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HomeMy WebLinkAboutDERR-2024-010692Annual 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: 9/11/2024 UTAH DEPARTMENT OF ENV. QUALITY UST PO Box 144840 SALT LAKE CITY, UT 84114 Test Date: 8/26/2024 Order Number: 2364380 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: Jacksons Food 152 3575 W. 3500 S. West Valley City, UT 84119 Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting Product Line Tightness Test Page 1 of 1 Work Order: 2364380 Date: 8/26/2024 Site Name/ID: Jacksons Food 152 / 152 Address: 3575 W. 3500 S. City: West Valley City State: UT Zip: 84119 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 REG UNLEAD Pressure 50 09:14 10:14 0.00 Pass Yes Tank # 2 Line # 1 TLD-1 2 PREMIUM Pressure 50 09:14 10:14 0.00 Pass Yes Tank # 3 Line # 1 TLD-1 3 Low Sulfur Diesel Pressure 50 09:14 10:14 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 Jacksons Food 152 3575 W. 3500 S. West Valley City UT 84119 152 Tanknology, Inc. JACKSONS FOOD STORES 3450 COMMERCIAL COURT MERIDIAN ID 83642 208-888-6061 08/26/2024 REG UNLEADPREMIUM Veeder Root FX1V Veeder Root FX1V Veeder Root FX1DV 30 20 100 2 10 3 30 20 100 2 10 3 30 20 100 2 10 3 UT151 David Mathie NW1-2364380 Low Sulfur Diesel T1:1 TPREM:1 TDSL:1 Jacksons Food 152 JACKSONS FOOD STORES 3575 W. 3500 S. West Valley City UT 84119 152 Tanknology, Inc. 3450 COMMERCIAL COURT MERIDIAN ID 83642 208-888-6061 800-964-1250 08/26/2024 1 2 3 RUL PREM DSL EMC EMC EMC 14881 11608 11608 90.5 90.5 90.5 76.25 76 76 1.5 1.5 1.5 UT151 David Mathie ANNUAL CONTAINMENT SUMP INSPECTION This form may be utilized to document the inspection of containment sumps. Date of Inspection 8/26/2024 UST Facility Person Conducting Test Facility Name Jacksons Food 152 Facility ID # 152 Tester's Name DMATHIE Physical Address 3575 W. 3500 S. Company Tanknology Inc. City West Valley City County SALT LAKE State UT Certification # 41442 Expiration Date 10/20/2025 UST Owner JACKSONS FOOD STORES Tester's Signature Date 8/26/2024 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 REG UNLEAD - 1 NA Y Y Y N Pass STP:2 PREMIUM - 1 NA Y Y Y N Pass STP:3 Low Sulfur Diesel - 1 NA Y Y Y N Pass Comments: WO: 2364380 Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:2364380 Site ID / Name:152 / Jacksons Food 152 Address:3575 W. 3500 S. City:West Valley City State:UT Zip:84119 W.O.