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Home My WebLink AboutDERR-2024-005636pei.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 WXUELQHSXPS673V\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\POOLQHEOHHGEDFNYRO 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 'RHVWKHOHDNGHWHFWRUUHVHWWULSZKHQ 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 Maverik # 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650 4002592 02/28/2024 1 Reg N Reg 5 Gal OPW 4 4 4 4 2 Reg S Reg 5 Gal OPW 4 4 4 4 4 3 Dsl N Dsl 5 Gal OPW 4 4 4 4 4 3 Dsl S Dsl 5 Gal OPW 4 4 4 4 4 4 Clr Clr 5Gal OPW 4 4 4 4 4 5 Prm Prm 5 Gal OPW 4 4 4 4 4 All guages indicate dry interstice Danny Jones UT 379 PEI/RP1200-12 pei.org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´1RµRU/LQHLV´<HVµWKHV\VWHPKDVIDLOHGWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Maverik # 650 4002592 02/28/2024 1 Reg VR TLS 450+ 13283 120 4 4 4 4 4 100 11954 90% 4 4 4 4 2 Reg VR TLS 450+ 12080 120 4 4 4 4 4 101 3/4 10872 90% 4 4 4 4 3 Dsl VR TLS 450+ 25107 120 4 4 4 4 4 100 3/8 22596 90% 4 4 4 4 4 Clr VR TLS 450+ 8039 120 4 4 4 4 4 100 3/4 7235 90% 4 4 4 4 Danny Jones UT 379 PEI/RP1200-12 pei.org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´1RµRU/LQHLV´<HVµWKHV\VWHPKDVIDLOHGWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Maverik # 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650 4002592 02/28/2024 Reg int Reg 4 Lift 4 4 4 4 4 Dsl int Dsl 4 Lift 4 4 4 4 4 4 4 C/P/Def int C/P/Def 4 Lidt 4 4 4 4 4 4 Disp 1/2 Lines 4 4 4 4 4 4 4 4 3/4 Lines 4 4 4 4 4 4 4 4 5/6 Lines 4 4 4 4 4 4 4 4 7/8 Lines 4 4 4 4 4 4 4 4 Danny Jones UT 379 PE I / R P 1 2 0 0 - 1 2 pe i . o r g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´1RµDQVZHUVLQGLFDWHVWKHVHQVRUIDLOVWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Maverik # 650 4002592 02/28/2024 Disp 9/10 Lines 4 4 4 4 4 4 4 4 11/12 Lines 4 4 4 4 4 4 4 4 13/14 Lines 4 4 4 4 4 4 4 4 15/16 Lines 4 4 4 4 4 4 4 4 17/18 Lines 4 4 4 4 4 4 4 4 19 DSl 4 4 4 4 4 4 4 4 4 20 Dsl 4 4 4 4 4 4 4 4 Danny Jones UT 379 PE I / R P 1 2 0 0 - 1 2 pe i . o r g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´1RµDQVZHUVLQGLFDWHVWKHVHQVRUIDLOVWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Maverik # 650 4002592 02/28/2024 Disp 21 Dsl 4 4 4 4 4 4 4 4 Reg N stp Reg 4 4 4 4 4 4 4 4 Reg 2 S stp Reg 4 4 4 4 4 4 4 4 DSl stp Dsl 4 4 4 4 4 4 4 4 Clr stp Clr 4 4 4 4 4 4 4 4 Prm stp Prm 4 4 4 4 4 4 4 4 Danny Jones UT 379 FORM 1 SUMMARY OF SOURCE TEST DATA SOURCE INFORMATION FACILITY PARAMETERS GDF Name and addresss GDF Representative and Title _________________________________ PHASE II SYSTEM TYPE (Check One) Balance ____ Hirt ____ Red Jacket ____ Hasstech ____ Healy ____Other GDF Phone No. (___)________________ Permit Conditions Source: GDF Vapor Recovery System GDF # A/C # Manifolded? Y or N Operating Parameters Number of Nozzles Served by Tank #1 ______ Number of Nozzles Served by Tank #3 ______ Number of Nozzles Served by Tank #2 ______ Number of Nozzles Served by Tank #4 ______ Applicable Regulations: VN Recommended Source Test Results and Comments Tank #: 