HomeMy WebLinkAboutDERR-2025-002912FUEL SYSTEMS | GENERAL CONTRACTING | ENVIRONMENTAL SERVICES | WASTE SOLUTIONS
ENERGY SOLUTIONS | AUTOMOTIVE & COMMERCIAL EQUIPMENT
P.O. BOX 3360
DES MOINES, IA 50316
4140 E. 14TH STREET
DES MOINES, IA 50313
PHONE: 515-262-5000
CORPORATE HEADQUARTERS
WWW.SENECACO.COM
STORE.SENECACO.COM
6HQHFD$FFRXQW5HS
3KRQH
'DWHRI7HVW
6FRSHRI:RUN
6HQHFD-RE
&XVWRPHU32
7HFKQLFLDQ
&HUWLILFDWLRQVHHWHVWUHSRUWVDWWDFKHG
7HVWLQJ6XPPDU\
7HVW6XPPDU\'HVFULSWLRQ &RPSRQHQW7HVWHG 'DWH7HVWHG 5HVXOW
&XVWRPHU,QIRUPDWLRQ
1DPH
6WUHHW $GGUHVV
&LW\
6WDWH
=LS
&RQWDFW
3KRQH 1XPEHU
6LWH,QIRUPDWLRQ
6LWH1DPH
Testing Summary
6WUHHW $GGUHVV
&LW\
6WDWH
=LS
)DFLOLW\1R
4/15/2025 TLT-W2500263
S, LD
Holiday Oil Company
11747 Lone Peak Parkway, Suite 201
Draper
UT
84020
Gideon Baxter
Holiday Oil #7
293 E 12300 S
Draper
UT
84020
4002017
ATG - Monitoring System Certification VR TLS-350 04/15/2025 Pass
LD-Leak Detector Prm FX1V 04/15/2025 Pass
Liquid Status Report Prm, Dsl STP Sensors 04/15/2025 Pass
Mark Shirley Garrett Herlache
515-262-5000
)LHOG1RWHV
4140 E. 14TH STREET
DES MOINES, IA 50313
PHONE: 515-262-5000
CORPORATE HEADQUARTERS
P.O. BOX 3360
DES MOINES, IA 50316
WWW.SENECACO.COM
STORE.SENECACO.COM
Testing Summary
7HVWLQJ6XPPDU\
FUEL SYSTEMS | GENERAL CONTRACTING | ENVIRONMENTAL SERVICES | WASTE SOLUTIONS
ENERGY SOLUTIONS | AUTOMOTIVE & COMMERCIAL EQUIPMENT
Site Location -
Holiday Oil 7
Draper, UT
Job #: TLT-W2500263
Arrived on site and checked in with manager. Opened sumps and dispenser and then began testing.
ATG/AMC – Tested/Passed switched STP sensors to 208 sensors
Leak Detector – Tested/Passed switched LD to VR FX1V. the line had 50 PSI on the line and last time it had 43 PSI so i
believe that there is still air on the line. believe the syphon jet or check valve gasket could be the problem. the LD did pass
but due to the higher pressures and air on the line it could damage the new LD.