# NW1-2364380 +AAE- I10100 AUG 26, 2024 10:10 AM JFS +ACM-0152 3575 W 3500 S WEST VALLEY UT 84119 SYSTEM STATUS REPORT ALL FUNCTIONS NORMAL +AAMAAQ- I90200 AUG 26, 2024 10:10 AM SOFTWARE REVISION LEVEL VERSION 129.02 SOFTWARE+ACM- 346129-100-C CREATED - 09.07.01.16.45 S-MODULE+ACM- 330160-002-A SYSTEM FEATURES: PERIODIC IN-TANK TESTS ANNUAL IN-TANK TESTS CSLD +AAMAAQ- I20100 AUG 26, 2024 10:10 AM JFS +ACM-0152 3575 W 3500 S WEST VALLEY UT 84119 IN-TANK INVENTORY TANK PRODUCT VOLUME TC VOLUME ULLAGE HEIGHT WATER TEMP 1 REG 6033 5979 8848 38.52 0.00 72.71 2 PREM 2824 2802 8784 26.75 0.00 70.51 3 DSL 2007 1998 9601 21.06 0.00 69.15 +AAMAAQ- I20600 AUG 26, 2024 10:10 AM JFS +ACM-0152 3575 W 3500 S WEST VALLEY UT 84119 TANK ALARM HISTORY TANK 1 REG HIGH WATER ALARM AUG 26, 2024 9:32 AM JUN 21, 2023 1:33 PM JUN 21, 2022 9:32 AM OVERFILL ALARM AUG 26, 2024 9:38 AM JUN 21, 2023 1:54 PM JUN 21, 2022 9:45 AM LOW PRODUCT ALARM AUG 26, 2024 9:39 AM AUG 26, 2024 9:29 AM JUL 11, 2019 11:40 AM HIGH PRODUCT ALARM JUN 21, 2021 11:39 AM JUL 11, 2019 11:43 AM INVALID FUEL LEVEL AUG 26, 2024 9:39 AM AUG 26, 2024 9:29 AM JUN 21, 2023 2:03 PM PROBE OUT AUG 26, 2024 9:38 AM AUG 26, 2024 9:28 AM JUN 21, 2023 2:03 PM HIGH WATER WARNING AUG 26, 2024 9:32 AM JUN 21, 2023 1:33 PM JUN 21, 2022 9:32 AM DELIVERY NEEDED AUG 26, 2024 9:39 AM AUG 26, 2024 9:29 AM JUL 11, 2019 11:40 AM MAX PRODUCT ALARM JUL 11, 2019 11:43 AM LOW TEMP WARNING JUN 15, 2020 9:58 AM JUL 10, 2019 2:43 PM TANK 2 PREM HIGH WATER ALARM AUG 26, 2024 9:35 AM JUN 21, 2023 1:33 PM JUN 21, 2022 9:37 AM OVERFILL ALARM AUG 26, 2024 9:40 AM JUN 21, 2023 1:56 PM JUN 21, 2022 9:49 AM LOW PRODUCT ALARM AUG 26, 2024 9:42 AM APR 1, 2020 8:46 AM MAY 2, 2016 3:13 PM HIGH PRODUCT ALARM JUN 21, 2021 11:40 AM INVALID FUEL LEVEL AUG 26, 2024 9:42 AM APR 1, 2020 9:01 AM JUL 10, 2019 2:46 PM PROBE OUT AUG 26, 2024 9:41 AM AUG 26, 2024 9:28 AM JUN 21, 2023 2:04 PM HIGH WATER WARNING AUG 26, 2024 9:35 AM JUN 21, 2023 1:33 PM JUN 21, 2022 9:37 AM DELIVERY NEEDED AUG 26, 2024 9:42 AM APR 1, 2020 8:46 AM LOW TEMP WARNING JUN 21, 2023 2:05 PM JUN 21, 2022 9:50 AM JUN 21, 2021 11:44 AM TANK 3 DSL HIGH WATER ALARM AUG 26, 2024 9:34 AM JUN 21, 2023 1:32 PM JUN 21, 2022 9:38 AM OVERFILL ALARM AUG 26, 2024 9:43 AM JUN 21, 2023 2:01 PM JUN 21, 2022 9:52 AM LOW PRODUCT ALARM AUG 26, 2024 9:45 AM AUG 26, 2024 9:30 AM JUN 21, 2022 9:31 AM HIGH PRODUCT ALARM JUN 21, 2021 11:40 AM INVALID FUEL LEVEL AUG 26, 2024 9:44 AM AUG 26, 2024 9:41 AM AUG 26, 2024 9:31 AM PROBE OUT AUG 26, 2024 9:43 AM AUG 26, 2024 9:30 AM JUN 21, 2023 2:05 PM HIGH WATER WARNING AUG 26, 2024 9:34 AM JUN 21, 2023 1:32 PM JUN 21, 2022 9:38 AM DELIVERY NEEDED AUG 26, 2024 9:45 AM AUG 26, 2024 9:30 AM JUN 21, 2022 9:28 AM LOW TEMP WARNING JUN 21, 2023 2:06 PM JUL 16, 2019 11:20 AM JUL 11, 2019 8:08 PM +AAMAAQ- I20700 AUG 26, 2024 10:10 AM JFS +ACM-0152 3575 W 3500 S WEST VALLEY UT 84119 TANK LEAK TEST HISTORY T 1:REG LAST GROSS TEST PASSED: NO TEST PASSED LAST ANNUAL TEST PASSED: NO TEST PASSED FULLEST ANNUAL TEST PASS NO TEST PASSED LAST PERIODIC TEST PASS: TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE