DERR-2025-000707

WESTECH EQUIPMENT
195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307
801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX [phone]

PRODUCT PIPING INTEGRITY TESTING
Facility Name: VA Medical Center Owner: Veteran’s Administration
Address: 500 Foothill Boulevard Address: 500 Foothill Boulevard
City, State, Zip: Salt Lake City, Utah 84148 City, State, Zip: Salt Lake City, Utah 84148
Facility I.D.#: 4001459 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 11/14/24
This procedure is to test the integrity of product piping. Tests were performed with Petro-Tite line tester.
Tank Number 44 N 44 S 20
Product Stored DSL DSL RUL
Piping Run Only Only Only
Piping Type Flex D/W Flex D/W Flex D/W
Test Pressure (PSI) 50 50 50
Test Duration (minutes) 30 30 30
Leak Rate (GPH) 0.002 0.002 0.002
Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail
Comments:
Tester’s Name Taber DeHart, UT-0394 Tester’s Signature

Diesel
Diesel
B44
R U L
B20
WESTECH EQUIPMENT
195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307
801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX [phone]

MECHANICAL AND ELECTRONIC LINE LEAK DETECTOR PERFORMANCE TESTS
Facility Name: VA Medical Center Owner: Veteran’s Administration
Address: 500 Foothill Boulevard Address: 500 Foothill Boulevard
City, State, Zip: Salt Lake City, Utah 84148 City, State, Zip: Salt Lake City, Utah 84148
Facility I.D.#: 4001459 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 11/14/24
This data sheet can be used to test the mechanical line leak detector (MLLD) and electronic line leak detector (ELLD) with submersible turbine
pump (STP) systems. See PEI/RP 1200 Sections 9.1 and 9.2 for test procedures.
Line Number B44 N B44 S B20
Product Stored DSL DSL RUL
Leak Detector Manufacturer Red Jacket Red Jacket Veeder Root
Leak Detector Model FX1DV FX1DV ELLD
Type Of leak Detector
☒MLLD
☐ELLD
☒MLLD
☐ELLD
☐MLLD
☒ELLD
☐MLLD
☐ELLD
MLLD (ALL PRESSURE MEASURMENTS ARE MADE IN PSIG)
STP full operating pressure 30 30
Check valve holding pressure 15 18
Line resiliency (ml) (line bleedback volume as measured
from check valve holding pressure to 0 psig) 60 50
Step through time in seconds (time the MLLD hesitates at
metering pressure before going to full operating pressure as
measured from 0 sig with no leak induced on the line)
1 1
Metering pressure (STP pressure when simulated leak rate 3
gph at 10 psig) 11 10
Opening time in seconds (the time the MLLD opens to allow
full pressure after simulated leak is stopped) 1 1
Does the STP pressure remain at or below the metering
pressure for at least 60 seconds when the simulated leak is
induced? ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No
Does the leak detector reset (trip) when the line pressure is
bled off to zero psig? ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No
Does STP properly clycle on/off under normal fuel system
operating conditions? ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No
A "No" answer to any of the above questions indicates that the MLLD fails the test.
ELLD (ALL PRESSURE MEASURMENTS ARE MADE IN PSIG)
STP full operating pressure 30
How many test cycles are observed before alarm/shutdown
occurs? 2
Does the simulated leak cause on alarm? ☐Yes ☐No ☐Yes ☐No ☒Yes ☐No ☐Yes ☐No
A "No" answer to the above question indicates that the ELLD fails the test.
Does the simulated leak cause an STP shutdown? ☐Yes ☐No ☐Yes ☐No ☒Yes ☐No ☐Yes ☐No
Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail
Comments:
Tester’s Name Taber DeHart, UT-0394 Tester’s Signature

WESTECH EQUIPMENT
195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307
801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX [phone]