7DQN,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× ,Q7DQN*DXJLQJ3UREH 0RGHOBBBBBBBBBBBBBBBBBBBB
× $QQXODU6SDFHRU9DXOW6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 3LSLQJ6XPS7UHQFK6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× )LOO6XPS6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 0HFKDQLFDO/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× (OHFWURQLF/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 7DQN2YHUILOO+LJK/HYHO6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 2WKHUVSHFLI\HTXLSPHQWW\SHDQGPRGHOLQ6HFWLRQ(RQ3DJH
7DQN,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× ,Q7DQN*DXJLQJ3UREH 0RGHOBBBBBBBBBBBBBBBBBBBB
× $QQXODU6SDFHRU9DXOW6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 3LSLQJ6XPS7UHQFK6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× )LOO6XPS6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 0HFKDQLFDO/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× (OHFWURQLF/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 7DQN2YHUILOO+LJK/HYHO6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 2WKHUVSHFLI\HTXLSPHQWW\SHDQGPRGHOLQ6HFWLRQ(RQ3DJH
7DQN,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× ,Q7DQN*DXJLQJ3UREH 0RGHOBBBBBBBBBBBBBBBBBBBB
× $QQXODU6SDFHRU9DXOW6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 3LSLQJ6XPS7UHQFK6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× )LOO6XPS6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 0HFKDQLFDO/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× (OHFWURQLF/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 7DQN2YHUILOO+LJK/HYHO6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 2WKHUVSHFLI\HTXLSPHQWW\SHDQGPRGHOLQ6HFWLRQ(RQ3DJH
7DQN,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× ,Q7DQN*DXJLQJ3UREH 0RGHOBBBBBBBBBBBBBBBBBBBB
× $QQXODU6SDFHRU9DXOW6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 3LSLQJ6XPS7UHQFK6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× )LOO6XPS6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 0HFKDQLFDO/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× (OHFWURQLF/LQH/HDN'HWHFWRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 7DQN2YHUILOO+LJK/HYHO6HQVRU 0RGHOBBBBBBBBBBBBBBBBBBBB
× 2WKHUVSHFLI\HTXLSPHQWW\SHDQGPRGHOLQ6HFWLRQ(RQ3DJH
'LVSHQVHU,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× 'LVSHQVHU&RQWDLQPHQW6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 6KHDU9DOYHV