AUG 26, 2024 4:35 AM 30 7680 51.6 CSLD FULLEST PERIODIC TEST PASSED EACH MONTH: TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE JAN 13, 2024 1:52 AM 28 9673 65.0 CSLD FEB 28, 2024 12:53 AM 25 9955 66.9 CSLD MAR 7, 2024 11:37 PM 25 10473 70.4 CSLD APR 28, 2024 10:34 AM 28 8965 60.2 CSLD MAY 25, 2024 5:20 AM 27 9525 64.0 CSLD JUN 26, 2024 2:55 AM 23 9498 63.8 CSLD JUL 1, 2024 1:03 AM 27 9285 62.4 CSLD AUG 16, 2024 3:54 AM 29 8544 57.4 CSLD SEP 1, 2023 2:58 AM 25 8515 57.2 CSLD OCT 25, 2023 1:55 AM 30 8437 56.7 CSLD NOV 10, 2023 1:52 AM 29 9737 65.4 CSLD DEC 23, 2023 6:18 AM 28 9089 61.1 CSLD TANK LEAK TEST HISTORY T 2:PREM LAST GROSS TEST PASSED: NO TEST PASSED LAST ANNUAL TEST PASSED: NO TEST PASSED FULLEST ANNUAL TEST PASS NO TEST PASSED LAST PERIODIC TEST PASS: TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE AUG 26, 2024 5:06 AM 27 4913 42.3 CSLD FULLEST PERIODIC TEST PASSED EACH MONTH: TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE JAN 14, 2024 10:42 PM 26 5084 43.8 CSLD FEB 27, 2024 5:02 AM 32 5333 45.9 CSLD MAR 5, 2024 6:43 AM 29 6195 53.4 CSLD APR 4, 2024 5:10 AM 28 4552 39.2 CSLD MAY 29, 2024 2:17 AM 30 5450 47.0 CSLD JUN 17, 2024 2:13 AM 30 5628 48.5 CSLD JUL 4, 2024 7:38 AM 27 4593 39.6 CSLD AUG 21, 2024 3:29 AM 25 4990 43.0 CSLD SEP 3, 2023 11:27 PM 30 3870 33.3 CSLD OCT 28, 2023 4:07 AM 29 4139 35.7 CSLD NOV 24, 2023 10:53 AM 27 5509 47.5 CSLD DEC 1, 2023 9:57 PM 29 5420 46.7 CSLD TANK LEAK TEST HISTORY T 3:DSL LAST GROSS TEST PASSED: NO TEST PASSED LAST ANNUAL TEST PASSED: NO TEST PASSED FULLEST ANNUAL TEST PASS NO TEST PASSED LAST PERIODIC TEST PASS: TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE AUG 26, 2024 5:53 AM 43 2681 23.1 CSLD FULLEST PERIODIC TEST PASSED EACH MONTH: TEST START TIME HOURS VOLUME +ACU- VOLUME TEST TYPE JAN 29, 2024 10:03 AM 34 2370 20.4 CSLD FEB 29, 2024 6:12 PM 44 5861 50.5 CSLD MAR 1, 2024 9:20 AM 44 5861 50.5 CSLD APR 27, 2024 4:22 PM 45 2682 23.1 CSLD MAY 22, 2024 9:00 PM 46 2616 22.5 CSLD JUN 18, 2024 10:51 AM 35 3656 31.5 CSLD JUL 29, 2024 11:21 AM 46 3020 26.0 CSLD AUG 3, 2024 12:21 PM 38 3023 26.0 CSLD SEP 13, 2023 7:45 PM 40 2463 21.2 CSLD OCT 28, 2023 1:10 AM 31 2655 22.9 CSLD NOV 29, 2023 6:39 PM 52 2605 22.4 CSLD DEC 3, 2023 2:34 PM 43 2725 23.5 CSLD +AAMAAQ- IA0100 AUG 26, 2024 10:11 AM TYPE CODE LENGTH SERIAL NO. D/CODE TANK 1 REG MAG C000 96.00 462653 4894 TANK 2 PREM MAG C000 96.00 824949 3254 TANK 3 DSL MAG C000 96.00 462655 4894 +AAMAAQ- 931 TANK 1 SETUP CONDITIONS PRODUCT: REG PRODUCT CODE 1 HIGH WATER LIMIT 1.5 OVERFILL LIMIT: 13393 HIGH PRODUCT LIMIT: 14137 LOW PRODUCT: 1145 SUDDEN LOSS LIMIT: 500 LEAK LIMIT: 50 THERMAL COEFF: 0.000700 DELIVERY DELAY: 1 TANK FULL CAPACITY: 14881 14614 14141 13518 12812 3/4 HEIGHT