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DERR-2024-005957
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# : 03/14/2024 4001698 Holiday Oil #56 2235 E. Ft. Union Blvd. Cottonwood Heights, UT 84121 801-973-7002 Jay Cahoon Max LaRou UT-412 60 P.S.I. REG 0 76 15 74.5 -1.5 0.0055 0.0222 30 74.5 0 0 0 PASS PRM 0 52 15 50.5 -1.5 0.0055 0.0222 30 59 -1.5 0.0055 0.0222 PASS DSL 0 34 15 32.5 -1.5 0.0055 0.0222 30 31 -1.5 0.0055 0.0222 PASS 03/14/2024 Max LaRou UT-412 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 )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 Holiday Oil #56 2235 E. Ft. Union Blvd. Cottonwood Heights, UT 84121 4001698 Holiday Oil Co. 3115 W. 2100 S. S.L.C., UT 84119 801-973-7002 03/14/2024 1 REG Incon PLLD 4 34 2 4 4 4 2 PRM Incon PLLD 4 32 2 4 4 4 3 DSL Incon PLLD 4 27 2 4 4 4 Max LaRou UT-412 pei.org 45 Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities APPENDIX C-5 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·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´1RµWRDQ\LWHPLQ/LQHVLQGLFDWHVDWHVWIDLOXUH BALL FLOAT VALVE INSPECTION 7DQNWRSILWWLQJVDUHYDSRU WLJKWDQGOHDNIUHH"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R %DOOIORDWFDJHIUHHRIGHEULV"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R %DOOLVIUHHRIKROHVDQGFUDFNV DQGPRYHVIUHHO\LQFDJH"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R 9HQWKROHLQSLSHLVRSHQDQG QHDUWRSRIWDQN"<HV1R <HV1R <HV1R <HV1R <HV1R <HV1R %DOOIORDWSLSHLVSURSHU OHQJWKWRUHVWULFWIORZDW FDSDFLW\" <HV1R <HV1R <HV1R <HV1R <HV1R <HV1R $´1RµWRDQ\LWHPLQ/LQHVLQGLFDWHVDWHVWIDLOXUH Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO 8VHPDQXIDFWXUHU·VVXJJHVWHGSURFHGXUHIRUGHWHUPLQLQJLIDXWRPDWLFVKXWRIIGHYLFHZLOOVKXWRIIIORZDWFDSDFLW\ 8VHPDQXIDFWXUHU·VVXJJHVWHGSURFHGXUHIRUGHWHUPLQLQJLIIORZUHVWULFWLRQGHYLFHZLOOUHVWULFWIORZDWFDSDFLW\ Comments: Precision Testing Technologies Inc.801-886-9224 Holiday Oil #56 4001698 03/14/24 REG 1 19,782 118.38" NO TEST 4 4 4 PRM 2 11,904 118.38" NO TEST 4 4 4 DSL 3 7,901 118.38" EBW 4 4 4 4 4 4 4 Max LaRou UT-412 Holiday Oil #56Holiday Oil #56 pei.org 47 Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities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´1RµWKHV\VWHPKDVIDLOHGWKHWHVW Test Results 3DVV)DLO 3DVV)DLO 3DVV)DLO 3DVV)DLO Comments: 7HVWHU·V1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7HVWHU·V6LJQDWXUHBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Precision Testing Technologies Inc.801-886-9224 Holiday Oil #56 4001698 1 REG Incon EVO TS550 19,782 118.38" 4 4 4 4 99 1/8" 4 2" 4 4 2 PRM Incon EVO TS550 11,904 118.38" 4 4 4 4 98 5/8" 4 2" 4 4 3 DSL Incon EVO TS550 7,901 118.38" 4 4 4 4 99 7/8" 4 NO ALARM 4 Max LaRou UT-412 03/14/2024 PE I / R P 1 2 0 0 - 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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 Holiday Oil #56 4001698 03/14/2024 REG Int. REG 4 Lift 4 4 4 4 4 4 PRM/DSL Int. PRM, DSL 4 Lift 4 4 4 4 4 4 Max LaRou UT-412 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 Holiday Oil #56 03/14/2024 Max LaRou UT-412 REG OPW 623V 4 0.04 cfh @ 2"wc 3.3"wc 0.17 cfh @ 4"wc -6.8"wc PRM OPW 623V 4 0.03 cfh @ 2"wc 4.7"wc 0.18 cfh @ 4"wc -8.2"wc Holiday Oil #56 Max LaRou UT-412 03/14/2024