DERR-2025-000716

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#
:
01/24/2025
5000036
Castleview Hospital
300 N. Hospital Dr.
Price, UT 84501
435-636-4815
Staci Noleroth
Max LaRou
UT-412
15 P.S.I.
DYE DSL (S. Main Supply)
0 55
15 55 0 0 0
30 55 0 0 0
PASS
DYE DSL (S. Gen. Supply)
0 47
15 47 0 0 0
30 47 0 0 0
PASS
DYE DSL (S. Gen. Return)
0 41
15 41 0 0 0
30 41 0 0 0
PASS
DYE DSL (N. Gen. Supply)
0 36
15 36 0 0 0
30 36 0 0 0
PASS
DYE DSL (N. Gen Return)
0 29
15 29 0 0 0
30 29 0 0 0
PASS
01/24/2025
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
APPENDIX C-7
AUTOMATIC TANK GAUGE
OPERATION INSPECTION
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Precision Testing Technologies Inc.801-886-9224
Castleview Hospital
5000036
1
DSL
Incon EVO550
6,016
95.75
4
4
4
4
80 3/4"
4
2"
4
4
Royal Slater UT-436
01/10/2025
300 N Hospital Drive
Price, UT 84501