: Catholic Health Initiative CO dba Holy Cross
Address: 3000 Triumph Boulevard Address: 1050 East South Temple
City, State, Zip: Lehi, Utah 84043 City, State, Zip: Salt Lake City, Utah 84102
Facility I.D.#: 1000924 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date:10/16/24
This procedure is to test the integrity of product piping. Tests were performed with Petro-Tite line tester.
Tank Number 1
Product Stored Red DSL
Piping Run Supply
Piping Type D/W FRP
Test Pressure (PSI)15
Test Duration (minutes)30
Leak Rate (GPH)0.002
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Comments:
Taber DeHart, UT-0394
WESTECH EQUIPMENT
-0307
801-266--433-801-261-4054
AUTOMATIC TANK GAUGE OPERATION INSPECTION
Facility Name: Holy Cross Hospital Mountain Point Owner: Catholic Health Initiative CO dba Holy Cross
Address: 3000 Triumph Boulevard Address: 1050 East South Temple
City, State, Zip: Lehi, Utah 84043 City, State, Zip: Salt Lake City, Utah 84102
Facility I.D.#: 1000924 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date:10/16/24
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 the touch the bottom of the tank when in place.
Tank Number 1
Product Stored Red DSL
ATG Brand and Model TLS 350
1. Tank Volume, gallons 15,104
2. Tank Diameter, inches 119 5/8
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?99 5/8
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: Battery OK
Name Taber DeHart, UT-0394
WESTECH EQUIPMENT
-0307
801-266--433-801-261-4054
OVERFILL ALARM OPERATION INSPECTION
Facility Name: Holy Cross Hospital Mountain Point Owner: Catholic Health Initiative CO dba Holy Cross
Address: 3000 Triumph Boulevard Address: 1050 East South Temple
City, State, Zip: Lehi, Utah 84043 City, State, Zip: Salt Lake City, Utah 84102
Facility I.D.#: 1000924 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date:10/16/24
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 the touch the bottom of the tank when in place.
Tank Number 1
Product Stored Red DSL
ATG Brand and Model TLS 350
1. Tank Volume, gallons 15,104
2. Tank Diameter, inches 119 5/8
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?99 5/8
9. Tank volume at inch level in Line 8.13,581
10. Calculate (Line 9 / Line 1) X 100 89.92
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
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Comments:
Taber DeHart, UT-0394