CAPACITY: 12029 11187 10298 9350 8406 1/2 HEIGHT CAPACITY: 7451 6495 5551 4602 3713 1/4 HEIGHT CAPACITY: 2869 2086 1378 753 276 TANK DIAMETER: 90.50 TANK TILT ADDER: 0.00 MANIFOLDED TANKS: NONE TANK CONFIGURED: NO +AAMAAQ- 932 TANK 2 SETUP CONDITIONS PRODUCT: PREM PRODUCT CODE 2 HIGH WATER LIMIT 1.5 OVERFILL LIMIT: 10447 HIGH PRODUCT LIMIT: 11027 LOW PRODUCT: 882 SUDDEN LOSS LIMIT: 500 LEAK LIMIT: 50 THERMAL COEFF: 0.000700 DELIVERY DELAY: 1 TANK FULL CAPACITY: 11608 11404 11039 10557 10008 3/4 HEIGHT CAPACITY: 9398 8740 8044 7302 6561 1/2 HEIGHT CAPACITY: 5812 5062 4322 3578 2883 1/4 HEIGHT CAPACITY: 2223 1612 1062 578 211 TANK DIAMETER: 90.50 TANK TILT ADDER: 0.00 MANIFOLDED TANKS: NONE TANK CONFIGURED: NO +AAMAAQ- 933 TANK 3 SETUP CONDITIONS PRODUCT: DSL PRODUCT CODE 3 HIGH WATER LIMIT 2.0 OVERFILL LIMIT: 10447 HIGH PRODUCT LIMIT: 11027 LOW PRODUCT: 882 SUDDEN LOSS LIMIT: 500 LEAK LIMIT: 50 THERMAL COEFF: 0.000450 DELIVERY DELAY: 1 TANK FULL CAPACITY: 11608 11404 11039 10557 10008 3/4 HEIGHT CAPACITY: 9398 8740 8044 7302 6561 1/2 HEIGHT CAPACITY: 5812 5062 4322 3578 2883 1/4 HEIGHT CAPACITY: 2223 1612 1062 578 211 TANK DIAMETER: 90.50 TANK TILT ADDER: 0.00 MANIFOLDED TANKS: NONE TANK CONFIGURED: NO +AAMAAQ- I62A00 AUG 26, 2024 10:11 AM ANNUAL LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 REG 0 2 PREM 0 3 DSL 0 4 0 +AAMAAQ- I63600 AUG 26, 2024 10:11 AM PERIODIC LEAK TEST MIN VOLUME TANK PRODUCT LABEL GALLONS 1 REG 739 2 PREM 576 3 DSL 576 4 0 +AAMAAQ- I61100 AUG 26, 2024 10:11 AM LEAK TEST METHOD - - - - - - - - - - - - TEST CSLD : ALL TANK Pd +AD0- 99+ACU- CLIMATE FACTOR:MODERATE REPORT ONLY: DISABLED TST EARLY STOP:DISABLED I80800 AUG 26, 2024 10:11 AM RELAY SETUP REPORT R 1:OVERFILL TYPE: STANDARD NORMALLY OPEN IN-TANK ALARMS ALL:OVERFILL ALARM R 2: TYPE: STANDARD NORMALLY OPEN - NO ALARM ASSIGNMENTS - R 3: TYPE: STANDARD NORMALLY OPEN - NO ALARM ASSIGNMENTS - R 4: TYPE: STANDARD NORMALLY OPEN - NO ALARM ASSIGNMENTS - +AAMAAQ- I10200 AUG 26, 2024 10:11 AM JFS +ACM-0152 3575 W 3500 S WEST VALLEY UT 84119 SYSTEM CONFIGURATION SLOT BOARD TYPE POWER ON RESET CURRENT 1 4 PROBE / G.T. 162168 162509 2 INTERSTITIAL BD 200491 200623 3 UNUSED 15000000 15000000 4 UNUSED 15000000 15000000 5 UNUSED 15000000 15000000 6 UNUSED 15000000 15000000 7 UNUSED 15000000 15000000 8 UNUSED 15000000 15000000 9 UNUSED 15000000 15000000 10 RELAY BOARD 15000000 14903 11 UNUSED 15000000 15000000 12 UNUSED 15000000 15000000 13 UNUSED 15000000 15000000 14 UNUSED 15000000 15000000 15 UNUSED 15000000 15000000 16 UNUSED 15000000 15000000 COMM 1 RS232 SERIAL BD 14880 14881 COMM 2 FAXMODEM BOARD 40250 40267 COMM 3 UNUSED 15000000 15000000 COMM 4 UNUSED 15000000 15000000 COMM 5 UNUSED 15000000 15000000 COMM 6 UNUSED 15000000 15000000