DERR-2024-005718

APPENDIX C-9
MECHANICAL AND ELECTRONIC LINE LEAK DETECTORS
PERFORMANCE TEST
owner: Maverik Inc
Addre ss: 185 S State St Ste 800
City, State, Zip Code:SLC UT 84111
Facility Name:Maverik # 516
Address: 1078 E State St
City, state, Zip Code: American Fork UT 84003
Facility I.D. #: 1000930
Testing Company: Precision Testing Technologies Inc.
Phone #:[phone]
Phone #: [phone] Date: 01/31/2024
This data sheet can be used to test mechanical line leak detectors (MLLD) and electronic line leak detectors (ELLO) with submersible
turbine pump (STP) systems. See PEI/RP1200, Sections 9.1 and 9.2 for test procedures.
Line Number 1 2 3 4
Product Stored Dsl Prm Reg Cir
Leak Detector Manufacturer VR VR VR VR
Leak Detector Model PLLD PLLD PLLD PLLD
Ty pe of Leak Detector CJ MLLD CJ MLLD CJ MLLD CJ MLLD CJ MLLD CJ MLLD
El ELLO El ELLO El ELLO El ELLO □ELLO □ELLO
MLLD (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG)
STP Full Operating Pressure
Check Valve Holding Pressure
Line Resiliency (ml) (line bleed back vol-
ume as measured from check valve hold-
ing pressure to zero psig)
Step Through Time in Seconds (time the
MLLD hesitates at metering pressure
before going to full operating pressure
as measured from O psig with no leak
induced on the line)
Metering Pressure (STP pressure when
simulated leak rate 3 gph at 10 psig)
Opening Time in Seconds (the time the
MLLD opens to allow full pressure after
simulated leak is stopped)
Does the STP pressure remain at or
below the metering pressure for at least □Yes CJ No □Yes CJ No □Yes CJ No □Yes CJ No □Yes CJ No □Yes □No60 seconds when the simulated leak is
induced?
Does the leak detector reset (trip) when □Yes □No □Yes □ No □Yes CJ No □Yes □No □Yes □No □Yes □Nothe line pressure is bled off to zero psig?
Does the STP properly cycle on/off under □Yes □No □Yes □No □Yes □No □Yes □No □Yes □No □Yes □Nonormal fuel system operation conditions?
A "No" answer to either of the above questions indicates the MLLD fails the test.
ELLO (ALL PRESSURE MEASUREMENTS ARE MADE IN PSIG)
STP Full Operating Pressure 38 39 39 38
How many test cycles are observed 2 2 2 2 before alarm/shutdown occurs?
Does the simulated leak cause an alarm? El Yes □No El Yes □No El Yes □No El Yes □No □Yes □No □Yes □No
A "No" answer to the above question indi-
cates the ELLO fails the test.
Does the simulated leak cause an STP Elves □No El Yes CJ No El Yes CJ No EIYes □No □Yes □No □Yes □No
shutdown? □NA □NA □NA □NA □NA □NA
Test Results El Pass □ Fail El Pass CJ Fail El Pass □ Fail El Pass □ Fail □Pass □ Fail □Pass □ Fail
Comments:
Tester's Name Danny Jones UT 379 Tester's Signature _ __..,V."'--""47"'"""=i;......��a.LLM""""'4<"""'----
APPENDIX C-7
AUTOMATIC TANK GAUGE
OPERATION INSPECTION
Owner:
Address:
City, State, Zip Code:
Phone#:
Facility Name: Maverik # 516
Address:
City, State, Zip Code:
Facility I.D. #: 1000930
Testing Company: Precision Testing Technologies Inc. Phone #: [phone] I Date: 01/31/2024
This procedure is to determine whether the ATG is operating properly. See PEI/RP1200, Section 8.2 for the inspection procedure. This procedure is applicable to tank level monitor stems that touch the bottom of the tank when in place.
Tank Number 1 2 3 4
Product Stored Dsl Cir Prm Reg
ATG Brand and Model VR TLS 450+ VR TLS 450+ VR TLS 450+ VR TLS 450+
1.Tank Volume, gallons 11608 11608 11608 11608
2.Tank Diameter, inches 90.5 90.5 90.5 90.5
3.After removing the ATG from the tank, has itbeen inspected and any damaged or missing parts El Yes □No El Yes □No El Yes □No El Yes □No replaced?
4.Float moves freely on the stem without binding?El Yes □No El Yes □No El Yes □No El Yes □No
5.Does the fuel float level agree with the value El Yes □No El Yes □No El Yes □No El Yes □No programmed into the console?
6.Does the water float level agree with the value El Yes □No El Yes □No El Yes □No El Yes □No programmed into the console?
7.Inch level from bottom of stem when 90% alarm 76.5 76.5 76.5 76.5 is triggered.
8.Does inch level at which the overfill alarm acti-vates correspond with value programmed in the El Yes □No El Yes □No El Yes □No El Yes □No gauge?
9.Inch level from the bottom when the water float 1 1 1 1 first triggers an alarm.
10.Does inch level at which the water float alarmactivates correspond with value programmed in El Yes □ No El Yes □No El Yes □ No El Yes □ No the gauge?
