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DERR-2024-005193
EZY CHEK SYSTEMS TEST DATE PRODUCT LINE TESTER Testing Company Information DATA SHEET Name Address City Test Location Information Precision Testing Technologies, Inc. 2026 W. Elk Creek Crt. Bluffdale, UT Test Location Information Phone Name Address Technican Information City Name Phone Cert # 801-886-9224 Contact Applied Pressure #1 Product Type:#2 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.00370.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: #3 Product Type:#4 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.00370.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: #5 Product Type:#6 Product Type: TIME DATA -/+GPL RES GPH TIME DATA -/+GPL RES GPH 0 0.0037 0.0000 0.0000 0 0.0037 0.0000 0.000000.0037 0.0000 0.0000 0 0.0037 0.0000 0.0000 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 0.0037 FINAL RESULT:FINAL RESULT: Facility ID# : 03/07/2024 4002440 Holiday Oil #48 8166 S. Hwy. U-111 West Jordan, UT 84084 801-973-7002 Jay Cahoon Max LaRou UT-412 60 P.S.I. REG 0 77 15 77 0 0 0 30 77 0 0 0 PASS PRM 0 69 15 69 0 0 0 30 69 0 0 0 PASS DSL 0 52 15 52 0 0 0 30 52 0 0 0 PASS 03/07/2024 Max LaRou UT-412 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 0HWHULQJ3UHVVXUH673SUHVVXUHZKHQ VLPXODWHGOHDNUDWHJSKDWSVLJ 2SHQLQJ7LPHLQ6HFRQGVWKHWLPHWKH 0//'RSHQVWRDOORZIXOOSUHVVXUHDIWHU VLPXODWHGOHDNLVVWRSSHG 'RHVWKH673SUHVVXUHUHPDLQDWRU EHORZWKHPHWHULQJSUHVVXUHIRUDWOHDVW VHFRQGVZKHQWKHVLPXODWHGOHDNLV LQGXFHG" <HV1R<HV1R <HV1R <HV1R <HV1R <HV1R 'RHVWKHOHDNGHWHFWRUUHVHWWULSZKHQ WKHOLQHSUHVVXUHLVEOHGRIIWR]HURSVLJ"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R 'RHVWKH673SURSHUO\F\FOHRQRIIXQGHU QRUPDOIXHOV\VWHPRSHUDWLRQFRQGLWLRQV"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R $´1RµDQVZHUWRHLWKHURIWKHDERYHTXHVWLRQVLQGLFDWHVWKH0//'IDLOVWKHWHVW ELLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG) 673)XOO2SHUDWLQJ3UHVVXUH +RZPDQ\WHVWF\FOHVDUHREVHUYHG EHIRUHDODUPVKXWGRZQRFFXUV" 'RHVWKHVLPXODWHGOHDNFDXVHDQDODUP"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R $´1RµDQVZHUWRWKHDERYHTXHVWLRQLQGL FDWHVWKH(//'IDLOVWKHWHVW 'RHVWKHVLPXODWHGOHDNFDXVHDQ673 VKXWGRZQ" <HV1R 1$ <HV1R 1$ <HV1R 1$ <HV1R 1$ <HV1R 1$ <HV1R 1$ Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Holiday Oil #48 8166 S. Hwy. U-111 West Jordan, UT 84084 4002440 Holiday Oil Co. 3115 W. 2100 S. S.L.C., UT 84119 801-973-7002 03/07/2024 1 REG W. V.R. PLLD 4 40 2 4 4 4 2 REG E. V.R. PLLD 4 40 2 4 4 4 3 PRM V.R. PLLD 4 40 2 4 4 4 4 DSL V.R. PLLD 4 39 2 4 4 4 Max LaRou UT-412 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 Holiday #48 4002440 03/07/2024 1 REG E. 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Franklin 4 4 4 4 4 4 Max LaRou UT-412 pei.org 47 Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities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´1RµWKHV\VWHPKDVIDLOHGWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Holiday Oil #48 40002440 1 REG V.R. 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PRM, DSL 4 Lift 4 4 4 4 4 4 Disp. 1/2 Lines 4 4 4 4 4 4 4 4 3/4 Lines 4 4 4 4 4 4 4 4 Max LaRou UT-412 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 Holiday #48 8166 S. Hwy. U-111 West Jordan, UT 84084 03/07/2024 Max LaRou UT-412 REG OPW 623V 4 0.04 cfh @ 2"wc 3.4"wc 0.19 cfh @ 4"wc -7.7"wc PRM OPW 623V 4 0.04 cfh @ 2"wc 4.9"wc 0.18 cfh @ 4"wc -6.3"wc Holiday #48 8166 S. Hwy. U-111 Max LaRou UT-412 03/07/2024 West Jordan, UT 84084