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Home My WebLink AboutDERR-2024-011300GEORGE STURM UTAH STATE FUEL NETWORK 4315 S 2700 W SALT LAKE CITY, UT 84129 RE:Request for Petroleum Storage Tank Records CHILDRENS SPECIAL NEEDS CLINIC, located at 44 S MEDICAL DR, SALT LAKE CITY Facility Identification No. 4001153 Dear GEORGE STURM: PST operators are required to ensure that certain tests are conducted for their tank system. Dates highlighted in "Yellow" - tests are due soon. Dates highlighted in "Red" - tests are due and you are out of compliance. Tank ID/Alt ID Description LTT -------------------- LLD Spill Bucket -------------------- Overfill Tank or Flex -------------------- Pipe CP ATG -------------------- Sump 2/2 Diesel-Diesel #2 (U.L.S.)-6000 10/5/2024 N/A N/A 10/5/2024 N/A 9/22/2024 N/A N/A LTT - Line Tightness Test LLD - Line Leak Detector Overfill ±Overfill Device Tank or Flex/Pipe CP - Corrosion Tests ATG ±Automatic Tank Gauging Sump - Tank Top Sump and applicable Dispenser Sumps Please note that UDC tests are not listed, but are required on your facility's next sump test cycle starting July 1, 2023, if applicable. Also, effective immediately pressure vent valves must be tested every three years for gasoline tanks. Please submit a copy of the required tests to the DERR within 30 days of the date due. If you have any questions please call DeAnn Rasmussen at 801-536-4100. 195 North 1950 West - Salt Lake City, UT Mailing Address: - P.O. Box 144840 - Salt Lake City, UT 84114-4840 Telephone (801) 536-4100 - Fax (801) 359-8853 - T.D.D. (801) 536-4414 www.deq.utah.gov Printed on 100% recycled paper September 11, 2024 State of Utah SPENCER J. COX Governor DEIDRE HENDERSON Lieutenant Governor Department of Environmental Quality Kimberly D. Shelley Executive Director DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION Brent H. Everett Director STATE CHILD SERVICES 44 MEDICAL DRIVE SALT LAKE CITY, UTAH 4001153 APPLIED ENVIRONMENTAL SERVICES STATE FUEL NETWORK PO BOX 141152 SALT LAKE CITY, UTAH 84141-1152 BRETT GURNEY 385-602-4872 801-540-9258 10-8-2024 TK INTER DSL X X X X X X X X STP SUMP DSL X X X X X X X X STP SUMP DSL X X X X X X X STEVEN B MARTIN APPLIED ENVIRONMENTAL SERVICES, L.C. PO BOX 1073 BOUNTIFUL, UTAH 84011 801-540-9258 AESUTAH@AOL.COM Digitally signed by STEVEN B MARTIN cn=STEVEN B MARTIN, o=AES, c=US Date: 2024.10.08 16:54:15 -07'00' Reason: I am the author of this document SPILL PREVENTION TEST Spill Bucket Hydrostatic Test Form Facility Name Facility ID Address Tester's Name Test Date Phone Tank Number Product Stored Capacity Manufacturer Construction Liquid and Debris Removed Visual Inspection No cracks, holes, or separations Tank Riser Cap Included in Test Is Drain Valve Included in Test Start Level Start Time Ending Level End Time Test Period (minimum of 1 hour) Change in Level Test Results Photos indicating water Levels are Attached? Pass / Fail Criteria: Must pass visual inspection, test duration at least one hour, must include photos with this form, water level drop of less than 1/8 inch. Ref: PEI / RP 1200 6.2.5 Test Procedure How was Liquid Disposed? Comments I certify under penalty of law that the above information is true, accurate and complete Tester's Signature STATE CHILD SERVICES 4001153 44 MEDICAL DRIVE SALT LAKE CITY, UTAH STEVEN MARTIN AES TESTING 10-8-2024 801-540-9258 1 DSL 7 EBW DW YES PASS NO N/A 13 1/2 12:10 13 1/2 13:22 1 HR 12 MIN 0 PASS NO REUSED UTAH TESTER UT 0121 Digitally signed by STEVEN B MARTIN cn=STEVEN B MARTIN, o=AES, c=US Date: 2024.10.08 17:02:47 -07'00' Reason: I am the author of this document AUTOMATIC TANK GAUGE OPERATION INSPECTION Facility Name: Address: City, State, Zip Code: Facility I.D. # Testing Company: Owner: Address: City, State, Zip Code: Phone # Testers Phone # Date: This procedure is to determine whether the ( ATG) is operating properly. See PEI/RP1200 Section 8.2 for the proper inspection procedure. Tank Number Product Stored: ATG Brand and Model 1. Tank Volume, gallons 2. Tank Diameter, inches 3. After removing the ATG from the tank, has it been inspected and any damaged or missing parts replaced? 4. Float moves freely on the stem without 5. Fuel float level agrees with the value programmed into the console? 6. Water float level agrees with the value programmed into the console? 7. Inch level from bottom of stem when 90% alarm is triggered. 8. Inch level at which the overfill alarm activates corresponds with value programmed in the gauge? 