HomeMy WebLinkAboutDERR-2024-010392Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name ASHLEY REGIONAL MEDICAL CENTER
Address PO BOX 282308
NASHVILLE, TN 37228
Contact ASHLEY REGIONAL MEDICAL CENTER
Phone
Email None
TANK LOCATION
Name ASHLEY REGIONAL MEDICAL CENTER
Address 150 W 100 N
VERNAL, UT 84078
A Operator KENNETH CROOKSTON
Phone (435) 621-3130
B Operator MARK GROSS
Phone SAME
Facility ID: 9000002 Inspection Date: 08/28/2024
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 2 / 2
E-Gen/AST Yes / No
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Dec. 16, 1997 / 2000 / Single
Substance
Stored Diesel /
Tank Material-
Mod
Composite (Steel w/ FRP)-
Double-Walled
ATG Pneumercator / TMS 2000 & TMS
3000
LTT Test None
LLD Test None
Pipe Material-Mod Flexible Plastic / Double-
Walled
Pipe type/STP Cont Safe Suction / Yes
STP Flex
Connectors Steel Flex in Sump
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Overfill
alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel Det TankATG PipeLDDeferred
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
None
2024-08-28 Page 1 of 3
FACILITY RESPONSES
Financial Responsibility
Financial responsibility method is ok?Yes
The above accurately represents the
facility's release detection records Yes
Operator Training
A Operator current?Yes
B Operator current?Yes
Monthly checklist available and
complete?Yes
Is the site unmanned?No
TANK RESPONSES
Tank 2 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 has an overfill device?Yes
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
Yes
Tank 2 ATG/IM
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - Documentation of valid testing
or monitoring is available (must have
records for the two most recent months
and 10 of last 12 months)? Show results
in the RD tab.
Yes
ATG - The tank was filled to at least the
minimum level required to ensure a
valid leak test, and the tank size is
within the allowed upper and lower size
limits?
Yes
Tank 2 ATG/IM
Does the ATG system have a valid
annual test?Yes
Tank 2 Cathodic Protection
Tanks are protected from corrosion?Yes
Piping is protected from corrosion?Yes
Flex connectors at the tank sub-pumps
are protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Tank 2 Suction Piping Leak Detection
Piping qualifies as Safe Suction.
(Documentation is available and
verifiable to show that piping operates
at less than atmospheric pressure, has
only one check valve (under pump),
and has proper slope of piping. If all
these criteria are met, no leak
detection is required on the piping.)
Yes
Tank 2 Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Does the overfill device have a valid 3-
year test or the tank is exempt?Yes
2024-08-28 Page 2 of 3
Prepared by fueloperator.com
DISPENSER RESPONSES
MONTHLY LEAK DETECTION MONITORING
Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24 Apr '24 May '24 Jun '24 Jul '24
Tank 2 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
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.
Inspection Information
Inspector:Perdue, Laura
Record Created:Aug. 28, 2024, 2:27 p.m.
Inspection Date:Aug. 28, 2024
2024-08-28 Page 3 of 3