× 'LVSHQVHU&RQWDLQPHQW)ORDWVDQG&KDLQV
'LVSHQVHU,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× 'LVSHQVHU&RQWDLQPHQW6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 6KHDU9DOYHV
× 'LVSHQVHU&RQWDLQPHQW)ORDWVDQG&KDLQV
'LVSHQVHU,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× 'LVSHQVHU&RQWDLQPHQW6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 6KHDU9DOYHV
× 'LVSHQVHU&RQWDLQPHQW)ORDWVDQG&KDLQV
'LVSHQVHU,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× 'LVSHQVHU&RQWDLQPHQW6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 6KHDU9DOYHV
× 'LVSHQVHU&RQWDLQPHQW)ORDWVDQG&KDLQV
'LVSHQVHU,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× 'LVSHQVHU&RQWDLQPHQW6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 6KHDU9DOYHV
× 'LVSHQVHU&RQWDLQPHQW)ORDWVDQG&KDLQV
'LVSHQVHU,'BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
× 'LVSHQVHU&RQWDLQPHQW6HQVRUV 0RGHOBBBBBBBBBBBBBBBBBBBB
× 6KHDU9DOYHV
× 'LVSHQVHU&RQWDLQPHQW)ORDWVDQG&KDLQV
,IWKHIDFLOLW\FRQWDLQVPRUHWDQNVRUGLVSHQVHUVFRS\WKLVIRUP,QFOXGHLQIRUPDWLRQIRUHYHU\WDQNDQGGLVSHQVHUDWWKHIDFLOLW\
& &HUWLILFDWLRQ , FHUWLI\ WKDW WKH HTXLSPHQW LGHQWLILHG LQ WKLV GRFXPHQW ZDV LQVSHFWHGVHUYLFHG LQ DFFRUGDQFH ZLWK WKH PDQXIDFWXUHUV¶
'DWHRI7HVW
$
JXLGHOLQHV $WWDFKHGWRWKLV&HUWLILFDWLRQLVLQIRUPDWLRQHJPDQXIDFWXUHUV
FKHFNOLVWVQHFHVVDU\WR YHULI\WKDWWKLVLQIRUPDWLRQ LVFRUUHFW
DQGD3ORW3ODQVKRZLQJWKHOD\RXWRIPRQLWRULQJHTXLSPHQW)RUDQ\HTXLSPHQWFDSDEOHRIJHQHUDWLQJVXFKUHSRUWV,KDYHDOVRDWWDFKHGD
FRS\RIWKHUHSRUWFKHFNDOOWKDWDSSO\ × 6\VWHPVHWXS× $ODUPKLVWRU\UHSRUW
7HFKQLFDQ
&HUWLILFDWLRQ1R
7HVWLQJ&RPSDQ\
7HVW 'DWH
6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
4140 E. 14TH STREET
DES MOINES, IA 50313
PHONE: 515-262-5000
CORPORATE HEADQUARTERS
P.O. BOX 3360
DES MOINES, IA 50316
WWW.SENECACO.COM
STORE.SENECACO.COM
)8(/6<67(06_*(1(5$/&2175$&7,1*_(19,5210(17$/6(59,&(6_:$67(62/87,216
(1(5*<62/87,216_$872027,9( &200(5&,$/(48,30(17
7KLV IRUP PXVW EH XVHG WR GRFXPHQW WHVWLQJ DQG VHUYLFLQJ RI PRQLWRULQJ HTXLSPHQW $ VHSDUDWH FHUWLILFDWLRQ RU UHSRUW PXVW EH SUHSDUHG IRUHDFK
PRQLWRULQJ V\VWHP FRQWURO SDQHO E\ WKH WHFKQLFLDQ ZKR SHUIRUPV WKH ZRUN $FRS\ RI WKLV IRUP PXVW EH SURYLGHG WR WKH WDQN V\VWHP RZQHU
RSHUDWRU7KHRZQHURSHUDWRUPXVWVXEPLWDFRS\RIWKLVIRUPWRWKHORFDODJHQF\UHJXODWLQJ867V\VWHPVZLWKLQGD\VRIWHVWGDWH
*HQHUDO,QIRUPDWLRQ
6LWH,QIRUPDWLRQ
&XVWRPHU3KRQH1R&XVWRPHU&RQWDFW
0DNH0RGHORI0RQLWRULQJ6\VWHP
