DERR-2024-004263

195 North 1950 West • Salt Lake City, UT
Mailing Address: P.O. Box 144840 • Salt Lake City, UT 84114-4840
Telephone [phone] • Fax [phone] • T.D.D. [phone]
www.deq.utah.gov
Printed on 100% recycled paper
State of Utah

SPENCER J. COX
Governor

DEIDRE HENDERSON
Lieutenant Governor
Department of
Environmental Quality

Kimberly D. Shelley
Executive Director

DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION

Brent H. Everett
Director
ERRP-076-24

February 16, 2024

Sara Gallien
Walmart, Inc.
2101 Southeast Simple Savings Drive
Bentonville, Arkansas 72716

Re: Notice of Approval to Remove Delivery Prohibition Tag
Walmart Supercenter Fueling Station #4696
Located at 1274 South U.S. Highway 189, Heber City, Utah
Facility Identification No. 1100388

Dear Ms. Gallien:

The Division of Environmental Response and Remediation (DERR) has received all the
documentation necessary to issue the attached certificate of compliance for the 20,000-gallon
regular, compartmented 12,000-gallon, 8,000 regular/premium, and the 20,000-gallon diesel tanks
at this facility. This notice satisfies the requirement for written authorization to remove the delivery
prohibition tags in accordance with Utah Admin. Code R311-206-8(6). Please remove and discard
any tags that were attached to the fill for these tanks during installation. If you have additional
questions, please contact the DERR project manager, identified on the red tag, at [phone].

Sincerely,

Brent H. Everett, Director
Division of Environmental Response and Remediation

BHE/SDW/ta

Enclosure: Certificate of Compliance

cc: Jonelle Fitzgerald, Director, Wasatch County Health Department
2024
UST CERTIFICATE
OF
COMPLIANCE
ISSUED TO:LOCATION OF TANKS:
SARA GALLIEN WALMART SUPERCENTER FUELING
STATION #4696
WALMART INC.1274 SOUTH US HIGHWAY 189
2101 SE SIMPLE SAVINGS DR HEBER CITY UT 84032
BENTONVILLE, AR 72716 Facility ID: 1100388
Tank #Capacity Substance Desc Compliance Financial Assurance Mechanism
1 20000 Gasoline Yes PST Fund
2a 12000 Gasoline Yes PST Fund
2b 8000 Gasoline Yes PST Fund
3 20000 Diesel Yes PST Fund
This certificate will automatically lapse if any of the required fees are not paid. It may also be revoked for failure to
comply with state and federal UST regulations. Possession of this certificate does not signify coverage under the Utah
PST Fund. Cleanup requirements may be obtained from the Division of Environmental Response and Remediation.
UTAH DEPARTMENT OF ENVIRONMENTAL QUALITY
Underground Storage Tank Inspection Verification Form
Facility ID:1100388
Owner Name:WALMART INC.Facility Name:WALMART SUPERCENTER FUELING STATION #
Owner Address:2101 SE SIMPLE SAVINGS DR Street Address:1274 SOUTH US HIGHWAY 189
BENTONVILLE, AR 72716 HEBER CITY, UT 84032
Operator A:CHRISTINE ASHMENT / [phone] / 12/12/2026 Operator B:ALEC RAPOZA / [phone] / 1/19/2027
Owner Email:[e-mail] UTM Coordinates X/Y:464551 / 4482490
Disp ID/Alt
ID
Substance UDC Pipe Flex Loc Install Date UDC Install Date Fire
Valve
Sat
Present
UDC Test Disp Flex CP
Test
1 - 1/2 Gasoline Yes Direct Flex Piping in
Sump no Steel Flex
01/18/2024 01/18/2024 Yes No 1/18/2024
2 - 3/4 Gas/Diesel Yes Direct Flex Piping in
Sump no Steel Flex
01/18/2024 01/18/2024 Yes No 1/18/2024
3 - 5/6 Gas/Diesel Yes Direct Flex Piping in
Sump no Steel Flex
01/18/2024 01/18/2024 Yes No 1/18/2024
4 - 7/8 Gas/Diesel Yes Direct Flex Piping in
Sump no Steel Flex
01/18/2024 01/18/2024 Yes No 1/18/2024
5 - 9/10 Gas/Diesel Yes Direct Flex Piping in
Sump no Steel Flex
01/18/2024 01/18/2024 Yes No 1/18/2024
6 - 11/12 Gas/Diesel Yes Direct Flex Piping in
Sump no Steel Flex
01/18/2024 01/18/2024 Yes No 1/18/2024
Tank ID/Alt ID:1 / 1 EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
Siphon/Compart:No / No PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use Two point STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:9/19/2023 / 20000 / West LLD Model:Veeder Root PLLD
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/18/2024 Spill Bk Test:
ATG Test:2/9/2024 Overfill Test:2/9/2024
LTT Test:LLD Test:02/09/2024 CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:2 / 2a EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
Siphon/Compart:No / Yes PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use Two point STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:9/19/2023 / 12000 / North Center LLD Model:Veeder Root PLLD
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/18/2024 Spill Bk Test:
ATG Test:2/9/2024 Overfill Test:2/9/2024
LTT Test:LLD Test:02/09/2024 CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:3 / 2b EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
Siphon/Compart:No / Yes PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use Two point STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:9/19/2023 / 8000 / South Center LLD Model:Veeder Root PLLD
Substance Stored:Gasoline / Premium Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/18/2024 Spill Bk Test:
ATG Test:2/9/2024 Overfill Test:2/9/2024
LTT Test:LLD Test:02/09/2024 CP Tank Test:CP Pipe Test:
2/15/2024 Page 1 of 2
Tank ID/Alt ID:4 / 3 EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use None STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:9/19/2023 / 20000 / East LLD Model:Veeder Root PLLD
Substance Stored:Diesel / Diesel #2 (L.S.)Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/18/2024 Spill Bk Test:
ATG Test:2/9/2024 Overfill Test:2/9/2024
LTT Test:LLD Test:02/09/2024 CP Tank Test:CP Pipe Test:
2/15/2024 Page 2 of 2
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