HomeMy WebLinkAboutDERR-2025-001656APPLIED ENVIRONMENTAL SERVICES, L.C.
PO BOX 1073 BOUNTIFUL, UTAH 84011
TEI 5000 NON VOLUMETRIC, TEI 4000 VOLUMETRIC, TEI ULLAGE, TEI LT3
PRECISION TANK & LINE TEST RESULTS SUMMARY
INVOICE ADDRESS:TANK LOCATION: WORK ORDER #
TECH # 94027
TECHNICIAN: SM
STATE TECH #
SPACKMAN ENTERPRISES
PO BOX 1276
CENTERVILLE, UTAH 84014
ROY CITY SHOPS
5460 SOUTH 2700 WEST
ROY, UTAH
25003
UT 0121
DATE:
2-19-2025
TIME START:TIME END:GROUNDWATER DEPTH:
TANK TANK
CAPACITY
4061
6091
PRODUCT
DSL
R/UL
TANK
AST
AST
VENT
AST
AST
PRODUCT
LINE
PASS
PASS
LINE LEAK
DETECTOR
PASS
PASS
WATER IN
TANK
PUMP
TYPE
PRESS
PRESS
TANK
MATERIAL
DW AST
DW AST
1.
2.
3.
4.
5.
6.
PRODUCT LINES TESTED AT 50 PSI FOR 15 MIN
LINE RATES (GPH)
1.
2.
3.
5.
6.
DSL -.002
R/UL -.001
ADDITIONAL INFORMATION:
NEW AST WITH UNDERGROUND PRODUCT LINES
NEW PV VALVE ON UNLEADED VENT
CERTIFIED TECHNICIAN SIGNATURE:DATE:2-19-2025
These systems meet all requirements set forth by USEPA 40 CFR and has received third party certification.
4.
TEST METHODS USED FOR THIS LOCATION
TEI 5000 NON VOLUMETRIC TANK TEST TEI 4000 VOLUMETRIC TANK TEST TEI TANK ULLAGE TEST TEI LT3 LINE TEST X
LINE LEAK DETECTOR TYPE & SIMULATED LEAK RATE
1.
2.
3.
M = MECHANICAL E = ELECTRONIC # = (GPH) RATE
4.
5.
6.
M 3
M 3
All tests were performed according to manufacturer protocol, and within the common practices of the industry. However due to the variables of
tightness testing, these results cannot be guaranteed. There are no warranties expressed, written or implied.
DEQ ID#1200423
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2025.02.20 12:40:05 -07'00'
Reason: I am the author of this document
UTAH STATE FUEL NETWORK AST ANNUAL INSPECTION
Facility Name and Site Address: Date:
Facility ID #
Purpose:Regular Reinspection Complaints Annual Inspection
Nu
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Pumps Tested for Calibration
Is tank grounding strap in good condition ?
Is tank coating free of corrosion / damage ?
Is tank free of noticable distortion, denting, buckeling ?
Flanged connection bolts appear tight ?
Normal and emergency vents appear in good condition ?
Inspection Remarks:
Technician signature
Inspected By: Steven B. Martin UT121
Applied Environmental Services L.C.
ROY CITY SHOPS
5460 SOUTH 2700 WEST
ROY, UTAH
2-19-2025
12200423
X
1-2 X X
X
X
X
X
X
X
X
X
X
X
State Fuel Contact : Brett Gurney 385-602-4872
801-540 9258 Aesutah@aol.com
Email: Brettgurney@utah.gov
X
X
X
X
X
X
X
Fill and vapor connections in good condition ?
NEW INSTALLATION, DW DUAL COMPARTMENT AST WITH UNDERGROUND PRODUCT
LINES
MORRISON OVERSPILL
XTank containment structure in satisfactory condition ?
Free of tank settlement and foundation washout ?
Tank supports in satisfactory condition ?
Is water able to drain off tank pad and tank top ?
Gasoline vent has P/V valve installed where required ?
Valves / syphons / solenoids appear in good condition ?
Spill containment visable and appears in good condition
Electrical junction boxes and conduits in good condition
Tank monitor free of active alarms ?
Emergency shutoff installed ?
Dispenser static test ?
Tank overfill equipment installed ?
Piping sumps appear in good condition ?
COMMENTS / ACTION
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2025.02.20 16:39:54 -07'00'
Reason: I am the author of this document
ROY CITY SHOPS
5460 SOUTH 2700 WEST
ROY, UTAH
1200423
STATE FUEL NETWORK
APPLIED ENVIRONMENTAL SERVICES
PO BOX 141152
SALT LAKE CITY, UT
BRETT GURNEY 385-602-4872
801-540-9258 2-19-2025
1
DSL
RED J
FX
X
28
22
150
2
16
2
X
X
X
X
2
R/UL
RED J
FX
X
27
22
150
2
15
2
X
X
X
X
STEVEN B MARTIN
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2025.02.20 16:41:58 -07'00'
Reason: I am the author of this document
ROY CITY SHOPS
5460 SOUTH 2700 WEST
ROY, UTAH
12200423
APPLIED ENVIRONMENTAL SERVICES
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
BRETT GURNEY 385-602-4872
801-540-9258 2-19-2025
TRANS SU
DSL/R/UL
X
X
X
X
X
X
X
X
DISP
DSL/R/UL
X
X
X
X
X
X
X
X
TK INTER
DSL/R/UL
X
X
X
X
X
X
X
X
NEW INSTALLATION TEST
STEVEN B MARTIN
APPLIED ENVIRONMENTAL SERVICES, L.C. PO BOX 1073 BOUNTIFUL, UTAH 84011
801-540-9258 AESUTAH@AOL.COM
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2025.02.20 13:05:54 -07'00'
Reason: I am the author of this document
BILLING ADDRESS FACILITY ADDRESS
WORK ORDER # DATE:
CONTACT: DEQ ID#
APPLIED ENVIRONMENTAL SERVICES, L.C.
SEND PAYMENT TO : APPLIED ENVIRONMENTAL SERVICES
ALL TESTS WERE PERFORMED IN A PROFESSIONAL MANNER, AND WITHIN COMMON PRACTICES OF THE INDUSTRY.
DUE TO VARIABLES OF TIGHTNESS TESTING, THESE RESULTS CANNOT BE GUARANTEED. THERE ARE NO WARRANTIES.
EXPRESSED, WRITTEN, OR IMPLIED.
PO BOX 1073 BOUNTIFUL, UTAH 84011
.
PO#
PHONE: 801-540-9258 AESUTAH@AOL.COM
SPACKMAN ENTERPRISES
PO BOX 1276
CENTERVILLE, UTAH 84014
ROY CITY SHOPS
5460 SOUTH 2700 WEST
ROY, UTAH
12200423
25003 2-19-2025
PRODUCT LINE AND LEAK DETECTOR TESTS R/UL AND DSL
2 @ 250.00 500.00
AST INSPECTION
N/C
500.00TOTAL DUE: