HomeMy WebLinkAboutDERR-2024-00575300 15 30 6045
approx scale in feet
LEGEND
Date: By:
K & C Store
161 E. Main Street
Bluff, UT 84512
Fac. ID #5000084
NORTH
F I G U R E 1
As-Build
U S T System Upgrades
April 2024
4/5/24 R. Hicks
Diesel Product Lines
Ethanol Free (Clear) Product Lines Premium Product Lines
Unleaded Product Line
Fiberglass Vent Lines
DEF Product Line (Product Lines Are 1.5” OPW Double Walled Flex)
(Vent Lines Are 2” Single Wall FRP)
Tank #1 10K
Reg Unl
Tank #2 5K
Premium
Existing Diesel
A ST and
Dispenser
Main Street (Hwy 191)
Fuel Area Canopy
Fuel Area Canopy
Landscape
K & C Store
161 E. Main Street
Bluff, U T
Si
g
n
Reg. Unl
Premium
#2
Disp.
#1
3+0 #4
Disp.
#3
EZY 3 LOCATOR PLUS
Manufactured by ESTABROOKS, INC 877-368-7215
TEST DATE Location
TANK #
TIGHT TANK
THIS UNDERGROUND STORAGE TANK PASSES THE CRITERIA SET FORTH BY THE U.S. EPA.
ULLAGE (DRY) PORTION OF LEAK
THIS UNDERGROUND STORAGE TANK FAILS THE CRITERIA SET FORTH BY THE U.S. EPA.
FINAL REPORT
STATE FACILITY ID#
PRODUCT TYPE
ULLAGE VOL.
PRODUCT VOL.
TOTAL TANK VOL.
THE ACOUSTIC CHARACTERISTIC OF A LEAK REVEALS:
BELOW PRODUCT LEVEL (WET) PORTION LEAK
THIS UNDERGROUND STORAGE TANK FAILS THE CRITERIA SET FORTH BY THE U.S. EPA.
Print Name
Testing Firm
Address
Certification #
Expiration Date:
Telephone #801-886-9224
Operator Information
No Water Intrusion
Water Instrusion
Not Applicable
WATER SENSOR INDICATES:
(CHECK ONLY ONE)
Precision Testing Tech, Inc.
2026 Elk Creek Crt. Bluffdale, UT
K & C Trading Post
161 Main St.
Bluff, UT 84512
04/03/2024
9699
5915
3784
Reg
5000084
1
4
4
Dominic Salas UT-378
02-15-26
EZY 3 LOCATOR PLUS
Manufactured by ESTABROOKS, INC 877-368-7215
TEST DATE Location
TANK #
TIGHT TANK
THIS UNDERGROUND STORAGE TANK PASSES THE CRITERIA SET FORTH BY THE U.S. EPA.
ULLAGE (DRY) PORTION OF LEAK
THIS UNDERGROUND STORAGE TANK FAILS THE CRITERIA SET FORTH BY THE U.S. EPA.
FINAL REPORT
STATE FACILITY ID#
PRODUCT TYPE
ULLAGE VOL.
PRODUCT VOL.
TOTAL TANK VOL.
THE ACOUSTIC CHARACTERISTIC OF A LEAK REVEALS:
BELOW PRODUCT LEVEL (WET) PORTION LEAK
THIS UNDERGROUND STORAGE TANK FAILS THE CRITERIA SET FORTH BY THE U.S. EPA.
Print Name
Testing Firm
Address
Certification #
Expiration Date:
Telephone #801-886-9224
Operator Information
No Water Intrusion
Water Instrusion
Not Applicable
WATER SENSOR INDICATES:
(CHECK ONLY ONE)
Precision Testing Tech, Inc.
2026 Elk Creek Crt. Bluffdale, UT
K & C Trading Post
161 Main St.
BLuff, UT 84512
04/03/2024
5035
2011
3024
Prm
5000084
2
4
4
Dominic Salas UT-378
02-15-26
DATA LOG
Fill out the site location, tank information and test boxes below. Be sure to choose the correct test box according to the
diameter of the tank being tested. Follow the test procedures on the other side of this form. A separate test form is needed
for every tank. For additional copies of the form, contact the Customer Service Representative at the Xerxes manufacturing
facility nearest you. (See back cover for information.)
SITE LOCATION AND TANK INFORMATION
Site Location: Tank Information:
Address: Nominal Gallons:
Diameter:
Phone: Approximate Standpipe Length:
Contact Name: Product Type:
Test Date: Person Performing Test:
4-FOOT-, 6-FOOT- AND 8-FOOT-DIAMETER DOUBLE-WALL TANKS
95% - 5% TEST 99% - 1% TEST
1a.Start level (inches in standpipe)1b.Start level (inches in standpipe)
2a.End level after 4 hours -2b.End level after 10 hours -
3.Difference (subtract 2a from 1a)=3.Difference (subtract 2b from 1b)=
4.Calibration factor x .20 4.Calibration factor x .20
5.Volume change =5.Volume change =
6.Test hours ÷ 4 6.Test hours ÷ 10
7.Gallons-per-hour loss =7.Gallons-per-hour loss =
(If 0.05 gallons/hour or less, tank passed.)(If 0.05 gallons/hour or less, tank passed.)
