DERR-2024-005211

APPLIED ENVIRONMENTAL SERVICES, L.C.
PO BOX 1073 BOUNTIFUL, UTAH 84011 801-540-9258
T.E.I. SYSTEM 4000 / T.E.I. LT3 / T.E.I. ULLAGE
PRECISION TANK & LINE TEST RESULTS SUMMARY
INVOICE ADDRESS: TANK LOCATION: WORK ORDER #
TECH # 94027 VAN # 8502
TECHNICIAN: SM
STATE TECH #
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
PROVO CITY #1000228
424 EAST 1325 SOUTH
PROVO, UTAH
24030
UT 0121
DATE:3-20-2024 TIME START: TIME END: GROUNDWATER DEPTH:
TIME SYSTEM FILLED OR TOPPED:
TANK TANK
CAPACITY
12000
12000
PRODUCT
R/UL
DSL
TANK
AST
AST
FILL VENT
VAPOR
AST
AST
PRODUCT
LINE
PASS
PASS
LINE LEAK
DETECTOR
PASS
PASS
WATER IN
TANK
PUMP
TYPE
PRESS
PRESS
TANK
MATERIAL
AST
AST
1
2
3
4
5
6
PRODUCT LINES TESTED AT 50 PSI FOR 15 MINUTES
LINE RATES (GPH)
1
2
3
4
5
6
R/UL -.013
DSL -.017
ADDITIONAL INFORMATION:ABOVEGROUND FUEL TANKS WITH UNDERGROUND PRODUCT LINES
MECHANICAL LINE LEAK DETECTORS PASS 3 GPH SIMULATED LEAK TEST
THIS SYSTEM AND METHOD MEETS OR EXCEEDS THE CRITERIA IN USEPA 40, CFR PART 280,
NFPA 329-87, AND ALL APPLICABLE STATE AND LOCAL CODES.
CERTIFIED TECHNICIAN SIGNATURE: DATE:3-20-2024
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2024.03.20 13:06:23 -07'00'
Reason: I am the author of this document