DERR-2024-004383

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
00.0037 0.0000 0.0000 00.0037 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
00.0037 0.0000 0.0000 00.0037 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#
:
02/13/2024
9000165
Express Food and Fuel
821 N Main
Vernal, UT 84078
801-391-8237
Robin Hardister
60 PSI
Regular
0 46
15 46 0 0 0
30 46 0 0 0
Pass
Premium
0 32
15 32 0 0 0
30 32 0 0 0
Pass
Diesel
0 63
15 63 0 0 0
30 63 0 0 0
Pass
02/13/2024
Sammy Labrum
UT0325
pei.org 49
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 TEST
)DFLOLW\1DPH2ZQHU
$GGUHVV$GGUHVV
&LW\6WDWH=LS&RGH&LW\6WDWH=LS&RGH
)DFLOLW\,'3KRQH
7HVWLQJ&RPSDQ\3KRQH'DWH
7KLVGDWDVKHHWFDQEHXVHGWRWHVWPHFKDQLFDOOLQHOHDNGHWHFWRUV0//'DQGHOHFWURQLFOLQHOHDNGHWHFWRUV(//'ZLWKVXEPHUVLEOH
WXUELQHSXPS673V\VWHPV6HH3(,536HFWLRQVDQGIRUWHVWSURFHGXUHV
/LQH1XPEHU
3URGXFW6WRUHG
/HDN'HWHFWRU0DQXIDFWXUHU
/HDN'HWHFWRU0RGHO
7\SHRI/HDN'HWHFWRU 0//'
(//'
0//'
(//'
0//'
(//'
0//'
(//'
0//'
(//'
0//'
(//'
MLLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG)
673)XOO2SHUDWLQJ3UHVVXUH
&KHFN9DOYH+ROGLQJ3UHVVXUH
/LQH5HVLOLHQF\POOLQHEOHHGEDFNYRO
XPHDVPHDVXUHGIURPFKHFNYDOYHKROG
LQJSUHVVXUHWR]HURSVLJ
6WHS7KURXJK7LPHLQ6HFRQGVWLPHWKH
0//'KHVLWDWHVDWPHWHULQJSUHVVXUH
EHIRUHJRLQJWRIXOORSHUDWLQJSUHVVXUH
DVPHDVXUHGIURPSVLJZLWKQROHDN
LQGXFHGRQWKHOLQH
0HWHULQJ3UHVVXUH673SUHVVXUHZKHQ
VLPXODWHGOHDNUDWHJSKDWSVLJ
2SHQLQJ7LPHLQ6HFRQGVWKHWLPHWKH
0//'RSHQVWRDOORZIXOOSUHVVXUHDIWHU
VLPXODWHGOHDNLVVWRSSHG
'RHVWKH673SUHVVXUHUHPDLQDWRU
EHORZWKHPHWHULQJSUHVVXUHIRUDWOHDVW
VHFRQGVZKHQWKHVLPXODWHGOHDNLV
LQGXFHG"
<HV1R<HV1R <HV1R <HV1R <HV1R <HV1R
'RHVWKHOHDNGHWHFWRUUHVHWWULSZKHQ
WKHOLQHSUHVVXUHLVEOHGRIIWR]HURSVLJ"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R
'RHVWKH673SURSHUO\F\FOHRQRIIXQGHU
QRUPDOIXHOV\VWHPRSHUDWLRQFRQGLWLRQV"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R
$´1RµDQVZHUWRHLWKHURIWKHDERYHTXHVWLRQVLQGLFDWHVWKH0//'IDLOVWKHWHVW
ELLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG)
673)XOO2SHUDWLQJ3UHVVXUH
+RZPDQ\WHVWF\FOHVDUHREVHUYHG
EHIRUHDODUPVKXWGRZQRFFXUV"
'RHVWKHVLPXODWHGOHDNFDXVHDQDODUP"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R
