DERR-2024-004829

Underground Storage Tank lnspection Verification Form
OwnerName: PETROLEUMWHOLESALE LP
OwnerAddress: PO BOX 4456
HOUSTON
Operator A: CHRIS SMITH
Owner Email: [e-mail]
TX 77210
[phone]
Facility lD: 1000710
Facility Name: SUNMART #859 TEXACO
StreetAddress: 1588 N STATE ST
OREM uT uo57
Operator B: RONALD K JOHNSON [phone]
UTM Coordinates XA/: 439965 I 4464200 Orthoquad (DOe) 1 meter
Tank lD/Alt lO: 1 I 1
Manif/ComparUAST: No
Tank Status: Currently ln Use
lnstalled/Cap/L oc:. 21 1 0 I 1995
Substance Stored: Gasoline
E-Gen: No
No
12000 South
Regular
Tank Material: Galvanic Cathodic Protection (STlP3)
Tank Modifications: None
ATG: Veeder Root TLS-350 CSLD No Manifold
ATG Specs: 10% old 5% ne 45K 227,559 gtmo
Pipe Material: Fiberglass Reinforced Plastic
Pipe Modifications: None
Pipe Flex Connectors: Booted Steel Flex
Pipe Type: Pressurized LLD Model: Red Jacket /
Spill/Overfill/Sm deliv: 5 gal. Spill Buck Automatic shuto No
Sump Cont: No Disp Cont: No
PST Fund: Yes OtherType:
TanUPipe Rel Det: ATG LTT ALD
Tl.t: 21161'1995 LTT:312212011 LLD:312il2$$GP Tank: 711612010qib CP Pipe:
Tank lD/Alt lD: 21 2 E-Gen: No
Manif/ComparUAST: No No No
Tank Status: Currently ln Use
lnstalled/Cap/Loc: 21011995 12000 Center
Substance Stored: Gasoline Regular
Tank Material: Galvanic Cathodic Protection (STlP3)
Tank Modifications: None
ATG: Veeder Root TLS-350 CSLD No Manifold
ATGSpecs: 10%old5%ne 45K 227,559 glmo
Pipe Material: Fiberglass Reinforced Plastic
Pipe Modifications: None
Pipe Flex Connectors: Booted Steel Flex
Pipe Type: Pressurized
Spill/Overfill/Sm deliv: 5 gal. Spill Buck
Sump Cont: No
PST Fund: Yes
TanUPipe Rel Det: ATG
LLD Model: Red Jacket/
Automatic shuto No
Disp Cont: No
Other Type:
LTT ALD
TTT: 2/16/1995 LTT:312212O11 LLD: 312212011 ::1-]t::i!l!{$i_fi}r
Tank lD/Alt lD: 3 / 3
Manif/ComparUAST: No No
Tank Status: Currently ln Use
lnstalled/Cap/Loc: 211011995 12000 North
Substance Stored: Gasoline Premium
Tank Material: Galvanic Cathodic Protection (STlp3)
Tank Modifications: None
ATG: Veeder Root TLS-350 CSLD No Manifold
ATG Specs: 10o/o old 5o/o ne 45K 227,559 glmo
Pipe Material: Fiberglass Reinforced Plastic
Pipe Modifications: None
Pipe Flex Connectors: Booted Steel Flex
Pipe Type: Pressurized LLD Model: Red Jacket /
Spill/Overfill/Sm deliv: 5 gal. Spill Buck Automatic shuto No
Sump Cont: No Disp Cont: No
PST Fund: Yes OtherType:
TanUPipe Rel Det: ATG LTT ALD
E-Gen: No
No
TTT: 2/16/1995 LTT; 3t22t2011 LLD: 312212011 CP Tank: 711612010
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Sta*z
William Moore'RE: Sunmart 859 Drop Tube Problem
Page I of I
From:
To:
Date:
Subject:
Attachments:
"Chris Smith"
"William Moore"
81812007 7:ll AM
RE: Sunmart 859 Drop Tube Problem
I seem to do better getting emails from Ron than getting invoices from FDR. Will this suffice?
-----Original Message-----
From: William Moore [mailto:billmoore @utah.gov]
Sent: Wednesday, June 27,2007 7:32 AM
To: Chris Smith
Subject: Re: Sunmart 859 Drop Tube Problem
Chris;
That will be fine, I just need confirmation once completed to close out the compliance
action.
Thanks, Bill.
>>> "Chris Smith" <[e-mail]> 612612007 5:01 PM >>>
Bill-
My name is Chris Smith. I am the new PWI environmental manager. I am a
former employee of FDR Services and handled PWI for that particular company.
I'm writing in regards to your letter dated May 15, 2007. You gave a one
month deadline for PWI to repair the regular unleaded drop tube. FDR
services is repairing the drop tube and a couple of spill buckets. They had
to order the spill bucket parts which will arrive either July 2 or 3. They
opted to make both repairs at the same time. As we are so close to those
dates I'm not going to require them to make two trips for these repairs as
they assured me that the work will be done the week the parts arrive. I will
forward you a copy of their invoice showing that the work is complete.
Respectfully,
Chris Smith
file://C:\Documents and Settings\Bmoore\Local Settings\TempU(Pgrpwise\46B96cB4EeD... glgl2OOT
Page I of I
William Moore - RE: Sunmart 859 Drop Tube Problem
loo(l '7 (C
From: "Chris Smith"
To: "William Moore"
Date: 81812007 7:11 AM
Subject: RE: Sunmart 859 Drop Tube Problem
Attachments:
I seem to do better getting emails from Ron than getting invoices from FDR. Will this suffice?
-----Original Message-----
From: William Moore [mailto:billmoore @ utah. gov]
Sent: Wednesday, June 27 ,2007 7:32 AM
To: Chris Smith
Subject: Re: Sunmart 859 Drop Tube Problem
Chris;
That will be fine, I just need confirmation once completed to close out the compliance
action.
Thanks, Bill.
>>> "Chris Smith" <[e-mail]> 612612007 5:01 PM >>>
Bill-
My name is Chris Smith. I am the new PWI environmental manager. I am a
former employee of FDR Services and handled PWI for that particular company.
I'm writing in regards to your letter dated May 15, 2007. You gave a one
month deadline for PWI to repair the regular unleaded drop tube. FDR
Services is repairing the drop tube and a couple of spill buckets. They had
to order the spill bucket parts which will arrive either July 2 or 3. They
opted to make both repairs at the same time. As we are so close to those
dates I'm not going to require them to make two trips for these repairs as
they assured me that the work will be done the week the parts arrive. I will
forward you a copy of their invoice showing that the work is complete.
Respectfully,
Chris Smith
file://C:\Documents and Settings\Bmoore\Local Settings\TempU(Pgrpwise\46B96cB4EQD... 81812007
^
a
Ghris Smith
From: ron [[e-mail]]Sent: Monday, July 02, 2007 9:42 N,llTo: Chris SmithCc: [e-mail]: Re: 859 - Spill Bucket Repair
Ron writes:
Store 859,
New hand pumps have been installed in these spill buckets.I will pick up a drop tube and get in this week.
JON M. huNTSMAN, JR.
Governor
GARY HERBERT
Lieutenant Governor
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DTVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
Date: May 15,2007
From: William Moore, Environmental Scientist
To: Dawn Plagens,l*gal Department
Petroleum Wholesale
PO BOX 4456
Houston, Texas 77210-4456
Re: Non-compliance of underground storage tanks at Sunmart #859, 1588 North State
Street, Orem, Utah. Facility Identification No. 1000710
Dear Ms. Plagens:
The Utah Underground Storage Tank Act (ACT) provides that the Executive Secretary
(UST) may revoke a Certificate of Compliance, if it is determined, that a facility is not in
substantial compliance with all state and federal UST statutes, rules, and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response
and Remediation (DERR) performed a compliance review for the underground storage tanks
(USTs) at the above facility. The inspection on October 3, 2006, and a compliance review
performed on May 15, 2007 , indicate you have not satisfied the requirements of the Act and are
out of compliance. To achieve compliance, you must do the following:
1. The submitted documentation shows that the Unleaded Drop Tube has dropped to touch the
tank bottom, shorting out the cathodic protection at the fill tube riser. Document you have
had this drop tube replaced so it only comes within 6 inches of the tank bottom, and does
not touch the bottom.
The above information must be submitted to this office by June 15, 2007. If it is not received
by the date specified, we will commence the revocation process of your Certificate of
Compliance. Continued non-compliance will result in the fees on your Certified USTs to be
increased from $100 per tank to $300 per tank and failure to pay the additional fee can
result in lapsing of your UST Certificate of Compliance. In addition, if you fail to submit the
required documentation as requested, you will be charged $70.00 per hour for time and
travel as allowed by statute, for every follow up inspection necessary to document
compliance. If you have questions concerning this matter or need any assistance, please contact
William Moore at [phone].
168 North 1950 West . PO Box 14484O . Salt l-ake Cily, UT 841 l4-484O. phone [phone] . fax [phone]
T.D.D. (801 ) 536-4414. www.deq.utah. gov
aStVl2A27 13:48 2AL444L278 PI4I PAGE OLI88
TELECOPY TRANSMITTAL
[phone]
NUMBER OF PAGES (INCLUDING TRANSI\{ITTAL SHEET)
IF YOU HAVE ANY PROBLEMS RECEIVING THIS TRANSh{ITTAL" PLEASE CALL
[phone].
TIME SENT: AM / PM (CIRCLE ONE)
SPECIAL INSTRUCTTONS:
-Original
w-ill not :follow
_Original will follow via:
_Regular or Certified Mail
_Ovemiglrt Delivery
_I{and Delivery
-Other
:'
RECEIVED
MAY I 4 Zast
. n r,,onr.o,r, r3rinS. E Renediarion
The information oontained in this facsimile message is privileged and confidential and is intended only for the
use of the addressee. The term "privileged and confidential" includes, without limitation, attorney-client
privilegedcommunications,attomeyworkproduct,tradesecrots,andanyotherproprietaryinformation. Nothing
in this facsimile is intended by the attorney or the client to constitute a waiver of the confidentiality of this
message. If the reader of this mossage is not the intended recipient, or employee/agent ofthe intended recipient,
you are hereby notified that any duplication, or distribution ofthis commurication is unauthorized. If you have
received this message in error, please notify us by telephone immediately so that we can arrange for the retrrn
of the original documents to us at no cost#ct?hru.oo""*\vHoLEs^r.EL.p.
ALL R1GHTS RESERVED
PETRG'LEUryI WHOLESALE L.P.
P.O, Box 4456 o Houston, Tgxas 77210
3648 FM 1960 West. Suite 200 I Houston, Texae 77068
Telephone: [phone]A5 o FAX: (281!- 444'427e
85/14/2827 13:48 28L444L278 PI,JI PAGE 62128
May 14,2007
WA FACSIMILE
Mr. William Moore. Environmental Scientist
State of Utah Department of Environmental Quality
168 North l950 West
P. O. Box 144840
Salt Lake City, Utah 841144840
Rc: Non-Compliance of Underground Storage Tanks (LISTs) at
Sunmart #859, 1588 North State Street, Orem, Utalt
Facility Identification No. 1 00007 I 0
Mr. Moore,
Petroleum Wholesale I,.P. (PWI) is in receipt of your letter darcd Ivlarch 12,2007,
concerning the USTs located at the above-listed fosility. Our responses to eaoh issue has
been addressed below.
l. Submit documentation veri&ing that the spill buckets have heer: cleaned on all
I.ISTs. P\ilI has contracted with FDR Services to perform this type of
mrintonance. Spill buckets were clenned in October,2006.
2. Submit vedfuing the Boot covering the flex conncctor on the west middle
dispenser has been repaired or replaced, as it has a orack at the dirt line- In
October 2006,the flex connector was checked and not cracked. FDR will
recheck thc flex connector this month for nny cracks.
3. Submit documentation to show that you have had a qualified cathodic protection
tester test your cathodic protcction system within the last tlu'cc years The last tcst
on file was perfom:ed on October 14.2002. Attnched hereto, please find a copy
of the Galvanic (Saerificial Anode) Cethodic Protcctiou System Evaluation-
Please fbel f:ree to oall me at your oonvenience if I can answer any funher questions
concerning this or zury othcr matter.
Sincercly,
ffiut
Stuart W. L,app
Gen,eral Counscl
PETROLEU]UI U'HOLESALE L.P.
F.O, Box 4456 . Houston, TexesTT21O
9648 FM 198OWeel, Sulte20O . HouDlon,Texa€77068
Telsphona; l29'll44-2266 . FAXI (281) 444-1s09
g5/14/2O8] 13:48 2814441.278 Ph,I PAGE 83/88
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sl!t4/2a87 13:48
State of Utah
Department of
Environmental QualitY
Dinnnc R. Niclson, Ph'D'
Exccutivc DireclaY
DIVISION OTJ ENVIRONMENTAL
RESPONSE AND REMEDL4TION
Brud T.lohnson
Oircclor
24L444L27e
jON M. }IUNTSMAN' JR.
GovenEr
GARY HIIRBERT
!_leurciLn! GotrCrnDr
Pt,I PAGE 87IZE
To: Allen Bar,ron
Petroleum Wholesale
3648 FM 1960 West, Ste 200
Po BOX 4456
Htruston, Texas 77210'4456
Re: Non-complinnce of underground storage talks st sunmart #859, 1588 North state
Streut, Orem, UAh. Facility Identi:tication No' 1000710
Dear Mr. Barron:
The Utah Uncler.ground Storage Tank Act (ACT) provides thlt tJre Executive Secretary
(UST) may rcvoke a c-ertificato of Compliance, lf it i.- deterrnined, that a facility is not in
substantial-compliance widr all state and federal UST statutes, rules' and regulations'
At the request of the Executivc Secretary (UST), the Division of Environmental Response
and Remediation (DERR) perforrned , .o*pilroce ieview for ttre undorground storago tanks
(USTs) at the ,r:orr" i."itity. The inspection on October 3, 2006, and a compliance review
performcd on October 12,2b06, indicate you have not satisfied the requirements of the Act and
ur. or, of compliance. To achieVe compliance, you must dO the following:
t. Subrnit documentation veriffirrg the spill buckets have been cleanecl on all usTs'
Z. Submit documentatiol verifyirlg the Boot covering tho flex connector on thc west middle
dispenser has been repaireA dr replaced, as it has a, orack at the dirt linc'
you have had a qualified cathodic protection tester test
within the last tirreu years. The last test otr file was
Date; March.12'2007
From; W i lliam Moore, Environnrental S c i enti st
2
3. Submit documentation to slrow that
your oathodic Protection sYstcm
performed October 14, 2002 -
The above information must be submitted to tlris office is not
received by the date specifled,
Affi il#. -t
" "iri, Jo
"
o n -"o@n th e
.fe
es :" v'u'-. 9 "1**,"i y: T^ :"^ ::
lncressed from $100 per tank to sSOo per tauk and failure to pay the additionel fee can
l68Nori}l950Wcsr.pOBoxl44840.SElr.LakcCily,UT84ll4-4840.phonc(flol)536-4100'fu:<[phone]
'f.D.D. (80,) 516-4414 ' www,deq.uloh,Eov
2511.4/2AA7 L3:48 28L444L279
^c
PtrlI PAGE 6A188
Page2
, -.! rJ^-.rriarm fall to submit the
r$ult in tapsing of your usT certificate of compliance' In additlor' lf you
required aocumentlnon ", ,.qo.r*Ilyio yiU'Ut tt"tgJ szO'OO put ltour for time arrd
travel as allowed by stetute, for ,rity fo1g* up tfrspection necestary to document
compriarrce. If you have queglions "once#ng
this matier or iruua arry assistanee, please contact
Wllliam Moore at [phone]'
IMPORTANT MESSAGE
FOR 511 ,,*=glLffi'.
M
OF
PHONE
tr FAX
SIGNED
l-t'/u4 *2(1
D MOBILE
AREA CODE NUMBEB TIME TO CALL
TELEP.FIIINED PLEASE CALL
CANf,ETB SEE YOU WLL..EALLEffiNN
WAI\ITSTT] SEE YOU HUSH
BEIURNEO YOTJB CALL SPECIAL ATTENTIBN
MESSAGE -.71o
t( I tL lzrt6 6
OtticeI,EPCEI
oD #a4aa46
JON M. HITNTSMAN, JR. (
Governor
CARY HERBERT
Lieutenant Governor
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
To: Allen Barron
Petroleum Wholesale
3648 FM 1960 West, Ste 200
PO BOX 4456
Houston, Texas 77 210-4456
Re: Non-compliance of underground
Street, Orem, Utah. Facility Identification
Dear Mr. Barron:
Date: October 12,2006
From: William Moore, Environmental Scientist
storage tanks at Sunmart #859, 1588 North State
No. 1000710
The Utah Underground Storage Tank Act (ACT) provides that the Executive Secretary
(UST) may revoke a Certificate of Compliance, if it is determined, that a facility is not in
substantial compliance with all state and federal UST statutes, rules, and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response
and Remediation (DERR) performed a compliance review for the underground storage tanks
(USTs) at the above facility. The inspection on October 3, 2006, and a compliance review
performed on October 12,2006, indicate you have not satisfied the requirements of the Act and
are out of compliance. To achieve compliance, you must do the following:
l. Submit documentation verifying the spill buckets have been cleaned on all USTs.
2. Submit documentation verifying the Boot covering the flex connector on the west middle
dispenser has been repaired or replaced, as it has a crack at the dirt line.
3. Submit documentation to show that you have had a qualified cathodic protection tester test
your cathodic protection system within the last three years. The last test on file was
performed October 14, 2002.
The above information must be submitted to this office by November 12. 2006. If it is not
received by the date specified, we will commence the revocation process of your Certificate of
Compliance. Continued non-compliance will result in the fees on your Certified USTs to be
increased from $100 per tank to $300 per tank and failure to pay the additional fee can
168 North 1950 West . PO Box 144840 . Salt L,ake City, UT 841 l4-4840 . phone (801 ) 536-4100 . fax (801 ) 359-8853
T.D.D. (801) 5364414. www.deq.utah. gov
^
n
Page2
result in lapsing of your UST Cerfficate of Compliance. In addition, if you fail to submit the
required documentation as requested, you witl be charged $70.00 per hour for time and
travel as allowed by statute, for everT follow up inspection necessar5r to document
compliance. If you have questions concerning this matter or need any assistance, please contact
William Moore at (801) 5364106.
Uta. . UST Program
Release Detection lnspection Checklist
Facilitv p lAPl /o
Pase I ot e
Ownership of Tanks Locatlon of Tanks E/oenn use onrv
ownerName ?e+ ro ler-.. ^^ p \ole S.z\ e Location Name J er.nr"- *-.af 57 -Te+4<-r2
Address 3 6'l tr tr r^ I 7bo 1,0 e-s'Address Eff, P. S+*V S h""4
citv l-Ious*o^. state 7X zi"'??oh?citv Ofg A state ur zi*|t/o-f ?
contact fi"l Kc. G"l< lJr- sYi pnon{kin3-2j?,
"ont".t Keer). 5 € 4.r-a A S enone ale ? -.t ? f5
Complete lor each tank l, the taclllty haa more than lour tanka, complgte the lniormatlon lor addlllonal tanks on a E€oaretc form.
Number of tanks at the facilitu:Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date /r5
Capacity of Tank (in qallons)l;ZK l2 r(
lndicate if tank is siphoned or compartmented. Show related tanks.
Substance Stored Lt tt t^rt I P?ex
Tank is in use.4;$ No .TE3\ NO Ge. No Yes No
lf not in use. oive date last used and deoth of oroduct in tank.
Current vear tank taos are in olace.GNo dA No ,{A\ No Yes No
Material of construction of tanks S*ee\
Material of construction of oioino FK O
Pioino tvoe PreS))
Tvoe of Soill Prevention device 5 6ol-
Spill containment bucket is intact. clean. and free of oroduct. water. debris.Yes zd Yes ,4o)Yes fNo Yes No
Tvoe of Overfill Prevention device /s
--Overfill alarm (audible or visible) is properly located so delivery driver can hear or see it. and is clearlv identified.Yes ruf,ruri>-
Containment sumps are sealed, free from water, product, etc.Yes No X6
The results of the last two cathodic protection tests are available (within six months of installation and every three years thereafter)vesm) NUn
Cathodic Protection Testino. Date of last test: rf {l liV-l/Tester UTU
lmpressed Current System is checked for proper operition at least every
60 days and the results ofthe last three checks are available.Yes t" d' )Dates of last three checks:
tr?
x
lndicate below the corrosion protection methods in place for all UST system components. ldentify each dispenser by pump numbe(s). Show readings
for the most recent cathodic protection test,
5aal-l
Fill
G,
- 0*l i* p u^0 u'e sl ,'.i)flle L"a* A) -t ltl^e.l
r K-ia.^ Al\e-l _jon inq/att this facitiw on /o^3 -2a4
sionature: /*nL / U/
Name of owneri operator reoresentative: Le-eI ) ga n . , U
stsnature: JqzQ/futua
Distribution: White- DERR, Yellow- lnsptrtor, Pink- Facitity/Owner Ldcheck1205.doc
" Utt \UST Program to lO@7lo
Automatic Tank Gauqinq lnterstitial Monitorin of
TANK LEAK DETEC
Tank method used: t I ATG Shutdown T ATG Continuous Testinq I I lnterstitial
Manufacturer. name and model of {a
Circle Yes or No for each and identifo by tank any exceptions to the answers oiven in the
Records on site document that the system is properly installed, calibrated,
operated, and maintained (system and tank setup reports, maintenance
records). Written documentation of calibration, maintenance, and repair is
for at least one vear after work is
ATG console or other equipment used to take readings and perform tests is
Documentation of valid testing or monitoring is available for the last 12
months. Show results in table below.
probe is located at the ayJ No lf not in center, showlrlt Tilt: f1- #2 #3- #4
factors from the setup report. " !{ . 50 , 2{
The tank was filled to at least the minimum level required to ensure a valid
leak test, and the tank size is within the allowed upper and lower size limits.Third Party Minimum t"u.l, S o I o
System is capable ofdetecting a release of regulated substances from any
of the primarv tank/pipinq within one month of release
Show results of monitoring for each tank for the last 12 months lndicate Pass, Fail, lnvalid, or No for each month. For ATG tests, show the
PIPING LEAK DETECTION
tr Piping qualifies as Safe Suction. Documentation is available and veriflable to show that piping operates at less than atmospheric pressure, has
only one check valve (under pump), and has proper slope of piping. lf all these criteria are met, no leak detection is required on the piping.
Piping method(s) used. Pressurized piping must have an Automatic Line Leak Detector and one otherone other form of leak detection.
Tank 1 lank 2 Tank 3 Tank 4
@ E o 9.'o @e o MEO
fu pxtu 5 FTIU lct Fxtv
)ass ta55 't aSS
s1 3.2.1 s1 3.2.1 sL3.2.1 sL3.2.1
KonaticLine Lea k Detector.Type (Mechanical, Electronic, Other):
Manufacturer and model of each leak detector:
Date of last leak detector performance t""t 5 / I /OG Results:
lndicatetypeoftest: SimulatedLeak,3gph,.2gph,.lgph(3,.2,.1-eleckonicLLDonly)
Tester name: Slev< L?rni cert. Number ur 65 7 Test Method:
Line tightness testing.
fsame as above Tester name:
Date of last line tightness ,"rr, 5f I I & Resutts:
Cert Number UT Test Method
! Monthly monitoring. lndicate the
method used:
fl .2 GPH Monthly Testing
tr SIR
lor the last 12 months. lndicate
lnterstitial Monitoring. Type of lM Documentation:
GW Monitoring E Vapor Monitoring
or No Results ror each month.
tr
tr
COMMENTS
Distribution: White- OERR, Yellow-lnspector, Pink- Facility/Owner Ldatgim1205.doc
Uta, JST Program
iRdlease Detection I nspection CheCktiai
Address s92 lD €ao fi .,4 54r to I
O rrtur,l stare ur zio g4U
contact D<'.q S.X"L\er-contact K(e.l sblurrp*S pnonlu qZ"-12
lndicate if tank is siphoned or compartmented. Show related tanks.
Tank is in use.
lf not in use, give date last used and depth of product in tank.
Material of construction of tanks
Type of Spill Prevention device. Note on form if tank is filled
of less than 25 qallons. lf so. no spill orevention is
containment bucket is clean. drv. and free of oroduct. water. debris.
'ype of Overfill Prevention device. Note on form if tank is filled by
transfers of less than 25 oallons. lf so. no overfill orevention islf so. no overfill
lf an overfill alarm is the primary overfill device: Alarm is
can be seen and heard, and alarm is clearly marked.
Protection method used on tanks
Corrosion Protection method used on
Corrosion Protection method used on flex
Enclosed containment sumps are present at tanks and
are sealed. free from water,
rseults of tho moet recent bgt for
The results of the last two cathodic protection tests are available (within six
months of installation and every three
Tank Tester On /
Flex Connectors/ Swing Joints
Tester UT Date
For lmpressed Current Systems: The results of the last
checks are available (required every 60
-7*i
tr
tr
tr
frnergency generator tanks only; leak detection deferred.
USTs temporarily closed and empty; leak detection not required.
USTs temporarily closed, locked and secured.
