DERR-2024-011695

UTAH PST PROGRAM
TEMPORARY CLOSURE NOTICE D r0/21
OWNER AND FACILITY INFORMATION
TANKS TENIPORARILY CLOSEI)
* Indicate the specific substance stored in each tank to be closed (regular, unleaded. diesel. rvaste oil, etc.)
I Vent lines open and functionin C A product lines capped/secured
7I ruel was emptied to less than I " ! corrosion protection is operating
FACILITY ID#
State Use Onlv
Date Received
Date Processed by
[t Pumps, manways secured
I Release detection equipment is operating
Temporary closure requirements:
When a PST system is temporarily closed. the owner/operator must:
' continue operation and maintenance ofconosion protection on tanks. lines. flex connectors, and other metallic system components.o continue operation and maintenance ofrelease detection OR empty the PST system to less than I inch olproduct.
When a PST system is temporarily closed fbr 3 months or more, the owner/operator must also:o leave vent lines open and functioningr cap and secure all other lines, pumps. manways, and ancillary equipmento send a properly-completed remporary Closure Notice form to the DERRTpST section.
I certify under penalty of law that I am the Owner of the tank(s) described above and that I am familiar with the information on thisfomr and that it is true, accurate and conrplete and further, that the procedures described herein were followed during tank closure.
Marc Westfall
Marc WestfallClosure Notice at the of the identified
7-Eleven Inc.of nallle Phone #
Address PO Box 71'l Dallas State Texas 75221
Tank ownerTRMC Retail LLC phone # [phone]
Address PO Box 71 1 Dallas State Te X?S 75221
Name S 9421Fr
Address2280 South Highland Drive Salt LakeCi State Utah 841 06Z
Marc WestfallContact Phone #[phone]
Number of PSTs at this faci 3
Tank #q 6A 6B
Type (Steel.FRP.etc.)FRP FRP FRP
Date Installed 8t4t2014 8t4t2014 8t4t2014
Capacity (Gallons)15,000 8,000 7,000
Sr.rbstance' stored*Regular Premium Diesel
Date last operated 9t23t2024 9t23t2024 9t23t2024
Inches olProduct remaining in
tank (to the nearest l/8 inch)<1"<1r'<1"
Full Namc of PST Owncr:
Signature of PST Owner:
-k/a,,o
Return completed Temporary Closure Notice forn.r to:
State of, Utah Dept. ol Environmental QualityDERR PST Section
PO Box 144840
Salt Lake Ciry, Utah 84n4-4840
Street Address
195 North 1950 West
Salt Lake City, Utah 841 l6
Dare: 10116124
Closnoticctcnrp I 205.doc
Number of regulated PSTs to be tenrporarily closed: 3
4000756
10/16/2024
10/28/2024 SDW