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Home My WebLink AboutDERR-2024-004695Site 246 Compliance Report January 1, 2023 to January 31, 2024 Site:Maverik 246 - Richfield, UT Tank Owner:Maverik, Inc. 295 S. Main 185 S. State Street Suite 800 Richfield, UT 84701 Salt Lake City, UT 84111 Report Created: January 22, 2024 7:39 AM Tank Release Detection Results - Interstitial Monitoring Tank Product Test Date Period Test Type Result 4 DIESEL TANK 4 01/01/2023 01/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 01/31/2023 01/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 02/01/2023 02/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 03/01/2023 03/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 03/31/2023 03/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 04/01/2023 04/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 05/01/2023 05/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 05/31/2023 05/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 06/01/2023 06/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 06/30/2023 06/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 07/04/2023 07/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 08/01/2023 08/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 08/31/2023 08/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 09/01/2023 09/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 10/01/2023 10/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 10/31/2023 10/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 11/01/2023 11/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 12/01/2023 12/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 12/31/2023 12/2023 Interstitial Sensor Normal 4 DIESEL TANK 4 01/01/2024 01/2024 Interstitial Sensor Normal Site 246 Compliance Report January 1, 2023 to January 31, 2024 Site:Maverik 246 - Richfield, UT Tank Owner:Maverik, Inc. 295 S. Main 185 S. State Street Suite 800 Richfield, UT 84701 Salt Lake City, UT 84111 Report Created: January 22, 2024 7:39 AM Tank Release Detection Results - 0.2 GPH ATG Tank Product Test Date Period Test Type Volume % Full Result 1 UNL 1 01/01/2023 01/2023 0.20 gal/hr test 7,245 62%PASS 2 UNL 2 01/01/2023 01/2023 0.20 gal/hr test 5,055 65%PASS 3 PRM 01/01/2023 01/2023 0.20 gal/hr test 4,293 55%PASS 1 UNL 1 02/01/2023 02/2023 0.20 gal/hr test 7,500 65%PASS 2 UNL 2 02/01/2023 02/2023 0.20 gal/hr test 5,115 66%PASS 3 PRM 02/01/2023 02/2023 0.20 gal/hr test 5,136 66%PASS 1 UNL 1 03/01/2023 03/2023 0.20 gal/hr test 7,348 63%PASS 2 UNL 2 03/01/2023 03/2023 0.20 gal/hr test 4,973 64%PASS 3 PRM 03/01/2023 03/2023 0.20 gal/hr test 5,029 65%PASS 1 UNL 1 04/01/2023 04/2023 0.20 gal/hr test 6,924 60%PASS 2 UNL 2 04/01/2023 04/2023 0.20 gal/hr test 4,943 63%PASS 3 PRM 04/01/2023 04/2023 0.20 gal/hr test 4,230 54%PASS 1 UNL 1 05/01/2023 05/2023 0.20 gal/hr test 6,265 54%PASS 2 UNL 2 05/01/2023 05/2023 0.20 gal/hr test 4,394 56%PASS 3 PRM 05/01/2023 05/2023 0.20 gal/hr test 4,122 53%PASS 1 UNL 1 06/01/2023 06/2023 0.20 gal/hr test 6,486 56%PASS 2 UNL 2 06/01/2023 06/2023 0.20 gal/hr test 4,713 60%PASS 3 PRM 06/01/2023 06/2023 0.20 gal/hr test 3,820 49%PASS 1 UNL 1 07/01/2023 07/2023 0.20 gal/hr test 7,381 64%PASS 2 UNL 2 07/01/2023 07/2023 0.20 gal/hr test 4,566 59%PASS 3 PRM 07/01/2023 07/2023 0.20 gal/hr test 3,621 46%PASS 1 UNL 1 08/01/2023 08/2023 0.20 gal/hr test 6,075 52%PASS 2 UNL 2 08/01/2023 08/2023 0.20 gal/hr test 3,931 50%PASS 3 PRM 08/01/2023 08/2023 0.20 gal/hr test 3,545 45%PASS 1 UNL 1 09/01/2023 09/2023 0.20 gal/hr test 7,269 63%PASS 2 UNL 2 09/01/2023 09/2023 0.20 gal/hr test 4,623 59%PASS 3 PRM 09/01/2023 09/2023 0.20 gal/hr test 3,804 49%PASS 1 UNL 1 10/01/2023 10/2023 0.20 gal/hr test 6,082 52%PASS Tank Product Test Date Period Test Type Volume % Full Result 2 UNL 2 10/01/2023 10/2023 0.20 gal/hr test 4,345 56%PASS 3 PRM 10/01/2023 10/2023 