COMMENTS
DERR, Yellow- lnspector, Pink- Facility/Owner LdcheckoSo4 doc
Automatic Tank
Uta. IST Program
lnterstitial Monitori
TANK LEAK DETECTION
used for tanks: I I Automatic Tank Shutdown ID(LContinuous lnterstitial
Tvoe of Secondarv Containment used:Tvoe of lM documentation used:
Manufacturer, name and model of svstem: U A\Lf -3 5O Documentation of performance claims (thi4€arty certification) for
the svstem is available. Yell No
Circle Yes or No lor each question. ln the last column, exolain and identilv by tank any exceotions to the answers qiven in the li6t column.
6N ,,Records on site document that the system is properly installed, calibrated,
and maintained (system and tank setup reports, maintenance records).{9 No
rTb ,,Device documentation is available on site (owner's manual. etc.)["yl ruo
ffd nr
ATG console or other equipment used to take readings and perform tests is
adequate, accessible, and oDerational.@No
(fr ru
Documentation of valid testing or monitoring is available for the last 12
months. Show results in table below.@i No s'h/r^a- dds<, Ptttr s/5
tu [") ruo Tilt: #1tZC o9o #3._ #4,2s
The probe is located at the
center of the tank.
lf not in center, show tilt
factors from the setup report.
rd The tank was filled to at least the minimum level required to ensure a valid
leak test, and the tank size is within the allowed upper and lower size limits.6"9 *"Minimum Level: Y ?"
IM System is capable of detecting a release of regulated substances lrom any
portion of the primary tanUpipinq within one month of release Yes No
IM lf observation wells are part of the system, wells are clearly marked and
secured to avoid unauthorized access and tamDerino.Yes No nla
IM
(Bladder or
excavation
liner)
Secondary barrier is properly placed and constructed, designed for
groundwater considerations, has an acceptable permeation rate, is
compatible with the substance stored, is non-corrodible, is always above
groundwater, and is not in the 25-yr llood plain (per site assessment).
Yes No nla
Showresultsofmonitoringforeachtanktorthelast12mo$ths'lndicatePass,Fail,lnvalid,orNoFlesultsforeach@
PIPING LEAK DETECTION
lv[elfod(s) Used (Automatic line leak deteetgr and one other method are required for Pressurized Piping):
[ fi*Automatic Line Leak Detector If ] t-ine Tightness Testing [ ] lnterstitial Monitoring t[ ] Statistical lnventory Reconciliation [' ]Vapor Monitoring [ ] Groundwater Monitoring I
I .2 GPH Monthly Testing
lOther
Safe Suction Piping: Documentation is available and verifiable to show that piping operates at less than atmospheric pressure, has only one cfreck
valve (under pump), and has proper slope of pipinq. yes No
last line tiqhtness test are available: N ) N Results
TestDate \L/l 4lC4 Testernameandcert. number:
Automatic Line Leak Detdctors: lndicate type, manufacturer, and model lor
each leak detector M- Mechanical E- Electronic S- Sump Sensor
Results of last leak detector pedormance test are available:/Y, N Results
Tester name and cert. number:
Show results of monitoring for pipinq for the last 12 months. lndicate Pass, Fail, lnvalid, or No Resuhs lor each month.
Distribution: White- DEBR, Yellow-lnspector, Pink- Facility/Owner ldalgim0703.doc
04/05/05 11:35 FAX [phone] DEQ DERR @ oor
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TRANSMISSION OK
TXIRX NO
CONNECTION
SUBADDRESS
CONNECTION
ST. TIME
USAGE T
PGS. SENT
RESI,ILT
ID
0303
L80L2253240
04/05 11:34
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State of Utah
JON M. HUNTST'/A}I, JR.
Gqrtenpr
GARY I{ERBERT
Lievtetunt Go*trur
Departrnent of
Environmental Quality
Diame R. Niclson. Ph,D,
fuealtve Director
DIVISION OF ENVIRONMENTAL
RESPONSE A}'JD REMEDIATION
Brad T Johnson
Dircctar
Date:
To:
Agency/Firm:
FAX Number:
From:
Pages to Follow:
Comments:
FAX CO\TER SHEET
q Iyl o{
Y ' €'L''[1.::'
Vu llre Pele,o"^- O, (
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cr,illi<^-, f/lloa"< .._
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State of Utah
Department of
Environmental Quality
Diannc R. Nielson, Ph.D.
Exeanlive Direclor
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Direclor
Date:
To:
Agency/Firm:
FAX Number:
From:
Pages to Follow:
Comments:
,1 [>l 0{
^JON M. HI.JNTSMAN, JR.
Gapmor
GARYHERBERT
Lieutenanl Governor
FAX COVER SHEET
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fu ike 0ete,","^- O, (
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168 Norrh t950 west . pO Box trl4840 . Salt Lake City, UT 84 t t44840 . phone (801) i36-4 t 00 . fax (Bot ) 359-8853
T.D.D. (801) 5364414. w.tvw.deq.utah.gov
lltah!
Whcre idcas con,recl^
,i\
FACILITY ID#lOOO71O
FACILITY
QUIKI MART, LLC ( OLD
1588N STATE
OREM UT 84057
Gallons
Gallons
Gallons
Gallons
PETROLEUM STORAGE TANK FUND
F acility Throughput Declaration
Fiscal Year 2006 (July 1, 2005 - June 30, 2006)
OWNER
QUIKI MART CONVENENCE STORES LLC
1588 N STATE ST
OREM UT 84057-
Please indicate.any changes or corrections to the owner/facility information in the sDace above
Underground storage tank owners and operators must submit their facility throughput information for calendar
year 2004, in order to receive the proper PST Fund assessment rate. If the throughput information is not received
by April l5' 2005, you will automatically be assessed at the higher rate. Documentation verifying the claims
made on this form must be made available or submitted for audit, when requested by DERR.
Please return the completed form to:
Division of Environmental Response and Remediation
Underground Storage Tank Section
P.O. Box 144840
Salt Lake City. Utah 84t14-4840
If you know your 2004 calendar year throughput simply enter it on line 5 below.
Otherwise use the five step formula to calculate it.
1. BEGINNINGINVENTORY
(TOTAL AMOUNT rN ALL REGULATED TANKS ON l/1/2004)
2. PURCHASES DIJRING TIIE YEAR
3. PETROLEI]M AVAILABLE FOR USE
(ADDLTNES I AND 2)
4. LESS: ENDINGINVENTORY
(TOTAL rN ALLREGULATED TANKS ON t2t3Lt2}04)
. TOTAL ANNUAL FACILITY THROUGI{PUT
(LINE 3 MINUS LINE 4 - ALLREGULATED TANKS)Gallons
I cenify und3,r penalty of law that the above representations made by me are true and correct. I understand thatbyfalslfyingthisdocument,Icouldbefrneailo,oooperdayofviolation.
* SEND NO PAYMENT AT THIS TIME *
An invoice willfollow approximately May 1Sth.
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Utah County Online Records
^
Mwqruew
REAL PROPERW OWNER INFORMATION
Serial: 17:010:0135
Owner. CENTFIAL BNAK
Care of Name: PAR FOUR ENTERPRISES LLC
Mailing Address: 1013 S OREM BLVD OREM UT 84058-6979
Property Address:
Page I of I
Years Valid: 2005.....
Tax District: 090
Acres: 1.20
Property code: 100
Taxing description {not for fegal documents)
COM S 198.33 FT & E 2200.439 FT FR W 1/4 COR., SEC. 3, ToS, R2E, SLB&M.; N 18 DEG 14'26"W 192.379 FT; ALONG A
CURVE TO R (CHORD BEARS: N 63 DEG 27'4"E 16.378 FT...
5 Year Tax History
Year Market Value Assessed Value Taxes Adjustments Payments Balance
2005 467,736 467,7?6 0 $0.00 $0.00 $0.00
2004 467,736 467,7316 5491 .22 $0.00 $5,491.22 $0.00
2003 467,736 467/36 5328.45 $0.00 $5,328.45 $0.00
z9oz 467,736 467,73t6 4869.60 $0.00 $4,869.60 $0.00
2001 401,145 401.145 4136.21 $0.00 $4,136.21 $0.00
More lax history
117:o1o:0135;2006
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ABSTRACT ENTRY SEARCH BY PROPERTY SERIAL #
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17;O1 0;01 35
17:0.10:0135
17:01010135
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17:010:0135
17;010$ 135
17:010:0135
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Enfl] vear roi Grantor Grantee
113025 2OO2 R NOT OREM CITY WHOM OF INTEREST
1s7s41 2002 AS cN SPEEDY TURTLE PETROLEUM CENTRAL BANKtNc
1l;7s4z 2002 D TR SPEEDY TURTLE PETROLEUM 0ENTRAL BANKrNc
1]272 2OO3 QCD CORDNER, GLORIA JENKINS CORDNER, THOMAS ROBERT
85527 2003 wD ooRDNER, T ROBERT AKA SPCEEDY TURTLE PETROLEUM
85528 2003 WD CRESTV|EW STATTTON #1600 SPEEDY TURTLE PETROLEUM
NORTH INC
85531 2003 DTR SPEEDYTURTLE PETROLEUM FTRST TNTERSTATEINC FINANCIAL LLC
Bss32 2oo3 :3B* cENTBAL BANK FiAilffiRS'rArE
95134 2OO3 REL SUNTRUST BANK CRESTVIEW STATION #1600
NORTH
ee7a0 2oo3 ecD SPEEDYTURTLE PETROLEUM BRANDow HANSEN LLCINC
$zasz 2003 AS I SPEEDY TURTLE PETROLEUM B&H eurKr MART LLCINC
'r32053 2003 BILL sL SPEEDY TURTLE PETROLEUM BRANDow HANSEN LLCtNc
132054 2003 BILL sL SPEEDY TURTLE PETHOLEUM B&H eurKr MART LLcINC
185282 20ffi iHE ll_Btt
rNrERsrArE FrNANcrAt
SLLbYSSE'
w JEFFERY
185283 2003 ND F|LLMORE, W JEFFERY rEE SPCEEDY TURTLE PETROLEUM
1e0448 2003 A ND FtLLMORE, W JEFFERY rEE SPCEEDY TURTLE PETROLEUM
.!99039 2OO3 QCD BHANDOW HANSEN LLC BRANDOW DEVELOPMENT
199040 2OO3 RESOL BRANDOW HANSEN LLC WHOM OF INTEREST
3373e 2OO4 AS FTRST TNTERSTATE F|NANC|AL CerurnAL BANKLLC
35011 2004 iHE CENTRAL BANK ROB|NSON, MARK F SUCTEE
Page 1 of2
The ${fjcial rrjeb SttE oF
u[atr ihunty 6$vernn."!qnt
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DOCUMENT DETAIL
SerialNumber:
lnstrument Date:
Kind ol lnst:
Rec Party:
Mail Party:
MailAddress:
Tax Address:
Grantor(s):
Grantee(s):
Abstr Comments:
Satisfaction:
Tie Entry Numbers:
Tie Serial Numbers:
Entry #: 042276-2004
0411412004 Recorded: 041141200404:24
TEED-DEEDTRUSTEES
ROBINSON, SEILER & GLAZIER
DL
202 S MAIN ST SPRINGVILLE UT 84663
no_plNsoN sElL^ER & c^LAZtEB l_C
SPEEDY TIJRTLE PETROI-EUM INC
OENT.HAL BANK
x 085531 2003
Book, Page: 0000, 0000-0002
Consideration: $1,920,000.00
Fees: $14.00
Page 1 of I
other Serial Numbers: lt Z:Ot O:Ot a5;2005 H
Document Release : Type X Entry no 85531 Year 2003 Consideration $0.00
Document Abbreviated Legal Description : Type S Section 3 Township 6 S Range 2 E
Documenl lmage Viewe-f
Online documents may exist back to 1964
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Vy
EEr6F."%GOttllrYl{ {rl{ ar fE
rm msrflsffi s
TRUSTEE'S nEED
BY TI{IS TRUSTEES DEED, made this l4thdayof April, 2004, Mark F. Robi*son, Esqr
of ROEIN$ON" S&lLEfi. & GtAfrIEIL 1,C, 80 North 1il0 East. P.O. Box I?66. Provo, Ulah,84(
1266, (hrreinafter "Grantoro), as Successor-l"rusloc undrr the Trust Deed hereinafler d;scribrd. lrer
grants a*d conueys to CENTRAL BANK of 202 South Main Street, Springvillr, Utah, 84
{hereinafter"Gffinlte"l WITHCIUTanycovenanl orwarranty! Bxpruss sr intplicd, allofthe rral prop
situalsd in Utah County, $tstcofUt*h, demribrd as fsllCIIya: Reported to bc Parecl l7-010{ l}5 lor.
at approximately I600 North State Stre€t, $refii, Utah; and morc particularly descnbsd as:
SEE LECAL DESCRITI"ION ATTACHED AS EXHItsIT "A.'
firsntor rnakes ihis transfer and conveyam:e pursuirnt to ths pxrw6r$ sonfen'ed by that cer
Trust Dced dated Junc 5, 2003 tnd rccorded on June 6,2003 in the officc of thc Utah Counly Recor
as Entry No. 85531:2003, wtrerain SPEEEY'IURTLE PmRcLf,UM, INC-, as Trustor, convelt
LANDh{ARK TITI-E COMPAi{Y, rs TrusteE lhe sforsdescribed propsrtyfrx t}rr benefit CIf f ll
INTERSTATT I-INANCIAI-, L.L.C., as Beflsftciary. The rfore-described propeny was so conv(
pursuant to the said Trust Deed to secure, among other obligations, the payment ofa certain Promis
Note between Tnr,stor and Beneficiary in the arnount of$1,920$00"00 and iuterest thcrcon, *rt dcscr
in said Trusl Deed" and other sunrs of rnonsy advauced and i&tersst thereon. All of thc bensf
interest, and all rights undcr the aforcrncntioned Tnrst Deed werc assigncd to Ccntral Bank on M;
25,2004, whichassignfiientwa$recordedon March 26,20t}4asEnlryNumberf3739;2004 in theOt
pf the Utah Counry R*coder. Ths unde.rsigned wa* substitutcd as Trustee by a Substitution ofTru
executed by the Benrficiary on March 29, ?0011 and rrcorded on March 30, 2004 *s Entry Nun
3501l:2004 in the Office of the Utah County Recordrr. This grant and conveyance is madc aRer
fulfillmsnr af the c$nditions ryecitied in said Trust lhed and authsrieing thc xrnre as follows:
L Breaah ffid dsfault under lhe terms ofths "fnrst Dced is set forth in partiuular in the I
Amended Noticetf Default hercinafterreferred to, whichdefaultcontinuedtothe timeofssleunder
Tnrst Deed.
2 , hlotiee ollhe tlffil*ration of said drfault rvas duly gir.m to thr Crfliltor by tlre Eene{ic
and denaand for sale pursuflnt to the lerms of said Trust Decd was made, and, thereafter, thtrc u'as :
for recprd on Drcsrnbcr 3" 2003 in the ofEce of the Utah County Rccordcr, a first Amendcd Notir
Default, as prcscribed by appllcablc stalute, a* Entry No, 190448:?003 and requirxl copies were
to {he ?rustor rnd to other persons having requested the ssme ln accordxnae with the provision
applierblc stetute within len (10) days of such liling for rword.
3. Three (3) rnonths elapsed after the filing ol said First Arncndcd Nntice *f Defaul
whir:h tintr thr Sub$tituted -frustce execuled n NnticeqlfTrustee's Salestating th*t. by virt** ofauthr
Recorded Documents:: Print QrfQ
WHEN RECORDID RETURN TO:
Mark F. Robinsan, #2781
ROTIFISON, SfiILAR & ffI"AtrIER, LC
80 North lON) Esrt
P,O. kx 1166
Prwp, Ut*h t460&l?66
Page I of 3
'tl
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Recorded Documents:: Print Qt.l.g Page 2 of 3
Off {€t76rEOr
granted puruu&nt to said I'rust Deed, Iiubstituted'l'rustes wouhl sell at public auction to the higl
bidder, in lawful moneyof the United States pay*hle as directed at the tirne of sale, the afo:edescri
propEny. Said Hotice of?ruatee's $ale firc.d the time and place of *nle ae I I :00 o'clock a.m., on Mr
3 l, 2004, on ihe fmnt steps of ttre Fourth District Court Building, 97 Easl Center" Orem, Utah. On
time nnd at ihat placr, t*rc $ucccsaorTnrs{sc announcsd publically s continufrtion of the sale to A
14, 2094 st the same time und place. Copies of the Notice of 'l'rustee's Sale wsre cauacd to bc por
for nst less than twsnry (?0) days beforr fte dote of said sale in $IrnE oonspicuous place on the r
proptrty and at the O{Iice of the County Recorder fbr the sourrty in whish lhe propety or sorne poa
thereof is siruated. Subsriruted Tnrstee also caused a copy of saicl Notict of Trustee\ $ak tc
published snce a weeh for thrcs E(utseeutive werks (lhe last xueh publication heing at least l0 but
morc thafi 30 days before the date of tle sale) in The Daily l{erald. a ncvspapcr having a gcn
circulation in thc county in which the said prCIperty is situatcd. the first dste of such prblication k
Marsh 6,2004 and the last dste of s,uch publicatiorl being Mrch 20, ?004"
4" AII applic*blc smn$CIry provisions of thc $tate of Utah and all of the provisions of r
Trust Deed have been cwnplied with as to acls to be perfurmed and notices to bs glW[, all as provi
by ll"C-A. $$ 57"1-19 through 57-I-36.
5. 'l'heOrantor, at the lirneand place ofsalc fixed in sccqrdarcr with thr foreg+ing No
of Trustee's $ale, as mntinued, on April 14,2004 at I l:00 o'clock a.rn., th€n and there sold, at pu
auctiori"toGranlee, wlrc wasthe highest bidtlertherefor, rhepropertyhereinbeforedescribed forthe:
of S1,997,600"00 in full arxonlanue with lhs laws of tk State of Utah and with thc lenns of thc r
Trust }*ed
DATEI) this l4th &y of A,pril, 2004"
STATT OF UTAH
COI,JNTY OF UTAH
)
: $s.
)
On the I itrth day of April, 2004, personally appeared before me MAKJ( F. ROBINSON, Esqu
the signer of tlre foregoing instrumont, who duly acknowladged to me that he exacuted the same.
iffiA-=ffit!$s
ffwi$'fffi,
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Recorded Documents:: Print \Page 3 of 3
,' 0lT {8€76:EOO.
g1xhi,"bltr r
FcEfnafrg tt a poi'flt nn sfrt gaersrl,y llna of, SLaue SILEEeE, Ortol. lltah,
i,trich polJrt ir sourh 198-330 f,sat rnd El3t 3z0o,lJ9 fEcE (ba!4rl otr Els
Utnh SEatt coord1nate Syatenr, CTBEIII Zm; 6nrl daEa Psblillcd bf Ehe UEsh
Oouaty turrngfor as of OecerDer f {, .19?6, betlrE trtrty no. F168lr-Tl Te
t?Oe, mge fZft f:mn th; tteaU gr,rertef, &ruts of Sctiou f ;. Tftdh.tP 6
SorrE!, n rge ? Bst, SaLt tste Siaa ild tiEidtas; thEfal l]g(,Eh 18t1{'t6'
!{crt *luogr-gaXd srrret linr Lt2.37t fccc Ep il firn?s crmcavi Soufhca*c+rly
hErrr&g'a-radiur of, Ie .5OO fece; Etrinc* l$fiharsrerly 16-966-:tact rrcuad
clre'FstrFiFhcrir of gatd ctrrrre {cIot,dl, cqnals [ortlr 63te.7j0'r]l EaJt'E-"18-3?8.--
feecl'ea Ete Ssrrch llrra of 16O0 lrlrth Sb,rlrt; r,hefice fcr*i llg"{3'i+r Etit
"alw rrid aExeet line 29{-306 fclC,- thee Soutb 0O!?9'5O' 8.r,t.I3O.OO
trct; ?isfitrr SotNtll t?n2?'4!6 t{st !30.561 tesE tq Chl }oLur sf'blgt"sBtng'
I
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http://www.co.utah.ut.us/bmiweb/print.asp?Count=3&Query=1&Page=1&PageSize=12&2... 415l2OO5
Utah County Online Records
^
DOCUMENT DETAIL
SerialNumber:
lnstrument Date:
Kind of lnst:
Rec Party:
Mail Party:
MailAddress:
Tax Address:
Grantor(s):
Grantee(s):
Abstr Comments:
Satisfaction:
Tie Entry Numbers:
Tie Serial Numbers:
Entry #: 042276-2004
0411412004 Recorded: 041141200404:24
TEED-DEEDTRUSTEES
ROBINSON, SEILER & GLAZIER
DL
2O2S MAIN ST SPRINGVILLE UT 84663
ROBINS-O-N S-EILEN & GLAZIEB LC
qPEE-DY TURT,LE PETR9LEU.M lNC
Q*_ENr_RAI_ B-ANK
x 085531 2003
Book, Page: 0000, 0000-0002
Consideration: $1,920,000.00
Fees: $14.00
Page I of 1
other Serial Numbers: lt Z:Ot O:Ot S5;2005 $
Document Release : Type X Entry no 85531 Year 2003 Consideration $0.00
Document Abbreviated Legal Description : Type S Section 3 Township 6 S Range 2 E
Document lmage Viewer
Online documents may exist back to 1964
Main Menu
Comments or Concerns on Value/Appraisal Ass_essot's _Qff-ice
Doc u me nts/Owne r/P arcel i nf o Recotde. rl S _Q_ff ice
Add re_ss C h ang,elpr Iax,Nsl e
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f Utt ., UST Program
Release Detection lnsoectior
-al
Checklist
Facilitv lD l,60 b+la
PaEel of L
Ownership of Tanks Location of Tanks Elstate use
owner Name vJorre-- Zro.r.Lo-u Location Name nl, , - la; f.A.-"2*- uLl-
Address Bo^\ e . aoo s.Address t {Q-o xr. Shr{a-
citv 0 l"*q*r1 (-n,R - state Lf zio b4aLz-Citv 6,v ^-^ State UT Zio *4o5*
Contact kt >^rrt<: Phone 8Dt?<tdr<1'.€ontact t\ot\." Tcnso.r- enonelbtZZAt13*
Cornplete for eaoh tank. lt the racility has more than four tanks, complete the information fsf ddltlonal bnks on a separate form.
Number of tanks at the facilitv: ts Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date zla{
Caoacitv of Tank (in oallons)2-l<
lndicate if tank is siphoned or compartmented. Show related tanks
Substance Stored Qen i-o-
-
?r-o-*.. G,a,:
Tank is in use.z?A) No ceB uo €;\ No Yes No
lf not in use, qive date |ast used and depth of oroduct in tank.
Anstirer lhe tollowinq lor all tanks.
Current vear tank taos are in olace.Yes 1r'16')^/:-Yes t/No \Yes (No -Yes No
Material of construction of tanks <r:Pa (tz-l ->Material of construction of oioino FAP +
Pioino tvoe {Jrc^o F
Type of Spill Prevention device. Note on form if tank is lilled by transfers
'of less than 25 gallons. lf so, no spill prevention is required.5"r*!."2t*a
-
Spill containment bucket is clean, dry, and free ol product, water, debris.<fd ruo z{es ) No <ne) No Yes No
Type of Overfill Prevention device. Note on form if tank is filled by
transfers of less than 25 qallons. lf so. no overfill orevention is reouired.A\IVK 7
lf an overfill alarm is the primary overfill device: Alarm is located@fpi(
can be seen and heard, and alarm is clearly marked. - N/A )Yes No Yes No Yes No Yes No
Corroeion Prolection. Answer the lollowing for all tanks.
Corrosion Protection method used on tanks sAr +
Conosion Protection method used on oioino NP\+
Corrosion Protection method used on flex connectors, swino ioints. etc,Attanks: B{{{<At disoensers: 3 -.r'ti-.
Enclosed containment sumps at tanks and disoensers Attanks: Yes ail Atdisoensers: Yes (1[6-)
Containment sumps are sealed, lree from water, product, etc.Yes No 6frTE
lndicate dates of upqrades- lininq. tank or oioino cathodic Drotection
._-
gqlhodic Protec'tion Testing. Show the results of the most recent tesl for each tar{( line. or flex connector/Cwino lolnt
The results of the last two cathodic protection tests are available (within six
months of installation and everv three vears thereafter).@*o
Tank Tester <{€{'{- L*^-^ Date tt>/Wlar -- I ^2_volts - o.q8 volts -a.i ? 'ort"volts
Pipinq Tester J Date volts volts volts voltS
Flex Connectors/ Swing Joints At tank
Tester Date At dispenser
volts volis volts volts
volts volts volts volts
For lmpressed Current Systems: The results of the last three equipment
operation checks are available (required everv 60 davs).Yes No
tr Emergency generator tanks only; leak detection deferred.
tr USTs temporarily closed and empty; leak detection not required
tr USTs temporarily closed, locked and secured.
?rb i
Site Drawing (North
EcD N.
CIY1ioI
14
iJrrH
Ia
I
rLr-l
4
D';1
i9 rf €[@'
I L,,^^ =rHn \"*^ inspecteddbisfacititvon lZ.ltr/a
Distribution: White- DEHR, Yellow- lnspector, pink- Facility/Owner Ldcheck0703.doc
@os
-, .'UST Program
Automatic Tank lnterstitial Monitorin
TANK LEAK
Shutdown
of lM documentation used:
name and modet of svstem: { ft 3* cSvD Documentation of performance claims (thid.party certification) lor
the svstem is available. lYes ) No
Circle Yes or No for each ouestion. ln the last column. exolain and to lhe answers oiven in the first column.
