DERR-2025-000280

Spill Bucket Test
Facility Information
Name:Fast Stop 1125 Certification/Inspection #:56248
Address:5590 S 900 E, Murray, UT, 84117 State ID:4000224
Phone Number:Form Completed By:Larry Vasquez Date:11/04/2024
Spill Bucket Information
Tank #Spill Bucket T1
DSL
Spill Bucket T2
PUL
Spill Bucket T3
RUL
Tank Facility ID:T1 DSL T2 PUL T3 RUL
Product:Diesel Premium Unleaded
Spill Bucket Capacity:5 gal 5 gal 5 gal
Manufacture:EBW EBW EBW
Construction:DW DW DW
Spill Bucket Type?Product Product Product
Liquid and debris removed from spill bucket?Yes Yes Yes
Visual Inspection (No cracks, loose parts or separation
of the bucket from fill pipe)
Pass Pass Pass
Tank riser cap included in test?Yes Yes Yes
Is drain valve included in test?N/A N/A N/A
Start Level 15 15 15
End Level 14.9 14.95 15.01
Test Duration (hh:mm)01:00 01:00 01:00
Level Change -0.1000 -0.0500 0.0100
Pass/Fail Criteria (Test Method):Vacuum: maintain
at least 12in WC
Vacuum: maintain
at least 12in WC
Vacuum: maintain
at least 12in WC
Test Result:Pass Pass Pass
Comments
Operator Certification
Contractor Printed Name:Larry Vasquez Contractor Signature:
Certification Number:
12/5/24, 3:50 PM Spill Bucket Test
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