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HomeMy WebLinkAboutDERR-2025-001628Leak Detector Facility Information Name:Fast Stop 1107 Certification/Inspection #:58164 Address:75 S STONE RD, Snowville, UT, 84336 State ID:0100596 Phone Number:Form Completed By:Larry Vasquez Date:01/15/2025 Tank Information Tank #:T1 RUL T3 PUL T4 DSL Capacity:15248 15246 7983 Product:Unleaded Premium Diesel Line #:RUL PUL DSL Line Type:Pressure Pressure Pressure LD Brand:VMI Red Jacket Red Jacket LD Model:LD-2000 FX1V FX1DV Serial #:0 0 0 Associated Tank:T1 RUL T3 PUL T4 DSL Resiliency (ml):250 100 50 Check Valve Holding PSI:29 10 17 Opening Time:2 0 2 Result:Pass Inconclusive Pass Test Equip. Mfg.:Vaporless, LDT-890 Vaporless, LDT-890 Vaporless, LDT-890 Notes: Tested per manufacturer specifications. Contractor Signature:Printed Name:Larry Vasquez Leak Detector Facility Information Name:Fast Stop 1107 Certification/Inspection #:58512 Address:75 S STONE RD, Snowville, UT, 84336 State ID:0100596 Phone Number:Form Completed By:Ray Simms Date:01/28/2025 Tank Information Tank #:T1 RUL T3 PUL T4 DSL Capacity:15248 15246 7983 Product:Unleaded Premium Diesel Line #:PUL Line Type:Pressure LD Brand:Red Jacket LD Model:FX1V Serial #:301206009 Associated Tank:T3 PUL Resiliency (ml):180 Check Valve Holding PSI:22 Opening Time:2 Result:Pass Test Equip. Mfg.:Vaporless, LDT-890 Notes: Tested per manufacturer specifications. Contractor Signature:Printed Name:Ray Simms Line Test Facility Information Name:Fast Stop 1107 Certification/Inspection #:58167 Address:75 S STONE RD State ID:0100596 Phone Number:Form Completed By:Larry Vasquez Date:01/15/2025 Tank Test Information Tank #:T1 RUL T3 PUL T4 DSL Capacity:15248 15246 7983 Product:Unleaded Premium Diesel Line Test Information Line #:RUL PUL DSL LineType:Pressure Pressure Pressure Line Material:DW Flex DW Flex DW Flex Line ID Size (in):2 2 2 Line Length (ft):300 300 300 Pump Type:Red Jacket Red Jacket Red Jacket Associated Tank:T1 RUL T3 PUL T4 DSL Test Equip. Mfg.:Triangle Triangle Triangle Test Pressure (PSI):50 50 50 Initial Cyl. Level:0 300 310 Final Cyl. Level:0 270 300 Change in Time (mins):50 15 15 Change in Vol:0.0000 -30.0000 -10.0000 Change in Temp (F):0 0 0 Coeff. Of Thermal Expansion (g/F):0.00070 0.00070 0.00045 Line Vol (gal):48.94 48.94 48.94 Leak Rate (GPH):0.0000 -0.0317 -0.0106 Result:Inconclusive Pass Pass Notes TIGHTNESS TESTING CERTIFICATION CGRS certifies that the systems in the above table have been tested utilizing leak detection methods which meet the prescribed leak rate testing standard of 0.10 gph with a minimum probability of detection of 95% and a 5% probability of a false alarm. CGRS further certifies that the protocol for each test method was strictly adhered to, and that all precision tightness testing performed by CGRS was conducted in accordance with EPA 40 CFR parts 280.43(c) and 280.44(b) and the National Fire Protection Association, Bulletin NFPA 329 criteria. Contractor Printed Name:Larry Vasquez Contractor Signature: Certification Number:TMI-301 Line Test Facility Information Name:Fast Stop 1107 Certification/Inspection #:58511 Address:75 S STONE RD State ID:0100596 Phone Number:Form Completed By:Ray Simms Date:01/28/2025 Tank Test Information Tank #:T1 RUL T3 PUL T4 DSL Capacity:15248 15246 7983 Product:Unleaded Premium Diesel Line Test Information Line #:RUL LineType:Pressure Line Material:DW Flex Line ID Size (in):2 Line Length (ft):300 