Records on site document that the system is properly installed, calibrated,
and maintained (svslem and tank setuo reoorts. maintenance records
Device documentation is available on site (owner's manual, etc
ATG console or other equipment used to take readings and perform tests is
Documentation of valid testing or monitoring is available for the last 12
The probe is located at the
center of the tank.
lf not in center, show tilt Till]. t1 z' f2 -
The tank was filled to at least the minimum level required to ensure a valid
leak test. and the tank size is within the allowed
is capable of detecting a release of regulated substances from any
ioino within one month ol release
lf observation wells are part of the system, wells are clearly marked and
secured to avoid unauthorized access and tamperi
f a1*"/5 {(,-
Secondary banier is properly placed and constructed, designed lor
groundwater considerations, has an acceptable permeation rate, is
compatible with the substance stored, is non-corrodible, is
, and is not in the 25-yr flood plain (per site
or No Results for each month. For ATG teots,Show results:of.sronitoring for each tank tor the la$t
PIPING LEAK DETECTION
Method(s) Used (Automatic line leak detectoj and one other method are required for Pressurized Piping):
lK Automatic Line Leak Detector D<l Line Tightness Testing [ ] lnterstitial Monitoring t
[' ] Statistical lnventory Reconciliation { lVapor Monitoring [ ] Groundwater Monitoring I
I .2 GPH Monthly Testing
I Other
Safe Suction Piping: Documentation is available and that piping operates at less than atmospheric pressure, has only one check
Yes Novalve (under oumo). and has orooer slooe of oioino.
Line Tightnoss Testing, Line LBak Detector T
Results of last line tiohtness test are available: ,'Y ) N Results
Test Date ( ) /l1to4 Tester name and cert. number:c
: lndicate type, manufacturer, and model lor
each leak detector M- Mechanical E- Electronic S- Sump Sensor
Results of last leak detector perlormance test are available/Y ) N Results
Test date: ,2 I lnla4 Tester name and cert. number:UPaflfest Method:
Show results of monitoring for piping for the tast 12 month$. lndicate Pass, Farl, lnvalid, or No Results lor each month.
Mo/Yr
#
#
#
#
Distribution: White- DEHR. Yellow-lnspector, Pink- Facility/Owner ldaigim0703.doc
1
\^
OLENES. WALKER
Govemor
GAYLE F. McKEACHNIE
Ueutenant Govemor
FAX COVER SHEET
lattzto
\..\+g,e''.''.r'\-!!zr,r'
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DTVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
Date:
To:
Agency/Firm:
FAX Number:
From:
Pages to Follow:
Comments:(rup)
L
r68Norrhre50wesr.poBox t4484o.salrr.akecity,Ur84il4-4840.phone(80r)53(,-4t(x).fax(80t)35e-8853 lltfrh!
T.D.D. (801 ) 5364414. www.deq.utah.gttv Wlrcra idcas connact'
PFECISION TESTITG B€!1S7EE Sr2S Ot /22/O4 @7t34pim ".
@?,
^
State.of Utah
DeYartment of
Enviroamcnnl QualitY
Dirrrr R. NilXor. Ph.D.
F,wttuiw Dirccrttt
ON tStON OF DI{vBONMEI\rrt.
8GS}ONSE AND N!!'BD'AT'CIN
Brd Tlolll|ror
ll*n'trtrr
ERRU-M244
It!
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Agcnt
Kyle K
Spccdy
4692 N
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FEB I . t30rr
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-rrvir0nmental Resl0nse & riemedrati'.tti
I
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Tteodrrrc I,.
.Spcody Turtle , Inc.
4692 North
Pmvo. Utah
Coianer. Re gistered Agcnt
$tation #16OO Nonh, Inc.
Ft;I;dfi,"I"'s*',
Orem. UCah 84058 fl^*3ifr' 00 Y
7X12,
Re$stored Agent O,.su,rr^ ,(),fr)n,
U*,-*- B r*J**-
ffiRrt4ED lYlrtIL
RETI,IBIIJRECEIPT REOUESTEQ
'+TT
: [,1** l'4*-"'1
oulNE,s.w^** f F+v 5?d'qql{Gcrc,ttr. N tqi. [{N
cAYLts F. McXEACIINIE
Lizuot,,ltGovtmor
(r**7?6 fi54
January 13,20Ot
'la*1!
3fi).-{vest. Snitc 100
$w+nn
G t-'tq'luilr{-ltoo 1tffi1 'ffrfu"tr'sa{
9, '18 o 5.gtubiL
Re: Notict of lntent to Rc'oke Certificnte of Cnmpliancc
Specrty Turrle *7, locatcd at I588 North State (a.k.a. 1600 North State), Orem. lltah
fauitity ldontification No. 1000710
[)ear Gcntlomcn:
. The lJrah Undcrgnrund Storage Tank Act (Act). lltah Crxlc Ann. $ I9-64t4, ptovide.s that
thc Exreutiyc SecretaryltJSl) rnay rcvoke o (lertificatr; of Compliance if it is detrxminod that the
rcquircmenrs sper;itiedin ijtah Cotlc Ann. li$ L9..6.412Q),413 are not cuflEnt- [Jtah Code Ann. $
lg:6-412(2xci rcquircs substantiat comptiance with ',tll stnte and federal stahrtes, nrlcs. and
regul*ions including tltah Admin. Codc Rlll-20r-1. which incotpor$te$ by rcfcrcnce 40 CI:R $
280.
A.r the rcqucsi of the Exccutivc Secretary (UST). rhc Division of Envirunrnsrttal Rcslnrnrc
and Remedirtion (DSRR) perlnrmed an inspection of yotrr facilily and u compliance revicw for
the Cortificate of Cornptiance issucd trr a frcility owrrctlor operated by Spccdy l\Ale Pcnoleurn.
Inc., Specdy Tunlc #7, and (lrcstview .Station #1600 North, [nc.. hercirr referrcd to as (you). 'l'he
.SJrcedy Turtle #? is tocated at l.{88 Nbrth Statc (a.k.a. 1600 r\ort} Statc), Orem, Utah. 'the
16rr.rno tgxlW$r . poBor lr.t 0. SrhLrkeCiry.tr"Ml'l4B4u.pboocrlllr)5:16rlo0.ftr(E0l)lte-t8tr llhh!
T.t).1). (80f l 536 at ld . x4urr./ct r.rrrt.frr whq idcB rrdnc.tA
ill#a.ta mt7?lfa zCCC eB/ I6q S. r.rodlliruE
PRECISION TESTIIG ECr157Effi25 @l/2?./@4 @7'.3'4ptn P. Gtrt3
Test Fail" and,l'Gnrss Tcst Fail" Alarms. .<iutrmit
Facility ID# 1000710
Page #2
&sigrratcd Facility Identificadon Numhn is 100ff/10. 1'his facility contnios three 12,000 Gallon
Undmground Storage Tanks (USll).
Thc complirnce rcvicw inrlicarcs thet you havc uot satrsfied the requircrncnts of the
Certiftcate of Colnpliancc. lf tflre, you arc violating the eligbility requircnrcnts fo1 thc Petroleum
Storage Tanf PSi) Fund anrt yoru Certjficalc of Conrplianoc may be revoked' To achievc
compliance, you must do all of the following:
t. Ihe inspcction docurmnted you arc using a Vocder Root 'I'L$450 Automrtlc
frnk Gru#ng (ATCi) Syrtern with CLtiD tcst Modc qnd old uy$tcm f,rrttrvrre to
.0 monitor the tank porti<m of the t,til's. Old rystcm so0rvrrc and CSLD gives pu
-tly a minimum atlowOle Est lcvcl of l0% full. HotYever, the following prohlerns
^
vlv
, t llC-'- have been rjrrumented in yrnrrusc of this systcm:
u I
O
upgrrrre thc systcm sofrwarc to rhs curcit version;
Or;
F.nsure you kccp the inventory attached to all leak tc.sls and hnnd screcn
each tcst for vatid test lcvels. To documcnt compliancc, subtnit ctr,pics of
thc'lhnk Setup Data if yorr chOose to upgmde the softwarc or thc ncxt lhrec
months lcqk't'eets if you do not uPgfadc th$ softwarc
ru,rc tn1'fina,alculated, documcnlccl, anrl if Sreater than izero, coter the
informadHtfo thc proP,mmmrng ol'lhc lbnk Sctup Data' Submit copies
of the cnlculations and Tank Sctup Datil.
Change tlre ,.L{ak Alarm Limlpronr 99 galltms tQ 5 gallons. Submit
copies of thc Ti 6t-a-to clocu rmot comp I i ance.
c.
C:hangc thc print timc of the inventory ancl C$t-O Tests to the samc time. If
you db not upgradc thc sYsrcm softwatB, submit r.opics of thc Tenk Sctup
Data to
f.Enable the
copies of thc
s.
h.
s utrmit copius " 6;at rq!l@r-&p9;l')
-----'----t-'-'
\
Submit copies of all the(la1m Hist3rf O"OoYlg.grtswe the pnssword is
providal on sitc firr the ne\$.img,-qtion
ad., .! $tcbtllJd *t)77/t71 zges gEL t@ S. F100l.lUll€l
PFI€CISION TESTING eol57€is2s AL/ZZ/@4 @7;34om P. @4
Pacilily ID# l0m7t0
Page #3
r*l A your [,ine and l,eak Dctcctor Tasts wefie due to bo pcrformed on or bcfore
t$'nQ" October 14, 200.3. Submit copics of thE tcst resutts once the tests hav$ bccn
U0..Y comPletcd'
$l'
You havc 60 days following rho reccipt of this letter to demonstratc compliancc with the
requirements of the Act or your Certificate of Complianca will tlc revokcd and you will ttc
incligiblc to rcceive de.livcrics of fucl and receive payrrcnt for claims against tlrc PST Ftnd.
lf you fail to rcsolvc rhe cormplirnce problems tlescribcd within 60 tlnys of rcccipt of this
letter. ao Orrler Revgking the Certificate of Conrpliance will.be issrcr}r1: you.
plerue contacr Witliam Moorr et [phone] to di.sctss this uouce at your earlic.lt
convcnience. In addition, if you believe thrt this notice has been sent to you in enor or that you
'uo in compliancc with thc eligibi.lity requircrncnts. please submit a written rcsponse setting forttr
thc appticuble frcts to the [)ER.R. Please rcferencc thc facilily number in your corospondcttcc.
Sinccrstv. f\
\,-l;, &
S,llLj,llllT;'?tr--llJ$T'f i?"tiiB*u
BTJATTEM/hsp
cc: .lgseph K. Miner, M.D,, M.S.P.H', Dircctor, Uta[ Oounty Hcalth Dcpartmcnt
l[.^,,r^ A**r".n
6-1,'')-ll!6
9,*-*"t - a'.pt"*' ''*{d t^r.\r)
s+r-g--ww*
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State of Utah
^OLb, .i. WALKER
Govemor
GAYLE F. McKEACHNIE
Ueulenanl Governor
FAX COVER SHEET
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Etecutive Director
DryISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
Date:
To:
Agency/Firm:
FAX Number:
From:
Pages to Follow:
Comments:
2-t3- c)L'
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168 North 1950 West . PO Box 1M840 . Salt take City, UT 841144840. phone [phone]. fax [phone]
T.D.D. (801) 5364414. www.deq.utah.gov
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Wrre ideas connect"
Speedy Turtle Pekoleum/Red Sands Environmental Status
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I o o o Ll 5 3 - Z gO1 -224-TUl
I oool o t-3 80,t_754_5577zo@3{l- 4435-758-2641
looo231 -6 801-22&1043
t o oo-7 lo -7 801-229-1137
fi OOoo O6 -8 801-224-1960
loutls-l -ro 801-802-8866ZOooodl-l5 43ffi2&2280
{ oooz-r S -22 801-489'4834
n 0@260 23 801-7il-3241
3 e6o?e' - 25 801-298-1313
iz@loq - 26 801-39&2333
6oooBn - 27 43$58&1666
n oooo5,l 28 435-722-3U3
Addrcss
1730 N. State
1565 E. 800 N.
385 E. Main St
275W.400 N.
1136 N State St
'1588 N. State St
1594 S. State
835 W. Univ Pkwy
2087 S. Main
1042 N. Hwy49
390 E. Main
560W 500 S
41O4 Riverdale Rd.
1168W 200N
201 S 200 E
Red Sands Storo List
I Phone Addrsss Ctty
1 oool G I { 801-377-88i8 1316 s Univ. Ave provo
I o Oot A( 2 801-224-8550 815 W. 1200 S Orem
lO@?fr 3 801-785-7716 690W. State PleasantGrove
q66?+l '1801-756-1169 105 E. Main AmerForko@79q 5 801-375-5399 1601W. Center provo
zooelt,.l 6 801-399.0325 1207 Washington Ogden
StatusProvo Open-Working on issues ftom letter dated 1/g/04
Stats
Orem Open-Working on issues from letter dated 1/16/ilSantaquin Open-Working on issues from letter dated 12126t03Scipio Open-No outstanding issues that I am aware ofOrem Closed
Orem o*t4o New owners-Wanen Brandow 801-229-'1137Orem p4>lto New owners-John Peterson 801-42G0S26Orem r-N:ew owners-Dan Speny 435.4y642g1l?otbr,ryC-drrt r
Nephi 4{oNew owners-John peterson 801420-0526 -
Mapleton Closed
Santaquin t ltew Owners-shannon Hanis 801-7 il-g211-4vrO f446
Bountiful Closed-New Owners (Unknown) Re\O.Ogden Closed-Neur Owners (Unknouvn) tr
CedarCity Closed-Neur Orvners (Unknounr) ,l
Roosevelt Closed-New Owners (Unknory11 It
New Owners-TriValley Distributing 435€54-075 1
New Oryvners-TriValley Distributing 43ffi 54-0751
Neur Owners-TriValley Disbibuting 43565+0751
New Owners-TriValley Disfibuting 43ffi 54-0751
Neur Owners-TriValley Distributing 43ffi 54-0751
New Owners-TriValley Disffibuting 43ffi54-0751
RECEIVED
JA,tl 2? &t
DEQ
Environm ental ne-sp-oi3e & R em edi ation
By:
i PRECISION TESTING
a
a@157ESS2S @2?L2/@4 @1:@9pm P. @@t
lohn Labrunt
hecision Testing Tech, fnc"
11149 Sandy Gttlch Road
S*dy, W 84094
80149s-2606
E01-s76-992s (fG)
Fax Cover Sheet
Fax Number: 351 88r3
Date:t- t*- o'l
FE I ?p1
To:Brue tnnr4
Company:, 3.n of /r. DBE _.
From: ;lznil
Nurnber of p4ges (including this cover sheet): €. /zEZa\
If you do not neceive all pages of this fax, or have questions on this
fax, please call [phone].
Thankyou
#
PRECISION TESTING
^\
€l€,15769925
Precision
Line Tighfitess
And
I,eak Detector
Test Results
Prepared for:
Quiki Mart
1588 North State Strest
Olefit, Utatl
Facitry ID #1000710
heparcd on
Jannary 23d,2M
q'Z/t2?@4 @1 :BSpm P. @@2
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By
Precision Testing Tech-, lnc..
I I 149 Satrdy Clulch Road
SandY, tlT 84094
PRECISION TESTING
Precision Testing Tech-, Inc.
I I149 Sondy Galc'h Road
Sttr\:. IIf fin091
tlLr-495-2606
8ot-576-9925.fac
a@1576SS25 @2/L2/@4 @L:@9pm P. @@=
Certifrcation
Date: 0Ll23lM
Facility tr): 1000710
Quiki Mart
I588 North State Street
Orc,m" LIT
Test Date: 01/23104
TEstNumbcn 012304-lRJ
C)perator: Ron Johnson
tJtah Certificate No.: UT0006
Prrcssuriupd Product Liucs
The above location has been tcsted using the ACURITE ?|M Pipolinc'['cster (model O0-16102). This
pipeline leak detection system meets all requirements sct forth byNFPA 329-87 and USEPA 40 CFR
Part 280 amd has received third prty certifi$ation.
Pl€ase see tba euslosed Third Party C€rtification for details.
UL Reg North
UL Reg Souh
U[- Premium
RedJrcket
Red Jacket
Red Jackct
55 psi
55 psi
55 psi
.0055
.0074
.0046
Prus
Pass
Pass
Line Leak Detectors
The mechanical tirrc leak dctectors at tho above location wcre tested in accordance with USEPA 40
CFR 280.44(a).
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OLENES. WALKER
Govetnor
GAYLEF. McKEACHNIE
Lieuterwnt Govemor
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DTVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
ERRU-002-04
January 13,2004
CERTIFIED MAILRETURNRECEM
Theodore L. Hansen, Registered Agent
Speedy Turtle Petroleum, Inc.
4692 North 300 West, Suite 100
Provo, Utah 84604-7712
Kyle Kennedy, Registered Agent
Speedy Turtle #7
4692 North 300 West, Suite 100
Provo, Utah 94604-7712
T. Robert Cordner, Registered Agent
Crestview Station #1600 North, Inc.
1594 South State Street
Orem, Utah 84058
Re: Notice of rntent to Revoke certificate of compliance
Speedy Turtle #T,located at 1588 North State (a.k.a. 1600 North State), Orem, UtahFacility Identification No. 10007 l0
Dear Gentlemen:
The utah underground Storage Tank Act (Act), utah code Ann. g lg-6-4l4,provides thatthe Executive Secretary (UST) may revoke a Certificate of Compliance ii it is determined that therequirements specified in Utah Code Ann. $$ 19-6-412(2),413 are not current. Utah code Ann. gl9-6-412(2)(c) requires substantial compliance with all state and federal statutes, rules, andregulations including Utah Admin. Code R3ll-202-1, which incorporates by reference 40 CFR $280.
At the request of the Executive Secretary (UST), the Division of Environmental Responseand Remediation (DERR) performed an inspection of your facility and a compliance review forthe Certificate of compliance issued to a facllity o*r"i or operated by Speedy Turtle petroleum,
Inc., Speedy Turtle #7, and Crestview Station +1oOo North, Inc., herein."t"r."a to as (you). TheSpeedy Turtle #7 is located at 1588 North State (a.k.a. 1600 North State), orem, Utah. The
163North l950west ' PoBox 144840 . saltlakecity,uTS4ll44S40.phone[phone].fax[phone]
T.D.D. [phone]. www.deq.utah.gov
lllnh!
Where ideas conflect*
Facility ID# 1000710
Page#2
designated Facility Identification Number is 1000710. This facility contains three 12,000 Gallon
Underground Storage Tanks (USTs).
The compliance review indicates that you have not satisfied the requirements of the
Certificate of Compliance. If true, you are violating the eligibility requirements for the petroleum
Storage Tank (PST) Fund and your Certificate of Compliance may be revoked. To achieve
compliance, you must do all of the following:
l. The inspection documented you are using a Veeder Root TLS-350 Automatic
Tank Gauging (ATG) System with CLSD Test Mode and old system software to
monitor the tank portion of the USTs. Old system software and CSLD gives you
a minimum allowable test level of l07o full. However, the following problems
have been documented in your use of this system:
a. Upgrade the system software to the current version;
Or;
Ensure you keep the inventory attached to all leak tests and hand screen
each test for valid test levels. To document compliance, submit copies of
the Tank Setup Data if you choose to upgrade the software or the neit three
months Leak Tests if you do not upgrade the software.
Have the "Tilt" calculated, documented, and if greater than zero, enter the
information into the programming of the Tank Setup Data. submit copies
of the calculations and Tank Setup Data.
change the "Irak Alarm Limit" from 99 gallons to 5 gallons. Submit
copies of the Tank Setup Data to document compliance.
change the print time of the inventory and CSLD Tests to the same time. If
you do not upgrade the system software, submit copies of the Tank Setup
Data to document compliance.
Enable the "Periodic Test Fail" and "Gross Test Fail" Alarms. Submit
copies of the Tank Setup Data to document compliance.
Submit copies of the Tank Irak Test History Reports.
submit copies of all the Alarm History Reports and ensure the password is
provided on site for the next inspection.
b.
c.
d.
e.
(}b.
h.
Facility ID# 1000710
Page #3
Z. Your Line and [,eak Detector Tests were due to be performed on or before
October 14, 2003. Submit copies of the test results once the tests have been
completed.
You have 60 days following the receipt of this letter to demonstrate compliance with the
requirements of the Act or your Certificate of Compliance will be revoked and you will be
ineligible to receive deliveries of fuel and receive payment for claims against the PST Fund.
If you fail to resolve the compliance problems described within 60 days of receipt of this
letter, an Order Revoking the Certificate of Compliance will be issued to you.
Please contact William Moore at (801)- 536-4106 to discuss this notice at your earliest
convenience. In addition, if you believe that this notice has been sent to you in effor or that you
are in compliance with the eligibility requirements, please submit a written response setting forth
the applicable facts to the DERR. Please reference the facility number in your correspondence.
Brad T Johnson, Executive Secretary (UST)
Utah Solid andHazardous Waste Control Board
BTJ/WEM/hsp
cc: Joseph K. Miner, M.D., M.S.P.H., Director, Utah County Health Department
at
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OLENES. WALKER
Goveraor
GAYLE F. McKEACHNIE
Lieutenant Governor
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DIV IS ION OF EI.I/IRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
ERRU-002-04
January 13,2004
CERTIFIED MAIL
RETURN RECEIPT REOIJESTED
Theodore L. Hansen, Registered Agent
Speedy Turtle Petroleum, Inc.
4692 North 300 West, Suite 100
Provo, Utah 84604-7712
Kyle Kennedy, Registered Agent
Speedy Turtle #7
4692 North 300 West, Suite 100
Provo, Utah 84604-7712
T. Robert Cordner, Registered Agent
Crestview Station #l 600 North, Inc.
1594 South State Street
Orem, Utah 84058
Re: Notice of Intent to Revoke Certificate of Compliance
Speedy Turtle #T,located at 1588 North State (a.k.a. 1600 North State), Orem, Utah
Facility Identification No. 10007 10
Dear Gentlemen:
The Utah Underground Storage Tank Act (Act), Utah Code Ann. g 19-6-414, provides that
the Executive Secretary (UST) may revoke a Certificate of Compliance if it is determined that the
requirements specified in Utah Code Ann. $$ 19-6-412(2>,413 are not current. Utah Code Ann. g
l9-6-412(2)(c) requires substantial compliance with all state and federal statutes, rules, and
regulations including Utah Admin. Code R3l1-202-1, which incorporates by reference 40 CFR $
280.
At the request of the Executive Secretary (UST), the Division of Environmental Response
and Remediation (DERR) performed an inspection of your facility and a compliance review for
the Certificate of Compliance issued to a facility owned or operated by Speedy Turtle Petroleum,
Inc., Speedy Turtle #J, and Crestview Station #1600 North, Inc., herein referred to as (you). The
Speedy Turtle #7 is located at 1588 North State (a.k.a. 1600 North State), Orem, Utah. The
168 North 1950 west . Po Box 144840 . Salt lake City, uT 841 14-4840 . phone [phone]. fax [phone]
T.D.D. (801) 536-M14. www.deq.utah. gov
lltnh!
Where ideas connect'"
Facility ID# 1000710
Page#2
designated Facility Identification Number is 1000710. This facility contains three 12,000 Gallon
Underground Storage Tanks (USTs).
The compliance review indicates that you have not satisfied the requirements of the
Certificate of Compliance. If true, you are violating the eligibility requirements for the Petroleum
Storage Tank (PST) Fund and your Certificate of Compliance may be revoked. To achieve
compliance, you must do all of the following:
l. The inspection documented you are using a Veeder Root TLS-350 Automatic
Tank Gauging (ATG) System with CLSD Test Mode and old system software to
monitor the tank portion of the USTs. OId system software and CSLD gives you
a minimum allowable test level of 107o full. However, the following problems
have been documented in your use of this system:
a. Upgrade the system software to the current version;
Or;
b. Ensure you keep the inventory attached to all leak tests and hand screen
each test for valid test levels. To document compliance, submit copies of
the Tank Setup Data if you choose to upgrade the software or the next three
months lrak Tests if you do not upgrade the software
c. Have the "Tilt" calculated, documented, and if greater than zero, enter the
information into the programming of the Tank Setup Data. Submit copies
of the calculations and Tank Setup Data.
d. Change the "Leak Alarm Limit" from 99 gallons to 5 gallons. Submit
copies of the Tank Setup Data to document compliance
e. Change the print time of the inventory and CSLD Tests to the same time. If
you do not upgrade the system software, submit copies of the Tank Setup
Data to document compliance.
f. Enable the "Periodic Test Fail" and "Gross Test Fail" Alarms. Submit
copies of the Tank Setup Data to document compliance.
g. Submit copies of the Tank Leak Test History Reports'
h. Submit copies of all the Alarm History Reports and ensure the password is
provided on site for the next inspection.
Facility ID# 1000710
Page#3
2. Your Line and Leak Detector Tests were due to be performed on or before
October 14, 2003. Submit copies of the test results once the tests have been
ompleted.
You have 60 days following the receipt of this letter to demonstrate compliance with the
requirements of the Act or your Certificate of Compliance will be revoked and you will be
ineliglble to receive deliveries of fuel and receive payment for claims against the PST Fund.
If you fail to resolve the compliance problems described within 60 days of receipt of this
letter, an Order Revokingthe Certificate of Compliance will Sg lssrredlo you.
