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DERR-2024-006846
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 4000648 Holiday Oil #21 4783 W. 6200 S. West Valley City, UT 84084 Dominic Salas UT-378 50psi Reg 0 77 15 76 -1 .0037 .0148 30 76 0 0 0 Pass Prm 0 68 15 67 -1 .0037 .0148 30 66 -1 .0037 .0148 Pass Dsl No Test 03/14/2024 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 )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 #21 4783 W. 6200 S. West Jordan, UT 84084 4000648 Holiday Oil Company 3115 W. 2100 S. West Valley City, UT 84119 03/14/2024 1 Reg Incon PLLD 4 34 2 4 4 4 2 Prm Incon PLLD 4 4 4 3 Dsl Incon PLLD No Test Dominic Salas UT-378 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 Holiday Oil #21 4000648 03/14/2024 1 Reg Incon Evo550 19,782 118 3/8" 4 4 4 4 4 99 1/8" 17,803 89 4 4 4 4 2 Prm Incon Evo550 11,904 118 3/8" 4 4 4 4 4 98 5/8" 10,713 89 4 4 4 4 3 Dsl Incon Evo550 7,901 118 3/8" 4 4 4 4 4 99 7/8" 7,110 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 )DFLOLW\1DPH2ZQHU $GGUHVV$GGUHVV &LW\6WDWH=LS&RGH&LW\6WDWH=LS&RGH )DFLOLW\,'3KRQH 7HVWLQJ&RPSDQ\3KRQH'DWH 7KLVSURFHGXUHLVWRGHWHUPLQHZKHWKHUWKH$7*LVRSHUDWLQJSURSHUO\6HH3(,536HFWLRQIRUWKHLQVSHFWLRQSURFHGXUH 7KLVSURFHGXUHLVDSSOLFDEOHWRWDQNOHYHOPRQLWRUVWHPVWKDWWRXFKWKHERWWRPRIWKHWDQNZKHQLQSODFH 7DQN1XPEHU 3URGXFW6WRUHG $7*%UDQGDQG0RGHO 7DQN9ROXPHJDOORQV 7DQN'LDPHWHULQFKHV $IWHUUHPRYLQJWKH$7*IURPWKHWDQNKDVLW EHHQLQVSHFWHGDQGDQ\GDPDJHGRUPLVVLQJSDUWV UHSODFHG" <HV1R <HV1R <HV1R <HV1R )ORDWPRYHVIUHHO\RQWKHVWHPZLWKRXWELQGLQJ"<HV1R <HV1R <HV1R <HV1R 'RHVWKHIXHOIORDWOHYHODJUHHZLWKWKHYDOXH SURJUDPPHGLQWRWKHFRQVROH"<HV1R <HV1R <HV1R <HV1R 'RHVWKHZDWHUIORDWOHYHODJUHHZLWKWKHYDOXH SURJUDPPHGLQWRWKHFRQVROH"<HV1R <HV1R <HV1R <HV1R ,QFKOHYHOIURPERWWRPRIVWHPZKHQDODUP LVWULJJHUHG 'RHVLQFKOHYHODWZKLFKWKHRYHUILOODODUPDFWL YDWHVFRUUHVSRQGZLWKYDOXHSURJUDPPHGLQWKH JDXJH" <HV1R <HV1R <HV1R <HV1R ,QFKOHYHOIURPWKHERWWRPZKHQWKHZDWHUIORDW ILUVWWULJJHUVDQDODUP 'RHVLQFKOHYHODWZKLFKWKHZDWHUIORDWDODUP DFWLYDWHVFRUUHVSRQGZLWKYDOXHSURJUDPPHGLQ WKHJDXJH" <HV1R <HV1R <HV1R <HV1R ,IDQ\DQVZHUVLQ/LQHVRUDUH´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 #21 4000648 1 Reg Incon Evo550 19,782 118 3/8" 4 4 4 4 99 1/8" 4 1.5" 4 4 2 Prm Incon Evo550 11,904 118 3/8" 4 4 4 4 98 5/8" 4 1.5" 4 4 3 Dsl Incon Evo550 7,901 118 3/8" 4 4 4 4 99 7/8" 4 1.5" 4 4 Dominic Salas UT-378 03/14/2024 PE I / R P 1 2 0 0 - 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Reg 4 Lift 4 4 4 4 4 4 Prm/Dsl Int. Prm/Dsl 4 Lift 4 4 4 4 4 4 Dominic Salas UT-378 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 #21 4783 W. 6200 S. West Valley City 03/14/2024 Dominic Salas Reg Opw 623V 4 .02 5.23 .16 8.44 Reg Opw 623V 4 .02 3.24 .16 6.66 Prm Opw 623V 4 .03 4.32 .16 8.21 Holiday Oil #21 4783 W. 6200 S. Dominic Salas 03/14/2024 West Valley City