DERR-2024-011748

I'TAH PST PROGRAM
TEMPORARY CLOSURE I{OTICE
OWNER AND FACILITY INFORMATION
TANKS TEMPORARILY CLOSEI)
+ Irrdicate the specrl'ic substance stored in cach tank to be closed (regular- unieaded, diesel. waste oil. etc.)
ffV"rt lines open and functionin g W Product lines capped/secured
f] fuel was emptied to less than l" /Corrosion protection is operating
State of Utah Dept. ol Environmental Quality
DERR PST Section
PO Box 1,1'1840
salt Lake city, Utah 84 I l4-4840
r.ACrLrTy 1pa 4000909
State LJse Onlv
Date Received o '22'2,9 24
Date Processed
ffrr*p.. manways secured
dn"l.ur" detection equipment is operating
195 North 1950 West
Salt Lake Ciry, tjrah 841 l6
Temporary closure requirements:
\Vhen a PS'I systern is temporaril-v closed. the owner/operator must:. continue operation and maintenance of corrosion protection on tanks. lines. Uex connectors. ancl other metal'lic systctn components.. continue operation and maintenance olrelease detection OR empty the PST's)'stem ltr less than I inch ol'product.
When a PS f s1'stenr is teurporarill' closed fbr 3 months or more" the owner/operator must also:r leale vent lines open and lunctioning
r cap and secure all other lines. pumps. manlvays. and ancillarv equipmentI se nd a propcrll,-completed Temporarv Closure Notice fbnn to the DER.RIPST Section.
I cerify under penalty of larv that I arn the Orvner of the tank(s) described above and that I am familiar with the infornration on this
fbrm and that it is true, accurate and complete and f'urther, that the procedures described herein were tbllowed during tank closure.
FullName of PST Orvner: Meadow Gold Dairies
Signaturc of PST Ovr,ner:Date:to-16-2
Return completed'Ientporary Closure N form to:Street Address:
Temporary llosure Notice preparecl at the request of the (identified below) by
of (compan-v n4!ne) BrodV Kranendonk (Meadow Gold)Phone #[phone]
Address 3730 W 1820 S Citv SLC Smte UTAH Zip841A4
Tank gwner Meadow Gold Dairies p1.,,16g ;i 801 -907-0568
Address3730 W 1820 S CitySLC state UTAH zip841A4
Facility Nam" Meadow Gold Dairies
Address3730 W 1820 S City slc Statc UTAH 2.ip84104
Contact person BrodY Kranendonk p1",sn" 6801-917-0400
Nurnber oiregulated PSTs at this facility: 1 Number of re.qulated PS'fs to be temporarily closed: 1
'I'ank #1
'l'r pc (Steel.FRP.ctc. )FRP
Datc Instnlled 1 990
Oapacitr' ( ( ial ltxrs )500
Substance slorecl*WASTE OIL
Dale last operaled fit6t2a23
lnches of Product remaining in
tank (to the nearest li8 inch)4
Closnotrcetemp i 205.doc