DERR-2024-011870

Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name HALL'S STORE, LLC
Address P.O. BOX 1419
BOULDER, UT 84716
Contact HALL'S STORE, LLC
Phone
Email [e-mail]

TANK LOCATION
Name HALL'S STORE
Address 420 N. HWY 12
BOULDER, UT 84716
A Operator None
Phone None
B Operator SAME
Phone SAME
Facility ID: 6000410 Inspection Date: 10/28/2024
DISPENSER DETAILS
DISP
ID/ALT
ID
SUBSTANCE UDC PIPE FLEX LOC
INSTALL
DATE
UDC
INSTALL
DATE
FIRE
VALVE
SAT
PRESENT
UDC
TEST
DISP
FLEX
CP
TEST
TANK DETAILS
Tank ID/Alt ID 5 / 5
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 2019 / 8000 /
Substance
Stored Gasoline / Regular
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Secondary Containment
ATG /
LTT Test None
LLD Test None
Pipe Material-
Mod Galvanized Steel / None
Pipe type/STP
Cont Pressure/Suction combo / No
STP Flex
Connectors Booted Steel Flex
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Per Prod. APST Cont. Sump
/ Automatic shutoff / No
PST Fund/Other
Type No / None
Tank/Pipe Rel
Det
TankLDNotListed
PipeLineTightness
CP Tank Test None
CP Pipe Test None
Tank ID/Alt ID 6 / 6
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 2005 / 2000 /
Substance
Stored Diesel / Diesel #2 (U.L.S.)
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Secondary Containment
ATG /
LTT Test None
LLD Test None
Pipe Material-
Mod Galvanized Steel / None
Pipe type/STP
Cont Pressure/Suction combo / No
STP Flex
Connectors Booted Steel Flex
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Per Prod. APST Cont. Sump
/ Automatic shutoff / No
PST Fund/Other
Type No / None
Tank/Pipe Rel
Det
TankLDNotListed
PipeLineTightness
CP Tank Test None
CP Pipe Test None
2024-10-28 Page 1 of 5
Tank ID/Alt ID 7 / 7
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 2005 / 2000 /
Substance
Stored Gasoline / Premium
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Secondary Containment
ATG /
LTT Test None
LLD Test None
Pipe Material-
Mod Galvanized Steel / None
Pipe type/STP
Cont Pressure/Suction combo / No
STP Flex
Connectors Booted Steel Flex
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Per Prod. APST Cont. Sump
/ Automatic shutoff / No
PST Fund/Other
Type No / None
Tank/Pipe Rel
Det
TankLDNotListed
PipeLineTightness
CP Tank Test None
CP Pipe Test None
Tank ID/Alt ID 8 / 8
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 2005 / 2000 /
Substance
Stored Diesel / Diesel #2 (U.L.S.)
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Secondary Containment
ATG /
LTT Test None
LLD Test None
Pipe Material-
Mod Galvanized Steel / None
Pipe type/STP
Cont Pressure/Suction combo / No
STP Flex
Connectors Booted Steel Flex
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Per Prod. APST Cont. Sump
/ Automatic shutoff / No
PST Fund/Other
Type No / None
Tank/Pipe Rel
Det
TankLDNotListed
PipeLineTightness
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
None
2024-10-28 Page 2 of 5
FACILITY RESPONSES
Financial Responsibility
Financial responsibility method is ok?Yes
The above accurately represents the
facility's release detection records Yes
TANK RESPONSES
Tank 5 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
No
Tank 6 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
No
Tank 7 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
No
Tank 8 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
No
Tank 5 Spill/Overfill
Tank has a spill prevention device?No
Tank 6 Spill/Overfill
Tank has a spill prevention device?No
Tank 7 Spill/Overfill
Tank has a spill prevention device?No
Tank 8 Spill/Overfill
Tank has a spill prevention device?No
DISPENSER RESPONSES
MONTHLY LEAK DETECTION MONITORING
Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24 Apr '24 May '24 Jun '24 Jul '24 Aug '24 Sep '24
Tank 5 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Tank 6 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Tank 7 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Tank 8 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
NON-COMPLIANCE ITEMS
TANK 5
No Photos
Question:Tank has a spill prevention device?
Comments:None
TANK 5
No Photos
Question:Does the pressurized piping system have a valid annual line tightness test or valid monthly
monitoring?
Comments:None
TANK 6
No Photos
Question:Tank has a spill prevention device?
Comments:None
2024-10-28 Page 3 of 5
TANK 6
No Photos
Question:Does the pressurized piping system have a valid annual line tightness test or valid monthly
monitoring?
Comments:None
TANK 7
No Photos
Question:Tank has a spill prevention device?
Comments:None
TANK 7
No Photos
Question:Does the pressurized piping system have a valid annual line tightness test or valid monthly
monitoring?
Comments:None
TANK 8
No Photos
Question:Tank has a spill prevention device?
Comments:None
TANK 8
No Photos
Question:Does the pressurized piping system have a valid annual line tightness test or valid monthly
monitoring?
Comments:None
2024-10-28 Page 4 of 5
Prepared by fueloperator.com
Inspection Information
Inspector:Viehweg, Kim
Record Created:Oct. 28, 2024, 3:50 p.m.
Inspection Date:Oct. 28, 2024

2024-10-28 Page 5 of 5
Underground Storage Tank Inspection Verification Form
Facility ID:6000410
Owner Name:HALL'S STORE, LLC Facility Name:HALL'S STORE
Owner Address:P.O. BOX 1419 Street Address:420 N. HWY 12
BOULDER, UT 84716 BOULDER, UT 84716
Operator A:No Data / No Data / Operator B:No Data / No Data /
Owner Email:[e-mail] UTM Coordinates X/Y:462740 / 4195749
Disp ID/Alt
ID
Substance UDC Pipe Flex Loc Install Date UDC Install Date Fire
Valve
Sat
Present
UDC Test Disp Flex CP
Test
1 - 1/2 Gas/Diesel Yes Steel Flex in Sump No No
Tank ID/Alt ID:5 / 5 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel -
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressure/Suction combo / No
Tank Status:Currently In Use STP Flex Connectors:Booted Steel Flex
Installed/Cap/Loc:1/1/2019 / 8000 / LLD Model:
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv: / Automatic shutoff / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Secondary
Containment
PST Fund/Other Type:No /
ATG: / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:6 / 6 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel -
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressure/Suction combo / No
Tank Status:Currently In Use STP Flex Connectors:Booted Steel Flex
Installed/Cap/Loc:1/1/2005 / 2000 / LLD Model:
Substance Stored:Diesel / Diesel #2 (U.L.S.)Spill/Overfill/Sm deliv: / Automatic shutoff / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Secondary
Containment
PST Fund/Other Type:No /
ATG: / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:7 / 7 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel -
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressure/Suction combo / No
Tank Status:Currently In Use STP Flex Connectors:Booted Steel Flex
Installed/Cap/Loc:1/1/2005 / 2000 / LLD Model:
Substance Stored:Gasoline / Premium Spill/Overfill/Sm deliv: / Automatic shutoff / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Secondary
Containment
PST Fund/Other Type:No /
ATG: / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:8 / 8 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel -
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressure/Suction combo / No
Tank Status:Currently In Use STP Flex Connectors:Booted Steel Flex
Installed/Cap/Loc:1/1/2005 / 2000 / LLD Model:
Substance Stored:Diesel / Diesel #2 (U.L.S.)Spill/Overfill/Sm deliv: / Automatic shutoff / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Secondary
Containment
PST Fund/Other Type:No /
ATG: / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
11/3/2024 Page 1 of 2
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
11/3/2024 Page 2 of 2