0.20 gal/hr test 4,691 60%PASS 1 UNL 1 11/01/2023 11/2023 0.20 gal/hr test 6,679 58%PASS 2 UNL 2 11/01/2023 11/2023 0.20 gal/hr test 4,305 55%PASS 3 PRM 11/01/2023 11/2023 0.20 gal/hr test 4,369 56%PASS 1 UNL 1 12/01/2023 12/2023 0.20 gal/hr test 7,441 64%PASS 2 UNL 2 12/01/2023 12/2023 0.20 gal/hr test 4,851 62%PASS 3 PRM 12/01/2023 12/2023 0.20 gal/hr test 5,304 68%PASS 1 UNL 1 01/01/2024 01/2024 0.20 gal/hr test 7,730 67%PASS 2 UNL 2 01/01/2024 01/2024 0.20 gal/hr test 4,667 60%PASS 3 PRM 01/01/2024 01/2024 0.20 gal/hr test 4,796 62%PASS Site 246 Compliance Report January 1, 2023 to January 31, 2024 Site:Maverik 246 - Richfield, UT Tank Owner:Maverik, Inc. 295 S. Main 185 S. State Street Suite 800 Richfield, UT 84701 Salt Lake City, UT 84111 Report Created: January 22, 2024 7:39 AM Line Release Detection Results - Interstitial Monitoring Label Test Date Period Type Result DIESEL STP 01/01/2023 01/2023 Interstitial Sensor Normal DIESEL STP 01/31/2023 01/2023 Interstitial Sensor Normal DIESEL STP 02/01/2023 02/2023 Interstitial Sensor Normal DIESEL STP 03/01/2023 03/2023 Interstitial Sensor Normal DIESEL STP 03/31/2023 03/2023 Interstitial Sensor Normal DIESEL STP 04/01/2023 04/2023 Interstitial Sensor Normal DIESEL STP 05/01/2023 05/2023 Interstitial Sensor Normal DIESEL STP 05/31/2023 05/2023 Interstitial Sensor Normal DIESEL STP 06/01/2023 06/2023 Interstitial Sensor Normal DIESEL STP 06/30/2023 06/2023 Interstitial Sensor Normal DIESEL STP 07/04/2023 07/2023 Interstitial Sensor Normal DIESEL STP 08/01/2023 08/2023 Interstitial Sensor Normal DIESEL STP 08/31/2023 08/2023 Interstitial Sensor Normal DIESEL STP 09/01/2023 09/2023 Interstitial Sensor Normal DIESEL STP 10/01/2023 10/2023 Interstitial Sensor Normal DIESEL STP 10/31/2023 10/2023 Interstitial Sensor Normal DIESEL STP 11/01/2023 11/2023 Interstitial Sensor Normal DIESEL STP 12/01/2023 12/2023 Interstitial Sensor Normal DIESEL STP 12/31/2023 12/2023 Interstitial Sensor Normal DIESEL STP 01/01/2024 01/2024 Interstitial Sensor Normal Site 246 Compliance Report January 1, 2023 to January 31, 2024 Site:Maverik 246 - Richfield, UT Tank Owner:Maverik, Inc. 295 S. Main 185 S. State Street Suite 800 Richfield, UT 84701 Salt Lake City, UT 84111 Report Created: January 22, 2024 7:39 AM Line Release Detection Results - PLLD Label Test Date Period Test Type Result PRM LLNE 01/02/2023 01/2023 PLLD 0.2 GPH PASS UNL LINE 01/03/2023 01/2023 PLLD 0.2 GPH PASS PRM LLNE 02/03/2023 02/2023 PLLD 0.2 GPH PASS UNL LINE 02/01/2023 02/2023 PLLD 0.2 GPH PASS PRM LLNE 03/01/2023 03/2023 PLLD 0.2 GPH PASS UNL LINE 03/01/2023 03/2023 PLLD 0.2 GPH PASS PRM LLNE 04/02/2023 04/2023 PLLD 0.2 GPH PASS UNL LINE 04/02/2023 04/2023 PLLD 0.2 GPH PASS PRM LLNE 05/02/2023 05/2023 PLLD 0.2 GPH PASS UNL LINE 05/03/2023 05/2023 PLLD 0.2 GPH PASS PRM LLNE 06/01/2023 06/2023 PLLD 0.2 GPH PASS UNL LINE 06/03/2023 06/2023 PLLD 0.2 GPH PASS PRM LLNE 07/02/2023 07/2023 PLLD 0.2 GPH PASS UNL LINE 07/03/2023 07/2023 PLLD 0.2 GPH PASS PRM LLNE 08/01/2023 08/2023 PLLD 0.2 GPH PASS UNL LINE 08/02/2023 08/2023 PLLD 0.2 GPH PASS PRM LLNE 09/01/2023 09/2023 PLLD 0.2 GPH PASS UNL LINE 09/01/2023 09/2023 PLLD 0.2 GPH PASS PRM LLNE 10/02/2023 10/2023 PLLD 0.2 GPH PASS UNL LINE 10/02/2023 10/2023 PLLD 0.2 GPH PASS PRM LLNE 11/02/2023 11/2023 PLLD 0.2 GPH PASS UNL LINE 11/02/2023 11/2023 PLLD 0.2 GPH PASS PRM LLNE 12/04/2023 12/2023 PLLD 0.2 GPH PASS UNL LINE 12/02/2023 12/2023 PLLD 0.2 GPH PASS PRM LLNE 01/03/2024 01/2024 PLLD 0.2 GPH PASS UNL LINE 01/03/2024 01/2024 PLLD 0.2 GPH PASS Site 246 Compliance Report January 1, 2023 to January 31, 2024 Site:Maverik 246 - Richfield, UT Tank Owner:Maverik, Inc. 295 S. Main 185 S. State Street Suite 800 Richfield, UT 84701 Salt Lake City, UT 84111 Report Created: January 22, 2024 7:39 AM Sensor Status Sensor Sensor Category Sensor Label Test Date Period Result 1 Annular DSL INT 