Pump Type:Red Jacket Associated Tank:T1 RUL Test Equip. Mfg.:Triangle Test Pressure (PSI):55 Initial Cyl. Level:230 Final Cyl. Level:200 Change in Time (mins):15 Change in Vol:-30.0000 Change in Temp (F):0 Coeff. Of Thermal Expansion (g/F):0.00070 Line Vol (gal):48.94 Leak Rate (GPH):-0.0317 Result:Pass Notes TIGHTNESS TESTING CERTIFICATION CGRS certifies that the systems in the above table have been tested utilizing leak detection methods which meet the prescribed leak rate testing standard of 0.10 gph with a minimum probability of detection of 95% and a 5% probability of a false alarm. CGRS further certifies that the protocol for each test method was strictly adhered to, and that all precision tightness testing performed by CGRS was conducted in accordance with EPA 40 CFR parts 280.43(c) and 280.44(b) and the National Fire Protection Association, Bulletin NFPA 329 criteria. Contractor Printed Name:Ray Simms Contractor Signature: Certification Number:1651,UT 407 Automatic Tank Gauge Inspection ATG 1 ATG 1665 Facility Information Name:Fast Stop 1107 Certification/Inspection #:58169 Address:75 S STONE RD, Snowville, UT, 84336 State ID:0100596 Phone Number:Form Completed By:Larry Vasquez Date:01/15/2025 ATG Console Inspection Tank Level Monitor Brand :Veeder Root 1.Status upon Arrival:All Functions Normal 2.Status upon Departure:All Functions Normal 3.Is the display in good condition and functioning?: Yes 4.Is the keypad in good condition?: Yes Tank Level Monitor Model :TLS-350 5.Are all indicator lights functional?: Yes 6.Is printer functional?:Yes 7.Back-up battery tested? (if applicable)?: Yes 8.Back-up battery voltage (if applicable): 3.6 Tank Information Probe and Programing Inspection: 9.Tank # T3 PUL T1 RUL T4 DSL 10.Tank Facility ID T3 PUL T1 RUL T4 DSL 11.Tank # per ATG T3 PUL T1 RUL T4 DSL 12.Product:Premium Unleaded Diesel 13.Tank Volume, gallons 15246 15248 7983 14.Tank Dia/depth, inches 119 119 119 In-Tank Setup Parameters: 15.Thermal coefficient .000700 .000700 .000450 16.ATG Programmed Diameter 119 119 119 17.Number of points on profile 4 4 4 18.Full volume on profile 15248 15248 7983 19.After removing the probe from the tank, it has been inspected and any damaged or missing parts replaced?Yes Yes Yes 20.Do floats move freely along the stem without binding?Yes Yes Yes 21.Does product level match console value?Yes Yes Yes 22.Does water level match console value?Yes Yes Yes Pass/Fail Criteria: if any of questions 19, 20 ,21 & 22 are No, then the system has failed the test. Comment Operator Certification Contractor Signature:Printed Name:Larry Vasquez 23.Water warning (inches)(1")1.5 1.5 1.5 24.High water limit (inches)(1.5")2 2 2 25.Does console water alarm trigger at programmed level?Yes Yes Yes 26.Programmed Overfill Limit (90%)90 90 90 27.Does console overfill alarm trigger at programmed level?Yes Yes Yes 28.Programmed High Product Limit (95%)95 95 95 29.Does console high product alarm trigger at programmed level?Yes Yes Yes 30.Low Product (15% of tank volume or 15" whichever is greater)15 15 15 31.Tank test program enabled?Yes Yes Yes 32.Tank Test Method?CSLD CSLD CSLD 33.Tank Test Rate 0.2 0.2 0.2 34.Test duration (hrs)CONT CONT CONT 35.12 months of tank test history present?Yes Yes Yes Lines: 36.Electronic Line Leak Type NA NA NA 37.Line # and label in ATG (Q1, Unleaded)N/A N/A N/A 38.Line Test Rate N/A N/A N/A 39.12 months of line test history present?NA NA NA 40.Test Result Pass Pass Pass