% ,QYHQWRU\RI(TXLSPHQW7HVWHG&HUWLILHG
FKHFNWKHDSSURSULDWHER[HVWRLQGLFDWHVSHFLILFHTXLSPHQWLQVSHFWHGVHUYLFHG
Monitoring System Certification 1
)DFLOLW\1R
0RQLWRULQJ6\VWHP&HUWLILFDWLRQ
Holiday Oil #7 4/15/2025
293 E 12300 S Draper UT 4002017
Gideon Baxter
VR TLS-350
Premium Diesel
✔
✔
✔
FX1V
✔
Garrett Herlache
2327 4/15/2025
Seneca Companies, Inc.4140 E. 14th Street
Des Moines IA
' 5HVXOWVRI7HVWLQJ6HUYLFLQJ
×<HV×1R
,V WKHDXGLEOHDODUP RSHUDWLRQDO"
×<HV×1R
,V WKHYLVXDODODUP RSHUDWLRQDO"
×<HV×1R
:HUHDOOVHQVRUV YLVXDOO\ LQVSHFWHG IXQFWLRQDOO\ WHVWHG DQGFRQILUPHGRSHUDWLRQDO"
×<HV×1R
:HUH DOO VHQVRUV LQVWDOOHG DW ORZHVW SRLQW RI VHFRQGDU\ FRQWDLQPHQW DQG SRVLWLRQHG VR WKDW RWKHU HTXLSPHQW ZLOOQRW LQWHUIHUH
ZLWK WKHLU SURSHU RSHUDWLRQ"
×<HV ×1R
×1$,IDODUPV DUH UHOD\HG WR D UHPRWH PRQLWRULQJ VWDWLRQ LV DOO FRPPXQLFDWLRQV HTXLSPHQW HJ PRGHP RSHUDWLRQDO"
×<HV ×1R
×1$
)RU SUHVVXUL]HG SLSLQJ V\VWHPV GRHV WKH WXUELQH DXWRPDWLFDOO\ VKXW GRZQ LI WKH SLSLQJ VHFRQGDU\ FRQWDLQPHQW PRQLWRULQJ
V\VWHP GHWHFWVDOHDN IDLOVWRRSHUDWH RULVHOHFWULFDOO\GLVFRQQHFWHG",I\HVZKLFKVHQVRUVLQLWLDWHSRVLWLYHVKXWGRZQ"
&KHFNDOO WKDWDSSO\6XPS7UHQFK 6HQVRUV 'LVSHQVHU &RQWDLQPHQW 6HQVRUV
'LG \RX FRQILUP SRVLWLYH VKXWGRZQ GXH WR OHDNV DQG VHQVRU IDLOXUHGLVFRQQHFWLRQ"<HV1R
×<HV ×1R
×1$
)RU WDQN V\VWHPV WKDW XWLOL]H WKH PRQLWRULQJ V\VWHP DV WKH SULPDU\ WDQN RYHUILOO ZDUQLQJ GHYLFH LH QR PHFKDQLFDO RYHUILOO
SUHYHQWLRQYDOYHLVLQVWDOOHGLVWKHRYHUILOOZDUQLQJDODUPYLVLEOHDQGDXGLEOHDWWKHWDQNILOOSRLQWVDQGRSHUDWLQJSURSHUO\",IVRDW
ZKDWSHUFHQWRIWDQNFDSDFLW\GRHVWKHDODUPWULJJHU"BBBBBBBB
× <HV
× 1R :DV DQ\ PRQLWRULQJ HTXLSPHQW UHSODFHG" ,I \HV LGHQWLI\ VSHFLILF VHQVRUV SUREHV RU RWKHU HTXLSPHQW UHSODFHG
DQG OLVW WKHPDQXIDFWXUHUQDPHDQGPRGHO IRU DOOUHSODFHPHQWSDUWVLQ 6HFWLRQ( EHORZ
×<HV
×1R :DV OLTXLG IRXQG LQVLGH DQ\ VHFRQGDU\ FRQWDLQPHQW V\VWHPV GHVLJQHG DV GU\V\VWHPV"
&KHFN DOO WKDW DSSO\3URGXFW :DWHU ,I\HV GHVFULEHFDXVHV LQ 6HFWLRQ ( EHORZ
× <HV × 1R
:DVPRQLWRULQJV\VWHPVHWXSUHYLHZHGWRHQVXUHSURSHUVHWWLQJV"$WWDFKVHWXSUHSRUWVLIDSSOLFDEOH
× <HV × 1R
,VDOOPRQLWRULQJHTXLSPHQWRSHUDWLRQDOSHUPDQXIDFWXUHU¶VVSHFLILFDWLRQV"
,Q6HFWLRQ(EHORZGHVFULEHKRZDQGZKHQWKHVHGHILFLHQFLHVZHUHRUZLOOEHFRUUHFWHG
( &RPPHQWV
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
6RIWZDUH9HUVLRQ,QVWDOOHG&RPSOHWHWKHIROORZLQJFKHFNOLVW
)8(/6<67(06_*(1(5$/&2175$&7,1*_(19,5210(17$/6(59,&(6_:$67(62/87,216
(1(5*<62/87,216_$872027,9( &200(5&,$/(48,30(17
4140 E. 14TH STREET
DES MOINES, IA 50313