01/01/2023 01/2023 Sensor Normal 2 STP Sump DSL STP 01/01/2023 01/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 01/01/2023 01/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 01/01/2023 01/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 01/01/2023 01/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 01/01/2023 01/2023 Sensor Normal 1 Annular DSL INT 01/31/2023 01/2023 Sensor Normal 2 STP Sump DSL STP 01/31/2023 01/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 01/31/2023 01/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 01/31/2023 01/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 01/31/2023 01/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 01/31/2023 01/2023 Sensor Normal 1 Annular DSL INT 02/01/2023 02/2023 Sensor Normal 2 STP Sump DSL STP 02/01/2023 02/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 02/01/2023 02/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 02/01/2023 02/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 02/01/2023 02/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 02/01/2023 02/2023 Sensor Normal 1 Annular DSL INT 03/01/2023 03/2023 Sensor Normal 2 STP Sump DSL STP 03/01/2023 03/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 03/01/2023 03/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 03/01/2023 03/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 03/01/2023 03/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 03/01/2023 03/2023 Sensor Normal 1 Annular DSL INT 03/31/2023 03/2023 Sensor Normal 2 STP Sump DSL STP 03/31/2023 03/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 03/31/2023 03/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 03/31/2023 03/2023 Sensor Normal Sensor Sensor Category Sensor Label Test Date Period Result 5 Dispenser Pan 5/6 UDC 03/31/2023 03/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 03/31/2023 03/2023 Sensor Normal 1 Annular DSL INT 04/01/2023 04/2023 Sensor Normal 2 STP Sump DSL STP 04/01/2023 04/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 04/01/2023 04/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 04/01/2023 04/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 04/01/2023 04/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 04/01/2023 04/2023 Sensor Normal 1 Annular DSL INT 05/01/2023 05/2023 Sensor Normal 2 STP Sump DSL STP 05/01/2023 05/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 05/01/2023 05/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 05/01/2023 05/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 05/01/2023 05/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 05/01/2023 05/2023 Sensor Normal 1 Annular DSL INT 05/31/2023 05/2023 Sensor Normal 2 STP Sump DSL STP 05/31/2023 05/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 05/31/2023 05/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 05/31/2023 05/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 05/31/2023 05/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 05/31/2023 05/2023 Sensor Normal 1 Annular DSL INT 06/01/2023 06/2023 Sensor Normal 2 STP Sump DSL STP 06/01/2023 06/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 06/01/2023 06/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 06/01/2023 06/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 06/01/2023 06/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 06/01/2023 06/2023 Sensor Normal 1 Annular DSL INT 06/30/2023 06/2023 Sensor Normal 2 STP Sump DSL STP 06/30/2023 06/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 06/30/2023 06/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 06/30/2023 06/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 06/30/2023 06/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 06/30/2023 06/2023 Sensor Normal 1 Annular DSL INT 07/04/2023 07/2023 Sensor Normal 2 STP Sump DSL STP 07/04/2023 07/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 