HomeMy WebLinkAboutDERR-2025-003400APPLIED ENVIRONMENTAL SERVICES, L.C.
PO BOX 1073 BOUNTIFUL, UTAH 84011 801-540-9258
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 #
SOMMERVILLE ENT LLC
PO BOX 21
HANKSVILLE, UTAH 84734
HOLLOW MOUNTAIN
40 NORTH SR 95
HANKSVILLE, UTAH 84734
25008
UT 0121
DATE:
2-25-2025
TIME START:TIME END:GROUNDWATER DEPTH:
TANK TANK
CAPACITY
PRODUCT
R/UL
S/UL
DSL
TANK
AST
AST
AST
VENT
AST
AST
AST
PRODUCT
LINE
PASS
PASS
PASS
LINE LEAK
DETECTOR
N/A
N/A
N/A
WATER IN
TANK
PUMP
TYPE
PRESS
PRESS
PRESS
TANK
MATERIAL
SWS
SWS
SWS
1.
2.
3.
4.
5.
6.
PRODUCT LINES TESTED AT 50 PSI FOR 15 MIN
LINE RATES (GPH)
1.
2.
3.
5.
6.
R/UL -.021
S/UL -.018
DSL -.016
ADDITIONAL INFORMATION:ABOVEGROUND FUEL TANKS WITH UNDERGROUND PRODUCT LINES
CERTIFIED TECHNICIAN SIGNATURE:DATE:2-25-2025
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.
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#2000316
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2025.03.06 13:38:22 -07'00'
Reason: I am the author of this document
AST ANNUAL INSPECTION
Facility Name and Site Address: Date:
Facility ID #
Purpose:Regular Reinspection Complaints Annual Inspection
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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.
HOLLOW MOUNTAIN
40 NORTH SR 95
HANKSVILLE, UTAH
2-25-2025
2000316
X
X
X
X
X NO GROUND STRAPS
X SOME SMALL RUST SPOTS
X
X
X
X
X
801-540 9258 Aesutah@aol.com
Email:
X
X
X
X
X NO OVERFILL
Fill and vapor connections in good condition ?
N/A
UTAH TESTER UT 0121, AES UTAH, 801-540-9258
OWNER NAME AND NUMBER: DONALD G LUSKO 435-542-3298
X SWS TANKS IN CONCRETE CONTTank 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 ?
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: 2025.03.06 13:40:45 -07'00'
Reason: I am the author of this document