If any answers in Lines 3, 4, 5, or 6 are "No," the system has failed the test.
Test Results El Pass □ Fail El Pass □Fail El Pass □ Fail El Pass □ Fail
Comments:
Tester's Name Danny Jones UT 379 Tester's Signature __ D._7-____,�--��---J'UL4.,, ____ _
LIQUID SENSOR FUNCTIONALITY TESTING
[ Facility Nam e: Maverik # 516 I
Address:
City, State, Zip Code:
Facility I.D. #: 1 000930
Owner:
Address:
City, State, Zip Code:
Phone#:
Testing Company:Precision Testing Technologies Inc.I Phone #: [phone] I Date: 01/31/2024
This procedure is to determine whether liquid sensors located in the interstitial space of UST systems are able to detect the presence of water and fuel. See PEI/RP1200,
Section 8.3 for the test procedure.
Sensor Location
Product Stored
Type of Sensor
Test Liquid
Is the ATG console clear of any active
or recurring warnings or alarms
regarding the leak sensor? If the
sensor is in alarm and functioning,
indicate why.
Is the sensor alarm circuit
operational?
Has sensor been inspected and in
good operating condition?
When placed in the test liquid, does
the sensor trigger an alarm?
When an alarm is triggered, is the
sensor properly identified on the ATG
console?
Dsl int
Dsl □Discriminating
B Non-discrimi-
nating□ Water Lift□Product
El Yes □ No
BYes □ No
El Yes □ No
El Yes □ No
El Yes □ No
Any "No" answers indicates the sensor fails the test.
Cir int
Cir □Discriminating
B Non-discrimi-
nating□Water Lift□Product
BYes □No
El Yes □ No
El Yes □ No
El Yes □ No
El Yes □ No
Prm int
Prm □Discriminating
B Non-discrimi-
nating□ Water Lift□Product
BYes □ No
BYes □No
El Yes □ No
El Yes □ No
El Yes □ No
Reg int
Reg □Discriminating
B Non-discrimi-
nating□Water Lift□Product
BYes □ No
El Yes □ No
El Yes □ No
El Yes □ No
El Yes □ No
Dsl stp
Dsl □Discriminating
B Non-discrimi-
nating
BWater□Product
BYes □No
El Yes □ No
El Yes □ No
El Yes □ No
El Yes □ No
Cir stp Prm stp
Cir Prm □Discriminating □ Discriminating
B Non-discrimi-B Non-discrimi-
nating nating
BWater BWater□Product □Product
BYes □ No El Yes □ No
El Yes □ No El Yes □ No
El Yes □ No El Yes □ No
El Yes □ No El Yes □ No
El Yes □ No El Yes □ No
Test Results El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail
Comments:
Tester's Name Danny Jones UT 379 Tester's Signature D7 y�
LIQUID SENSOR FUNCTIONALITY TESTING
[ Facility Name: Maverik # 516 I

Address: City, State, Zip Code: Facility I.D. #: 1000930
Owner: Address: City, State, Zip Code: Phone#: Testing Company: Precision Testing Technologies Inc. I Phone #: [phone] I Date: 01/31/2024This procedure is to determine whether liquid sensors located in the interstitial space of UST systems are able to detect the presence of water and fuel. See PEI/RP1200, Section 8.3 for the test procedure. Sensor Location Product Stored
Type of Sensor
Test Liquid
Is the ATG console clear of any activeor recurring warnings or alarms regarding the leak sensor? If the sensor is in alarm and functioning,indicate why. Is the sensor alarm circuit operational? Has sensor been inspected and ingood operating condition? When placed in the test liquid, doesthe sensor trigger an alarm? When an alarm is triggered, is the sensor properly identified on the ATGconsole?
Reg stp
Reg □ DiscriminatingB Non-discrimi-nating El Water □Product
El Yes □ No
0Yes □ No
El Yes □ No
El Yes □ No
El Yes □ No
Any "No" answers indicates the sensor fails the test.
Disp 1/2 3/4
Lines Lines □ Discriminating □ DiscriminatingB Non-discrimi-B Non-discrimi-nating nating 0Water 0Water □Product □Product
0Yes □No 0Yes □ No
BYes □No 0Yes □No
El Yes □ No El Yes □ No
El Yes □ No El Yes □ No
El Yes □ No El Yes □ No
5/6 7/8 9/10 11/12
Lines Lines Lines Lines □ Discriminating □ Discriminating □ Discriminating □ DiscriminatingB Non-discrimi-0 Non-discrimi-0 Non-discrimi-B Non-discrimi-nating nating nating nating 0Water 0Water 0Water BWater □Product □Product □Product □Product
0Yes □ No 0Yes □No 0Yes □ No El Yes □ No
El Yes □ No El Yes □ No El Yes □ No El Yes □ No
El Yes □ No El Yes □ No El Yes □ No El Yes □ No
El Yes □ No El Yes □ No El Yes □ No El Yes □ No
El Yes □ No El Yes □ No El Yes □ No El Yes □ No
Test Results El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail I El Pass □ Fail
Comments:
Tester's Name Danny Jones UT 379 Tester's Signature D7 y