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Home My WebLink AboutDERR-2024-011849Customer:Test Location: Love's # 335 2645 N Canyon Ranch Drive Cedar City, UT. 84720 Customer Phone:Test Date: DDS Invoice #:Tester: Facility ID: SUMMARY OF UST TEST RESULTS UST System Testing Results:Due Next:Notes: Tanks Lines Leak Detectors Shear Valves ATG Certification Sensor Functionality Test X Overfill Pass 2/26/26 X Containment Pass 2/26/26 Stage I and II Testing Results:Due Next:Notes: Stage I EVR Certification Pressure Decay Static Torque Drop Tube/Drain Valve P/V Vent Cap Pressure Decay P/V Vent Cap Air-to-Liquid GPM/Flow Rate Other Activities Results:Due Next:Notes: Monthly Inspection Annual Walk Through Remote Fill Emergency Stop Helium Pinpoint Test Other Activities Comments: Reviewed By: Douglas LaCount Love's Travel Stops Attn: Reva Fittro 10601 N Pennsylvania Ave Oklahoma City, OK 73120 2/26/2023 Precision Tank Testing DDS Environmental, Inc. thanks you for the opportunity to complete the above outlined work for you. Due next dates above are only considered recommendations from DDS Environmental, Inc. The customer is responsible for maintaining compliance with federal, state, and local regulations. 314.772.4501 7789 6 Spill Buckets 6 Overfill Devices Corporate Office: 127 E Arrow Hwy | San Dimas, CA 91773 | Phone (909) 394.1050 | Fax (909) 512.6610 Georgia Office: PO Box 944 | Loganville, GA 30052 | Phone (678) 620.3307 | Fax (678) 213.0972 6000772 pei.org 43 Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities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est Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: $OOOLTXLGVDQGGHEULVPXVWEHGLVSRVHGRISURSHUO\ 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Loves Country Stores # 335 2645 N Canyon Ranch Dr. Cedar City, UT 84720 6000772 Loves County Stores PO Box 26210 Oklahoma City, OK 73126 405-242-2455 02/26/2023 1 Reg 1 Big 5 gal Franklin 4 4 4 4 4 4 4 10" 0 min 10" 60 min 60 min 0" 4 2 Reg 2 Small 5 gal Franklin 4 4 4 4 4 4 4 11" 0 min 11" 60 min 60 min 0" 4 3 Prem 5 gal Franklin 4 4 4 4 4 4 4 9.5" 0 min 9.5" 60 min 60 min 0" 4 4 Dsl N,E 5 gal Franklin 4 4 4 4 4 4 4 10" 0 min 10" 60 min 60 min 0" 4 5 Dsl Ctr 5 gal Franklin 4 4 4 4 4 4 4 12.25" 0 min 12.25" 60 min 60 min 0" 4 6 Dsl S,W 5 gal Franklin 4 4 4 4 4 4 4 13" 0 min 13" 60 min 60 min 0" 4 Samuel Labrum UT-325 pei.org 45 Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities APPENDIX C-5 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·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´1RµWRDQ\LWHPLQ/LQHVLQGLFDWHVDWHVWIDLOXUH BALL FLOAT VALVE INSPECTION 7DQNWRSILWWLQJVDUHYDSRU WLJKWDQGOHDNIUHH"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R %DOOIORDWFDJHIUHHRIGHEULV"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R %DOOLVIUHHRIKROHVDQGFUDFNV DQGPRYHVIUHHO\LQFDJH"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R 9HQWKROHLQSLSHLVRSHQDQG QHDUWRSRIWDQN"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R %DOOIORDWSLSHLVSURSHU OHQJWKWRUHVWULFWIORZDW FDSDFLW\" <HV1R <HV1R <HV1R <HV1R <HV1R <HV1R $´1RµWRDQ\LWHPLQ/LQHVLQGLFDWHVDWHVWIDLOXUH Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 8VHPDQXIDFWXUHU·VVXJJHVWHGSURFHGXUHIRUGHWHUPLQLQJLIDXWRPDWLFVKXWRIIGHYLFHZLOOVKXWRIIIORZDWFDSDFLW\ 8VHPDQXIDFWXUHU·VVXJJHVWHGSURFHGXUHIRUGHWHUPLQLQJLIIORZUHVWULFWLRQGHYLFHZLOOUHVWULFWIORZDWFDSDFLW\ Comments: Precision Testing Technologies Inc.801-886-9224 Loves Country Stores # 335 6000772 02/26/20 Reg 1 1 19976 120 Franklin 4 4 4 4 4 4 Reg 2 2 7931 120 Franklin 4 4 4 4 4 4 Prem 3 12044 120 Franklin 4 4 4 4 4 4 Dsl 1 4 19552 120 Franklin 4 4 4 4 4 4 Dsl 2 5 19552 120 Franklin 4 4 4 4 4 4 Dsl 3 6 19552 120 Franklin 4 4 4 4 4 4 Samuel Labrum UT-325