Please contact WiIIiam Moore at [phone] to discuss this notice at your earliest
convenience. In addition, if you believe that this notice has been sent to you in error or that you
are in compliance with the eligibility requirements, please submit a written response setting forth
the applicable facts to the DERR. Please reference the facility number in your correspondence.$te
Brad T Johnson, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
BTJ/IVEIWhsp
cc: Joseph K. Miner, M.D., M.S.P.H., Director, Utah county Health Department
"\
OLENc, S. WALKER
Governor
GAYLE F. McKEACHNIE
Lieutenant Goveraor
\
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DIVISION OF ETWIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
FIL E COPY
January 13,2004
ERRU-002-04
CERTIFIED MAIL
RETI.]RN RECEIPT REOI.IESTED
Theodore L. Hansen, Registered Agent
Speedy Turtle Petroleum, Inc.
4692 North 300 West, Suite 100
Provo, Utah 84604-7712
Kyle Kennedy, Registered Agent
Speedy Turtle #7
4692 North 300 West, Suite 100
Provo, Utah 84604-7712
T. Robert Cordner, Registered Agent
Crestview Station #1600 North, Inc.
1594 South State Street
Orem, Utah 84058
Re: Notice of Intent to Revoke Certificate of Compliance
Speedy Turtle #7, located at 1588 North State (a.k.a. 1600 North State), Orem, Utah
Facility Identification No. 10007 10
Dear Gentlemen:
The Utah Underground Storage Tank Act (Act), Utah Code Ann. $ 19-6-414, provides that
the Executive Secretary (UST) may revoke a Certificate of Compliance if it is determined that the
requirements specified in Utah Code Ann. $S 19-6-412(2),413 are not current. Utah Code Ann. $
l9-6-412(2)(c) requires substantial compliance with all state and federal statutes, rules, and
regularions including Utah Admin. Code R3ll-202-1, which incorporates by reference 40 CFR $
280.
At the request of the Executive Secretary (UST), the Division of Environmental Response
and Remediation (DERR) performed an inspection of your facility and a compliance review for
the Certificate of Compliance issued to a facility owned or operated by Speedy Turtle Petroleum,
Inc., Speedy Turtle #7, and Crestview Station #1600 North, Inc., herein referred to as (you). The
Speedy Turtle #7 is located at 1588 North State (a.k.a. 1600 North State), Orem, Utah. The
I 68 North I 950 West . PO Box 14484O . Salt l,ake City, UT 841 144840 . phone [phone] ' fax [phone]
T.D.D. (801) 5364414' www.deq.utah.Sov
lltnh!
rNhere ideas connect'"
Facility ID# 1000710
Page #2
designated Facility Identification Number is 1000710. This facility contains three 12,000 Gallon
Underground Storage Tanks (USTs).
The compliance review indicates that you have not satisfied the requirements of the
Certificate of Compliance. If true, you are violating the eligibility requirements for the Petroleum
Storage Tank (PST) Fund and your Certificate of Compliance may be revoked. To achieve
compliance, you must do all of the following:
L The inspection documented you are using a Veeder Root TLS-350 Automatic
Tank Gauging (ATG) System with CLSD Test Mode and old system software to
monitor the tank portion of the USTs. OId system software and CSLD gives you
a minimum allowable test level of lOVo fi,tll. However, the following problems
have been documented in your use of this system:
a. Upgrade the system software to the current version;
Or;
Ensure you keep the inventory attached to all Ieak tests and hand screen
each test for valid test levels. To document compliance, submit copies of
the Tank Setup Data if you choose to upgrade the software or the next three
months Irak Tests if you do not upgrade the software
Have the "Tilt" calculated, documented, and if greater than zero, enter the
information into the programming of the Tank Setup Data. Submit copies
of the calculations and Tank Setup Data.
change the "Leak Alarm Limit" from 99 gallons to 5 gailons. Submit
copies of the Tank Setup Data to document compliance.
change the print time of the inventory and CSLD Tests to the same time. If
you do not upgrade the system software, submit copies of the Tank setup
Data to document compliance.
Enable the "Periodic Test Fail" and "Gross Test Fail" Alarms. submit
copies of the Tank Setup Data to document compliance.
Submit copies of the Tank I-eak Test History Reports.
Submit copies of all the Alarm History Reports and ensure the password is
provided on site for the next inspection.
b.
c.
d.
ob'
h.
\D 1,i-
Facility ID# 1000710" Page#3
n
2. Your Line and kak Detector Tests were due to be performed on or before
October 14, 2003. Submit copies of the test results once the tests have been
ompleted.
You have 60 days following the receipt of this letter to demonstrate compliance with the
requirements of the Act or your Certificate of Compliance will be revoked and you will be
ineligible to receive deliveries of fuel and receive payment for claims against the PST Fund.
If you tail to resolve the compliance problems described within 60 days of receipt of this
letter, an Order Revoking the Certificate of Compliance will be issued to you.
Please contact William Moore at [phone] to discuss this notice at your earliest
convenience. In addition, if you believe that this notice has been sent to you in effor or that you
are in compliance with the eligibility requirements, please submit a written response setting forth
the applicable facts to the DERR. Please reference the facility number in your correspondence.
Sincerelv. A,\1&
Brad T Johnson, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
"r@r,
cc: Joseph K. Miner, M.D., M.S.P.H., Director, Utah County Health Department
lllnl;
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West
P.O. Box lzt48zl0
Salt Lake city, utah 84114-4840
[phone]
[phone] Fax
[phone] T.D.D.
www.deq.utah.gov
Michael O. Leavitt
Governor
Dianne R. Nielson, Ph.D.
Executive Director
Brad T Johnson
Director
Date: Ausust 19.2003
From: William MooreTo: Kyle Kennedy
Speedy Turtle Petroleum Inc.
4692 North 300 West, Ste 100
Provo, Utah 84604-1009
Re: Non-compliance of underground storage tanks at Speedy Turtle #7, 1588 North State, Orem,
Utah. Facility Identification No. 1000710.
The Utah Underground Storage Tank Act (ACT) provides that the Executive Secretary (UST) may
revoke a Certificate of Compliance, if it is determined, that a facility is not in substantial compliance
with all state and federal UST statutes, rules, and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) performed a compliance review for the underground storage tanks (USTs) at
the above facility. The inspection on August 14, 2003, and a compliance review performed on
August 19, 2003, indicates you have not satisfied the requirements of the Act and are out of
compliance. To achieve compliance, you must do the following:
l. The inspection documented you are using a Veeder Root TLS-350 Automatic Tank
Gauging (ATG) System using CLSD Test mode and OId System Software to monitor
the Tank portion of the USTs. Old System Software and CSLD gives you a minimum
allowable test level of lUVo full. However, the following problems have been documented
in your use of this system:
a. Upgrade the System Software to the current version, OR ensure you keep the Inventory
Attached to All kak Tests and hand screen each test for valid test levels. Submit copies
of the Tank Setup Data, or the next 3 months Leak Tests to document compliance.
b. Have the "Tilt" calculated, documented, and if greater than zero, entered into the
programming of the Tank Setup Data. Submit copies of the calculations and Tank Setup
Data.
c. Change the "I-eak Alarm Limit" from 99 gallons to 5 gallons. Submit copies of the Tank
Setup Data to document compliance.
1
August 19,2003
d. Change the print time of the inventory and CSLD tests to the same time if you don not
upgrade the system software. Submit copies of the Tank Setup Data to document
compliance.
e. Enable the "Periodic Test Fail" and "Gross Test Fail" Alarms. Submit copies of the Tank
Setup Data to document compliance.
f. Submit copies of the Tank lrak Test History Reports.
g. Submit copies of all the Alarm History Reports, and ensure the password is provided on
site for the next inspection.
2. Your Line and Leak Detector Tests are next due to be performed on or before October 14,
2003. Submit copies once completed.
The above information must be submitted to this office by September 19, 2003. If it is not received
by the date specified, we will commence the revocation process of your Certificate of Compliance.
Continued non-compliance will result in the fees on your Certified USTs to be increased from
$100 per tank to $300 per tank and failure to pay the additional fee can result in lapsing of
your UST Certificate of Compliance. In addition, if you fail to submit the required
documentation as requested, you will be charged $70/hour for time and travel, as allowed by
statute, for every follow up inspection necessary to document compliance. If you have questions
concerning this matter or need any assistance, please contact William Moore at [phone].
\
Utah UST Program
Release Detection lnspection Checklist
Complete for each tank. lf the laclllty has more than 4 tanke, complete the informatlon for addltlonal tanks on a separats form.
Number of tanks at facility:
Capacity of tank (in gallons)
lndicate if tank is siphoned or compartmented. Show related tanks.
Tank is in use (Yes / No). lf not in use, give date last used
lf not in use, depth of product in tank (in inches)
Aarwer tho Go,llowlng for all tanks. Note any excepilons in the last column.
Current year tank tags are in place
Material of construction of tanks
Material of construclion of piping
less than 25 gallons. lf so, no overfill prevention is
It an overtill alarm is the primary overfill device: Alarm is
it can be seen and heard, and alarm is clearlv marked
Gorroslon Prot*iton. Answer the followlng for all tanks. Note any excrptions in the last column.
Corrosion Protection method used on tanks
Corrosion Protection method used on piping
Corrosion Protection method used on flex connectors
Enclosed containment sumps at lanks (subpump) and dispensers
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Gathodlc Ptotcctlon Testing. Show the results of the most rccent test tor each tank, llne, or fler connector.
6 months of installation and every 3 vears thereafter).
Flex Connectors sub pump
current system: The results of the last three equipment
Distribution: White-DERR,
UTAH UST PROGRAM
Automatic Tank ing Facirirv D {qsrtlA
Manufacturer. name and model number of svstem:/-A*-fu,*fts'3>o esLD Olffif7*
Please circle Yes or No for each question for each tank. Use additional lorms as necessary if the faclliW has more than 4 tanks.
Tank 1 Tank 2 Tank 3 Tank 4
Device documentation is available on-site (e.q., owner's manual).r9"d No q€P No fiFs No Yes No
ff;"Jii:H':",:;:il".ff;'n"VSlLy"f 'ff8fr 't'8.0,ff "'rygr;q,,j+\4k Yes (O Yes 40 Yes No
System is maintained in accordance with manufacturer's instructions (records are available
on site).&!d No G, No @No Yes No
The probe is located at the center of the tank. lf no, indicate tilt correction factor lrom the Yes d Yes rto )Yes rtlo )Yes No
tank setup report.Tilt:U fiftA t16)Titt:
A monitoring box is present and there is evidence that the device is working (i.e., the device
is equipped with roll of paper for results documentation)@No (9 No @No Yes No
Documentation is available demonstrating that the Automatic Tank Gauge pedormed a
;:Ll*n test at least once a month for the last tz nofupo},0,;",J,X8,5 n|.'.b
Yes (9
f h<-
Yes G9
brnu a
ve(-(19
'' l/o.lo
Yes No
The tank was filled to at least the minimum level required by the manufacturer's equi/ment
Drotocol to ensure a valid leak test
Yes No Yes No Yes No Yes No
The tank capacity is within the upper and lower size limits required by the manulacturer's
eouioment orotocol to ensure a valid leak test
v6! no /'vds ) tto @No Yes No
Documentation of performance claims lor the automatic leak test feature is available and
shows the ability to detect leaks of 0.2 gph with 95% or greater probability of detection and
5olo or less probability of false alarm (3rd party certification).
@,) No ei No eNo Yes No
Show ATG leak test results for the last twelve months ,or each tank.lndicate pass, fail, or no results. Any failing tests should be justified by a
test within 24 hours or reDorted as a susDected release.
Line Tlghtness Testing and LIne Leak Detector
Name and certification number of tester: Lt crr- = *.s"'t r"rt tu"tnooE
test: lO/t U/O > rest resutts:
Safe Suction piping: Documentation is available and verifiable to show that piping operates at less than atmospheric pressure,
has only one check valve (under pump), and has proper slope of piping.
+
'Ve.,-
)-or
Distribution: White-DEBR, Yellow-lnspector, Pink-Facility/Owner Ldatg rev0201.wpd
Underground Storage Tank lnspection Verification Form
Owner Name: SPEEDY TURTLE PETROLEUM INC Facllity Name:
Owner Address: 4692 N 300 W Street Address:
PROVO UT 84604
OwnerContact: KYLEKENNEDY Owner Phone:
Faclllty lD: 1000710
SPEEDY TURTLE #7
1588 N STATE
OREM UT 84057
[phone]
UTMCoordinat$ 439,941.64 4,463,982.50 ArclnlosclDcenerared ln LD compliance:NO ln Operation Compliance: NO
Last lnspection Date:
Comments:
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modilicationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
Spill/Overf ill Description
Tank C P MeVLast TesUResult:
Last Line CP TesVResult:
Tank Release Detection:
Last TTT/Method/Passed? :
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Belease Detection:
Date ALDT/Type/Passed?
Date LTT/Method/ Passed?
PSTFund: Yes Other:
1 'l E-Gen: No
Currently in Use Manifold: No
210/1995 12,000
Galvanic Cathodic Protection (STlP3)
None
Fibsrglass Rainlorced Plastic
None
Booted Steel Flex
Pressurize Perm RD by: 2/1O|2OO5
Gasoline Unleaded
5 gal. Spill Bucke Automatic shutoff
Yes 1011412002 -1.02
ATG
21161'1995 Homer EZY lll Yes
Veeder Root TLS-350 CSLD N
10-5% 45K
227,559 glmo
ALD LTT
1Ol14l2OO2 Mechanical Yes
1Ol14l2OO2 Horner EZY Yes
No OtherType:
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modilicationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
Spill/Overf ill Description
Tank C P MeVLast TesVResult:
Last Line CP TesVResult:
Tank Release Detection:
Last TTT/MethocUPassed?:
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDT/Type/Passed?
Date LTT/Method/ Passed?
PSTFund: Yes Other:
33 E-Gen: No
Currently in Use Manifold: No
?y10t1995 12,000
Galvanic Cathodic Protsction (ST|P3)
None
Fiberglass Reinlorced Plastic
Nons
Booted Steel Flex
Pressurize Perm RD by: 2/1O|20OE
Gasoline Premium
5 gal. Spill Bucke Automatic shutotf
Yes 1Oh4l2O02 -1.0
ATG
41611995 Horner EZY lll Yes
Veeder Root TLS-350 CSLD N
'lO-5o/o 45K
227,559 glmo
ALD LTT
1011412002 Mechanical Yes
101'1412002 Horner EZY Yes
No OtherType:
Tank lD/Alt lD:
Tank Status:
Date lnstallecVCapacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modilicationsl:
Pipe Flex Conneclors:
Pipe Type:
Substance Stored:
Spill/Overf ill Description
Tank C P MeVLastTesVResult:
Last Line CP TesVResult:
Tank Release Detection:
Last TTT/Method/Passed ? :
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDT/Type/Passed?
Date LTT/Method/ Passed?
PSTFund: Yes Other:
2 2 E-Gen: No
Currently in Use Manilold: No
210/1995 12,000
Ga'vanic Calhodic Protection (STlP3)
None
Fiberglass BeinlorDed Plastic
None
Booted Steel Flex
Pressurize Perm RD by'. 2110/2005
Gasoline Unleaded
5 gal. Spill Bucke Automatic shutoff
Yes 1Ol14l2OO2 -0.e8
ATG
211611995 Horner EZY lll Yes
Veeder Root TLS-350 CSLD N
10-5% 45K
227,559 glmo
ALD LTT
1011412002 Mechanical Yes
1ol'l4l2OO2 Horner EZY Yes
Friday, August 08, 2003
No OtherType:
Page 1 of 1
Michael O. t eavitt
Governor
Dianne R. Nielson, Ph.D.
Execulive Direclor
Brad T Johnson
Direcior
lltnl;!
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West
P.O. Box lzt4840
salr Lake ciry, utah 841 l4-4840
(80r ) 536-410O
(801 ) 359-8853 Fax
(801) 536-,1414 T.D.D.
www.deq.utah.gov
N.4ay 20,2003
KYLE KENNEDY
SPEEDY TURTLE PETROLEUM TNC
4692 NORTH 3OO WEST STE 1OO
PROVO UT 84604-1009
Re: Non-compliance of underground storage tanks (USTs) at Speedy Turtle #7, 1588 North State, Orem,
Utah; facility ID #1000710.
The Utah Unclerground Storage Tank (UST) Act providcs that the Executive Secretary (UST) may revoke
a Certificate of Compliance if it is determined that a facility is not in substantial compliance with all state
and federal UST statutes, rules and regulations'
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) performed a compliance review for the underground storage tanks at the above
facility. The compliance review, performed on April 8, 2003, indicates you have not satisfied the
requirements of the Act and are out of compliance. To achieve compliance you must do the following:
gptlrloT t. Submit a copy of a current (performed in the last l2 months) precision tine tightness test for the
pressurized product lines associated with USTs # I ( 12,000 gallon Unleaded), #2 (12,O(n gallon
Unleaded), and #3 ( 12,fin gallon Premium).
6a- t(oh5 ^z'
a*\y'03 3'
Submit a copy of a current (perforrned in the last l2 months) test for proper operation of the
automatic line leak detectors on tlre pressurized product lines associated with USTs #1,2, and 3'
Submit documentation to show that you have had a qualified cathodic protection tester test the
cathodic protection system on USTs #1,2, and 3 within the last three years.
4. Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #1,2, and 3 by:
a. Documenting that the ATG system performs a leak test at least once a month. The inspection
rtJlc(A hlol tc report indicates that no monthly ATG leak test results were available for the following months:u-' 5[o, Aprit, May, June, and July 2002. Please submit copies of valid ATG leak tests for all tanks for
these months.
b. Documenting that the owner's manual for the Veeder Root TLS-350 ATG is on site and available
for inspection and for use on site as needed.
Please submit the requested inftrrnration to this office by June 20, 2003. If it is not received by this date.
we will comn'lence the process to revoke the Certificate of Compliance for the facility. If you have any
questions concerning this rnatter or need any assistance, please contact me at (801) 536-41O3.
Sincerely,
w0f;
Gary Astin
[Jnderground Storage Tank Section
J\JL-AZ-^AA3 14! 15
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SPEEDY TuPtt"E no 7
lFEfi h^E"BIE*
E0t -229-l I 37
HAY 7, 2003 6:00 A|4
INVENTORY flEPORT
OALS
GAI.S
GAIS
I l,lCHES
GALS
IITICHES
DEG F
r r iuNLEAnep EiqIrroi rmp = 5O62iffEe'E - 68,29
W,EIMg': E8?EttEtcttT - 42.t?
USIER VOL - 9i,ICtEii 4 QroPffrqP - 5?,8
$oi,#t*DED ESI sor.
iht$,.*=; ??eB8ftE
TE \,,OLU!E - 3599 GALSiElcu:r--- - 32.68 I]€HEs
ilnTffi \'oL = o.oB ?ftPntfE}{F = 58.7 DEG F
f s:SUPER UI{IFADEDr,ot i[,tp . 6905 GALSUtLAOE - 5585 GALB90X L|Lt*RrAEr 4396 GALB
TC \rOL[.iG - 631? GALSHEIGHI - 50.02 INCHESLIATERVOL- 0GALSli.lFTER = 8.DD INCI.IEFTEtlP . 57,2 DEG F
rxxrxEhtDrxxxx
JUL-A?-ZAA3 14:16
CSLD TEST RESULTS
0E(:; 4, ?U02 E:00 At.f
T I:IJNI.EADED EASTB.? GALTHR TEBT
PER; DEC 4. 2CI82 PASS
T 2:LINLETIDEI TJESI'0.2 GALzHR TE3T
PER: DEC 4" EOOE PASS
T 3:SUPER UNLEADEDO.I CAL,.HR TEST
PE]R: DEC 4, EOO? PASI}
L AA1, 221, ?6t3
I
csl.tt TB3'r ftEsi).11,'l'b:
JAN 3, PB0il 8:U[, F$l
T I IUNLEADED EASTI].2 6AL,/TIR TESTPEFi JAN 3, 2OO3 PAb-S
T z:UNLEADED l,ET0.2 GALzHR TEST
PER! JAN 3, 2OB3 PAEE
,I' s:BUPER UNLFADED0.2 GdtLzHR TEST
PER: JAN 3, zCOg PASS
PEE 6, 3003 8!00 Atl
T ! IUNLEADED EABTT].2 GAL,.HR TESTPEF: fBg s, eoo3 pAsS
T z;I,NLBTDED rAtEsTI.'.9 GAL,HF TEgrPEE: FEB 6. ?TIO3 IJASS
T I3;SUPER UITILEADED0.2 GALzHR TESTPER: FF:B 6. 2OO3 r.AgS
t azL 22t ?613 P.AS
I
CSLD TEST RESULTS
CSLD TEFI.RESULTo
NAR 2, ?003 8:00 fl'I
T I IUNI..EADED E'ISTtr.2 @L/HP TEBTPER! MAR I, 2OO3 PTSS
T 2: UNLEflDED UIEBT0.2 GAL.zHR TEST
PER i T1AR 2, 2OO3 PAES
T 8:SUPER UNI.EADED0.2 GALzTIR TEST
PER! MAB 2" 2OO9 PASS
CSLD TSIT FESIJLTB
APR 2. 2003 8:00 AM
T 1:UMIADED EAST0.2 GAL/HR TEEIT
PER: APR 2. zuos PrlSS
T e; UNLEADED t^tESO0.9 GALzHR TEBTPER: APR 2, 2OO3 PASS
T 3:BIJPEN UNLEADEI)O.? GAL/HR TEETPERI APR 2. POO3 PASS
TOTRL P.AS
J\L-42-2AA3 14:15 7 e@t 221. ?6L3a 1 8@1 221, ?613 P.Zt
July 2,2003
Gary Astin,
Gary I am sending you the information needed for Store #7 on l58B
North State St. in Orem, all except the owner manual for the tank monitor I
am still looking for them. Thank you
Shawn Anderson
Also I have been.asked to stop with any work on the following stores, they
have been sold. Store #12,#l6,and any work for the futue oi,*17,#tg,illg
and #20. Any questions give me a call at 836-2079.
RECEIVED
-IUL O ?JfrE
enrrmnmrffiokililqr
By:
Michael O. kavitt
Governor
Dianne R. Nielson, Ph.D.
Executive Director
Brad T Johnson
Dircctor
tltafit
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and Remediation
I68 North I 950 Wesl
P.O. 8ox 144840
Salt Lake City, Urah 841l4-4840
(80t) 536-4100
(801 ) 359-8853 Fax
(801) 536-44r4 T.D.D.
www.deq.utah.gov
Nday 20,2003
KYLE KENNEDY
SPEEDY TURTLE PETROLEUM INC
4692 NORTH 3OO WEST STE 1OO
PROVO UT 84604-l_009
Re: Non-compliance of underground storage tanks (USTs) at Speedy Turtle #7, 1588 North State, Orem,
utah; facility ID #1000710.
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke
a Certificate of Compliance if it is determined that a facility is not in substantial compliance with all state
and federal UST statutes, rules and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) performed a compliance review for the underground storage tanks at the above
facility. The compliance review, performed on April 8, 2003, indicates you have not satisfied the
requirements of the Act and are out of compliance. To achieve compliance you must do the following:
l. Submit a copy of a current (performed in the last l2 months) precision line tightness test for the
pressurized product lines associated with USTs #l ( 12,000 gallon Unleaded), #2 (l2,OA) gallon
Unleaded), and #3 ( 12,000 gallon Premium).
2. Submit a copy of a current (performed in the last l2 months) test for proper operation of the
automatic line leak detectors on the pressurized product lines associated with USTs #1, 2,and3.
3. Submit documentation to show that you have had a qualified cathodic protection tester test the
cathodic protection system on USTs #1, 2, and 3 within the last three years.
4. Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #1, 2, and 3 by:
a. Documenting that the ATG system performs a leak test at least once a month. The inspection
report indicates that no monthly ATG leak test results were available for the following months:
April, May, June, and July 2002. Please submit copies of valid ATG leak tests for all tanks for
these months.
b. Documenting that the owner's manual for the Veeder Root TLS-350 ATG is on site and available
for inspection and for use on site as needed.
Please submit the requested information to this office by June 20, 2003. If it is not received by this date,
we will commence the process to revoke the Certificate of Compliance for the facility. If you have any
questions concerning this matter or need any assistance, please contact me at [phone].
Sincerely,
opry 0f;aI
Gary Astin
[-lnderground Storage Tank Section
Utah UST Program
Release Detection lnepection Checklist Faci
. Location of Tanks
Gomplete for each tank. lt the facility has more than 4 tanks, complete the information for additlonal tanks on a separate form.
Number of tanks at lacility:
Capacity of tank (in gallons)
lndicate if tank is siphoned or compartmented. Show related tanks.
Tank is in use (Yes / No). lf not in use, give date last used
lf not in use, depth of producl in tank (in inches)
,Answer the following for all tanks. Note any exceptions in the laet column.
Current year tank tags are in place
Material of construction of tanks
Material of construction of piping
tion Device. Note if tank ls filled by transfers ol
it can be seen and heard. and alarm is clearlv marked
Coioolon Protection. Answer the following for all lanks. Note any exceptions in the last column. Emlmnmgnlal mSOOniO & RfhfbllltallOn
Corrosion Protection method used on tanks
Corrosion Protection method used on piping
Corrosion Protection method used on flex connectors
Enclosed containment sumps at tanks (subpump) and dispensers
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Cathodlc Protectlon Testing. Show the results of the most recent test lor each lank, !ine, or tlex connector.
