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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 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7HVWHU·V1DPH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Maverik #604 790 E 1400 n North Logan, UT 0100524 Maverik Inc 185 s State st. ste 800 SLC, UT 801-936-5557 10/21/2024 1 Reg VR PLLD 4 33 2 4 4 4 2 Prm VR PLLD 4 32 2 4 4 4 Saxon Usher UT-420 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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Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities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$Q\´1RµDQVZHUVLQGLFDWHVWKHVHQVRUIDLOVWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Maverik #604 0100524 10/21/2024 Reg stp Reg 4 4 4 4 4 4 4 4 Prm stp Prm 4 4 4 4 4 4 4 4 Dsp 1/2 lines 4 4 4 4 4 4 4 4 3/4 lines 4 4 4 4 4 4 4 4 Reg int Reg 4 4 4 4 4 4 4 4 Prm int Prm 4 4 4 4 Saxon Usher UT-420 FORM 1 SUMMARY OF SOURCE TEST DATA SOURCE INFORMATION FACILITY PARAMETERS GDF Name and addresss GDF Representative and Title _________________________________ PHASE II SYSTEM TYPE (Check One) Balance ____ Hirt ____ Red Jacket ____ Hasstech ____ Healy ____Other GDF Phone No. (___)________________ Permit Conditions Source: GDF Vapor Recovery System GDF # A/C # Manifolded? Y or N Operating Parameters Number of Nozzles Served by Tank #1 ______ Number of Nozzles Served by Tank #3 ______ Number of Nozzles Served by Tank #2 ______ Number of Nozzles Served by Tank #4 ______ Applicable Regulations: VN Recommended Source Test Results and Comments Tank #: 1.Product Grade 2.Actual Tank Capacity, gallons 3.Gasoline Volume 4.Ullage, gallons (#2-#3) 5.Initial Pressure, inches H 2 O 6.Pressure After 1 Minute, inches H 2 O 7.Pressure After 2 Minutes, inches H 2 O 8.Pressure After 3 Minutes, inches H 2 O 9.Pressure After 4 Minutes, inches H 2 O 10.Final Pressure After 5 Minutes, inches H 2 O 11.Allowable Final Pressure Test Conducted by: Test Company: Date of Test: California Air Resources Board July 26, 2012 TP-201.3, Page 14 40CFR63CCCCCC Precision Testing Technologies Maverik #604 790 e 1400 n North Logan, UT 4 4 4 NA 1 Reg 11608 2357 8090 2.0 1.90 1.80 1.70 1.60 1.50 1.82 2 Prm 6044 2175 3264 2.0 1.90 1.80 1.70 1.60 1.50 1.57 Saxon Usher UT-420 10/21/2024 Maverik #604 790 e 1400 n California Air Resources Board October 8, 2003 TP-201.1B, Page 5 Form 1 Static Torque of Rotatable Phase I Adaptors Measurement Units: (Check Box): pound-inches pound-feet Vapor Adaptor 1 Vapor Adaptor 2 Vapor Adaptor 3 Vapor Adaptor 4 Brand:Brand:Brand:Brand: Model:Model:Model:Model: Grade:Grade:Grade:Grade: Torque 1:Torque 1:Torque 1:Torque 1: Torque 2:Torque 2:Torque 2:Torque 2: Torque 3:Torque 3:Torque 3:Torque 3: Average:Average:Average:Average: 360 Rotation:360 Rotation: 360 Rotation:360 Rotation: Product Adaptor 1 Product Adaptor 2 Product Adaptor 3 Product Adaptor 4 Brand:Brand:Brand:Brand: Model:Model:Model:Model: Grade:Grade:Grade:Grade: Torque 1:Torque 1:Torque 1:Torque 1: Torque 2:Torque 2:Torque 2:Torque 2: Torque 3:Torque 3:Torque 3:Torque 3: Average:Average:Average:Average: 360 Rotation: 360 Rotation: 360 Rotation:360 Rotation: Comments: ___________________________________________________________________ Test Company:Conducted By: Test Date:Facility Name: Facility Address:City: Precision Testing Technologies Saxon Usher UT-420 10/21/2024 Maverik #604 790 e 1400 n North Logan, UT 4 OPW 61VSA Reg 105 105 105 105 Yes OPW 61SA Reg 90 90 90 90 Yes OPW 61VSA Prm No OPW 61SA Prm 85 85 85 85 Yes Yes Yes Yes Yes Pressure/Vacuum (P/V) Vent Valve Data Sheet Facility Name: Test Date: Address: Test Company: Precision Testing Technologies City: Tester Name: Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): 2.5" to 6" wc <=0.05 cfh @ 2" wc 2.5" to 6" wc <=0.05 cfh @2" wc 2.5" to 6" wc <=0.05 cfh 2" wc 2.5" to 6" wc <=0.05 cfh 2" wc 6" to 10" wc <=0.21 cfh @ 4" wc 6" to 10" wc <=0.21 cfh @ 4" wc 6" to 10" wc <=0.21 cfh @ 4" wc 6" to 10" wc <=0.21 cfh @ 4" wc Maverik #604 10/21/2024 Saxon Usher UT-420 Reg OPW 623V 4 0.04@2"wc 4"wc 0.18@4"wc 7"wc Prm OPW 623V 4 0.03@2"wc 3"wc 0.15@4"wc 7"wc Maverik #604 Saxon Usher UT-420 10/21/2024