1.Product Grade 2.Actual Tank Capacity, gallons 3.Gasoline Volume 4.Ullage, gallons (#2-#3) 5.Initial Pressure, inches H 2 O 6.Pressure After 1 Minute, inches H 2 O 7.Pressure After 2 Minutes, inches H 2 O 8.Pressure After 3 Minutes, inches H 2 O 9.Pressure After 4 Minutes, inches H 2 O 10.Final Pressure After 5 Minutes, inches H 2 O 11.Allowable Final Pressure Test Conducted by: Test Company: Date of Test: California Air Resources Board July 26, 2012 TP-201.3, Page 14 40CFR63CCCCCC Precision Testing Technologies Maverik # 650 5647 W 9000 S West Jordan UT 84081 Alana May 801-936-5557 Dual Point VRS 4 1 Reg 13288 5871 6088 2.0 1.97 1.94 1.91 1.89 1.87 1.79 2 Reg 12080 5339 5533 2.0 1.96 1.92 1.88 1.84 1.80 1.72 4 Clr 8039 6503 732 2.0 1.93 1.86 1.79 1.72 1.65 .73 5 Prm 9248 5418 2906 2.0 1.94 1.88 1.82 1.76 1.70 1.52 Danny Jones UT 379 02/28/2024 Maverik # 650 5647 W 9000 S Pressure/Vacuum (P/V) Vent Valve Data Sheet Facility Name: Test Date: Address: Test Company: Precision Testing Technologies City: Tester Name: Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Product: P/V Valve Manufacturer: Model Number: Pass Fail Manufacturers Specified Positive Leak Rate (CFH): Manufacturers Specified Negative Leak Rate (CFH): Measured Positive Leak Rate (CFH): Measured Negative Leak Rate (CFH): Positive Cracking Pressure (in H2O): Negative Cracking Pressure (in H2O): Maverik # 650 5647 W 9000 S West Jordan Ut 84081 02/28/2024 Danny Jones Reg OPW 623V 4 2.5 to 6.0 .03 3.45 6.0 to 10.0 .16 7.86 Reg OPW 623V 4 2.5 to 6.0 .04 3.65 6.0 to 10.0 .16 7.64 Prm OPW 623V 4 2.5 to 6.0 .05 3.55 6.0 to 10.0 .15 7.59 Clr OPW 623V 4 2.5 to 6.0 .03 3.78 6.0 to 10.0 .14 7.23 Maverik # 650 5647 W 9000 S Danny Jones 02/28/2024 West Jordan Ut 84081 California Air Resources Board October 8, 2003 TP-201.1B, Page 5 Form 1 Static Torque of Rotatable Phase I Adaptors Measurement Units: (Check Box): pound-inches pound-feet Vapor Adaptor 1 Vapor Adaptor 2 Vapor Adaptor 3 Vapor Adaptor 4 Brand:Brand:Brand:Brand: Model:Model:Model:Model: Grade:Grade:Grade:Grade: Torque 1:Torque 1:Torque 1:Torque 1: Torque 2:Torque 2:Torque 2:Torque 2: Torque 3:Torque 3:Torque 3:Torque 3: Average:Average:Average:Average: 360 Rotation:360 Rotation: 360 Rotation:360 Rotation: Product Adaptor 1 Product Adaptor 2 Product Adaptor 3 Product Adaptor 4 Brand:Brand:Brand:Brand: Model:Model:Model:Model: Grade:Grade:Grade:Grade: Torque 1:Torque 1:Torque 1:Torque 1: Torque 2:Torque 2:Torque 2:Torque 2: Torque 3:Torque 3:Torque 3:Torque 3: Average:Average:Average:Average: 360 Rotation: 360 Rotation: 360 Rotation:360 Rotation: Comments: ___________________________________________________________________ Test Company:Conducted By: Test Date:Facility Name: Facility Address:City: Precision Testing Technologies Danny Jones 02/28/2024 Maverik # 650 5647 W 9000 S West Jordan UT 84081 4 OPW 61VSA Reg 100 100 100 100 Yes OPW 61SALP Reg 90 90 90 90 Yes OPW 61VSA Reg 110 110 110 110 Yes OPW 61SALP Reg 100 100 100 100 Yes OPW 61VSA Prm 100 100 100 100 Yes OPW 61SALP Prm 100 100 100 100 Yes OPW 61VSA Clr 110 110 110 110 Yes OPW 61SALP Clr 100 100 100 100 Yes