6 months of installation and everv 3
Flex Connectors subpump
For impressed current system: The results of the last three equipment
fil . ," I i ,1 certifv that I - .tr-/-]i
(/-x',n
Distribution: White-DERR,
.......,.,[l&h..UsT,Pr.oglalh..
Tank an6 :Plping'Leak Detection
Methodusedfortanks: fl I l-
Manufacturer, name and model number of cert. available Yes No
to the answor,inlhE lllBtrodumn.
Records on site document that the system is properly installed, calibrated, and
is available on-site (owner's manual, etc.
Equipment used to acquire data, take readings, perform test is adequate, accessible and
Documentation of valid testing or monitoring is available for the last 12 months. Show
The probe is located at the center of the tank, or, if not in the center, show the tilt factor
for each tank from the tank
The tank was filled to at least the minimum level required by the manufacturer's
prolocol to ensure a valid leak test, and the tank size is within the allowed
ower size limits.
Secondary barrier is properly placed and constructed, designed for groundwater
iderations, has an acceptable permeation rate, is compatible with the substance
is non-corrodible. and is not in the
lnventory readings for product inputs and withdrawals are properly obtained and
include the proper number of water readings, and water readings are used to
appropriate tank calibration chart is used and is available for review.
have current calibration stickers or proper calibration documentation.
and extend to within one foot of the tank bottom.
Show results of monitoring for each tank for the last 12 months. lndicate Pass, Fail, No Results, lnvalid (ATG) or lncon"lusire lSlR), For tanksusing ATG, indicate for each tank the lowest product-l9Jgl*o, any ATG leak test done on that tank for the last 12 months. Show this level in thefor the month in which the test was run.
Tank and Line Tlghtnoss Iosilng, Llne Leak Delector TbEtng:
Date of last tiqhtness test for
Date of last tiohtness test fol
Name and certification number of tester:
Automatic Line Leak Detectors. lndicate type and model number for each leak detector.
Mechanical- M, Electronic- E, Sump Sensor- S
Safe Suction piping: Documentation is available and verifiable to show that piping operates at less than atmosphericTressure,has only one check valve (under pumo). and has orooer sloDe of niDino
Distribution:Ldall.wpd rev0902
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Utah U$T Ptogram
Release Detectisn Inspection Checklist
Looation of Tanks
Location Contact -t2hrl I [\r.-L:c--r.n Phone Rr.i) Zz4-
Complete for each tank. lf fosility has mol€ than 4 tanks, complete information for additioEal tanks or,$eparat6 rorm.
Number of tanks at facility:
Capacity of tank (in gallons)
Tank is in use (Y) or, if not in use, give date last used
ll not in use, depth of product in tank (in inches)
Answer the followiag for all tanks. Note any excoptions in the last column.
Current year tank tags are in place
Material of construction of tanks (steel, FRP, composite, etc.)
Material of construction of piping (steel, FRP, flex plastic, etc.)
Piping type (pressure, safe/US suction, gravity, etc.)
filled by translers of less than 25
if filled bv transfers of less than 25
Gorrosion Protection. Answer the follovuing for all tanks. Note any exceptlons in tho la3l column.
Method used on tanks (NM, CS, lL, lC, SA, NP)
Method used on piping (NM, CS, lC, SA, NP)
Method used on flex connectors (8, CS, NC, CP, NM, NP, N/A)
Enclosed containment sumps at tanks (subpump) and dispensers
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Cathodic Proteetion TesUng Complete lor 6ach tank.{nviro*rnsa{ar *frfrilr t
6 months of installation and every 3 years thereafter).
Tank Tester S+rzve- ZqcXFi Date lt-
Flex Tester t-c0'"rz:<rly-\- Date
tion checks are available. (required every 60
ure of Owner or Owner's Representative present durinq inspection
Distribution: White-DERR, Yellow-lnspector, pink-Facilityiowner Ldchecklist rev020.l
Method used for tanks:
Manufacturer. name and model number of svstem:
Circle Yee or No tor each question, ln the last and,idenlify bv tank any excsplione to the answer irr ttre.first Eolumn.
Records on site document that the system is properly installed, calibrated, and
Equipment used to acquire data, take readings, perform test is adequate, accessible and
lncl. ATG console. diostick. etc.
ol valid testing or monitoring is available for the last 12 months. Show
probe is located at the center of the tank. ll not, the tilt correction tactor tor each
is shown on the tank
tank was filled to at least the minimum level required by the manufacturer's
protocol to ensure a valid leak test and the tank size is within the allowed
barrier is properly placed and constructed, designed for gw considerations,
an acceptable permeation rate, is compatible with the substance stored, is non-
, and is not in the
readings for product inputs and withdrawals are properly obtained and
include the proper number of water readings, and water readings are used to
An appropriate tank calibration chart is used and is available for review.
have current calibration stickers or orooer calibration
and extend to within one foot of the tank bottom
Show results of monitorinq for each tank for the last 12 months. lndicate
Tan* and Line Tightnees Tetling, Line Leak Detector Testingl
Name and certification number of tester:
of last tiqhtness test for oioino: I n - I a\-
Name and certification number of tester:Test Method: t*artYf
Date of last leak detector pedormance test:%"e- Test resutts:
Safe Suction piping: Documentation is available and verifiable to show that piping operates at less than atmospheric pressure,
has only one check valve (under pump). has proper slooe of oioino.
Ulah,U$T Program,,,
Tank and Piping Lea* Detection
White-DERR, Yellow-lnspector,-Facility/Owner Ldall rev0201 .wpd
,-\
loR:Crestview Station '1600 ttorth Inc.
1 588 Norbh State
0rem, Utah Blt057
Attn: T. f,obert Cordner
TESTED CAT}IODICALLY PROTECTED TAN K8.
Mo*ilfr*
/ul;//b i-r,r(
ilh€f- t, /tr , -/, /1 Efidf --L
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TESTED CATHODICAI.LY PROTECTED UNE8
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PETSO ENVIRO
Po.Box. Stl6S
Provo Ut. &+605
8TEVE LYO}I8
t uT0064
Michael O. travitt
Govemor
Dianne R. Nielson, Ph.D.
Executive Diretor
Kent P. Gray
Diutor
^\
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 west
P.O. Box 1,14840
Salt Lake City, Utah 841144840
[phone] Voice
[phone] Fax
[phone] T.D.D.
November 30,1999
TO: Robert Cordner
1588 N. State Street
Orem, Utah 84057
Underground Storaee Tank Section
Gary A. Harris
Envirormeohl Scienusl
RE: Non-compliance of underground storage tanks at Crestview, Orem, Utah
Facility I.D. # 1000710
To continue to maintain a valid Certificate of Compliance, the facility must be in compliance with
Federal and State Rules and Regulations. The compliance review, perfonned on 21 NOV 99 ,
indicates you have not satisfied the requirements of the Act and are out of compliance. To achieve
compliance you must do the following:
1. Submit documentation to show that you have had a qualified cathodic protection tester test your
cathodic protection system within the last three years. Test are required every three years. The
last test was 02-15-95
The above information must be submitted to this office by 30 JAN 2000.If it is not received by the
date specified, we will commence the revocation process of your Certificate of Compliance.
If you have questions concerning this matter or need any assistance, please contact G"ry Harris at
(801) s36-4160. q\
Michael O. lravitt
Govemor
Dianne R. Nielson, Ph.D.
Ex$utive Dir€lor
Kent P. Gray
Dirtrtor
TO:
t
Robert Cordner
1588 N. State Street
Orem, Utah 84057
-
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box lzl4840
Salt Lake City, Utah 84114-4840
[phone] Voice
[phone] Fax
[phone] T.D.D.
November 30,1999
Undersround Storase Tank Section
Gary A. Harris
Environmental Scientist
RE: Non-compliance of underground storage tanks at Crestview, Orem, Utah
Facility I.D. # 1000710
To continue to maintain a valid Certificate of Compliance, the facility must be in compliance with
Federal and State Rules and Regulations. The compliance review, perforned on_21 N!OV_9.9_,
indicates you have not satisfied the requirements of the Act and are out of compliance. To achieve
compliance you must do the following:
1. Submit documentation to show that you have had a qualified cathodic protection tester test your
cathodic protection system within the last three years. Test are required every three years. The
last test was 02-15-95
The above information must be submitted to this office by 30 JAN 20ffi.If it is not received by the
date specified, we will commence the revocation process of your Certificate of Compliance.
If you have questions concerning this matter or need any assistance, please contact Gary Harris at
(801) s36-4160.
1
UTAH UST PROGRAM Facirity lrno.l@J-/D
Release Detection Checklist
l. Ownership of Tank(s)ll. Location of Tank(s) vf
Owner Name
Address
lor each tank. ll facility has more than 4 for additional tagkg_on separate lorm.
Number of tanks at facility:
Current year tag is displayed
Tank presently in use
lf not in use, date lasl used
lf not in use, depth ol product in tank (in inches)
Month and year tank installed
Capacity ol tank (in gallons)
Material of construction of piping
!V. Release Detectlon For Tanks lndicate the method(s) used for each tank. Complete the appropriate checktist for each method used.
Emergency Generator tank (leak detection deferred)
Method used (enter method used and complete appropriate form)
V. Release Detection For Plping lndicate method(s) used and complete appropriate tank checktists where applicabte.
Method used (complete separate rorm where applicable)
Automatic Line Leak Detector type and model
Oate of last Leak Detector performance test
Date of last Line Tightness Test \
Name and company of certitied tester
No leak detection required (must answer'yes'to all questions below)
Operates at less than atmospheric pressure
Slope of piping allows ALL product to drain into tank when suction is released
Has only ONE check valve, located directly under pump
Above information is verifiable; use comments section below to document how it is verifiable
certity tFal I have inspected the above-named lacility on
Signature of Owner or Owne/s Representative Present During lnspection:
Date:
Distribution: White-DERR, Yellow-lnsp€ctor,Revised Z4l99
UTAH UST PROGRAM
Overfill, and Corrosion Protection ln
Facility lo lro.lDfifC
on Checklist
Please complete al! inlormation for each tank. Use additional forms as necessary it the tacility has more than 4 tanks.
SPILL/OVERFILL PREVENTION
-',-------\i-
---
Tank 1 \ Tank 2 Tank 3 -Tank 4
The UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.v"s-(fr t"'6-)v"{*f Yes No
ls there a spill containment device that will prevent release of product into C9 NO 4l Yes No (9 No Yes No
u rE Eilvrruilrilcilr l rilurudre rype. Dpilt uuut1et <c gat., Dpilt oucKel >3 gat., /
Conlainment sump at tank fill. v
ls there an over ention device installed on the tank? lndicate tvDe :
<seerl|f
ry9 Notr Q/*"Btr
lYes \ ruoE Yes No
For overlill alarm only: ls the alarm located where it can be easily seen
and heard by the delivery driver?Yes No Yes No Yes No Yes No
For overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?Yes No Yes No Yes No Yes No
CORROSIONPROTECTION \ ;\ r'a
fank 1)Tank2)Tank 3 Tank 4
lndicatethetypeofcorrosionprotection:[lon.neta]]E1Nt\,}-@
steel (CS), lnternal lining (lL), lmpressed Current ltCl@ lnogl
(SA), or Not protected (NP).
rSA Tank.=A
...Te;r
'5R Tank
PipingN\{-n Nen PipingN)CN Piping
lndicate the tvpe of corrosion protection on Flex connectors and/or Swing
join6: Booted (B), Total containment (TC), Not in contact with soil or
water (NC), Cathodically protected (CP), Non-metallic (NM) and Not
Protected (NP)
.,B,trf,,"rT Sub'Pump
"F5',Disrenser
^,
Drsens€rA DisFnser
rf tank or piping has been Tank lining
upgraded, indicate date upgrades Tank cathodic protection
were performed:
Piping cathodic protection
CATHODIC PROTECTION TESTS R*td t"trltt. cathodic protection test. Record tf'e Owesi ;eadirs for "".h tanlvpipinq/flex set.
The results of the last two catholjggfrc(ln tests are available. (within
6 months ol installation and ev{y 3 yeais t$reafter).Yes (,v". @\-'". @)Yes No
Tank. Tester Date
t
L volts volts volts volts
Piping. Tester trte _volts volts volls voltsa9
Flex. Tester_ Date
Sub-Pumo
volts
Sub-Pump
voltS
Sub.Pump
volts
SuUPump
volts
Disrenser
volts
Disrenser
volts
Drspenser
volts
Dispenser
volts
For impressed current system: The results of lhe last three equipment
operation checks are available. (Equip. check required every 60 days.)Yes No Yes No Yes No Yes No
aorr"n,r,
lnspector's Signature ndrr (F
Signature of Owner or Owner's Representative Present Durino lnsoecti.,n V
Distribution:White-DEFlFl,Yetlow,tnspector,pink,Facitity/Owner ( \ \Bevised 2/4/99
(,
l-
UTAH UST PROGRATII
Automatic Tank Gauoino
Facillty lD No.
Manufacturer,name and model number ol system:
Please circle Yes or No for each question for each tank F lacility has more than 4 tanks, complete inlormation for additional tanks on
separate fotm,
2->\( fankl Tank 2 )at"r*)Tank 4
Device documentation is available on-site (e,o.. owner's manual).
,,_sY
-Yes -l{o
XYes )No t"J t"Yes No
Records on site document that the system was properly installed and calibrated (system
and tank setuD reDort).
,:\Yes') Noz
----z (B'(6*"Yes No
System is maintained in accordance with manufacturer's instructions(records are
available on site).@*o1 G1 Ho1\5No Yes No
The probe is located at the center ol the tank. ll no, indicate tilt correction lactor from
the tank setuD reoort.
.,€-J9-)o
Titr:
nF\ ruo.w YNo
fin tl
Yes No
Tilr:
Device can measure the height of the product to the nearest 1/8 of an inch
/,'._\-Yes )'lo .,4+Yes )No /il\ No Yes No
Device monitors the in-tank liquid levels over the full ranqe of the tank's internal heioht Yes -lto (
-+- \
Yes \ No Yeil, No Yes No
A monitoring box is present and there is evidence that the device is working (i.e., the
device is equipoed with roll of paoer for results documentation)
-Yes '.No 9",€/Yes\ No Yes No
Documentation is available demonstrating that the Automatic Tank Gauge perlormed a
valid leak test at least once a month lor the last 12 monlhs
Yes €x vesGo\'"G Yes No
lf no, for which months was a valid test not performed? (specify months and year, use
soace below if necessarv)%"P Cc-nrr ff^-{;.<,to1, o-
The tank was lilled to at least the minimum level required by the manufacturer's
eouiDment Drotocol to ensure a valid leak test
(D"o<-.\_"")*" (YeFlNo Yes No
The tank capacity is within the upper and lower size limits required by the
manufacturer's equipment protocol to ensure a valid leak test D No(3'"(Q*"Yes No
Have any of the leak test reports indicated a failed test? lf yes, specily in the space
below the month. vear. and what follow-uo actions have been taken.
ves@ ves(G v""6i-Yes No
Documentation ol perlormance claims lor the automatic leak test leature is available and
shows the ability to detect leaks of 0.2 gph with 95o/o or greater probability ol detection -
and 5/o or less probability ol talse alarm (3rd party certification).
. /Yes lM
-------l \B'(tsNo Yes No
Jq^ejqg , Uti,gg I Ilndicate month(s) of any lailed test:
(
lnspector's
Signature of Owner or Owner's Representative present During lnspection:
Dislribution : White-DERR, Yellow-lnspector Revisd 12\95
Michael O. teavitt
Govemor
Dianne R. Nielson, Ph.D.
Executive Director
Kent P. Gray
Director
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box lul4840
Salt Lake City, Utah 841144840
(801) 5364100 Voice
[phone] Fax
(801) 5364414 T.D.D.
March 27,1998
TO:Robert Cordner
Crestview
1588 N State Street
Orem, UT 84057
Underground Storage Tank Section
Janet J. Keller
Envirotrmenial Scientist
RB: Non-compliance of underground storage tanks at Crestview, 1588 N State, Orem, UT,
Facility I.D. # 1000710
To continue to maintain a valid Certificate of Compliance, this facility must be in compliance with
Federal and State Rules and Regulations. A compliance review, performed on_lUl4fl, indicate you
have not satisfied the requirements of the Act and are out of compliance. To achieve compliance you
must do the following:
1. Submit a copy of a current annual test for proper operation of the automatic line leak
detectors on the pressurized product lines associated with tanks # 1-3
2. Submit a copy of a current precision tank tightness test for tanks # l-3 .
The above information must be submitted to this office by 05/30/98. If it is not received by the date
specified, we will commence the revocation process of your Certificate of Compliance.
If you have questions concerning this matter or need any assistance, please contact Janet Keller at
(801) s36-4121.
Facilitv Name ', !' (.,\ia)tn-/s,at
StreetAddrcct lsBg A) , .jrLutl .:.",il,
citY .n state Zip code' l\J4)-tnt I )-t 14 r.r: ;'- -
Cortificato of Compliance on eite? Yes Nq(lY {
ownet Nane -y'h,lu]t Cz/ha,vz
, Vt, f4oF-!U a 0
"
n - certify that Ihave inspected the above-named facitity on
lnspoctor's Sign"rur., 4 Data: Lt
Signature of Owner or Owner's Representative Present During lnspectiorh=l/l
Distribution: White-DERR, Yellow.
UTAH UST PROGRAM Facility lD
Automatic Tank Gauging
Manufacturer, name and model number of
Please circle Yes or No for each question lor each tank ff lacility hae more than 4 tanks, complete inlormation tor additional tanks on
Tank 1 Tank2 Tank 3 Tank 4/
Device documentation is available on-site (e.o.. owner's manual).YrrilL Htnla
Yes /No Yes No Yes No Yes No
Records on site document that the system was properly installed and calibrated (system
and tank setuD reDort).
Yes No Yes No Yes No Yes No
System is maintained in accordance with manufacturer's instructions(records are
available on site).
Yes No Yes No Yes No Yes No
The probe is located at the center of the tank. ll no, indicate tilt correction lactor from
the tank setup report.
GJ-ma-rff -# ruo
Titr:
Yes No
Ti[:
YES NO
Tilt:
Device can measure the heiqht ol the product to the nearest 1/8 of an inch /7-1 .-tYel No -# to Yes NoYes N6-
Device monitors the in-tank liquid levels over the full ranoe ol the tank's internal heioht {Jre JYes No Yes NoYes No
A monitoring box is present and there is evidence that the device is working (i.e., the
device is equipped with roll of paper lor results documentation)
G) *o Yes No YEr NO Yes No
Documentation is available demonstrating that the Automatic Tank Gauge performed a
valid leak test at least once a month for the last 12 months
,w{ffi vw.'fr-rJCLlA' YUs No/w3#Yes No
lf no, lor which months was a valid test not performed? (specify months and year, use
space below if necessarv)
ttAVtr,uJ,w,I ,-c-q 7+an qt
The tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test @:Yes No Yes No>Yes No
The tank capacity is within the upper and lower size limits required by the
manufacturer's equipment protocol to ensure a valid leak test
Yes No Yes No
-
Yes No
Have any ol the leak test reports indicated a failed test? ll yes, specify in the space
below thq month, year, and what follow-up actions have been taken.
ves (ru?Yes No Yes No Yes No
Documentation ol performance claims for the automatic leak test feature is available and
shows the ability to detect leaks of 0.2 gph with 95% or greater probability ol detection
and 5o/o or less probability o, false alarm (3rd oartv certification).9_:Yes No Yes No
->
Yes No
lndicate month(s) of invalid or missing test:
lndicate month(s) of any ,ailed test:
Comments:
lnspector's Signature:
Signature of Owner or Owner's Representative present During lnspection:
Oistribution: White-DERR, Yellow-lnspector, pink-Facility/Owner Revised l2\95
Automatic Flow Rostrictor (if yee, indicat€ model in comments
Automatic Shut-off Device (if ye6, indicato model in comment6 eectionl )
Continuous Alarm System (if yes, indicate model in commonts sectionl
Records of last Line Loak Dotector performance t€st aro available on-site
Dats of last Line Loak Detector porformanco tost
Result of last Line Leak Detector
Rocords of laet Line Tightnass Test are available on'site
Date of last Line Tiqhtness T6st
Reeult of last Line Tishtnese Test
Name and comDanv of cortifiod t86tor:Utah Teater Certification Number: UT
(if yes, use Vapor Monitoring checklietl
Groundwater Monitoring (if ves. use Groundwater MQnitoring
lnterstitial Monitorins (if ves, use lntorstitial Monitoring checklistl
Statistical lnventory Reconciliation ISIRI (if yo6, us€ SIR checklist)
Other aooroved method (if ves, use othsr msthod checklistl
Records of last Line Ti Test are available on-site
Date of last Line Ti
Result ol last Line Tightness Test
(if yes, use Vapor Monitoring checklistl
Groundwater Monitoring (if yes, use Groundwator Monitoring
lntorstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation ISIRI (if yos, us€ SIR checklist)
Othsr approved method (if yes, use bther method checklist)
Slope of piping will allow ALL product to drain into tank when suction is
released
Has only ONE check valv6, locatod
All above information on suction piping is VERIFIABIE, use commonts
section below to document how it is verifiable.
Signature of Owner or Owner's Representative Present During lnspection:
Distribution: White-DERR, Y
I ri' li;. t:iri:,ri!!
,,
i:r. r:.: . r:riti'ili :trr I :i.:i:
-€.Snli ;:,
::: ll::'t:'rr' . 1N*
"i#::iriiia
iie{ffiffi"1$Ir':f,.i!"1ii.iifi. "Mffifi']i=:,,'.,,1,,,;i,l:ir:i,$:,
Tank I Tank 2 Tank 3 Tank 4
The UST system is filled by transfers or 25 gallons or less. lf yes, spill
and overfill prevention is not required.v"" f*)Yes No Ye+-. No Yes No
ls there a spill containmenl bucket or anolher device that will prevsnl
release of product into lhe snvironment?/r"? No|.,^-Yes No Y^S No Yes No
ls there an overfill prevention device inslall€d on lhe tank? lf yes, indicate
the type ol device: Ball float (in vent line), Automatic shutoff (in flll pipe),
Alarm, or Olher (specity)
U*oball-l
Yes No
,-M1a
Yes No
-
Yes No
For overllll alarm only: ls the alarm located where it can be easily seen
and heard by the delivery driver?Yes No Yes No Yes No Yes No
For overllll alarm 6nly: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?Yes No Yes No Yes No Yes No
c$ntre$IoilliFn
Tank 1 Tank 2 Tank 3 Tank 4
lndicate ths type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lnt€rnal lining (lL), lmpressed Currenl (lC), Sacrificiat Anode
(SA), or Not protected (NP).
S'A T0k r-]*r Tsk
N?W Pbhs - prpho_>PPhc
lndicate the type ol corrosion protection on Flex connectors and/or Swing
joints: Booted (B), Total conlainment (TC), Not in contact with soil or waler
(NC), Cathodically protected (CP), Non-metalic (NM) and Not protected
(NP)
B,A Slb-Pu,rp Sub.PurT
-;>
SuEPErp
Oiaps&.B Oi.p6er Oispenor Disposr
lf the UST is not protected, was the tanUpiping installed belore May 7,
1 985? ll yes, corroslon piotectlon ls not requlred untll Dec. 22, i99g;
do not complete the remalnder ol thls secflon.
Yes T'"k No Yes rtnk No Yes r"nk No Yes T"nk No
Yes PiPnc No Yes Pipne No Yes Pipns No Ygs Pip'nc No
ZThe results of lhe last two cathodic proteclion lests are available. (within
6 months of installation and every 3 years thereafler).CYX *__^>Yes No
Flesults of the most recent cathodic protection test.
Nameor ,"rr"r, Crhr,u-lie- l1.Y-rtL rank
rest Date: tlg lqs v Pipins
Flex
-1,o2' 'otts -, <l fr volts -1,t7 votts volts
volts volts volts volts
volts volts volts volts
For lmpressed current system: The results of the last thre6 equipment
operation chgcks are avallable. (Equip. check required every 60 days.)Yes No Yes No Yes No Yes No
lf the tank has been retrofit (lined or cathodically protected), indicate the
date the retrofit was completed.
.i
lnspecto/s signature:
rrrrrrrAuE IIL,t trrlrArtult| (uomptele onv tor Dr€-lggg TanlG)I
\ (Prinl nam)
December 22, 19gB in order to meet the 199g upgrade requiremenls:
understand that the following marked items must be completed by
D Spill prevention for tank(s)#
tr Overfill prevention for tank(s)#tr Conosion protection for tank(s) #
Oistribution: Whito-DERR.Ravised 08/0€y97
*rJ"
Zru'l
l-r
FACILIW SITE PLAT
slre
Facffity tD No. IOOO 1LO
o'#'r-1 f ^lz
l'l a-J
+J-
3rJ
( LLD:D At6o W,l)<A ..of:&A "{}-,LLktL
the location ol any reported PtO or FID readings.
Potential Receptors- lndicate distance (in feet) to the nearest: Residences Buried utilities
Active water well Surface water
Comments:
lbA CI "'f\"i[, 0-1n*,
--.:---At,F@r
certity that I inspected the above-named facility on
lnspecto/s cen* TTOOtb_ oa
1
FACILMY ID# 1OOO71 O
FACILITY NAME
FACILITY ADDRESS
Check Only One
PETROLEUM STORAGE TANK
FINANCIAL RESPONSIBILITY DECLARATION
Complete one form for each facility
Return completed form by lvlay trl997
Crestvlew Station 1 600 North rnc.