9. Inch level from the bottom when the water float first triggers an alarm. 10. Inch level at which the float alarm activates corresponds with value programmed in the gauge? If any answers in Lines 3,4,5, or 6 are "NO" the system has failed the test. TEST RESULTS Comments: Testers Name: Steven B. Martin Testers Signature: STATE CHILD SERVICES 44 MEDICAL DRIVE SALT LAKE CITY, UTAH 4001153 AES UTAH TESTER # UT 0121 STATE FUEL NETWORK PO BOX 141152 SALT LAKE CITY, UTAH 84141-1152 BRETT GURNEY 385-602-4872 801-540-9258 10-8-2024 1 DSL TLS 300C 5998 91 YES YES YES YES 75 YES 2.0 YES PASS BATTERY BACKUP FUNCTIONS PROPERLY TANK INTERSTICIAL, AND SUMP SENSORS FUNCTION PROPERLY Digitally signed by STEVEN B MARTIN cn=STEVEN B MARTIN, o=AES, c=US Date: 2024.10.08 16:49:34 -07'00' Reason: I am the author of this document UST OVERFILL EQUIPMENT INSPECTION AUTOMATIC SHUTOFF DEVICE AND BALL FLOAT VALVE Facility Name: Address: City, State, Zip Code: Facility I.D. # Testing Company: This data sheet is for inspecting automatic shutoff devices and ball float valves. See PEI/RP 1200, Section 7 for inspection procedures. Owner: Address: City, State, Zip Code: Phone# Tester Phone# Product Grade: Tank Number: Tank Volume, gallons: Tank Diameter, inches: Overfill Prevention Device Brand: Overfill Type AUTOMATIC SHUTOFF DEVICE INSPECTION 1. Drop tube removed from tank? 2. Drop tube and float mechanisms are free of debris? 3. Float moves freely without binding and poppet moves into flow path? 4. Bypass valve in the drop tube is open and free of blockage (if present)? 5. Flapper is adjusted to shut off flow at 95% ?* A "NO" to any item in Lines 1-5 indicates a test failure. BALL FLOAT VALVE INSPECTION * * 1. Tank top fittings are vapor-tight and leak free? 2. Ball float cage free of debris? 3. Ball free of holes and cracks and moves freely in cage? 4. Vent hole in pipe open and near top of tank? 5. Ball float pipe is proper length to restrict flow at 90% capacity?*** A "NO" to any item in Lines 1-5 indicates a test failure. Test Results: * Use manufacturer's suggested proceedure for determining if automatic shutoff device will shut off flow at 95% capacity. Tester's Name: STATE CHILD SERVICES 44 MEDICAL DRIVE SALT LAKE CITY, UTAH 4001153 AES UTAH LICENCE # UT 0121 STATE FUEL NETWORK PO BOX 841152 SALT LAKE CITY, UTAH 84141-1152 BRETT GURNEY 385-602-4872 801-540-9258 Date: 10-8-2024 DSL 1 5998 89.75 FRANK FUEL AUTOMATIC YES YES YES YES Steven B. Martin Testers Signature: * * If a ball float is found to fail the inspection , another method of overfill must be used. * * * Use manufacturer's suggested procedure for determining if flow restriction device will restrict flow at 90% capacity. Comments PASS Digitally signed by STEVEN B MARTIN cn=STEVEN B MARTIN, o=AES, c=US Date: 2024.10.08 17:00:27 -07'00' Reason: I am the author of this document APPLIED ENVIRONMENTAL SERVICES, L.C. PO BOX 1073 BOUNTIFUL, UTAH 84011 TEI 5000 NON VOLUMETRIC, TEI 4000 VOLUMETRIC, TEI ULLAGE, TEI LT3 PRECISION TANK & LINE TEST RESULTS SUMMARY INVOICE ADDRESS:TANK LOCATION: WORK ORDER # TECH # 94027 TECHNICIAN: SM STATE TECH # STATE FUEL NETWORK PO BOX 141152 SALT LAKE CITY, UTAH 84141-1152 STATE CHILD SERVICES 44 MEDICAL DRIVE SALT LAKE CITY, UTAH 24108 UT 0121 DATE: 10-8-2024 TIME START: 11:00 TIME END: 15:00 GROUNDWATER DEPTH: N/A DW TK TANK TANK CAPACITY 5998 PRODUCT DSL TANK PASS VENT PASS PRODUCT LINE PASS LINE LEAK DETECTOR N/A WATER IN TANK 0.0" PUMP TYPE NOTES TANK MATERIAL DWF1. 2. 3. 4. 5. 6. PRODUCT LINES TESTED AT PSI FOR MIN LINE RATES (GPH) 1. 2. 3. 5. 6. ADDITIONAL INFORMATION:PRESSURIZED LINE TO BOILER HAS BEEN CLOSED. TANK HAS A SUCTION RETURN LINE TO GENERATOR. SUCTION LINE AND RETURN LINES TESTED WITH TANK. CERTIFIED TECHNICIAN SIGNATURE:DATE:10-8-2024 These systems meet all requirements set forth by USEPA 40 CFR and has received third party certification. 4. TEST METHODS USED FOR THIS LOCATION TEI 5000 NON VOLUMETRIC TANK TEST TEI 4000 VOLUMETRIC TANK TEST TEI TANK ULLAGE TEST TEI LT3 LINE TESTX LINE LEAK DETECTOR TYPE & SIMULATED LEAK RATE 1. 2. 3. M = MECHANICAL E = ELECTRONIC # = (GPH) RATE 4. 5. 6. All tests were performed according to manufacturer protocol, and within the common practices of the industry. However due to the variables of tightness testing, these results cannot be guaranteed. There are no warranties expressed, written or implied. DEQ ID#4001153 Digitally signed by STEVEN B MARTIN cn=STEVEN B MARTIN, o=AES, c=US Date: 2024.10.08 16:48:02 -07'00' Reason: I am the author of this document