$´1RµDQVZHUWRWKHDERYHTXHVWLRQLQGL
FDWHVWKH(//'IDLOVWKHWHVW
'RHVWKHVLPXODWHGOHDNFDXVHDQ673
VKXWGRZQ"
<HV1R
1$
<HV1R
1$
<HV1R
1$
<HV1R
1$
<HV1R
1$
<HV1R
1$
Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO
Comments:
7HVWHU·V1DPH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 
Precision Testing Technologies Inc.801-886-9224
Express Food and Fuel
821 N Main
Vernal, UT
9000165
Sam Chadhauri
2662 W 1950 S
West Haven, UT 84401
8017100982
02/13/2024
1
Regular
VR
FXIV
4
32
16
40
1
12
3
4
4
4
4
2
Premium
VR
FXIV
4
31
15
50
1
13
4
4
4
4
4
3
Diesel
VR
FXIVD
4
33
14
50
1
12
3
4
4
4
4
Sammy Labrum UT0325
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
)DFLOLW\1DPH2ZQHU
$GGUHVV$GGUHVV
&LW\6WDWH=LS&RGH&LW\6WDWH=LS&RGH
)DFLOLW\,'3KRQH
7HVWLQJ&RPSDQ\3KRQH'DWH
7KLVSURFHGXUHLVWRGHWHUPLQHZKHWKHUWKH$7*LVRSHUDWLQJSURSHUO\6HH3(,536HFWLRQIRUWKHLQVSHFWLRQSURFHGXUH
7KLVSURFHGXUHLVDSSOLFDEOHWRWDQNOHYHOPRQLWRUVWHPVWKDWWRXFKWKHERWWRPRIWKHWDQNZKHQLQSODFH
7DQN1XPEHU
3URGXFW6WRUHG 
$7*%UDQGDQG0RGHO
7DQN9ROXPHJDOORQV
7DQN'LDPHWHULQFKHV
$IWHUUHPRYLQJWKH$7*IURPWKHWDQNKDVLW
EHHQLQVSHFWHGDQGDQ\GDPDJHGRUPLVVLQJSDUWV
UHSODFHG"
<HV1R <HV1R <HV1R <HV1R
)ORDWPRYHVIUHHO\RQWKHVWHPZLWKRXWELQGLQJ"<HV1R <HV1R <HV1R <HV1R
'RHVWKHIXHOIORDWOHYHODJUHHZLWKWKHYDOXH
SURJUDPPHGLQWRWKHFRQVROH"<HV1R <HV1R <HV1R <HV1R
'RHVWKHZDWHUIORDWOHYHODJUHHZLWKWKHYDOXH
SURJUDPPHGLQWRWKHFRQVROH"<HV1R <HV1R <HV1R <HV1R
,QFKOHYHOIURPERWWRPRIVWHPZKHQDODUP
LVWULJJHUHG
'RHVLQFKOHYHODWZKLFKWKHRYHUILOODODUPDFWL
YDWHVFRUUHVSRQGZLWKYDOXHSURJUDPPHGLQWKH
JDXJH"
<HV1R <HV1R <HV1R <HV1R
,QFKOHYHOIURPWKHERWWRPZKHQWKHZDWHUIORDW
ILUVWWULJJHUVDQDODUP
'RHVLQFKOHYHODWZKLFKWKHZDWHUIORDWDODUP
DFWLYDWHVFRUUHVSRQGZLWKYDOXHSURJUDPPHGLQ
WKHJDXJH"
<HV1R <HV1R <HV1R <HV1R
,IDQ\DQVZHUVLQ/LQHVRUDUH´1RµWKHV\VWHPKDVIDLOHGWKHWHVW
Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO
Comments:
7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
Precision Testing Technologies Inc.801-886-9224
Express Food and Fuel
9000165
1
Regular
VRTLS 350
15104
120"
4
4
4
4
99 5/8"
4
2"
4
4
2
Premium
VRTLS 350
Probe Out
xxxxxxxxxxxx
xxxxxxxxxxxx
xxxxxxxxxxxx
3
Diesel
VRTLS 350
11627
92"
4
4
4
4
75 1/4"
4
2"
4
4
02/13/2024
Sammy Labrum UT0325