1 688 North State
Orem, Utah 84057
O
o
o
I choose to continue to participate in the PST Trust Fund.
Submit this Financial Responsibitity Declaration form by May 1, 1997.
Submit the Fiscal Year 1998 Facility Throughput Declaration (blue form) by May l,1997.
All tanks including aboveground storage tanks (ASTs) located at this faciliqv may be required
to participate in the PST Trust Fund.
O Indicate number of ASTs, if any, located at this faciiiry 0
O
a
I choose another Financial Assurance Responsibility Mechanism(s)
Submit this Financial Responsibility Declaration form by.May 1,1997.
By June 15,1997, submit acceptable financial assurance documents and $1000 processing fee
per mechanism (Use the exact format required by federal regulation,40 CFR Paft 280,
Subpart H.).
O Indicate your Company's " Fiscal Year" ending date
T. Robert Cordner
Print name of owner/operator or
Pres. (Bql)'p24-8??
Title Phone
IIt+lzylgz
Date
* SEIYD NO PAYMENT AT THIS TIME *
fll-lf
O'..rner
1
Facility IL ,". ? Woollo /t
II]ST:T.LLATIC}{ I}{SPECTIOTI
+ VrVra* \Naile/O Inscar-l- Dace Bh24JvL
qE F{--
11t 1<+
LJ Property only
Street: l5q4 191qV
Or<,rw State l,tT.zLp (17fr Phone d- 8?12
Street: t53g h/ 9{,(.1€-
r.i .l-rr.One"-r County (At zip 74 6E
Phone: yt4- mj-?Latitude Longitude
tLcerr. , ooLb E^f 9/qs
Tt ot4?TT- Ooab
rlI rTank only
B."ba-.| [-.dr,,rt
E tu'x/property
LJ Business E ta.,r/ BusinessonlyTank Location
Ilame : Crtczlvlh 1d"(+, ".", ln-
iian6, Ch orl(4 frwr&
Ccnpany: Ctl grrnrrtee
Tank fnformation
original #Tank 6 - Removed Tanks { + New Tanks 3 = Current ?
No.
Capacity t2K
Subscance 611 .(rnsol.r.w,
Type: FRP, Steel I A,+ith cP, composite lsTi - rts
(4 a.{4".t d'-s't ot-+o-iL
*Note: Used tank must be recertified by the manufacturer before installation.Financial Responsibility
Self insurance... ......$ Exp.Date
Connercial fns. ()...
Risk Retention Group
Guarantee...
Surety Bond
Letter of Credit...
Stat.e Fund ...Environmental..
3rd Party Liab.
Other
3t
A]1T. REQUIRED by Date:
Per Occurrence:
TotaI
Aggregate:
D $uoo* E srrt:'E s1Mil E g2Mil
l*.Facility IV,tIo.
Has a visual inspecti-on of the tank been made checking
fcr scratches and other ciamage?
If the tank or piping has been damaged., have repairs been
nade.
Has the tank been air-tested at 5 PSIG (3 PSIG for all FRP
except Owens Corning) while applying soap solution onto
seans and fittings to check for leaks and found tiqht.?
Has the piping been air-tested at 150? of operatingpressure for L hour.
fs the excavation free of all debris?
Has the backfill been compacted to ensure full support
along the tank 5 & 7 o'clock points on the sides?
Anchorinq
Is the excavation subject to ground water?
Other
Is the equipment adequate size to Lift and lower tank? x
! r \r
I tt
x
x
^
x
x
Is the excavation area subject to traffic?
I-las sufficient depth of the excavation been allowedtaking into consideration traffic, ground waterconditions and piping runs with L/8" per foot slope backto tank?
If anode, has it been checked to see and have theplastic arapper has been removed?
x
Backfil-l-incr
i{as at least one foot of backfill material been allowed \'
to act as a bedding material for the tanks? Depth_". X
Type of bedding and backfill:
Er"u Gravel (1/8' to 3/4u size)ICrrr=ned Rock(1/8" to Ll2u size)
E"r"u., washed Sand n o.n.t
x
X
x
If So, Method of Anchoring, EDeadman En.U I oretburden
Are the hold-down straps in place according to
manufacturers specif ications?
-\
Facij.j-ty r- ilo.
.::.-_'. -: '_ _:
--.:r--ance frc::r I'anlt1:;,1 co ljearest property Line(5rmin.):
a
Dlsiance from Tank(s) to llearest Structure:(.a, plus I50 f rom surf ace to tank)
Estimated depth to cround Water:
Do tanks have at least 1g,r spacing between tanks?(stable conditions)
ff unstable waIls, are tanks spaced at 1eastthe diameter of the tanks from each other?
Does depth of installation conform to plannedSurface and Traffic conditions, grorrna-raterand piping run slope requirements?
>5
>5 LL.
fr.
ft.
N
uqL.
Y
x.
1/2 times
Anchoring,
conditions
t.JA
x
{'Has Tank and piping Cathodic protection systems beenchecked to see if they are working pi"perly?
Does the amount of Tank Deflection meet specs.
Type of Spill and overfitl control:
Type of pump System:
E ,r"==,rr"Common Suction
Typre of piping:
Eppp
Type of Release Detection for Tank
f--
"rorndwater Monitoring
E roil Vapor Monitoring
f rr,a".stitial Monitoring
I oan.t
trr.r"r suction
E co.ted Steel with Cathodic protection
(at time of installation):
EJou.ornatic Tank Gauging f t-'fftrW
fIrirnaness Test with rnventory
I *ur,,rul Tank Gauging
Type of Release Detection for piping (mark all that apply):
f
".or.,dwater Monitoring Erinnaness Test(Annual-pressure)
f]roir vapor Monitoring f]rinnaness Test(3yr-suction)
I rna.rstitiar Monitoring n*or,"(safer suction system)E le.x Detector atl Jctckzt r o.n".
\-.
Drawn By
: I TI I-]LAT
l^,,1 k lt$0ate:ID No.
,ad t
Building, etc. outlines
Tank & Line outlines
Potentiometric Surface
Mon'itorjng We'l ls (MW-#,
Sample Locations (SS-#,
Bore Hole (BH-#)
E = Water Wells (domestic'
Power; -t-t-t- = TelePhone;
French Drains;
t&er6tl t
1A^tvfl z-
o
^^w 3
vh,-#, PZ-#I
h,s-#, vs-#, AS-#)
I ivestock, etc. )
-g-g-g- = Gas;
o
n/.w4
0-
[=t=
. Creeks, Rivers
Lines: -s-s-s- = Sewer;
-w-u-w- =Water;
o(ur.,-7'rc'rtl-q
-p-p-p-
-d -d-d -
507 30
Distribution: While-DERR, Yellow-lnspector, Pink-Facility/Owner
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
Manufacturer, name and model number of system:
ffiHffiiiifrtr{f;titftsli
L..L Tank 1 Tank 2 Tank 3 Tank 4
Device documenlation is available on-site (€.9., manufacture/s brochures, owner's manual)
tY.)
No G) *,--rYe9 No Yes No
Records on sit€ document that the system was installed, calibrated, and maintained
according to the manufacture/s instructions (if no explain below)
'Y"/ No @No @No Yes No
A probe is present in the tank (checked by inspection)6, No @No veil No Yes No
Device can measure the height of the product to the nearest 1/8 of an inch G-'\ No d;t No V})No Yes No
Device monitors the in-tank liquid levels ovor the full range ol the tank's intemal height vi) No (r"") No Y".) No Yes No
A monitoring box is present and there is evidence that the device is working (i.e., the device
is equipped with roll of paper lor resulls documentation)@No @No Od No Yes No
Documentation is available demonstrating that the Automatic Tank Gauge was in leak test
mode at least onc6 a month for the last 12 months
@*o @*o @t No Yes No
lf no, which months are missing? (specify months and year)
The tank was filled to at least the minimum level required by the manufacture/s equipment
protocol to ensura a valid leak test @No @No 9No @No
The tank capacity is within the upper and lower size limits required by the manufacturer's
equipment protocol to ensure a valid l6ak test
@No @No 9No Yes No
Have any of the leak test reports indicated a failed test. lf lail, specify in comments section
what actions have been taken to correct the problem. Has DERR been notified?
Yes @,Yes @ Yes @ Yes No
Documentation of performance claims for thg automatic leak test feature is available and @No @*o @*o Yes No
SIIOWS Ule aulllty tu ueteuI riraiS (Jr u.e gPil wrtlr vo-/o uI gruatEl Plgudulllly
5% or less probability of false alarm (3rd party certification)
Comments:br^tArr* 12t -,nzrdJz . Vktznstaz.t- tl uYt c,t
bn " ('' ,frir' - n jan-.
lnspector's Siqnature:-4n,7.4r(-2n-/*24- --l Dare: llU lAg
"."nt Orring ,Signature of Owner or
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Own€r
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
FACILITY SITE PLAT Facirity fD No. l0OO'T t O
,roj/e
, o,r)*J
$4:5;,
?tr{ \
4Qz+-r
,)'"
Irrd
9to"
-*Jn%''At"J\"
_!tr---rl
I
I
*:oru
x R.ort iaz-kzt Lu"k )cter{o.s
the location ol any reported PID or FID readings.
Potential Receptors- lndicate distance (in feet) to the nearest: Residences Buildings Buried utilities
Active water well _ Surface water Other
Vi cerrity that I inspected the above-named facility o" a/ tt lri5',,'-,
lnspectols Signature:cea*lTCOSL> oate: "l / lt I ?f
UNDY^SROUND STORAGE TANK PRfN,AM
Adiusbnent Trackine Fonn
OWNER:a Aner Date: ^i -, o
Faciliry *: /Oo<:7 / o
ADDRESS:5q e-
Reason for
(cirde one or more)
REFUND DELETE CHARGES Re-bill ves-\rW1
DrTon t ,1 /\.'Jp- rl ,>.12"* trY? q- il --ea- SCrWn 5>
i ,au n -,{- - / P-{ V ,'/1 t tot'cl / l,'n//, )
-.r O$
es19s\n"
lr/,--//
sisnature:@
E
IT
F:
I
U)
E-
EIEIb
oz
It
oz5lrIrld
H2trl
trp
o4.
(,*
U
ot{trtrlFlEIo
o2
trlI
o
z
lr25o
I
AeoilantrcGntEno/,U*r*
OFREQTJIRED)OFREQI'IRED)
1
PgT PROCESSING CHECKITIST
FaciliEy ID.
rnitial process dat.e
DoolyeW
Unacceptrable Acceptable
Not.
Apr:1icab1e-x+Non-Marketer Discount
Form Included
- Verify tank/1ines
Previous .Bo1]ution
I\uz,r 5 r{a-
- I,UST FilE
dents
"@N&*V
vs registered
- Documentation
- Rate ok?
Y/N
ok? Y/N
Y/N
t
6
rid
88
89
90
9L
92
93
941
s4
i&{&
Fees Pa
-FYI
-FYI
-FY!
-FY!
-FY!
-FY!
-FY!
-FY!
Fund Paid
_
--
-
_
- FY 9s Q1_Q2_Q3_Q4_
Compliance
Compliance Outstanding?
Leak detection required?
Spi11 /overf i11 required?
Corrosion prot,ection required?Notification up to date & complete?Application submittedz
Y/N
Y/N
Y/N
v/N
Y/N
Y/N
Date QualifiedDate Issued
Luo p<r- L-K DK d,,oko
L-
i'{*rt,tG
psEproc.frtn OGl23/94
Review completed and certificate issued by
rx
, acility lD # 100071 0
PETROLEUM STORAGE TANK FUND APPLICATION
OWNER OF TANKS
Owner lt
Address
City City 0rem
County Utah CountyState Utah Zio Code 84058 Stata
Utah
Contact Person T. Robert C,ordner
IIPEIE OWNER
Contact Person Paul llowe
LOCATION OF TANKS
Facility Name Crestview Statlon 1500 No. Inc.Address 1588 North State
state utah Zip code 81t058
Phone (801) 22t+-B?y
State ,, , Utih , Zip Code 8l+01?
Phone @01) 22t+-1960
I X ] Marketer, or non-marketer with facility average monthly throughput greater than 10,000 galtons.
[ ] Non-marketer with facility average monthly throughput less than 10,000 gallons (must verify).
DESCRIPTION OF UNDERGROUND STORAGE TANKS
Tank #
Age
Capacity
Substance
12,000 gaI.
Gasoline
123
New 9re8- New 9F4 New of
121000 sa1. 12,000 gal.
Casoline Gasoline
TANK TIGHTNESS TEST
Tank #
Pass/Fail
2?
Pass Pass Pass
CFRTTFTCATE OF REGTSTRATTON
Ix ] -All Underground Storage Tanks (USTs) at this facilig have been registered.
I x ] All tank registration lees have been paid.
COMPLIANCE WITH UST REGULATIONS
ls the applicant currently in compliance with all Federal, State, and Local UST regulations?
I X ] Yes [ ] No lf 'No' please describe item(s) of non-compliance:
PREVIOUS POLLUTION INCIDENTS
Has a pollution incident ever occured at your facility? NO[ ] Yes lf 'Yes' please provide LUST (Leaking Underground Storage Tank) information:
lx I No !f 'No'please attach a letter stating that under customary business inventory practices standards
you are not aware of any release from any tank(s) at this facility. The PREVtous poLLUTtoN
INCIDENTS form may be used.
TNpEPENDENT FTNAN9IAL ASSURAN9E.
tx]lhavemetthefinancialresponsibilityrequirementforthefirst$25,oooperrete@
method:
Xl Self lnsurance
I Risk Retention Group [ ] Letter of Credit
[ ]Guarantee t
t
lCommercia! Insurance [ ] Surety Bond
I certify under penalty of law that the above made by me are true and correct.
Owner/Operator si gnatu re
I Other
Datesigned 2'^',/?5
PETh*--EUltl STORAGE TANK FUND CHEr-IIST.'
I I:FPTIFIEATE OF NEG|STRATION
IX ] All Underground Storage Tanks (USTs) have been registered- EPA form 7530-1 (Revised 21921.
lX I Tank registration fees have been paid- Fisca! years 1988-89= $25ltanUyr., Fiscal years 1990-92=
. $4Sftankfr., Subsequent fiscal !€8Gi= $60 or $135/tanUyr.
2. .COMPLIANCE WIT}I UST REGULATIONS
tX I I am in compliance with release detection requirements.
ix j t am in compliance with all other Federal, Stiate, and Local UST regulations.
3. PETROLEUM STORAGE TAND FUND FEES
tx I PST Fund lees have been Paid.
t 1 Fiscalyears 1991-93=$25O/tanUyr. or$12Sftank/yr. (with non-marketerdiscount') plusapplicable
process fees.
t ] Fisca! year 1994- $l5OltanVyr. or $7Sltanklyr. (with non-marketer discount') plus applicable
process fees.
tX I Subsequent fiscal lears= Based on facility throughput $50, $150 or $l.7Sltankfr plus applicable
process fees.
' For non-marketer discount
t ] I am a non-marketer with facility average monthly throughput less than 10,000 ns.
t I I have completed lhe APPLICATION FOR NON-MARKETER D|SCOUNf form(s7.
4. TANK AND LINE TIGHTNESS TEST
0( ] Al! systems pass the tank and line tightness tests.
E i t am submitting the results of the tank and line tightness tests and a copy of the field report.
t ] All tanks do not meet the requirements set by rule regarding tank tightness testing.
i I I have contracted the strate UST otfice and will submit evidence of a plan for review.
5. PREVIOUS POLLIMON INCIDENTS
I have comoleted the PREVIOUS POLLUTION lNClDENTSform, which states whether under customary
:l .
business inventory practices standards I am aware of any release from the tank.
6. INDEPENDENT FINANCIAL ASSURANCE
@inancialresponsibilityrequirementlorthefirst$25,000perreleasebythefollowing
method:
IXl Self lnsurance
[ ] Risk Retention GrouP
[ ]Guarantee [ ]Commercial lnsurance []SuretyBond
[ ] Letter of Credit [ ] Other
"See explanations under'How do I get started?'
FacilitY lD # 1000710
This letter, or an equivalent, must be signed and included wiilt your application and fees.
PREVIOUS POLLUTION INCIDENTS
Mr. Kent P. Gray
Executiv. e Secretary (UST)
Utah Solid & Hazardous Waste Contro! Board
Dear Mr. Gray:
As required by paragraph 19-6*413 of the Utah Underground Storage Tank Act, I have performed a tank and
line tightness test on each underground storage tank at my facility, and based on this test, there has not been
a release of petroleum. Additionally, based on 'customary business inventory practices standards' I am p!
aware of any release of petroleum frorn my tanks.
Crestvlew Station 1600 North Inc.
q
I have had the following releases of petroleum (detailed below; also mention any action you took to clean up
the release).
signature of owner/operator
Failure to report previous releases could void your coverage under the Petroleum Storage Tank Fund.
of owner/operator
Crestvlew Station 1600
g!nrw,',tn oTnag
Svsreu Ixreenltv Evnrunrrox Dlrn Cnnnr
I t a
Pnooucr CoxlnINMENT
aLocrrrox ;
:
.. .. aa aa ra aa a!
aOwxen ;a
a
Rerson FoR TEsr ;
a
a_ Penson !ReouEsrrlc TEsr :
:
a
Tnnr(s) rxvolveoi
E.P. A. REGULATIoI{S
Crplclrv Gnnor Tesreo rr HtteRtrl
Locrttox Coven Flr-r-s/VEilrs Svpxoxe
INELI
2
3
4
Tesr Resulr Dnre
t-J-
AccoRoTNG To
ID
AVAILABLE SOURCES,
Resulrs
MoRE rHAil l[)uO
Rlre
FEET.
Drre
1
2
3
4
-eaxDErEcroRTesrlil .- 2 N , r\ 4l.d[+6 l)n<< l*2n2.<
JNDERGRoUxo l{rrEn
Resut-rs
HonxeR EZY 3
NoTT VoUUMETRIc
Tnnx Trenlxess
Tesrrn
STEVE LYO}IS & ASSOC..
I NTERI.IOU}ITAI t{ LEAK'P.0. Box 50076
PROVO, UTAH 8460514
Sre
,2401L352
Co-0001
uT-o054
Io-9114029
UTT-10'8
I'IORNER EZY GHEK
PRODUCT LINE TESTER DAIE: A- lC -?S
, .:.
,LocATloN CBOc*UYeil SuPen .ryene p***,
ADDRESS lg gq Nonrp gr *C
CITY, STATE
APPLIED PRESSURE Note: After'each line test, eactr leak detector
TECHNICIAN Orarles Hjorttr operaEron.
5aoffg rANll /.ZNe 54pffi Afieaaog ltwooae r$)r taa u/uAa4o€? ptzg
M/T TIME DATA .I + GPL BES GPH I Mff TIME DATA .I+ GPL RES GPH
lY zl5 tAr o Lalz o 2 I l_ Qtoc 21 o e2z o o
n (W l'€ -j n -o//l I Z_ Q:t? A3 -? t,t &sT q;t.q lre a k @ . I Z_ q:3c l3 -9 tt pljs
T 1l3o t-G o tt *ru . l_g_ q:So l/ -A tt tuA
T 1;15 tA't -t tt UZ r T to.oS 15 -L 'r gZ -.d"JZ
f F'fr tA't o tt *aa. A l -f_ /g;p lS o /r *.@ -.aaJ7
Jq09- 1@Zl r Piic ts a ', t.ea -.qZ
I f bp lq O t, t.@ -ZIf
@e7
NoAf/_ UNI| /,y,Le U/</AAM eO
1- f t',.n /JL O ,da)7 o d
4 )l;/c I ll -.? fr -.o1il
/'1 ll,tu t tO -l u - Fq7
T U15 )to o t( +^@t@
f)Mtlt^Oh@o
T lElS llo o tc Wg a
T/z,buoott&o
PAgs _+e
FUSH STATIONERS.PRINTERS, INC. (I092)
?
%services, rnc.
1320 West 800 North
Maplcton, Utah 84664
Cn February 1 5, 1 995, the Cathodic Protecton on the Underground
Stoi'age Tanks at Cnestview at 1588 North State St., Orem, Utah;
were tested.
The Readings are wel'l within the established criter'1a
for'StiPJ tanks.
The Readlngs: North Tank -1,C21 llillivolts ( tinleaded)
Center Tank -,989 Millivolts (Plus)
South Tank - 1.002 llillirrolts (Super Nolead)
The Readings vrere taken according to the protocol set forth by
the Sceel Tank Associaton,
S jricerely,
CM 724
Charles H jor^th
C,H, Services,lnc,
FlL r
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
158 Nonh 1950 West
P.O. Box l448zt0
Salt lake City, Utah 84114-4840
[phone] Voice
[phone] Fax
(801) 536-4-114 T.D.D.
I
tt0P r
Michael O. travitt
Govcrnor
Dianne R. Nielson. Ph.D.
Exsutivc Dircttr
Kent P. Gray
Dirctor
ERRU-o36-95
February 13, 1995
Crestview Station Inc.
Attn: Phil Anderson
1594 South State
Orem, Utah 84058
RE: I.INDERGROI.,ND STORAGE TANKS IOCAICd At 1588 NOTth StAtE, OTEM, UtAh
FACILITY ID# IOOOTIO
Dear Mr. Anderson:
According to the provisions of the Utah Underground Storage Tank Act (Act), Utah Code Annotated
ruCA). Section 19-6-412, all owners and operators of petroleum underground storage tanks must have a
Certificate of Compliance by July l, 1991. Any petroleum distributor who delivers to a tank that does not have
a Certificate of Compliance will be subject to a civil penalty of $500 per occulrence (19-6-416, UCA).
The Division of Environmental Response and Remediation (DERR) has received your request to
receive one delivery of fuel to test your tanks at the above referenced facility. This letter is NOT a Cenificate
of Compliance but allows you to obtain petroleum products for testing your tanks.
This letter applies to fuel being delivered by Crestview from 02-13-95 to 02-16-95. A Certificate of
Compliance cannot be issued for the non-complying tanks. If after our review, your tanks are found not to
be in substantial compliance with federal and state rules and regulations, a certificate cannot be issued.
If you require further assistance, please contact Therron Blatter at [phone].
Sincerely,
p7.^-@tM^-*=<
Kent P. Gray, Executive Secretary ruST)
Utah Solid and Hazardous Waste Control Board
KPGftts/al
Joseph K. Miner, M.D., M.S.P.H., Director, City/County Health Department of Utah County
Pflnted on recycled Paper
STATE OF'UTAII
DEPARTMEI{T OF ENVIROI\MEI{TAL QUALITY
DIVISION Of'EI.MRONMEI.ITAL RESPONSE AM m
16E North 1950 West, lst Floor
Salt t ake City' UT E4U6
(801) s3H100
FA)( NUMBT,R (801) 359-E853
FAX COVER SIIEET
\\oarr:21\3115
ro: Q\: \ qnl,€rbr^
AGErycy/FrRM: C ce *vi p",
FAx r{rjMBE,. t -}?x - b737
TR.OM:
PAGES TO FOLLO W, I
COMMEtr{TS:
\
The Utah Underground Storage Tank (UST) rules (Utah Administrative Code R311-2gg-g) require that UST lnstalers notity
the Executive Secretary, Utah Solid and Hazardous Waste Control Board, 30 days before installing or upgrading any
regulated UST system. This form has been prepared to assist you in providing this information. -Before
instatling or
upgrading an UST system, please complete this lorm and retum it to the Division of Environmental Besponse ind
Remediation at the address below. lf any tanks or lines are removed or replaced, a Closure Plan for those tanks or lines
must be submitted and approved, and a site assessment must be performed at closure.
U ST I nstallation/Upgrade Notif icatiorr
lx I Newlnstallation [ ] UpgradeFacility lD# (if not a new facility) t "'aO-? t D
Date work will commence 7-25-94
Tank Owner ROBBT CORDI\iB.
Address t sqa f. srRrr City OREM
phone nf01 t224-8737
State-fls zip 84ffi
Contact Person in charge of tanks
Facility Name CREST\IEW STATIOI.{ INC.
Address 1588 N. STAIE City oRB( State lnu- Zip 8a9s8
Contact person ROBBT @RDNR phone #(801 \ 224-8737
Certilied Tank lnstaller Name CXIARLES IUORTII Cert. # tgoo26 Exp. date.s-1 s-95
Phone#(801 | 489-0224Company C.H. SIRVICRS INC.
Address 1j20 w_ 800 N-city MAPLEToTT state_lElE zip.84664
lnsta llation/U pgrade lnformation
Tank #
lnstall/upgrade
Capacity (gallons)
Type (FRP, Steel, elc.)
Substance to be stored
Piping Type (Press., Suction, Gravity)
Tank Leak Detection method
Line leak detection method
Form of Corrosion Protection
Spill device to be installed (Y/N)
Overfill device to be installed (Y/N)
INSTAI;L INSTAI;LINSTALL
12,000
STEEI,
12,000 12,090
SIffi, SIEEI,
GASOLTNE GASOL]NE GASOLINE
PRRqSURE PRESSTJRE PRESST'RE
#ffiANNUAL LINE IEST--
eArrrronrc -caEloDfc cAlr{opTc
YYY
YY
Unusual or extenuating circumstances expected:
,
Mail completed form to:Utah Department ol Environmental Quality
Division of Environmental Besponse and Remedlation
168 North 1950 West, 1st Floor
Salt Lake City, Utah 84116
State Use Only: Date Rec'd Rec'd By _ Notice Sent To O/O in trll.lm r2t28r'93
()7.'1{,'9'l
I
11:19 FAX 80I "59 88SS DIV ENV RESp RE-
UST installation/UPgrade Permit @ ooz
i Xl N€Y Pe!'DlE I I Eentrt l.oatlEtoteloB
rrsErrr.sto' coEptoy -C'H'
SB\IICES INC' , ,Drr*18 Ne r Ll77- /
ooo'""" 1320-West-,r800 North ctEy@ stoco-L- zt9 84664
pbonen t 801 t 48q-0224
cerg!f1ed IsgElJler'6 on ProjecEl
Narxe CHARLES tLIORtrI dereJJ5J-5,--_
dagc
dat,e
Daie wolk r!I] commenee '7 ,27 9+
iacr.1:.y rDl (i f noE a nctr, f aciliEy)l upgradc
ruk oyaGr PotrE'PT C0RDNER
can. t Tr, 00025 Ef .
