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DERR-2024-010514
Annual Sump Inspection LEAK DETECTOR Line Tightness Test MONITOR CERTIFICATION 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 8/26/2024 UTAH DEPARTMENT OF ENV. QUALITY UST PO Box 144840 SALT LAKE CITY, UT 84114 Test Date: 8/20/2024 Order Number: 2369037 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: Rebel #914 7210 West 3500 South Magna, UT 84044 Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting Product Line Tightness Test Page 1 of 1 Work Order: 2369037 Date: 8/20/2024 Site Name/ID: Rebel #914 / 0914 Address: 7210 West 3500 South City: Magna State: UT Zip: 84044 Tank Information Test Method Customer Tank ID Product Name Delivery Type Test Pressure (psi) Test Start Time Test End Time Final Leak Rate (gph) Test Result(P/F/I) Test was performed per 3rd party certifications as specified in 40 CFR parts 280 and 281 Tank # 1 Line # 1 TLD-1 1 RUL Pressure 50 13:14 13:44 0.00 Pass Yes Tank # 2 Line # 1 TLD-1 2 PREMIUM Pressure 50 13:14 13:44 0.00 Pass Yes Tank # 3 Line # 1 TLD-1 3 Low Sulfur Diesel Pressure 50 13:14 13:44 0.00 Pass Yes Tank # Line # Tank # Line # Tank # Line # Technician Comments: UT151 Technician Name:David Mathie Certification #:41442 exp: 10/20/2025 Technician Signature: Environmental Compliance for Petroleum Systems ©2024 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Rebel #914 7210 West 3500 South Magna UT 84044 0914 Tanknology, Inc. Anabi Oil Corporation 1450 North Benson Avenue Suite A Upland CA 91786 732-4474752 08/20/2024 RUL PREMIUM Veeder Root PLLD Veeder Root PLLD Veeder Root PLLD 30 2 30 2 2 28 UT151 David Mathie NW1-2369037 Low Sulfur Diesel T1:1 T2:1 T3:1 Rebel #914 Anabi Oil Corporation 7210 West 3500 South Magna UT 84044 4001632 Tanknology, Inc. 1450 North Benson Avenue Suite A Upland CA 91786 732-4474752 800-964-1250 08/20/2024 1 2 3 RUL PREM DSL VR350 VR350 VR350 15041 8050 7099 118 118 118 UT151 David Mathie 7210 West 3500 South Rebel #914 7210 West 3500 South, Magna, UT 84044 0914 Tanknology, Inc. Anabi Oil Corporation 1450 North Benson Avenue Suite A Upland, CA 91786 732-4474752 08/20/2024 ANNULAR ANNULAR STP STP STP RUL PREM/DSL RUL PREM DSL UT151 STP SMART SENSORS David Mathie ANNUAL CONTAINMENT SUMP INSPECTION This form may be utilized to document the inspection of containment sumps. Date of Inspection 8/20/2024 UST Facility Person Conducting Test Facility Name Rebel #914 Facility ID # 0914 Tester's Name DMATHIE Physical Address 7210 West 3500 South Company Tanknology Inc. City Magna County SALT LAKE State UT Certification # 41442 Expiration Date 10/20/2025 UST Owner Anabi Oil Corporation Tester's Signature Date 8/20/2024 Containment Sump Inspection Sump Material of Construction Fiberglass Reinforced Plastic Thermoplastic Steel Composite Containment Sump Inspection Procedure 1. Clean-out and properly dispose of all debris, soil and/or fluids from the containment sump. 2. Visually examine the containment sump to ensure there are no cracks, holes, deteriorated seals, deformation or other indications that the sump is not liquid tight. 3. If the sump appears to be liquid tight and no water was in the sump, the inspection result is "pass" and no further action is required. 4. If the sump appears to be liquid tight but water was present within the sump, the inspection result is "fail". 5. If there is visual evidence that the sump is not liquid tight, then repair or replacement (see note below) of the sump is required. Inspection Results for the Year 2024 Sump ID (product stored for STP or dispenser number) Sump lid/gasket in good condition (yes/no) Sump is dry (yes/no) All penetration fittings in good condition (yes/no) Sump walls/bottom in good condition (yes/no) Are there any leaks from pipe components (yes/no) Inspection Result (Pass/Fail) STP:1 RUL - 1 Y Y Y Y N Pass STP:2 PREMIUM - 1 Y Y Y Y N Pass STP:3 Low Sulfur Diesel - 1 Y Y Y Y N Pass Comments: WO: 2369037 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:2369037 Site ID / Name:0914 / Rebel #914 Address:7210 West 3500 South City:Magna State:UT Zip:84044 W.O.# NW1-2369037 Cust Ref#: 286441315 STATUS ALARMS W.O.# NW1-2369037 Cust Ref#: 286441315 SETUP W.O.# NW1-2369037 Cust Ref#: 286441315 PLLD