DERR-2025-004687

Recommended Practices for the Testing and Verification of Spill,Overfill,Leak Detection and Secondary Containment Equipment at UST Facilities
CONTAINMENT SUMP INTEGRITY TESTING
Facility Name:Gas N Dash
APPENDIX C-4
Address:710 North Main St Address:
City,State,Zip Code:Payson,UT,84631 City,State,Zip Code:
Facility I.D.#:UT1000423 Phone #:
Testing Company:Csesco Inc Phone #:bate:06/05/2025
This procedure is to test the leak integrity of containment sumps.See PEI/RP1200 Section 6.5 for the test method.
Containment Sump ID PREM
Containment SumpNiaterial POLYPLASTIC
Liquid and debrisfarmovadifromSump ®W Yes [No Yes ONo OYes [No OYes [OONo OYes [ONo OYes [No
Visual Inspection (No
GRACAS,iHoRe Rafts Pass [Fail |OPass [Fail |OPass Fail |OPass [Fail |OPass Fail |Pass [Failorseparationofthe
containment sump.)
Containment Sump
Depth 36
Height From Bottom to 6
Top of Highest
Penetration
Starting Water Level 10
Test Start Time 11:00AM
Ending Water Level 10
Test End Time 12:00PM
Test Period (Minimum
test time:1 hour)Yes
Water Level Change 0
Pass/fail criteria:Must pass visual inspection.Water level drop of less than 1/8 inch.
Test Results MW Pass [JFail |Pass [Fail |OPass CIFail |CJPass [Fail |CJPass [Fail |Pass [Fail
Comments:
No repairs needed,no tightening needing.Proved containment held possible leak that
happened and no release into ground.
*All liquids and debris must be disposed of properly.
Tester's Name (print Luke Kelso Tester's Signature
20