Cort. S L- EcD.
ccls. * E!___ bcp,
tX ) Nen trnssallation
adcirc s s_l_!!f S-*SII(IE EiW--OBEM ssaEe UEI' zip 84058
ccnEacE person Phoue f ( 801 ) 2"4-R7?7
Facll!ry X.r.
1661"3y 15BB N. STATE
-
clr,yJCREM sEaee-UI. zip---CI4-Q5g--
conEacE person ROBB,T CORDNER
-
Phone * (-g0{-) i24-87?z
SoEaI IDsEEIIatiorr Tard( Fee,/p6riil1E $600 Ok 6tZ
gtruausl oE orEssurBtug clrcr,uolrDsrl arpscEsdr
raaJrg lstrl,vad 1lr IsrEallrtloa / Dgrrar
Tank #2,?
Instal I /UpErsde TN.qTATT.TTICrI]AT.T INSTALL
Cspac:.t), (gaIlons)12,000 1 2. 000 12.OOO
Type ( FRP, steel , eEc. )STML STF.FT,ST]trFT.
Subsrance co be Stored GASOLTNE GASOI.TNtr GASOT.TI\TI
Pi.plng Type (PreE8.
SucBton, GravlEY)
PRESSURE PRESSURE PRESSUR]
Mall coEpleE.d loE Eo;IrErh DegarcElnE of InviroDl[Engat Quauty
Divlslgu of Envtrono€EEBl Rcsponsa a^Bd Romcdlatlon
168 Horgh 1950 Wosr, rar tloor
Siace Uee OnIy:
Y^
9EPA Unibd States
Environmental Protection Agency
Washington, DC 20460
Ssrm Approved.
OMB No.205G0068
Notification for Underground Storage Tanks
168 NOKIH 1950 WEST
SALT IAIG C]TY, UIAI{ 8.tI16
STATE USE ONLY
TDNUMBER: I()OO1 (O
DAIERECET,/ED, QIZJOO a
DATEENTEREDh{roCoMPUrER: 6l( /6 H
E a. r.rew FAcrLrrY E e. eueNoeo r D c. cr-osune
_ Number of tanks
at facility
Number of continuation sheets attafu CWNER WAS CONTACTED TO6LARIFY RESPONSES, COMMENTS:txs
()=
Please tvpe or orint in ink. Also, be sure )tou harle signafums in ink for
sedions Vlll and X. Complete a noffication furm for eacfi location
containing underground storage tanks. lf more than 5 tanks are owned at
this location, you may photocopy pages 3 thmugh 5 and use tfiern for
additirnal tanks.
The primary purpos€ of this ncilification program is to locate and enaluate
undergrcund sbree tank systems (USTs) that store or have sbred
pefobum or hazardo.ts substances. The informatbn you ptwile will be
bmed on re€lsonady a\railaHe records, or in the abeence of sucft lsoords,
your knodedge or rccollec{bn.
Federal lry nquiros UST owners to uee thb nottficatlon form for all
USTo storing mgulated subatancee that are brought into uso after ltay
8, 19E6, or USTg in the ground as of May 8, 1986 that hruo stored
regulabd subatancee at anytme slnce January l, 1971. The
lnfolnraton mqueded lo rcqulred by Section 9002 of tte Reoource
Gonservdon and RecovwyAct (RCRA), c amendcd.
Who llust Nodry? S.ai* 9OO2 of RCRA as amended, requires ownee of
USTs that store regulated subetances (unless exem$ed)to @fy
designated Stab or local agencbs of the existence of their USTs. "Owne/
is defned as:
. ln the case of an UST in use on November 8, 194f, or bought into use
after that date, any person rvho wns an UST used for storage, us€, or
dispensirg of rcgulated substances; or
. ln the case of an UST in use before Nowmber 8, 1984, but no bnger in
use on that date, any person who ou,ned tho UST immediately before its
discontinuation.
Aho, if the S-tab so equires, any facility that has made arry cfnnges to
facility infomation or UST system status, must submit a nofficatkrn form
(only amended infumatbn needs to be induded).
What USTs Are lncluded? An UST system is defined as any <xre or
combinatirn of tanks that (1) is used to cootain an accumulation of
rcgulated substanes, and (2) whose volume (including connected
undeqrwnd ppns) is 10% or mole beneath the ground. Regulated USTs
stor€ petroleum or hazardous substances (see the folloving 1 /hat
Substances Are Corercd').
What Tanks Aro Ercluded From tlodficdon? ?rF. Tanks removed fiom the ground before ltiay 8, 1986; lJ-. Farm or reskJential tanks of 1,100 gallons or less capacity stoing motor fuel
for noncommercial purposes;. Tanks sbrirg heatirg c{l for use on the premisee wtpre stored;. Se$ic tanks;. Pipelirn facilities (including gntherirB lines) regulated under the Natural @s
Pipeline Safuty Ac{ of 1968, or the F&azardous LiquU Pipeline Safety Act of
1979, or wtricfi is an inbastate pipoline facility Egulated under State laws;. Surfre impoundments, pits, ponds, or lagoons;. Storm water or wasto water colledion systems;. Flo$r{hrough process tanks;. Lhuid tsaps or associated gathering lines directly related b oil or gre
produclion and gathering operations;. Tanks on or abore the floor of underground areas, such as basements or
hJnn6ls;. Tanks with a capacity of 110 gallons or less.
What Subetances Aro Gowmdit The mtificatim Gquirements apply to USTs
containing petrroleum or certain hazardqs substances. Peboleum includes
gasoline,-used cil, diesel fud, cnde <il a any fiacflrn thereof lttich i! liquid at
itandarO conditions of temperafute and pressure (60 degrees Fahmnheit and
14.7 por.rnds per squar€ inch absolute). F}azardors substances are those
fomd in Secrion 101 (14) of the Compehensiw Environmental Response,
Compensatkrn and Liability Acn of 1980 (CERCIA), liqt th€ o,I96_49n of those
substancee regulated as hazardorrs waste under Subtite C of RCRA.
Whero To l{otM Send completed forms to:
STATE OF UTAI{ DMSIOil OF E}IVIROiIIEiTTAL RESPOil$E
r08 NoRm 1950 wEsr
PO BOX 111810
SALT l-AtG Crnr, uTAll E41111E O
When To ]lodfyA 1. Ouvners of USTs in use or that have been taken out of
operation after January I , 1974, brn still in the gound, must noti! by May I,
1986. 2. Omers wtro brirg USTs inb use afier May 8, 1986, must roti$ within
30 dap of bringing the UST into use. 3. lf the State rcquircs nctification of any
amendm€nts to hcility, send informatirn to Stat6 ag€ncy immediately.
Penaltiec: Any owrrrnho knowingly tails to rntify or submits false infomation
shall be su$ect to a civil penalty rnt to exceed $'l'1,fiD for each tank br which
notification is rot given or for which false information is given.
Craw ilame (Corporalion, lndivirual, F,ublic Aoency, ff O0ler Entty)
Put..\..,'-. t)klr(o.\e ^ L . P
lf requked by Sbb, give the geographic locdon of USTs by @ces, mhubs, and
seconds. Example: Latitud€ 42' 36' 1Z N, Longitude 85' 24' 17'W
Ldhr(re Longtudc
SteetMdrcss'TG'iT Flt \\6ou./.r\.,5,.tit<- to o
:ornt Ha.fCi q
Facility l,lame or Company Site Hentifier, as applicable(*..,,,..r*+8s1
El lf addr*s is the same as in Sedion I, cfteck the box and proce€d b seclicn lll.f addrBss is difierent, enbr addGss belorv:
SfeetAddr€ss"\Hfllr.St..te (*r"*
**v t^T*l..
cit,
Ho*',+o ^Kr Zpcodre
\\of"g
Phone llumber (lnclud€ Area Code)(rq\ t{q,{ -\\r,u 0 r,.r^
City StateUT Zp Codefq, <t
^1
9E
E
G
lng
uJ3o3G
E
E
EPA.Form 7.5it0-l (Rev. 1.1{8) El€clronic and paper versions acceptable.
Previous editions may be used while supplies hst.Page 1 ofS
l^
9EPA Unibd StaEs
Environmental Protection Agency
Washington, DC 2(X6O
Notification for Underground Storage Tanks
USTs are located on land within an lndian -Resenration oron tust lands outskle lJ
reservatiqr boundades.
USTs arc onned by a Native American tr
nation orbibe.
Tribe or Nation vvhere USTs are located:fl r"o""a Govemment
E srrt"ciowmment (cornmeuar
E u"d Govemment E Private
E utititio
fl nesoenttat
E r"-
fl om-(erd"tn)
E P"rot*, Distributor
D airf"ri (Airline)
E nircrat orvner
fl mto Dealership
fl n"iroro
E r"a.a-NonMilitary
E r"o"or-Military
f] tnou"tt"t
E conr"aot
Phone Number (lnclude Area Code):
a?0t{I9 -Vi." ?r.sl}."*R,J^*I 0-
tr.
(
tr
tr Local Govemment Financial Test fl eottd Rating Test
E sat" rrno"
E rrustruno
fl o$,., u"uroo (describe herc)
d ** met the financial respomibitity requircments (in mrdance with 40 CFR Subpart H) by using the followirrg mecfranisms:
E Guarantee
E surcty Bono
E tetterof Crcdit
I certiff under penalty of law that I have personally examirred and am familiar with the information submitted in Sectkms I through Xl of this notification form
and ali attacfied doclments, and that baed on my inquiry of thooe indMduals immediately rcsponsible for obtainirg the infurmation, I believe that the
submitted information is fu€, accurate, and cornplete.
Name and ofhcial tite of orvner or owne/s
authorized epreentative (Print)
of lhis nolificatirn fiorm may be used while supplies hst
EPA Form 75ll0-1 (Rev. 'l 148) Electronic and paper versions acceptable
Pr€vious editions rnay be used while supplies last.
Page 2 of5
O4t'85! 2A85 1.2: 48
04/05 /05 -1lj-!.4_ FA{.
88t3759324
801538/^q
PETERSON OIL
DEO DERR
PAGE A2
B oozzoon
PlaaBE Voe orrdolli.ld,(. ALso, be surr,lou nava slgnalurur ln Ink lor secllonrVlll end Xt,. Cornptels s noillleation torm lor sach lcLtion Eonl;llnlng undDErgund
storagre lEnke. .l,mre lhan E tBrqrc elr ou,nEd al lhtE toc€tlon, pu 6ay ptrdo6bpy .
pagE6 3 thtouBh 5 ard uEe lhsm l0r addln-onEt hnlG.
The prlrne?y purPcle ol thls notttlefliort prusrrm b to loEel€,and evaluale
undeGrErnd slolegc tenl EFt€rm IUST0) Ihat aloE or have storrd DElrcleum orhE^rUouB ELrbsEnces The tnlonrnlipn rcu provlde wlll be bsBed on rsesoneblv
Bvallable recods. or ln the eDseoce ot Eirctt iicordg, Iprrr knowieoie oi
reoollastlon.
Fodorel law requrms UST ownem to ugD thlr nolMof,tbn torm tor dl Uglr
3rodng rEgtJlot d Oub9t8 rc63lhEt !il broql'|t lrtlo us !fi.t UiV 8, 19!6. or
UETo ln lhe ground a: ot Mcy E, T986 that hiw dorso mnutaad sritneiicnr
aI Eny Uir rthc€ Januory i, 197,[. Thr lnlormrrbn ruqurited lr mqutrcd Uv8.trllon 9002 of tlrc Rolouros Canrervrtlon and Beoonry aet (BCAA), q3'
rnpndod-
114.o^Il-s!-!olff SEolion so0z ol RCBA, l"! {Irr€n686, requlrGr ovilr€rs ot USTSlhrtEIor? leoulale(, e,rb-sl!rE{ (ult€S3 s.lElnpted} to noilly daslgnated SUir ottocat ageflc[r5 of lhc edstenc€ of lh6lr UETg.aorr,naf ls dbllnoO-qs;
. ln tha El$o ol an UST fn u!. oh NolEmbBr6, t904, Er bmuoDt lnlo use qltrr thEt
date, Dny- Dlntofi w[D orrns an UST unod foi E]orEil, ute, oTdrideneindb7' "'-'
Ieoul8]Ed subslancati ot
r Liquid rrsF or r4aoE[€ld garhcdrg lin€s Gri€crly ralared ]o oll orlqr productlonand gaUrdng openllonr;. l8nK5 On Of tbve ln6 IlOOrOl U.6@1grcund BErr. lucn nE lraE€meilo Dr lunn€lsi. Trnk* with a capgclty ol I to salhniir'toci,'
Whnl Subctrncno Alr Corrarcd? The noliliqtian mqdrenrtile epoty to USTEcontahlng. petroleum or ceilqrn ha:emo.c nui6rrcei-Feffi EUm rnorudeq ruq.tlrmrr$d.otl' dieseu,Er, onrde ci or anv tnctroninereci vrrr;iHiicrrc;G;; r,Jv'rr E!
cpndtttonr ar
'.m,trrerure
ena prcsiqe.(60 degnia ic'ririnnljil1iJi-a.?il,io, p*lruar€ indr.eDBoiute). liazamdui iuustinLiErBi-n;fr i;il; h seouon 10r t.t4t or
rI"-Qq,reFtqrsr.ve Envrr'nmenrar nespincd, -conpeniriiiin
diia-uiiTri ry ii'Jii iio(CEHCI-A). with the exccplton oi tlec iruoslancss fuputui"i'* hazarroijs "i"iu
---
undsr sublltle C ot BC-FA
yvh.n To Notlty? I , Ownerg ot UST. h uoe Or that ha,e bmn takon oul ol opontlon
flfl ffi tu;:f1,"1iit7,,il,iii.ri'#ffit.&*,p#,il,d.{nTiil3ffi ,,r
usT inta ucc.3, il tne srare ruquiiee'nofricaiioi;i;;i;;€n;rrEnG r. irjrlrii iLiii:lntomeilon to State eg,encyiniredifiii --- '
Fenoiles: Any om€r who knodrSty lrils^l€ noittycr submlla lalss lnlormauon riellbe subtlgA tc a civl! prnufty not to dxbnBO 3f f .OOd rar pi"h innv rnr ur.rr .A{n^il^!ff"l,'i?ffi,1?1,#ffi',Hy'"1',',"',,?1ffiff ilJrgl lor each tir'[i', i'iihli ffi t'iiffi;;
E ll rddrDEE iE lhe seme rr h geclion t, cnec,( thc Dox Encl Fruceed o sdaton rti_ ll addr€3s ls dl,ler€nt, enter sddreia 6rl
SlrEet A4?aBE
sHle
E/*
Zip Code
g ///'l
. ln the caG€ ol rn UgT lh Use belqrs Nh'.,nD€t B, .1964, b|.n no loaoat h use on Where To Nollty4 Send empral€d lorms to!
ther dore, ahy parsor, wflo o\A'ned the UST irnmr#nioty Eiore le dsiiilrirjiniiUn.
A,€o, it the Sttsle_Bo rsqulieo. nny lacilify hat tlEs mr6r nnyChanges to hdfity
illgnnqlor or UST Fyutom €tatu-s. musi eub,nir e norirlcatr'on- rdini(dnli ameiieOlnlormelisfl n€€ds lobe lnctLtdsd).
lYhEl USTS Afs lncludcd? An UST syEtEm t0 dellmd os Any ErE or cotllblllluionol.lanks fi.1 (1) iA uEqC lo conDaln rn 6ccufrlaftn ot reguiafeA iUbaGnies;;'(4 wnose volumE (tndltolnt G,nnected underyrur.rnd dolnf,l is loyc or morr
bcnGflh !h9 0r0uM. FegutatEd UETE Eloro pErreleuri dr hiiordolrg substa;ces(see lh€,ollor,t/lng rwhBt S(bslances Am CovcaBd'J.
Strml Addree3
D y- *.-
OwoEr NBme (Corpor8ilon. ln6hl6rrsl, publle Agensy, or Olh.t EdlU)I.t*#,'Etff H['f,,,H1?9EEPI5',ry ,1'Ir"*LH]",%tff ea,,inut",",,a-
LEuuda_- LomlilEE
Fldlhy NaiB. ar CamDE ry SitE tdEnlh.r, or AppticaDb
" { _,,i/r'k- /rlr,*,, A,,z a.,5't'1 W ?/tD.4,/ Ao;a, 4 fa.Va /af
Gouflty
,tt/4 / t't 8 1/ S*rc.b tr*u-* 2ro.,*, t/* 6,ta,
County
€t*eh
Phone Number (lndudc Aro0 eo6E)g0/ - 22r- 320D
clv --T-srrr.
0 r),"rrt
EFA Form ?SgGl (Rw- fl-S) EtscbontE And pnperve{slons sccepEb,e.
PrErrioug edltlEnt m.y bn ur6d whil€ supplies ljel Page 1 ot g
84/85/2A25 12:48 8AL3759324
DEq
PETERSON OIL
DERR
PAGE 03
@oostoos
€zEPA Ufi'ledsat t
Environmentaf Prctection Agency
walilr,Ehft Dc 20d60
E rra.^lGovemment
EI sot"Govemmonl ffi ctnr"rur.t
E Local Govemmont fl "ri*t",
USTa are located on lerd yrtthin an In&ian
R€arryatlon oron lhrst hndo outsid€
rEl€en Etlon lanndailea-
USTs ars onnrd bya Nallvr Amerloan
ngtion ortlbe.
tr Trte or Nslton whcm USTs aru tocet6d:
ffi e., slruon
E put tum oietributor
E lrr"r (Arrrh€)
E Airc.afl o*rne,
f] euro Doalership
E nrim"a
E p"orrl- Non-,Mtbry
El nocnrt. Mlhary
E t**trt"t
Ll conreaot
E r*oqn/rrrnEport
E urrrt".
E nruiu*u"t
fl rr*
Name:
p*o !a/y/h..'/Jts./"a
AC&sss:t{2 u ra?1/
Or* &# fqh''
Fhonc Number (lndude Arer Code):
8O/.22J'-lzoo
---J
Mt h"ue met lhe rinsnda, rErponEibiriry requlnaenE (ln aocordance wllh aO CFH Subpan H) hy urlno t|r fo[orylng mechcnl8ms:
Ohock A[ thqt Apply
I-l sr,, rnrrran..
E commcrciEl lnsuranca
E nl,l. Rrrenilon Gmup
fl ao".t oovemment Flnendaj T€rt-
E G*r"nr".
E S,.,retyBoad
E uenerstcc$t
tr u;;; Bar;sres
)
E[ .su,o rrno.
E rruerruno
E Onrr,lytetnod (doroibe hero)
--
I cenily r.rndor ponatty o, lew lAtt I hav€ pe /.mally sxamlncd and am lamltlar wr.th thc informallm iubmlrcd ln gccuons I though K of thlo notifica{on lorra andfll"*TIttf ,:ffifl::ltJi?"iIiJtjreq on.mvr'{ui'v aiirrose hrd;dGuffiiiiiat"rv *spona;ure ror o'fr-lninfir,'" rnro,m"rioi1 r oa1eve rhai iha submhad
NAme and oltcial tille of owneror oumeds Slgnetureauthonrqd rsp.esent!t!e (p.lnl)Dala Signod
4- 4--a{
.?,fi,|silE',ff'l:l:'39P"'#;lllilllJilil;",trffiTglrr?nrrranonre-Iprlane rnerorra,reur,EkErrucrb,rr,cEr
y,i#L,.I,t^1c-?tp:.Tsor,.j!,ql"r Dc,r o,,her ,or Epir+h"I#ffr;:dirffi.*gjllr*dm'l*E:?rTjflsiffifilm$f,.'ff^m:Hi'^I5i?H:
-rttt eri'm ro- mi;'de,iilrdil#ij;i;;: -'*" rur sA- rnrs TEnn onenae ttp Drevlouc nollrlcatlon tam ac parrrci tnao crEEiiiH,'oliiiEr?'i'ff3'rli,f:lif,:
EPA-Fo?ri 753G1 (Rrv. 1lA0) Ehctrmlc rnd pepsr ygrElqrr efptsble.lrreviaJB cdlllonc may bs ug€d iililE oup9li€s lBgL
A4i05/2805 L2:48 84L3759324
1
PETERSON OIL PAGE AT
552 West 800 North
Building A Suite l0l
Orem, UT. S4057
Phone: 801-22S3200
Fox: 801-225-3740
,A
Peters
Tru.nstrmfiolion oatl
Peboleum Pru&rcb
oo
Fax
h/r'l/ r'a,'rt,- fla*<-To:,r'//r*o /oy't*on PzL
?4r.<-
Faxt ?O t- y' 5'a {*l'! , - -. Palrel,i= . -.., (lncluding Gover page)
hzfl /poo?/a
Re:bnaL1a6,rot'/{r' ,flarf (- l--//
/a, ,{/r ,/ j'88 .t/ f*e-*,a
.dtru#.. '6c* 9ta2'l
comllents: fr" u ,'/ yab -Lano g+*r{ar &a.-r{4a--
n*y
; DERR
IENVIRONMENIAL RISPONSE & REi'i,J
APR - 5 2005
S,EPA
UntldSlrBs
Envlronmental Probcton Agency
wa$lng@n, t8204fi)
Form Approvrd-
OMBNol0tto{068
l{otification lor Undcrgrcund Storage Tqnlq
STATE USE ONLY
wAs @IIT GTED To cl.ABlF/ HESPOi{SE$ q\Or'l'lElrns
ta! NCFrit 1350 WEST
s LTr G6t1Y,UTlllgallE
B. AMENDED I tr
"-
cNrosunE
v Mnnberd cofltn.Effii sheets aoadlgl
ffi'ffiEry:
S"ait t g'fi"rE irtd rliraslc htt'g. lt morp tlran 5 tanlo ara orned at
fri'i6i#q,. vo.r-rnay pnolocdpy pag€s 9fitor4h 5 atlo tre fiem hr
addilional tad<s.
The dimaff s(mGg of tils noffidm trogram i5 b |@tc arul ewlmta
';ffiffi'E fi; tant srrtgrns (t Siis) -urr$oro or havc sbred
;;ffi;;; arzfrbGiiriittenos- rne futoonafon Fu prwidc wil le
f,a* on rSaEonabfy av.Iable rEcortsi or in.the abgqto ot slrch r€cords.
yorr, l(lowl€dgE or ccolleollolr.
Fedeol hw llqdltr tlET otEE b uee Ut9 ndlffii tlorm lor all
ilsri ilnng tilra"m $rDrErccrtret .fl! Ltrtght llrE tls? {ry UT, -iiili-or-ifrrs-tn tre grqrc ar d illqUo' 1erc fiil havl trtottd
riouh6a arnctencr* at anytrrnesinoe rranuy l' 197( Thc
irfirnnalon rc$r€# -ttttCufd by$cdoo S0iIotthe Ecource
comctrrtbn aho nesowrf act(HCFA), ar anrcrdcd-
Who hrsi 3lo6ry? Seftn 9002 of RCRA ts amenff. requr-rcs ormers of
UST8 rla rEre reeJed E iliarEEs (tnIesg €il!fiipEd) fo notiry - -oesiglatld suE oitocal egmdr olthe *tsnce drhei I'JSTS-'Ot'rrl3t'
is deincd as
, ln the case d an UST h ure on tlO€nrber g. 1994 6 bEught hto usc
afEr ftrt daG, s/ry pelgori Etro orrfrlf, an UdT used ftr itota€p, use, ol
Cbpenshg d I€guM Eubsiances; or
. tn tre case d en UST h ua€ befiote l{olember 6, 19e0, but no longsr kl
tr3g on illat&re,arrypelson u,toorncdtE t SlTftnmc(fdy be{orGits
dbcoolinudim.
Aso, if the SraE so re(lrirs., ,ny l|acfrv fiat ht8 made any chmgles b
fadlty hbmaliwr or UttT sl,sED rEbEi mrGt tubrra r nodflcaudr furt
(onry Ernerd.d hbmalHt n* to Dc indudedl.
Whetusnr AElncludld? An USTc!*m b drfincdas gluoneor
combirutin sf Erts mtt (1) b rJtd lo con}lh an aca[nrXaibn ol
rcAdefixl sr6starEes, and {2) x,hcc wrt.me (Htffirg aornc{E{,
Ft lngl is 1096 or rDore Dfieath dre gilt[.rrld. FlegLEEd USTS
sloc pahdeurn or hazrrdorrs stGumcss (ree tte fu{onfE lyhatSdsunces Are CoverEf).