AUTOMATIC TANK GAUGE OPERATION INSPECTION
Facility Name: VA Medical Center Owner: Veteran’s Administration
Address: 500 Foothill Boulevard Address: 500 Foothill Boulevard
City, State, Zip: Salt Lake City, Utah 84148 City, State, Zip: Salt Lake City, Utah 84148
Facility I.D.#: 4001459 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 11/14/24
This procedure is to determine whether the automatic tank gauge (ATG) is operating properly. See PEI/RP1200 Section 8.2 for the inspection
procedure. This procedure is applicable to tank monitor stems the touch the bottom of the tank when in place.
Tank Number 41 3 40 39
Product Stored DSL DSL DSL DSL
ATG Brand and Model TLS-350 TLS-350 TLS-350 TLS-350
1. Tank Volume, gallons 3,918 2,385 3,918 2,385
2. Tank Diameter, inches 71.38 71.38 71.38 71.38
3. After removing the ATG from the tank, it has been
inspected and any damaged or missing parts replaced? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No
4. Float moves freely on the stem without binding? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No
5. Fuel float level agree with the value programmed
into the console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No
6. Water float level agree with the value programmed
into the console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No
7. Inch level from the bottom of the stem when 90%
alarm is triggered? 59 1/2 59 1/2 59 1/2 59 7/8
8. Inch level at which the overfill alarm activates
corresponds with the value programmed in the
gauge?
☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No
9. Inch level from the bottom when the water float
first triggers an alarm? 1.5 1.5 1.5 1.5
10. Inch level at which the water float alarm activates
corresponds with the value programmed in the
gauge?
☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No
If any answers in Lines 3, 4, 5, or 6 are "No" the system has failed the test.
Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail
Comments: Battery OK
Tester’s Name Taber DeHart, UT-0394 Tester’s Signature

WESTECH EQUIPMENT
195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307
801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX [phone]

AUTOMATIC TANK GAUGE OPERATION INSPECTION
Facility Name: VA Medical Center Owner: Veteran’s Administration
Address: 500 Foothill Boulevard Address: 500 Foothill Boulevard
City, State, Zip: Salt Lake City, Utah 84148 City, State, Zip: Salt Lake City, Utah 84148
Facility I.D.#: 4001459 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 11/14/24
This procedure is to determine whether the automatic tank gauge (ATG) is operating properly. See PEI/RP1200 Section 8.2 for the inspection
procedure. This procedure is applicable to tank monitor stems the touch the bottom of the tank when in place.
Tank Number B44 N B44 S B20
Product Stored DSL DSL RUL
ATG Brand and Model TLS-350 TLS-350 TLS-350
1. Tank Volume, gallons 15,104 15,104 7,796
2. Tank Diameter, inches 119 119 96
3. After removing the ATG from the tank, it has been
inspected and any damaged or missing parts replaced? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
4. Float moves freely on the stem without binding? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
5. Fuel float level agree with the value programmed
into the console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
6. Water float level agree with the value programmed
into the console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
7. Inch level from the bottom of the stem when 90%
alarm is triggered? 99 99 1/8 76 1/2
8. Inch level at which the overfill alarm activates
corresponds with the value programmed in the
gauge?
☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
9. Inch level from the bottom when the water float
first triggers an alarm? 1.5 1.5 2
10. Inch level at which the water float alarm activates
corresponds with the value programmed in the
gauge?
☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
If any answers in Lines 3, 4, 5, or 6 are "No" the system has failed the test.
Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail
Comments: Battery OK
Tester’s Name Taber DeHart, UT-0394 Tester’s Signature

WESTECH EQUIPMENT
195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307
801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX [phone]

LIQUID SENSER FUNCTIONALITY TESTING
Facility Name: VA Medical Center - Building 20 Owner: Veteran’s Administration
Address: 500 Foothill Boulevard Address: 500 Foothill Boulevard
City, State, Zip: Salt Lake City, Utah 84148 City, State, Zip: Salt Lake City, Utah 84148
Facility I.D.#: 4001459 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 11/14/24
This procedure is to determine whether liquid sensors, located in the interstitial spaces of the UST systems, are able to detect the presence of water and fuel. See
PEI/RP1200, Section 8.3 for the test procedure.
Sensor Location L-1 UDC L-2 STP L-3 FILL L-4 INT
Product Stored RUL RUL RUL RUL
Type of Sensor
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☐ Non-Discrimi-
nating
☐ Discriminating
☐ Non-Discrimi-
nating
☐ Discriminating
☐ Non-Discrimi-
nating
Test Liquid ☒ Water
☐ Product
☒ Water
☐ Product
☒ Water
☐ Product
☒ Water
☐ Product
☐ Water
☐ Product
☐ Water
☐ Product
☐ Water
☐ Product
Is the ATG Console clear of any active or
recurring warnings or alarms regarding
the leak sensor? If the sensor is in alarm
and functioning, indicate why.
☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
Is sensor alarm circuit
operational? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
Has sensor been inspected and in good
operating condition? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
When placed in test liquid, does the
sensor trigger an alarm? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
When alarm is trigger, is the sensor
identified on the ATG console? ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
Any “No” answers indicate the sensor fails the test.
Test Results: ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☐ Pass ☐ Fail ☒ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail
Comments: L-3 Inaccessible
Tester’s Name: Taber DeHart, UT-0394 Tester’s Signature

