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HomeMy WebLinkAboutDERR-2024-012123DISPENSER SUMP TEST STP SUMP TEST 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 IMPORTANT ENVIRONMENTAL INFORMATION Date Printed and Mailed: 8/30/2023 U. S. FOODS 4H 835 W SAN JOSE ST OGDEN, UT 84401 Test Date: 8/29/2023 Order Number: 2361341 Dear Facility Manager, Enclosed are the results of recent services completed at your station. Please put these results in your compliance file as they need to be retained at the site address. Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting Testing and Inspection Certificate Tanknology Inc. 11000 North MoPac Expressway, Suite 500, Austin, TX 78759 800-800-4633 www.tanknology.com Page 1 of 1 Test Date 8/29/2023 Tanknology WO#NW1-2361341 Test Purpose COMPLIANCE Customer PO# Customer Location U.S. FOODS 9399 HIGGINS ROAD SUITE 500 ROSEMONT, IL 60018 U. S. FOODS 4H 835 W SAN JOSE ST OGDEN, UT 84401 Attn: JILL TUBBS Attn: (847) 720-1712 (801) 917-3374 Test / Inspection Description Item Tested Date Tested Result PEI RP 1200 Sump Testing See test report for details 8/29/2023 Pass PEI RP 1200 Sump Testing See test report for details 8/29/2023 Pass Tanknology Representative: David Edens Technician: David Mathie Telephone: ()Technician Certification: (See forms) U. S. FOODS 4H 835 W SAN JOSE ST OGDEN UT 84401 4H Tanknology, Inc. U.S. FOODS 9399 HIGGINS ROAD SUITE 500 ROSEMONT IL 60018 847-720-1712 08/29/2023 FRP 40 18.5 23 1150 23 1150 1 HR 0 Tank 1 STP Sump 1 UT151 David Mathie NW1-2361341 U. S. FOODS 4H 835 W SAN JOSE ST OGDEN UT 84401 4H Tanknology, Inc. U.S. FOODS 9399 HIGGINS ROAD SUITE 500 ROSEMONT IL 60018 847-720-1712 08/29/2023 POLY 29 9 14 1100 14 1200 1 HR 0 POLY 29 9 14 1100 14 1200 1 HR 0 POLY 29 9 14 1100 14 1200 1 HR 0 POLY 29 9 14 1100 14 1200 1 HR 0 POLY 29 7 11 1105 11 1205 1 HR 0 1/2 3/4 5/2S 6/4S 1S 3S POLY 29 7 11 1105 11 1205 1HR 0 UT151 David Mathie NW1-2361341 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:2361341 Site ID / Name:4H / U. S. FOODS 4H Address:835 W SAN JOSE ST City:OGDEN State:UT Zip:84401