DERR-2025-003427

SERVICE ORDER SUMMARY
US TANK ALLIANCE, INC.
7400 Skyline Drive E., Suite A
Columbus, OH 43235
Phone:[phone] Fax:[phone]
Invoice #:0419508
Service Order #0419508 Test Date:4/8/2025
Customer:
Pilot Travel Centers, LLC
5508 Lonas Road
Attention: Environmental Department
Knoxville, TN
Attn: Joey Cupp
Customer PO #:
Location:
Pilot # 0746
2025 South 900 West
Facility ID 4000302
Salt Lake City, UT
Dispatched For:
COMPLIANCE - Line Tightness Test - DSL. Leak Detector & Shear Impact Valve Test. Emergency Stop Switch Test. Stage I Pressyre
Decay, PV Vent Cap & Static Torque Test. ATG Operability Test.
Notes/Comments:
The DSL Line & Satellite Lines Passed. Manifolded lines included in testing.
The RUL, PUL & DSL Electronic Line Leak Detectors Passed.
The RUL, PUL & DSL Shear Impact Valves Passed on All Dispensers.
Test Technician:
The Stage I Pressure Decay, Static Torque & PV Vent Caps Passed.
The Emergency Stop Switches Passed.
The ATG Operability Passed.
Tested by: Precision Testing Technologies, Inc. Tech: Max LaRou UT-0412
37909 84119
Customer Phone:[phone] ext.Facility Phone:[phone] ext.
Attn: Manager
Reviewed By:
Other:
COMPLIANCETest Purpose:
Andrew Beveridge
Tank
Line/LD/Impacts
ATG Certification
Cath. Protect.CP Survey
Pressure Decay
Air-to-Liquid
Blockage
PV Vent Cap
Healy
GPM / Flow Rate
Helium Pinpoint Test
Containment
Residential Tank Test
STAGE II TESTINGUST SYSTEM TESTING OTHER ACTIVITIES
Other ActivitiesOther Stage II