WESTECH EQUIPMENT
195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307
801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX [phone]

LIQUID SENSER FUNCTIONALITY TESTING
Facility Name: VA Medical Center – Building 44 Owner: Veteran’s Administration
Address: 500 Foothill Boulevard Address: 500 Foothill Boulevard
City, State, Zip: Salt Lake City, Utah 84148 City, State, Zip: Salt Lake City, Utah 84148
Facility I.D.#: 4001459 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 11/14/24
This procedure is to determine whether liquid sensors, located in the interstitial spaces of the UST systems, are able to detect the presence of water and fuel. See
PEI/RP1200, Section 8.3 for the test procedure.
Sensor Location L-1 S STP L-2 N STP L-3 S INT L-4 N INT L-5 TRANS
Product Stored DSL DSL DSL DSL DSL
Type of Sensor
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☒ Non-Discrimi-
nating
☐ Discriminating
☐ Non-Discrimi-
nating
☐ Discriminating
☐ Non-Discrimi-
nating
Test Liquid ☒ Water
☐ Product
☒ Water
☐ Product
☒ Water
☐ Product
☒ Water
☐ Product
☒ Water
☐ Product
☐ Water
☐ Product
☐ Water
☐ Product
Is the ATG Console clear of any active or
recurring warnings or alarms regarding
the leak sensor? If the sensor is in alarm
and functioning, indicate why.
☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
Is sensor alarm circuit
operational? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
Has sensor been inspected and in good
operating condition? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
When placed in test liquid, does the
sensor trigger an alarm? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
When alarm is trigger, is the sensor
identified on the ATG console? ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☒ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No ☐ Yes ☐ No
Any “No” answers indicate the sensor fails the test.
Test Results: ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☒ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail
Comments: L-5 Inaccessible
Tester’s Name: Taber DeHart, UT-0394 Tester’s Signature

WESTECH EQUIPMENT
195 WEST 3900 SOUTH • P.O. BOX 57307 • SALT LAKE CITY, UTAH 84157-0307
801-266-2545 • TOLL FREE 800-433-8831 • 24 HOUR FAX [phone]

OVERFILL ALARM OPERATION INSPECTION
Facility Name: VA Medical Center Owner: Veteran’s Administration
Address: 500 Foothill Boulevard Address: 500 Foothill Boulevard
City, State, Zip: Salt Lake City, Utah 84148 City, State, Zip: Salt Lake City, Utah 84148
Facility I.D.#: 4001459 Phone #: [phone]
Testing Company: Westech Phone #: [phone] Date: 11/14/24
This procedure is to determine whether the automatic tank gauge (ATG) is operating properly. See PEI/RP1200 Section 8.2 for the inspection
procedure. This procedure is applicable to tank monitor stems the touch the bottom of the tank when in place.
Tank Number B44 N B44 S B20
Product Stored DSL DSL RUL
ATG Brand and Model TLS-350 TLS-350 TLS-350
1. Tank Volume, gallons 15,104 15,104 7,796
2. Tank Diameter, inches 119 119 96
3. Overfill alarm activates in the test mode at the
console? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
4. When activated, overfill alarm can be heard or seen
while delivering to the tank? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
5. After removing the probe from the tank, it has been
inspected and any damaged or missing parts replaced? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
6. Float moves freely on stem without binding? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
7. Moving product level float up the stem trigger
alarm? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
8. Inch level from bottom of stem when 90% alarm is
triggered? 99 99 1/8 76 1/2
9. Tank volume at inch level in Line 8. 13,508 13,500 7,000
10. Calculate (Line 9 / Line 1) X 100 89% 89 89
11. Is line 10 less than 90%? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
12. Fuel float level on the console agrees with the
gauge stick reading? ☒Yes ☐No ☒Yes ☐No ☒Yes ☐No ☐Yes ☐No
13. Overfill alarm activates at any product level above
90% tank capacity? ☐Yes ☒No ☐Yes ☒No ☐Yes ☒No ☐Yes ☐No
If any answers in Lines 3, 4, 5, 6, 7, or 11 are "No," or Line 13 is “Yes,” the system has failed the test.
Test Results ☒Pass ☐Fail ☒Pass ☐Fail ☒Pass ☐Fail ☐Pass ☐Fail
Comments:
Tester’s Name Taber DeHart, UT-0394 Tester’s Signature