07/04/2023 07/2023 Sensor Normal Sensor Sensor Category Sensor Label Test Date Period Result 4 Dispenser Pan 3/4 UDC 07/04/2023 07/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 07/04/2023 07/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 07/04/2023 07/2023 Sensor Normal 1 Annular DSL INT 08/01/2023 08/2023 Sensor Normal 2 STP Sump DSL STP 08/01/2023 08/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 08/01/2023 08/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 08/01/2023 08/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 08/01/2023 08/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 08/01/2023 08/2023 Sensor Normal 1 Annular DSL INT 08/31/2023 08/2023 Sensor Normal 2 STP Sump DSL STP 08/31/2023 08/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 08/31/2023 08/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 08/31/2023 08/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 08/31/2023 08/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 08/31/2023 08/2023 Sensor Normal 1 Annular DSL INT 09/01/2023 09/2023 Sensor Normal 2 STP Sump DSL STP 09/01/2023 09/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 09/01/2023 09/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 09/01/2023 09/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 09/01/2023 09/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 09/01/2023 09/2023 Sensor Normal 1 Annular DSL INT 10/01/2023 10/2023 Sensor Normal 2 STP Sump DSL STP 10/01/2023 10/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 10/01/2023 10/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 10/01/2023 10/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 10/01/2023 10/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 10/01/2023 10/2023 Sensor Normal 1 Annular DSL INT 10/31/2023 10/2023 Sensor Normal 2 STP Sump DSL STP 10/31/2023 10/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 10/31/2023 10/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 10/31/2023 10/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 10/31/2023 10/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 10/31/2023 10/2023 Sensor Normal 1 Annular DSL INT 11/01/2023 11/2023 Sensor Normal 2 STP Sump DSL STP 11/01/2023 11/2023 Sensor Normal Sensor Sensor Category Sensor Label Test Date Period Result 3 Dispenser Pan 1/2 UDC 11/01/2023 11/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 11/01/2023 11/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 11/01/2023 11/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 11/01/2023 11/2023 Sensor Normal 1 Annular DSL INT 12/01/2023 12/2023 Sensor Normal 2 STP Sump DSL STP 12/01/2023 12/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 12/01/2023 12/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 12/01/2023 12/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 12/01/2023 12/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 12/01/2023 12/2023 Sensor Normal 1 Annular DSL INT 12/31/2023 12/2023 Sensor Normal 2 STP Sump DSL STP 12/31/2023 12/2023 Sensor Normal 3 Dispenser Pan 1/2 UDC 12/31/2023 12/2023 Sensor Normal 4 Dispenser Pan 3/4 UDC 12/31/2023 12/2023 Sensor Normal 5 Dispenser Pan 5/6 UDC 12/31/2023 12/2023 Sensor Normal 6 Dispenser Pan 7/8 UDC 12/31/2023 12/2023 Sensor Normal 1 Annular DSL INT 01/01/2024 01/2024 Sensor Normal 2 STP Sump DSL STP 01/01/2024 01/2024 Sensor Normal 3 Dispenser Pan 1/2 UDC 01/01/2024 01/2024 Sensor Normal 4 Dispenser Pan 3/4 UDC 01/01/2024 01/2024 Sensor Normal 5 Dispenser Pan 5/6 UDC 01/01/2024 01/2024 Sensor Normal 6 Dispenser Pan 7/8 UDC 01/01/2024 01/2024 Sensor Normal 1_011\1 E V' 1" t 9Q9 tit YEAR&zj FacilityP-jame gfil"eWAZgy.Q' e-24,Z I Facility ID A0__W34Adores' g 1C W-17.