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HomeMy WebLinkAboutDERR-2025-002936FUEL 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 &HUWLILFDWLRQ VHHWHVWUHSRUWVDWWDFKHG 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-W2500279 S Holiday Oil Company 11747 Lone Peak Parkway, Suite 201 Draper UT 84020 Gideon Baxter Holiday Oil #45 267 W 12300 S Draper UT 84020 4002333 Liquid Status Report Dispenser 15/16, 17/18, 19/20 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 45 Draper, UT Job #: TLT-W2500279 Arrived on site and checked in with manager. Opened sumps and dispenser and then began testing. Liquid Status Report – Tested dispensers 15/16, 17/18, 19/20 Sensors. All passed. 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 4 5 Ho l i d a y O i l C o m p a n y 26 7 W 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 3 3 3 4/ 1 5 / 2 5 15 , 1 6 17 , 1 8 19 , 2 0 ■■ ■ ■■ ■ ■ ■ ■ ■■ ■ ■■ ■ ■■ ■ ■■ ■ ■ ■ ■ Ga r r e t t H e r l a c h e Dr a p e r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ispenser/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 #45 267 W 12300 S TLT-W2500279 Draper UT 84020 4/15/2025 S 12:05 12:45 ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ Garrett Herlache Gideon Baxter ✔