PHONE: 515-262-5000
CORPORATE HEADQUARTERS
P.O. BOX 3360
DES MOINES, IA 50316
WWW.SENECACO.COM
STORE.SENECACO.COM
Monitoring System Certification 4
0RQLWRULQJ 6\VWHP&HUWLILFDWLRQ
✔
✔
) ,Q7DQN *DXJLQJ 6,5(TXLSPHQW
&KHFN WKLV ER[ LIQR WDQN JDXJLQJ RU6,5HTXLSPHQW LV LQVWDOOHG
7KLV VHFWLRQPXVWEHFRPSOHWHGLILQWDQNJDXJLQJHTXLSPHQWLVXVHGWRSHUIRUPOHDNGHWH
&RPSOHWH WKH IROORZLQJFKHFNOLVW
<HV 1R
+DVDOOLQSXWZLULQJEHHQLQVSHFWHGIRUSURSHUHQWU\DQGWHUPLQDWLRQLQFOXGLQJWHVWLQJIRUJURXQGIDXOWV"
<HV 1R
:HUHDOOWDQNJDXJLQJSUREHVYLVXDOO\ LQVSHFWHGIRUGDPDJH DQGUHVLGXHEXLOGXS"
<HV 1R
:DVDFFXUDF\RIV\VWHPSURGXFWOHYHOUHDGLQJVWHVWHG"
<HV 1R
:DVDFFXUDF\RIV\VWHPZDWHUOHYHOUHDGLQJVWHVWHG"
<HV 1R
:HUHDOOSUREHVUHLQVWDOOHGSURSHUO\"
<HV 1R
:HUHDOOLWHPVRQWKHHTXLSPHQW PDQXIDFWXUHU¶VPDLQWHQDQFHFKHFNOLVWFRPSOHWHG"
,QWKH6HFWLRQ+EHORZGHVFULEHKRZDQGZKHQWKHVHGHILFLHQFLHVZHUHRUZLOOEHFRUUHFWHG
×&KHFNWKLVER[ LI//'VDUHQRW LQVWDOOHG* /LQH /HDN 'HWHFWRUV //'
<HV 1R
1$
)RU HTXLSPHQW VWDUWXS RU DQQXDO HTXLSPHQW FHUWLILFDWLRQ ZDV D OHDN VLPXODWHG WR YHULI\ //' SHUIRUPDQFH"
&KHFN DOOWKDWDSSO\6LPXODWHGOHDNUDWH JSK JSKJSK
<HV 1R
:HUHDOO //'VFRQILUPHGRSHUDWLRQDODQGDFFXUDWH ZLWKLQUHJXODWRU\UHTXLUHPHQWV"
<HV 1R
:DVWKHWHVWLQJ DSSDUDWXVSURSHUO\ FDOLEUDWHG"
<HV 1R
1$)RUPHFKDQLFDO//'V GRHVWKH//'UHVWULFW SURGXFW IORZ LILWGHWHFWV DOHDN"
<HV 1R
1$)RUHOHFWURQLF//'VGRHVWKHWXUELQHDXWRPDWLFDOO\VKXWRIILIWKH//'GHWHFWVDOHDN"
<HV 1R
1$
)RUHOHFWURQLF//'V GRHVWKH WXUELQH DXWRPDWLFDOO\ VKXWRII LIDQ\ SRUWLRQRIWKH PRQLWRULQJV\VWHP LVGLVDEOHGRU
GLVFRQQHFWHG"
<HV 1R
1$
)RUHOHFWURQLF//'V GRHVWKHWXUELQH DXWRPDWLFDOO\VKXWRIILI DQ\ SRUWLRQ RI WKH PRQLWRULQJV\VWHP
PDOIXQFWLRQVRUIDLOVDWHVW"
<HV 1R
1$)RUHOHFWURQLF//'VKDYHDOODFFHVVLEOHZLULQJFRQQHFWLRQVEHHQYLVXDOO\ LQVSHFWHG"
<HV 1R
:HUHDOOLWHPVRQWKHHTXLSPHQW PDQXIDFWXUHU¶VPDLQWHQDQFHFKHFNOLVWFRPSOHWHG"
+ &RPPHQWV
&RPSOHWHWKHIROORZLQJFKHFNOLVW
,QWKH6HFWLRQ+EHORZGHVFULEHKRZDQGZKHQWKHVHGHILFLHQFLHVZHUHRUZLOOEHFRUUHFWHG
&KHFN WKLV ER[ LI WDQN JDXJLQJ LV XVHG RQO\ IRU LQYHQWRU\ FRQWURO
4140 E. 14TH STREET
DES MOINES, IA 50313
PHONE: 515-262-5000
CORPORATE HEADQUARTERS
P.O. BOX 3360
DES MOINES, IA 50316
WWW.SENECACO.COM
STORE.SENECACO.COM
3DVV )DLO
)8(/6<67(06_*(1(5$/&2175$&7,1*_(19,5210(17$/6(59,&(6_:$67(62/87,216
(1(5*<62/87,216_$872027,9( &200(5&,$/(48,30(17
Monitoring System Certification 5
0RQLWRULQJ 6\VWHP&HUWLILFDWLRQ
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Tested the Premium leak detector. Passed.
