HomeMy WebLinkAboutDERR-2024-010094Page 1 of ___Utah Department of Environmental Quality 1000228
APST Equipment Verification Inspection
Ownership of Tanks Location of Tanks
UTAH STATE FUEL NETWORK PROVO CITY PUBLIC WORKS
4315 S 2700 W 550 E 1325 S
SALT LAKE CITY UT 84129 PROVO UT 84601
Contact Name:#/Email:
SPCC Plan?: Yes No Last Fire Marshal Insp:ATG Info:
Financial Responsibility (State Use Only)
FR Method:_____________Method OK?Yes No by:____________
Signatures
I ________________________________ Inspected this facility on________.
Signature:TI
O/O Signature:
Attach Tank Info Sheet to Inspection with any edits.
Complete for each tank.######
Capacity of tank (gallons):
Orientation of tank:
Bottom of tank in contact with (soil,
gravel, concrete, not touching):
Substance stored:
Date last used/depth of product:
Type of spill prevention device:
Type of Piping (Pressure or Suction):
Does pressure piping have LLD:Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Spill bucket is clean, intact, etc.:Yes No Yes No Yes No Yes No Yes No Yes No
Type of overfill Prevention device:
Overfill alarm (audible or visible) is properly located so delivery driver can hear or see it, and is clearly identified:Yes No NA
Pipe trans flex protection method
(Sump, CP, Isolated, Booted):
Containment sumps dry:Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Sump comments:
Stage 1 Vapor Recovery: 2pt Coax None 2pt Coax None 2pt Coax None 2pt Coax None 2pt Coax None 2pt Coax None
Pressure Vent Valve is on vents:Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Secondary containment area
comments:
Complete for each dispenser ######
Flex protection method (UDC,
Cathodic Protection, Isolated, Booted):
UDC sump dry:Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Fire valve anchored, located below
grade, and without ball valve:
Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Comments:
Additional dispenser questions ######
Flex protection method (UDC,
Cathodic Protection, Isolated, Booted):
UDC sump dry:Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Fire valve anchored, located below
grade, and no ball valve:
Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Comments:
Additional Comments:
6 7
12000 12000
East West
NT NT
Gas Diesel
SB SB
P P
X X
X X
Concrete Contaiment
X X
X X
X X
Sump Sump
Auto Shut Auto Shut
X
Piping runs down concrete containment ditch. Only piping underground is the diesel island
Booted Booted
1,2 3,4
X X
Ball valves need to be taken out.
X X
Also both dispensers had insulation in them.
Phillip Lundell 7/31/24
293
Page 2 of ___Utah Department of Environmental Quality 1000228
APST Facility Site Plat
NORTH
Show locations of all buildings, streets, tanks, piping, and dispenser islands. Indicate the product in each tank. Show locations of tank
manways and identify each: submersible pump (S), tank fill (F), ATG probe (A), interstitial probe (I), vapor recovery (V), capped plug (C), other
(specify).
Comments:
Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name UTAH STATE FUEL NETWORK
Address 4315 S 2700 W
SALT LAKE CITY, UT 84129
Contact UTAH STATE FUEL NETWORK
Phone
Email brettgurney@utah.gov
TANK LOCATION
Name PROVO CITY PUBLIC WORKS
Address 550 E 1325 S
PROVO, UT 84601
A Operator None
Phone None
B Operator SAME
Phone SAME
Facility ID: 1000228 Inspection Date: 07/31/2024
DISPENSER DETAILS
DISP
ID/ALT
ID
SUBSTANCE UDC PIPE FLEX LOC
INSTALL
DATE
UDC
INSTALL
DATE
FIRE
VALVE
SAT
PRESENT
UDC
TEST
DISP
FLEX
CP
TEST
TANK DETAILS
Tank ID/Alt ID 6 / 6
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 2000 / 12000 / East
Substance Stored Gasoline / Regular
Tank Material-Mod Asphalt Coated or Bare Steel-
ATG /
LTT Test None
LLD Test None
Pipe Material-
Mod Galvanized Steel / None
Pipe type/STP
Cont / No
STP Flex
Connectors
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Per Prod. APST Cont. Sump
/ Overfill alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det TankTightness PipeLineTightness
CP Tank Test None
CP Pipe Test None
Tank ID/Alt ID 7 / 7
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 2000 / 12000 / West
Substance Stored Diesel / Diesel #2 (L.S.)
Tank Material-Mod Asphalt Coated or Bare Steel-
ATG /
LTT Test None
LLD Test None
Pipe Material-
Mod Galvanized Steel / None
Pipe type/STP
Cont Pressurized / No
STP Flex
Connectors
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Per Prod. APST Cont. Sump
/ Overfill alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det TankTightness PipeLineTightness
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
Title: Dispenser ball valve
Under dispensers clean out as well as remove ball valves
2024-07-31 Page 1 of 4
Title: Insulation removed
2024-07-31 Page 2 of 4
FACILITY RESPONSES
Financial Responsibility
Financial responsibility method is ok?Yes
The above accurately represents the
facility's release detection records Yes
TANK RESPONSES
Tank 7 Spill/Overfill
Tank has a spill prevention device?Yes
Are you able to visually inspect the spill
containment bucket(s) for functionality?
(i.e. are the buckets clean enough to
see cracks, etc?)
Yes
Is the spill containment bucket intact?Yes
Is the spill containment bucket(s) able
to contain a spill? (i.e. is there water,
product, debris, etc in the spill bucket
to prevent it from containing a spill?)
Yes
Tank 7 Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Tank 6 Spill/Overfill
Tank has a spill prevention device?Yes
Are you able to visually inspect the spill
containment bucket(s) for functionality?
(i.e. are the buckets clean enough to
see cracks, etc?)
Yes
Is the spill containment bucket intact?Yes
Is the spill containment bucket(s) able
to contain a spill? (i.e. is there water,
product, debris, etc in the spill bucket
to prevent it from containing a spill?)
Yes
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Tank 7 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
DISPENSER RESPONSES
MONTHLY LEAK DETECTION MONITORING
Jul '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24 Apr '24 May '24 Jun '24
Tank 6 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Tank 7 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
NON-COMPLIANCE ITEMS
All items are in compliance.
2024-07-31 Page 3 of 4
Prepared by fueloperator.com
Inspection Information
Inspector:Lundell, Phillip
Record Created:July 31, 2024, 11:33
a.m.
Inspection Date:July 31, 2024
2024-07-31 Page 4 of 4