DERR-2024-005233

SERVICE ORDER SUMMARY
US TANK ALLIANCE, INC.
7400 Skyline Drive E., Suite A
Columbus, OH 43235
Phone:[phone] Fax:[phone]
Invoice #:0406787
Service Order #0406787 Test Date:2/7/2024
Customer:
Pilot Travel Centers, LLC
5508 Lonas Road
Attention: Environmental Department
Knoxville, TN
Attn: Joey Cupp
Customer PO #:
Location:
Pilot # 0746
2025 South 900 West
Facility ID 4000302
Salt Lake City, UT
Dispatched For:
COMPLIANCE - Overfill Prevention Equipment Operability Inspection.
Notes/Comments:
The DSL T2 Overfill Failed.
The DSL T1, DSL T3, RUL T4 & PUL T5 Overfill Prevention Equipment Operability Inspections Passed.
Test Technician:
Tested by: Precision Testing Technologies, Inc. Tech: Max LaRou UT-0412.
37909 84119
Customer Phone:[phone] ext.Facility Phone:[phone] ext.
Attn: Manager
Other:
COMPLIANCETest Purpose:
Andrew BeveridgeReviewed By:
Tank
Line/LD/Impacts
ATG Certification
Cath. Protect.CP Survey
Pressure Decay
Air-to-Liquid
Blockage
PV Vent Cap
Healy
GPM / Flow Rate
Helium Pinpoint Test
Containment
Residential Tank Test
STAGE II TESTINGUST SYSTEM TESTING OTHER ACTIVITIES
Other ActivitiesOther Stage II
APPENDIX C-5
UST OVERFILL EQUIPMENT INSPECTION
AUTOMATIC SHUTOFF DEVICE AND BALL FLOAT VALVE
AUTOMATIC SHUTOFF DEVICE INSPECTION
BALL FLOAT VALVE INSPECTION
Test Results
Comments:
Flying J #746
850 W. 2100 S.
S.L.C., UT 84119
4000302
Pilot Travel Centers LLC
P.O. Box 10146
Knoxville, TN 37909
614-923-0154
02/07/24
DSL
1
19,703
117.8"
OPW
✔
✔
✔
✔
✔
✔
✔
DSL
2
19,703
117.8"
OPW
✔
✔
✔
✔
✔
✔
✔
DSL
3
19,703
117.8"
OPW
✔
✔
✔
✔
✔
✔
✔
REG
4
19,639
118.5"
EBW
✔
✔
✔
✔
✔
✔
✔
PRM
5
11,840
118.5"
EBW
✔
✔
✔
✔
✔
✔
✔
Max LaRou UT-412
Flying J #746
850 W. 2100 S.
Flying J #746
850 W. 2100 S.
S.L.C., UT 84119