Tested the Premium STP and Diesel STP sensors, both passed.
pei.org 59
Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities
APPENDIX C-9
MECHANICAL AND ELECTRONIC LINE LEAK DETECTORS
PERFORMANCE TESTS
Facility Name:Owner:
Address:Address:
City, State, Zip Code:City, State, Zip Code:
Facility I.D. #:Phone #:
Testing Company:Phone #:Date:
This data sheet can be used to test mechanical line leak detectors (MLLD) and electronic line leak detectors (ELLD) with submersible
turbine pump (STP) systems. See PEI/RP1200 Sections 9.1 and 9.2 for test procedures.
Line Number
Product Stored
Leak Detector Manufacturer
Leak Detector Model
Type of Leak Detector MLLD
ELLD
MLLD
ELLD
MLLD
ELLD
MLLD
ELLD
MLLD
ELLD
MLLD
ELLD
MLLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG)
STP Full Operating Pressure
Check Valve Holding Pressure
Line Resiliency (ml) (line bleed back vol-
ume as measured from check valve hold-
ing pressure to 0 psig)
Step Through Time in Seconds (time the
MLLD hesitates at metering pressure
before going to full operating pressure
as measured from 0 psig with no leak
induced on the line)
Metering Pressure (STP pressure when
simulated leak rate 3 gph at 10 psig)
Opening Time in Seconds (the time the
MLLD opens to allow full pressure after
simulated leak is stopped)
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 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 Yes No Yes No
Does the STP properly cycle on/off under
normal fuel system operation conditions? Yes No Yes No Yes No Yes No Yes No Yes No
A “No” answer to either of the above questions indicates the MLLD fails the test.
ELLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG)
STP Full Operating Pressure
How many test cycles are observed
before alarm/shutdown occurs?
Does the simulated leak cause an alarm? Yes No Yes No Yes No Yes No Yes No Yes No
A “No” answer to the above question indi-
cates the ELLD fails the test.
Does the simulated leak cause an STP
shutdown?
Yes No
NA
Yes No
NA
Yes No
NA
Yes No
NA
Yes No
NA
Yes No
NA
Test Results Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail
Comments:
Tester’s Name (print) ___________________________________ Tester’s Signature __________________________________
Holiday Oil #7 Holiday Oil Company
293 E 12300 S 11747 Lone Peak Parkway, Suite 201
Draper, UT 84020 Draper, UT, 84020
4002017
Seneca Companies 4/15/25
2
Prm
VR
FX1V
50
21
200
1
29
8
Garrett Herlache
Re
f
e
r
e
n
c
e
P
E
I
/
R
P
1
2
0
0
-
1
9
A
p
p
e
n
d
i
x
C
-
8
LI
Q
U
I
D
S
E
N
S
O
R
F
U
N
C
T
I
O
N
A
L
I
T
Y
T
E
S
T
I
N
G
Fa
c
i
l
i
t
y
N
a
m
e
:
Ow
n
e
r
:
Ad
d
r
e
s
s
:
Ad
d
r
e
s
s
:
Ci
t
y
,
S
t
a
t
e
,
Z
i
p
C
o
d
e
:
Ci
t
y
,
S
t
a
t
e
,
Z
i
p
C
o
d
e
:
Fa
c
i
l
i
t
y
I
.
D
.
#
:
2Z
Q
H
U
Ph
o
n
e
#
:
Te
s
t
i
n
g
C
o
m
p
a
n
y
:
Ph
o
n
e
#
:
Da
t
e
:
Th
i
s
p
r
o
c
e
d
u
r
e
i
s
t
o
d
e
t
e
r
m
i
n
e
w
h
e
t
h
e
r
l
i
q
u
i
d
s
e
n
s
o
r
s
l
o
c
a
t
e
d
i
n
t
h
e
i
n
t
e
r
s
t
i
t
i
a
l
s
p
a
c
e
o
f
U
S
T
s
y
s
t
e
m
s
a
r
e
a
b
l
e
t
o
d
e
t
e
c
t
t
h
e
p
re
s
e
n
c
e
o
f
w
a
t
e
r
a
n
d
f
u
e
l
.