Note: maximum allowable dispensing volume during test:Note: No product dispensing allowed.
8-foot-diameter tank – 1,200 gallons maximum
6-foot-diameter tank – 500 gallons maximum
4-foot-diameter tank – 300 gallons maximum
10-FOOT-DIAMETER DOUBLE-WALL TANKS
95% - 5% TEST 99% - 1% TEST
1a.Start level (inches in standpipe)1b.Start level (inches in standpipe)
2a.End level after 6 hours -2b.End level after 10 hours -
3.Difference (subtract 2a from 1a)=3.Difference (subtract 2b from 1b)=
4.Calibration factor x .30 4.Calibration factor x .30
5.Volume change =5.Volume change =
6.Test hours ÷ 6 6.Test hours ÷ 10
7.Gallons-per-hour loss =7.Gallons-per-hour loss =
(If 0.05 gallons/hour or less, tank passed.)(If 0.05 gallons/hour or less, tank passed.)
Note: Maximum allowable dispensing volume during test:Note: No product dispensing allowed.
10-foot-diameter tank – 750 gallons maximum
K & C Trading Post
161 Main St Bluff, UT 84512
04/03/2024
9699, 5035
96.5"
23"
Reg, Prm
Dominic Salas
8 3/4"
8 3/4"
0
0
0
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
0 0.0037 0.0000 0.0000 0 0.0037 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
0 0.0037 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 0.00370.0037 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#
:
04/03/2024
5000084
K & C Trading Post (Sinclair)
161 Main St.
Bluff, UT 84512 Dominic Salas
UT-378
50psi
Reg
0 78
15 78 0 0 0
30 78 0 0 0
Pass
Prm
0 65
15 65 0 0 0
30 65 0 0 0
Pass
04/03/2024
Dominic Salas
UT-378
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
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Precision Testing Technologies Inc.801-886-9224
K & C Trading Post (Sinclair)
161 Main St.
Bluff, UT 84512
5000084
JVP Inc
PO BOX 27
Bluff, UT 84512
04/03/2024
1
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9
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4
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Dominic Salas UT-378
PEI/RP1200-12
pei.org46
APPENDIX C-6
OVERFILL ALARM
OPERATION INSPECTION
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Precision Testing Technologies Inc.801-886-9224
K & C Trading Post
5000084
04/03/2024
1
Reg
VR TLS-450+
9699
96.5"
4
4
4
4
4
80 5/8"
8729
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4
4
4
4
2
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5035
96.5"
4
4
4
4
4
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4531
89
4
4
4
4
Dominic Salas UT-378
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
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Precision Testing Technologies Inc.801-886-9224
K & C Trading Post
5000084
1
Reg
VR TLS-450+
9699
96.5"
4
4
4
4
80 5/8"
4
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4
4
2
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4
4
4
4
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4
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4
4
Dominic Salas UT-378
04/03/2024
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Precision Testing Technologies Inc.801-886-9224
K & C Trading Post
5000084
04/03/2024
Reg Stp
Reg
4
4
4
4
4
4
4
4
Prm Stp
Prm
4
4
4
4
4
4
4
4
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4
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4
4
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4
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4
4
4
4
4
Dominic Salas UT-378
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
K & C Trading Post
161 Main St.
Bluff, UT 84512
VRS is Dual Point
4
x
x
x
1
Reg
9699
5915
3784
2.0
1.98
1.96
1.94
1.93
1.92
1.61
2
Prm
5035
2011
3024
2.0
1.95
1.92
1.89
1.87
1.83
1.55
Dominic Salas 04/03/2024
K & C Trading Post
161 Main St.
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):
2.5" to 6" wc
<=0.05 cfh @ 2" wc
2.5" to 6" wc
<=0.05 cfh @2" wc
2.5" to 6" wc
<=0.05 cfh 2" wc
2.5" to 6" wc
<=0.05 cfh 2" wc
6" to 10" wc
<=0.21 cfh @ 4" wc
6" to 10" wc
<=0.21 cfh @ 4" wc
6" to 10" wc
<=0.21 cfh @ 4" wc
6" to 10" wc
<=0.21 cfh @ 4" wc
K & C
161 Main St.
Bluff, UT 84512
04/03/2024
Dominic Salas
Reg
OPW 623V 4
.02
2.78
.16
6.89
Prm
OPW 623V 4
.02
3.78
.16
7.24
K & C
161 Main St.
Dominic Salas
04/03/2024
Bluff, UT 84512
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 Dominic Salas
04/03/2024 K & C Trading Post
161 Main St.Bluff, UT 84512
4
OPW
61VSA
Reg
100
100
100
100
Yes
OPW
61SALP
Reg
100
100
100
100
Yes
OPW
61VSA
Prm
105
105
105
105
Yes
OPW
61SALP
Prm
100
100
100
100
Yes
Yes
Yes
Yes
Yes