- 4HA2, 1-17— 1pr imarij Class B Operator NAME(S) AND INITIALS OF PERSON(S) CONDUCTING MONTHLY INSPECTIONS: Please respond to ALL of the following questions with a Y - (Yes), N (No), or NA (Not Applicable) answer, Months of the Current Year J F M A M J J A S ON D S ecfioai. lRelease detection equipment is operating with no alarms or other unusual 1 1 I My I 1 1 y y operatingconditions. 2iREcordsof release detection (tanks and piping) are reviewed and current,_ y I q JYJY y Ily ly I I 3 Equipment is undamaged, intact and freefrorn defects, 4 Equipment is free from debris, water, or product. y 19 ill 4 fill 5 Fill Pipe is unobstructed. i%Iy r 1yy 6 Fj I I cap is u n-b roken and is securely on the fill pipe. I q 1 4 y y 7 Double walled spill prevention equipment- Interstitial area is free from leaks, 4 ly 1-r y ly Initials of person performing Inspection. o tai Secondary Containment 5 w mps Visual inspection of sump indicates no damage and it is free from debris, water and fuel. 8 STP, Dispenser and Transition The penetration ittings for conduits and 'Piping entering the ST P Sumps are intact. 9 Double Walled. Sumps Interstitial area is free from leaks. Hand-held release detection Hand-held release detection ecldipment (bailer, gauge stick, etc.) is serviceable and 10 equipment operable. I certify under penalty of law that I am the Class B Operator referenced above and that am familiar with information on this fore and that it is true, accurate and was completed in accordance with R311-203-7.* Si t - 0 F t operator (sign this document after the last inspection of the Current Year) La Date B Operator* Tura over for record of Interstitial Tylonfloriag visual irispeetions and Impressed Current reeffier cheeks, Scanned with CamScanner UST mperatorlrrsptcilon = Utal—Page 2 'J i i y6 — If you perform interstitial Monitoring on your tanks and/or piping and use a visual check rather than sump or interstitial sensors for your monthly leak detection, complete the table to document the monthly visual checks. Months of the Current Year J F I M A M J I J A S O N D 1 Visual check of the interstitial space of the double -walled tank indicated no 1 release or unusual operating conditions. 7 Y y y 2 Visual check of piping (STP, dispenser and transition) containment sumps Yindicatesnormalfunctionandnoindicationofwaterorleakedproduct. Impressed Current 60 Day Rectifier Check Months of the Current Year J F M I A M J J A S O N D Show the date the Impressed Current system was inspected to ensure the equipment is running properly NA Amperage reading from impressed current rectifier A Ir Voltage reading from impressed current rectifier INSTRUCTIONS 1. The monthly UST system inspections must be conducted by or under the direction of the Primary Class B UST Operator. 2, The Primary Class B UST Operator must alert the UST Owner or Operator of any condition discovered during the monthly visual inspection that may require follow-up actions. 3. The UST Owner or Operator must maintain a copy of the monthly inspection reports for the most recent 12 manths. The records shall be maintained on -site or off -site at a readily available location. Ver, 4/14/2016 Scanned with CamScanner 2023 2024 Hurst Vicki 3/10/2023 3/10/2023 Mamun Rashid, Maverik's Program Watt Orion 3/7/2023 3/7/2023 Mamun Rashid, Maverik's Program Grant Logan 2/19/2023 2/19/2023 Mamun Rashid, Maverik's Program Buell Dawn 2/16/2023 2/16/2023 Mamun Rashid, Maverik's Program Warenski Cristi 2/14/2023 2/14/2023 Mamun Rashid, Maverik's Program Lewis Ryan 2/13/2023 2/13/2023 Mamun Rashid, Maverik's Program Nielsen Tracy 2/10/2023 2/10/2023 Mamun Rashid, Maverik's Program Zabriskie Dottie 2/9/2023 2/9/2023 Mamun Rashid, Maverik's Program Sorenson Patricia 2/8/2023 2/8/2023 Mamun Rashid, Maverik's Program Larson Robert 2/3/2023 2/3/2023 Mamun Rashid, Maverik's Program Adair Taylor 2/1/2023 2/1/2023 Mamun Rashid, Maverik's Program Larson Trish 1/27/2023 1/27/2023 Mamun Rashid, Maverik's Program Maverik Store #246 10000295 South Main, Richfield, UT