S
e
e
P
E
I
/
R
P
1
2
0
0
Se
c
t
i
o
n
8
.
3
f
o
r
t
h
e
t
e
s
t
p
r
o
c
e
d
u
r
e
.
Se
n
s
o
r
L
o
c
a
t
i
o
n
%
H
9
H
U
\
6
S
H
F
L
I
L
F
Pr
o
d
u
c
t
S
t
o
r
e
d
Ty
p
e
o
f
S
e
n
s
o
r
Di
s
c
r
i
m
i
n
a
t
i
n
g
No
n
-
d
i
s
c
r
i
m
i
-
na
t
i
n
g
Di
s
c
r
i
m
i
n
a
t
i
n
g
No
n
-
d
i
s
c
r
i
m
i
-
na
t
i
n
g
Di
s
c
r
i
m
i
n
a
t
i
n
g
No
n
-
d
i
s
c
r
i
m
i
-
na
t
i
n
g
Di
s
c
r
i
m
i
n
a
t
i
n
g
No
n
-
d
i
s
c
r
i
m
i
-
na
t
i
n
g
Di
s
c
r
i
m
i
n
a
t
i
n
g
No
n
-
d
i
s
c
r
i
m
i
-
na
t
i
n
g
Di
s
c
r
i
m
i
n
a
t
i
n
g
No
n
-
d
i
s
c
r
i
m
i
-
na
t
i
n
g
Di
s
c
r
i
m
i
n
a
t
i
n
g
No
n
-
d
i
s
c
r
i
m
i
-
na
t
i
n
g
Te
s
t
L
i
q
u
i
d
Wa
t
e
r
Pr
o
d
u
c
t
Wa
t
e
r
Pr
o
d
u
c
t
Wa
t
e
r
Pr
o
d
u
c
t
Wa
t
e
r
Pr
o
d
u
c
t
Wa
t
e
r
Pr
o
d
u
c
t
Wa
t
e
r
Pr
o
d
u
c
t
Wa
t
e
r
Pr
o
d
u
c
t
Is
t
h
e
A
T
G
c
o
n
s
o
l
e
c
l
e
a
r
o
f
a
n
y
a
c
t
i
v
e
or
r
e
c
u
r
r
i
n
g
w
a
r
n
i
n
g
s
o
r
a
l
a
r
m
s
re
g
a
r
d
i
n
g
t
h
e
l
e
a
k
s
e
n
s
o
r
?
I
f
t
h
e
se
n
s
o
r
i
s
i
n
a
l
a
r
m
a
n
d
f
u
n
c
t
i
o
n
i
n
g
,
in
d
i
c
a
t
e
w
h
y
.
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Is
t
h
e
s
e
n
s
o
r
a
l
a
r
m
c
i
r
c
u
i
t
op
e
r
a
t
i
o
n
a
l
?
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ha
s
s
e
n
s
o
r
b
e
e
n
i
n
s
p
e
c
t
e
d
a
n
d
i
n
go
o
d
o
p
e
r
a
t
i
n
g
c
o
n
d
i
t
i
o
n
?
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Wh
e
n
p
l
a
c
e
d
i
n
t
h
e
t
e
s
t
l
i
q
u
i
d
,
d
o
e
s
th
e
s
e
n
s
o
r
t
r
i
g
g
e
r
a
n
a
l
a
r
m
?
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Wh
e
n
a
n
a
l
a
r
m
i
s
t
r
i
g
g
e
r
e
d
,
i
s
t
h
e
se
n
s
o
r
p
r
o
p
e
r
l
y
i
d
e
n
t
i
f
i
e
d
o
n
t
h
e
A
T
G
co
n
s
o
l
e
?
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
Ye
s
N
o
An
y
“
N
o
”
a
n
s
w
e
r
s
i
n
d
i
c
a
t
e
s
t
h
e
s
e
n
s
o
r
f
a
i
l
s
t
h
e
t
e
s
t
.
Te
s
t
R
e
s
u
l
t
s
Pa
s
s
Fa
i
l
Pa
s
s
Fa
i
l
Pa
s
s
Fa
i
l
Pa
s
s
Fa
i
l
Pa
s
s
Fa
i
l
Pa
s
s
Fa
i
l
Pa
s
s
Fa
i
l
Co
m
m
e
n
t
s
:
Te
s
t
e
r
’
s
S
i
g
n
a
t
u
r
e
Te
s
t
e
r
’
s
N
a
m
e
(
p
r
i
n
t
)
/D
W
H
V
W
9
H
U
V
L
R
Q
6H
Q
H
F
D
&
R
P
S
D
Q
L
H
V
,
Q
F
Ho
l
i
d
a
y
O
i
l
#
7
Ho
l
i
d
a
y
O
i
l
C
o
m
p
a
n
y
29
3
E
1
2
3
0
0
S
11
7
4
7
L
o
n
e
P
e
a
k
P
a
r
k
w
a
y
,
S
u
i
t
e
2
0
1
Dr
a
p
e
r
,
U
T
8
4
0
2
0
40
0
2
0
1
7
4/
1
5
/
2
5
Pr
m
S
T
P
Ds
l
S
T
P
Pr
m
Ds
l
■■■■
■
■
■■■■■■■■
■
■
Ga
r
r
e
t
t
H
e
r
l
a
c
h
e
Dr
a
p
e
r
UT
84
0
2
0
)8(/6<67(06_*(1(5$/&2175$&7,1*_(19,5210(17$/6(59,&(6_:$67(
62/87,21(1(5*<62/87,216_$872027,9( &200(5&,$/(48,30(17
6LWH1DPH6LWH$GGUHVV-RE
&LW\6WDWH =LS 'DWH
6FRSHRI :RUN
$UULYDO7LPHWR 6LWH'HSDUWXUH7LPHIURP6LWH
'3OHDN6XPS6% &DWKRGLF3URWHFWLRQ 0&//' 9DSRU5HFRYHU\ &DOLEUDWLRQ
7HFKQLFLDQ3RVW7HVW6LJQDWXUH
%\VLJQLQJEHORZ \RXFRQILUPWKDWWKHLWHPVOLVWHGDERYHKDYHEHHQYLVXDOO\ YHULILHGE\\RX
6LWH&RQWDFW3RVW7HVW6LJQDWXUH
,QVSHFWRURQVLWH" <HV 1R ,I\HVSOHDVHJLYHQDPH
6HUYLFH7HVWLQJ
$ $OO
% 7HVWLQJ
<HV1R
1RWHV
$OOVKHDUYDOYHVKDYHEHHQVHWWRRSHQLIDSSOLFDEOH
7HVWLQJDQG6HUYLFH(QYLURQPHQWDO&KHFNOLVW
'LVSDWFK7\SH
4140 E. 14TH STREET
DES MOINES, IA 50313
PHONE: 515-262-5000
CORPORATE HEADQUARTERS
P.O. BOX 3360
DES MOINES, IA 50316
WWW.SENECACO.COM
STORE.SENECACO.COM
7HVWHUV PXVW XSORDGDFRS\ RI WKLV FRPSOHWHG IRUP ZLWKUHSRUWVSKRWRV DQGHPDLOWR0DUN 6KLUOH\ DQG(PPD3HWURZLW]
Dispenser/Tank Sump free of all tools, liquid & debris upon completion of work?
Were any sensors replaced?
Programming on Monitoring Console checked for positive shutdown?
All containment & UDC sensors returned to proper placement & locked (if applicable).
All containment lids & retaining bolts securely fastened (if applicable).
All dispenser door panels are closed & locked. Flint Loc/security alarms activated (if applicable).
All test gauges/test isolation devices were properly removed.
All secondary containment boots have been pulled back/removed.
All site owned keys have been returned to site manager/representative.
All monitor alarms generated have been logged & responded to appropriately.
Monitor is free of alarms & displaying All Functions Normal.
Holiday Oil #7 293 E 12300 S
TLT-W2500263
Draper UT 84020 4/15/2025
S, LD
11:00 12:00
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Garrett Herlache
Gideon Baxter
✔