IYhn T,Ilb &. Hudcd F !m Nqtificfioo?. Tanlc ranroctl lrom Oe grotlrd brtolB Msy E, 1986;. Farrn of tE8id€nthl ran*6 A 1,100 gExryE or less caPedty €todng mo6rfrJel
for nsEornmerEld PUIPGeS;
o Tanles storing h6ating cil hr useon fie prBml8ss wiBreshred:, Septrbtanlc. pfrifme acOnfr trxduding gafierillq ltor) rEglaled un(br fie l'laEllnl Gas
Pbafrne Seft-tv nct d rsgB. fi he Hezadqlr ljlultl PFeele Saffiy Act qf
f fu. ornfrui i8 an intastaie fipcE|afiEfltty regulEcd undet Stile hffi;. SufucE irnpoundrrnb, pils, pqdt qlEgporls. stm rffir or{rBle x,EErcole{on qrsE ns;. F|O$dlrol8hproBrtanlq. Uwtrl taps orasoocUted ghemg linee drEcuy rEbbd b oil or gas
grduct'on an t o3lhsrlng opErations;. tanks on or abo^r tre ller of undefgnrund arcaS, e$tr as basemerns or
tnrds;. Tsrksvuf,h acaprcily ol 110 gtdlsporless.
What Suffircrc Ar. ffi? tha noffiortion eqtn€rlr€ttts apply b USTG
aontshing p€firlGm or cangtr hruardour sltstsxles- Paoleum trldubs
gerolhe, used ofl, (f.d fud, cffite oil or ilty taotim trseof uh'!fi B lhui, 8t
sEndsrd cofifrioll! o?Enperst re atd r€teurt (00 de$€6 ftht€r$rt and
147pounds pcrq(nrr hcfi aDoluE)- l*ezetdols $frncE arcdrGe
tound kr Secdon rof (la) olfie OorIplD]lgtsfrvc ErviDnrnenid Respsri.,
Oqnpcncdon and uiDilny AEi d 1980 (GERCLA). wih the emedion of trose
suu8fianses EgulEted as hazadot6rll€EE underSdtlue Cof RCHA
Wherc ?o NodyA Serd complst€d iorms b:
STATE OF I'TAII trVIgION OF E}N4ROI{IETfAL BESPOI{SE
lteItEETtl tg50tf,ElT
POBOXl.ft$a0
SALT t-At(E CITY, lJir,0I
'411&{atn
Whm-To t{ctfy? 1. otynerr olUST3 h l6Eorrh|t halle besrrHken arrot
opcraUm after Jsn unry 1 , 1t?1, hn sdll In fiB srourd. must rffi h Mav 8
1986- Z Ownen nfio tuing UST8 inb use aner-ttirvg, lg86. mr;tri:mvffian
30 d$G ot bririg&ng rhc usr krto rce- 3- ll rhe strtri rroriee rrodicarlon'of
'anv
srnendrnilts to lLcflity, srd infurndon o m agcriy immedatBhl
P:tt$t* Any srner-vJfio lmexffrgty lal5 to nqdfy gr submib fulsc inbmstbn
shal.! be-sdtecr b i cn il penalry nu-u ucecd Sri.Ooo |o dadi dntr io' ,.{rhi;rEdncalhn h rm gtvEn oi tur lrfiich tshe irbilDartii is giyea
Otvrlrr l€rnc (Corpoadd} Irdlt !*Id, luiltc lSerEV, or Ofi.r Ennry)
9\"+.1 .LLC*" ittf $ " iht'^ sr
I#ffiE'.&HE fiAffi Fwi5fffi#,H8.%tFffi . "dnur*' rnd
lSnrIr_ Langftrtdc_
Frcl[ty ifttrrE 0r C(rr?rrry siil lrtsndfier, sr fpucrtle
t, r addr6$ L bo serrE .3 h Sedbn t, crrGcl( Ulp Dot efir rfiEt to sdon n.
lf adfras ii df,ffi nl anGr r{fiEss DGh,$rrtAHttrSB
S.ITEHED INTO COMPUTEBI
EPA Fffir ?..ll>t (Ben tt{!) EEctodc ilrg lEruelBirBprerrilils cd{Uonr flryoe uoo unfia gmilec ret
t. L i I 6 200+
irfrffiffisf,rflrn
PaoDl ots
0/Lt/91, uu:ru faa_wls4z{z LrEt{ utltu(
l.hnEdStsca
Envlronmental Protectlon Agency
W$hir$on, Dca0a6o
Notifioaffon for Stomge Tanlcs
guui,
9Em
tr
n
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
s
D
tr
tr
tr
ftderEl Golrerunstlt
SEE Ge\temment
tpcd Gownrnst
GasSEt-qr
Petolerm DButuror
AirTad (Aftthe)
A'rqrdtOumer
AuF D€aL,r€fiip
flc.n rr",
Pri'rEh
Baf,rcad
Fed?ill - l{on.rmhry
r+ucnl-UlEry
lndtabial
ConDacbr
fl er"""r,*
E sur*ya*o
fl rr*rotcr"ot
EI eordRdrgTcrt
Truckhg4Tlaneport
UtllDb€
nesideniiel
Farm
SffieErdE
Trutt firnd
Oficr Mdrod (dclorDe hcrG)
_(r_L^-\ _l_+,L$
:PA-Fo.Er 75gGl {FE r- 11€61 Eed'urh ard prperveriona 8Ea.pabb.,rrv'rxsedtlra nrayba !a.d srhilc r.Fgba het
t,sTs rra lscaEd qr hrrl wihin an lndan -lH€ennfpndonfirgtlardaorfiide Ll
r*mato bordaries.
IJSIs sre otned By e Nallue Americrn trndmorrte.
Trbe or l,lafm where USIE are loaabd:
Phqrc Nr{trbcr (lnflrCc Aree Code):
fbt.sb'sLLo
$l-a1( -1t1t
Oher(E:plaln)
Nam6
Et narre a+ rtre ltranclal re+onsNiry rcquftern€nb trr aocordance u,iu 40 CFn Sdpart H) Fy t8ng rhe hlorlng mechanfrnsr
Ghech All flutApcy
E saih",.nrn""
E commercu tnrwaflce
E nisrneurti,*o,gup
f] r.mloqrarrunent FftrarrhlTert
str
tr
I ceItty $dcr Panalry of law Ol4 I ttave PcEorElly erm'nd ard am farDtrbr u,lur the hbrmallon subnfrert h Sec{orp I lhrqlgn x| ot OE rdficafhn bfl||
and all fficful docrments. and frat DasEd on my lngiry of {lse trdlvldrf,ls trrmedaldy rryndble fpr oDEining fie hhrnatbn, I beua,s ftat the
\lame and oficial tiUe of owner or owna/s
tuhsEcd tepr€lcnlatl€ Frfnq
$igntue Dale Signed
FdgE 2qfS
_( 21Mq!_r0 t. lu tAI uurEl64z4z
I
EPA Form 75t0-'t (Rov. 2{2}
utsQ uhl{t{tgl uu(
@ e,ataonw€dPqy
Fortr ADpr.tr.d. OllB No- 2C30{o31.
Notificalion for Undergrou[d Storage Tanks
A- Ods E ttsrsd hb Cotr?6er
B- Dala Enty Clcrk hitnk
c. ofir€rwarGonracldb
Clarity Respcrsm- cOirtr€t{r
.EYIggY- - - AqJT.ET9Eg f] c- cr-os-tne
No. sl hr&s d lEciEV ' a) No. of srtirrradqr drad.r Gclred
Plearc Uroqgiairjah a[ itenrs cxepl'rlnare'ia redbn V. Thirlltrrn
nr,E1 69 cohdm.d nor osdt teaur eaaft** undoqrorrd tbrleo trl-i ll
nroe riran fvL (5) tEnkt aro o*tt.d d tis locdon, phobpy trt hxorht,
th€€tt. ard daplt cottilnuttbn sheeE to lhe lpnn.
l.r,tUlcdlc b -trfra q H.rrl htr il on;1rnd 5*t tr
h.w L.a urd 16 acr tro.d.Ld .UlEr rlo J.t-y t' tar{ rl5]r Irtlrr auur.ra -.,Xarr. trlE,*dnrthrf,li hbtradrrrl|rya,
rf6- Tlr hlailtbn r.lrr.a b tttulta t tEbr afr d tr BE|ECcmrdc m{ nrcrry g. (nCil}- Ei3
tlb F t6.rt ruF. sl $i noatlrbt F rrn i D bqi rrld drs
undroorn drJ6 naErr ociavoadl( Fllhra orlEt(btEa{Et E6.
t i rrpcod irarir infmdoa fsprwi{r rl L Ed on rrodylv.lriL rl.or*. d h $r &ra olrxi tra!*, rur lrElsfif,, b.[.L ermllAt^
tlbo llrr lloltly4 Srton Sa orncfiA Grnmd. rrqrir rhrt urb
crenpcd, onrE ol eadrrsi trr{s irr e. qrtrf, stErEr .[rlrfi, &ts9}!rr, gED or lql {iildG ol tr G*rrE t(tE aiE- Oril
nrarlF-
t} h 0a crt ctu srtrErpr.{rw tr* h qr cr l&,!'|}, l, ttaa. q
tr.DrihDrB dtEff,.rl, D{o|ria frlrtrtEE,a'lll tt4rB,rtl' dbrt ca|Gsrr.acgrulrcl{tr.lrarrr-rE lrd
U h O. crf. d rrt, qdo,lildtef r*h obrcc ltloortsqt98..brll.htr3 raa iuro.urt Fgr rlEErrdadtfra
tnhodsDN, bhl ,l.&lalilrtn oa iE ura
4 I tlto 3lo rorq s fifrlE .t, Er!, lld lE qdAtrlv crt,re&
E bctlq hb,rilbr r Efi rtd.n ErtE lr{t rmrfi rrf bblrSn .rdEbhdu6.
Xllrr Trnb h lrotrdrd? lr,JaE qrr6 rDryr f* i dcltrd r rrir org alimtlr olur*c l,!t atl i! o.ld b drih r mrlJm ol te|l.I-.raorE'rJ(8}s!cr vofrrr lt'rddrrg srarrdudqrud *Jtrr, b
rO* x m br-il trfitod. 8mr sml*m urdrlruud rulgotrg:'
f . Gro&-, lE dr1c('rd t l, Ir. a hr5tanfral l'a5dc,lxUdt a(nlirrl
Urrrl tr*r h Edlad? frrrlg ,UtOai tdr trgdrd DDratlE
D rartE6r O6-tnfEGdr& itit nadiorlillt: .
1- t m 0.,tsA.rtd ]rtli ol t.tc, EEIE or k CrFdry g.d ry tilrlc
,ntbl ll.l tt,!.rroilttrdr, OsAl.iela 5ob ura., EEir! trliry ol br mpfiur aE tr tr a,qbr{BDSanr$
t. cacli: rtrc;
,1, rie.&E bqliti. (rrdu(ltg Ochrrrp &aD .Qlrrrd sS rr lartld GG
PiFlr.O.loOdAC tS.. or tllltrlb5li'ru Pir*r 8.b! Ad et l3?9. or
atirr b u irEtl! irjr ldr rqrnoC silrOLI b{
l, rub irprfift. Fq 9oilh d fgEr;
l, -ErnrlrrcDrlrffir ry.DilG,, lbHrroShr.raffi.Ek
l, IerUmru rscdrd Saherip Frs fuy ltbid D oi r,e€6
,,rirElm ud gatsirC ogrn&nc
,. 6rt6 t {E ritrEd h m rnd4uld rtu (erdr as. lrq.il dbr.
n*r ; rodip. df[ ctui. r t n rd) i tr rGrAr tdr l gga |IDn u &Jr r!
3lrlrtorur br.
,rttj Sl,t.tm tn Cfirrd? fho m(to*n tqdrmoE$Cy b oDdc.
fs !d a;DrT. E ilc .tt cgnllh,Eaf,U abE Th-E in{d5 rryaa:f|.. d3&5G h.la{r,' h a.6n ror (rr} d ar Gqrpturr
Fal l L I d,c irrt* patohrr, aa. or.t d r zry tda iunhfrilr khif $riit nc..r(,6e olxqirur ad Fc,r lo ttffi Faturphurat., p(r,t F q:i i* Cat}
ll':r Te llCfil Emrl sDH Er E
UOEO'DEN
r6E ilOBTil rDsD HESA tlEOOngrurltEcnv.utill tatta
, rtur fo lHfyt L Ans C ud.lrqrd Eo. Erb llur fr isl hmur llcaqloleietdm rlrr.lerurry r. ttTa-hllEal h rhflrrrd' mEiot,
E, llrya. rfr, 3 (hrsE rlr E!.E srs.EruJrdE rg.onbtroureb |.ry
t. 1:l iG mrE mil, ritan t if sf UlIiE fr rrk iD lEe. tr f ts 6tsrqi s mdfcr&n ol q antgr&.lrB u Eyrnd hbmrtr b Si! !a-E,
anmr(Er.
arn&r: lat q:e U. fr.rl{I, E l d; rrffi l-
Hor |Edqd:l L .eDtE b . dt{ Fdl rgl rnd nqFa h.drtrrli fo-rtlcfr rdlbtrs b r.l t]rr| rrlc:hti hlr ]lorfb bdallld.
L OWI.IERSHIP OFTATTIK(S) lt- LOGATION oFTANK(S)
gr.r]tEhl.dl-La
F- i Lr ra.tr r Co!.,tb H!., r .Ittf
e@@ 'd '.udEs lea n@/t|/z@ ZSES SE4 IAE S. F,IOSNVTJEI
_J'2/fiia4 1o: r0 FAx 801536d2{2
II.TYTEOFqlnEn
V.TVPE OF FAGI.ITII
-M_FdrC.tlm{-r,
-Fd.rd-fiBry_harUd
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YT GC'ifTACTPENiliOil [{ Cl{^EiE tr TAKS
edtse
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Ptranr ltrbr (ffirb err Cdf
DEA DIKK
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SdeGcrnrrn
l.ocdGoull'r.lEt
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-ffilrmtrsLe_ArrdGrtrl
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Ch.cf f,ft{Ar!ry
f-l Sorharg,rl
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I tnro rrr rh frrrrcilt tGp6.DUr, ..ertt{rEris it
ETrllEf,I{OGFEGIUI TIH
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ft*tr",
I lTndhrd
l-=---lOn"tlffiAbndg?.*
E-] GErfic
l:l Ell.ir8ld
f-l Lrhrdcrta
YllL CEE fEAffn Ord d tE axrrrott?Lrt! rl ldr)
tcrlfyurbpco*ydbrrfirrhilDf,!.rle[yfisfiadrsamtlaisr/frGrHsnrbtaatdirrhatLrdddaCtd
dE.ta;rtr. ait tr{'!il'd qt ry tr6fi afriffir5,.lr lqmd*ty rrgrrrffi lor obttrry tr lftnlm' I b.bv. Irrtr
aluralao lrEtf,tfr E hr.Eltrs, rE grtlllI..
EPA rstmdca pUc lgr{firO Urrlrlr g t|e tm b ororqo g0 n*urbc pa rrsipooE hddne 6nr frr ufrfu tnslrttocr
gdrr{ng rnd idflFrnilrt Ir€-.tla n$dcd rrd cofipletno rl{t ,uiq,trg fp i rrn. Serro cemmltBl ]toa,ff, !i' hllbn Etmlrc b
eild, *uornrdan FdqarEndr PIAZZ|, US.Emionrrgtld Prds.t'cr-lgomry. rrol H Sroat WasffqEr D.C- 2O{CO, nrfid
' lbnlo.r H( Olfa( ia EPA'Tli* brm anrrh tro peufrr nm:icdtri lorm a* pinled h tlll CFF P$ ag0. eponAr L Prntoul
ediss d if,s no!ffinfrm lDcybr sld rrrbruppi.r LEL
(f,if.z-Er
Tl*rrrldanlgBrilS]lffil -
llrborillkr:lreM F_FrorrrClrrrorEtcar'rt'{ltt- Lt I
I1ll1iE3:fgg*ii'A'-i'a'. tr !
]lJb.riaorirt niDlt dltF Eeilf,t (Prt{,
Peprrrort B.drHlon Ad ftoilr
e@@ .g r.ndgg:gg n@/nA/ZA zsEs sEL tr@a S.I.lOEINVUS
n
RECEIVED
FEB | 6 2m{
DEO
tnvhoamntd Rmpomr t Smdhilho
/\
E-/tLtlo'/
t"(sW
A-Ttr
,d *ttr*oamwa#v-
>t U
s.l.lotrIrsduE\@.d u|dES!86 tO/nA/&zsclsl gEiL rclE
sm Unitd Sla[Gs
Ehvlronmsrlal Protcedon Agencf
Washlngon' DCzoldl
Notification for Underglound Storage TqlKq
B.AMENDED 1tr"-ctrost HE
Numb€r d coffinstian stG€E aEadlsl
ff!._lE$r#*ffi#trm*st"e[firffiffim"
addlicn8l tenks.
mffiffi-ffi,.." #ffiTffi1r,g"ffi ,frffi ffi:i'-rr:iil-a6li*ffiIfr &;e''
yow looutertge or ccollectbn.
Fcderil tru lt idlli llST mrps to lEc fiB. notltcadon iorm tor ell
Lffiff'aii?a,a"ua stdrstr*rc qS!'SnF usc atur ilr:r
i.-riie ;-iisr;-in trc grqnto u c 1'ttu.ttf-ry[!t* tto'-tt
:H" ''""i;bn€crvatoo rirO Aryvery not (HCEA) a' rtl'rldsu'
who ilust ildry? Se&r gOOa d BCRA as amerdcd.r Equrircs orvnErs of
irdi.ffi;-#;-ftilru s,t*rrces trnEss ffinp-tad) E noffv
iii5ilA-""t" -o7 locat;getrdc;-;-rte eaosaercri if fi6ir tlSTs' .rlurner'
is deffEd 8s
. !n tre case of an UST h ule on Noremb€f B. r g84^or broqN lilo trse
er tlld date, srly PetEon rrllo omrs an UST used futtotlgB, use' or
ObpenslrE of regutEd $.Ostancesti or
e ln tre case o( ar Ul€it in uee befure Norrenrber tl, 1964, bm no lsEpr in
tsi ort fra oar, any petsm u,tto o!,ncd tte t ST lmmBdEEly betutE iE
dlscordinuatbn.
Aso, iI the Stals so mquires, atly lbclity fiat tus made any dlangts- b
taclliy hOnnation orUSf ryselD sffirs. mustsuhrile ndhtlon bfil
loruy-amerdeC lnbmadm needs !o Ds irdudcd).
Wh.t tlsts Ar? tndudrdf .An USf E&m E dtftnd a5 srry one or
cdntinatirn qf tsrtl3 trat (1) b uld lo cqntah an ecclmdadon ol
Iequlatd sr.6stances, and (21 rrrfiGe vllwns (fEludhg conneoEd
unsgtrrrd ptingl ls 10% ormorebcneahfe grltrtld- HegUlaH UST8
stoa prtnlarn or tlaadous s'SeEnces (to8 lha fuIowing avhat
SuBtanc€sfurCoBIef).
wtar. f.nb As. Edudcd From ]&tifiqitioo?
:-ian6]arlored lrom llr ground brfoi'g May 8, 1986;
- iffi-orH*enttt iinrrs -#i,t oo durs ol tirs catroity sbdng motor filsl
lbr noncomrr€tE&, gt lpose!;. ianits ffig heatilg il br use on fie prsmlees nhe e sbrec
'seoticianlc:'F'mrffiT$Bffi .ffi t?"g$,trf'ff #:fr .'qffi Eff
id:€, orimai ir an inBaste pipcEplhEiftty Egulated ulxte 5-exl ErY$;
. Sr[frce impoundn€nE, dF, porG' s bgeon$. S,tom wa6 or uuagre mw cdlEclbn rysEflls;r Flo$fiirDuqh Drocc lalllG[. ifiuid-h6oiasaorneO nthertlE I'Erec drEcny r€bl€d b oil or gas
or6ducfioit and ogthsfng oPerAonq. ifrA-il;;bfr treti-mi * unaergrcund areas' sudr c besemst or
turrEl5;. fryrks witr acapocily d t10 gdlons u less.
whstsubfilcEcArcgoverCrE The nofficson reqiments apptyq usTs
;tr]hino ;eu'L.m or csneh hqEe* ous sub€ftrnce; Pmtleum indudes
;;ot[te-'uEil oI. d,iea nro, crde ot or ury fractim fieref lhifi i5 liqufi' 8t
iun-oiru'conmLru otte6 rriuture anu pressure (80 degrees Fah6ri6il and
1,0.7 Fm(tl ilrsqrnruh;h abcolub)- }€latdous sltgtsrncoc arrorsie
ri*nirr siidon tdr trO Atre cffit rBtt€nEiw Enuircnmenul Respome'
ilomp"n"don
"nd
uiuftyeaot ts6o lcmO-q' nrurSgemeaion olfic€
;rite;c€-tEsrtaed as nirzlrdot$ ut sb under $,60ue C of RGfrA
Wherc To NoUYA Serd comPlaed foms E
STATE OF T'TAI{ dlfigloil Of E}fl'TROTUE]{IAL RESPONSE
,6t iloETlr 1950 wEsT
POEOXlaaSa0
saLT Latr(E tlTY, t TAl{ t4llrdElo
lvhefl To N{fi'B? 1. OwnE]3 o, UST3 in rse or tlrrt haye be6r hftBrr out d
opere[m afur Jenuary 1. 1974. hrr edl ln liE ground. rnust no@ by May 8,
1986. Z Ownem wfio bring USIs irb use ffier ttlay 8, 1986. mug nory wilfi1r
30 dal€ ot brlngfrg lhe lJSf kro
'lte-
3- ll the $rr rrquine notillettm of any
anr.ndm€nts to flEility, ssld irllbrndim tr SEE agency immsdaEly-
Penrltic= Any off,ru vrfio knotYlqly lalr to nsdfy or sdrnG falsr indomtrofl
slull be su$ect b a ctuI pemlty nA O qreed Sfl.000 for aadr Enk for rrrldctr
nodfrcathn E nm glvsn or ,or uhiEtr hlle 'nrbrmalhn is given
,{emc (Corporado, rndhridrd, AI{b Agensy, tr o&er El!:ry)
i;8ts N, $J. 9v
Pnoe futter(ndude AE Oofi)
t? rEqu'rEd by Strb, gtvc Ore grogrTttE bc8lon ol IJSTE by d!gtEe-. ,nlruh3. lndgecondi frnBH h&rdr 42' 9E 12' N, LslgfuJde 6F' 2.' rr w
E: !t aatdrtaa h Oo sarnc at h Secuon l, checfi hs Uqr end poccfit to s€cdon n,.
il atilff$ b dlffinq cnhr e{ffr8ss DGh
Stlg lAddresE
Oorrnt,
BECEUED
ENTEBED INTO CjOIiPUTERI
nngrr o rHr|!{lflAl,5:
wAS COIITACTED To GlIfi lFy FESPO!'ISES, CQ|'lllilEl'ns:
EPA fu67539.1 (Ear. rr€S) ElectonNc ano paperte€hns a0c$Ede.
PrevbuE !fidol}r fIHIDe lEeourtB Em&E E3r.
Pa0D10r5
uuilSloz u8:r0 !a.r'oul!!lu4z4z uriq urtrut
U-niEdStrc
Envlronmental Protection Agency
wa$hgrEn, DG204E0
lgluuJ
FormAppmed
OtrEeEm
ilotificaton lor Storage Tanks
tr
n
tr
Erleral Ooverm{tt
SfraEGqtcmmmi U C*r*.-",
Lcal Gornmmsrt E Ptrrrur.
El e*suti*
D P"t lo-Dishtunor
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tl ruror"rtorrto
E a"uDealemhlp
Sleck Atl ilErApPly
E s"rt*ur*",
D commercra frrurance
E amn mnt'l*Grrp
fl r-ocarsrr"*rr*rt HnrnchlTesr
Ba0rcad
Fcderal- Nm-Mfhry
Federd - unftary
lridrcuiel
Contacur
E o,r",,n*
fl s"r.nyaona
E uorora"o,
fl s*dRafiETeEt
Truc*rrng/TEnspst
Utilidee
Hesideilhl
Farm
Oher(Ephln)
f] sua noto"
E rr*tnna
fl ot* uotoo (dcrqibe hse)
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Elt,"rc ra, r,e lhanchl ]EcpasDf,ity mquirernents ftr amntance uffi 40 CFH Subpart H) Fy uging the bflordng mrCranirvm:
Job Titc:
M*/
, frrpgrrorf Fe[luofrOrt A+t I{08€E
:PA €dmAtcr trrDEo tspoditg butdr!, forthic fuim b arerzgr 30 rnrsbg
omoGlim sndre i$rirEthe for?tlS.'rdaoErrErtbrlsnrdmo orir butd]rra
|,rrli3 r[rHgllbrtrflry !e rr8Edutf,c rrEotsr bEt
iPA Fa.ir 7!ig(}r {E6r- r1€$ eeeilUrb srd pEer yer.r&r|8 acaEptabb.
'rar'xrr.r! ed&1r3 rnay be uac<l rvhfe sgpfiat last
t ST! arc lqclEd or la,d wihin an lndm Fl
FesenafonoronfiIsthnGquntide Ll
rcenatot boundariesb
USfsare wnrd!yal'ldue Arnericur trndmorEt€.
Trhe orNaton wh€re USTsere lo€bd:
FtprlE Nu{nbcr (lnclude Ama Gode):
got-4-\ff!
PagE 2 of S
tllifrxt EEEe
Environrnennd Protction Aqeney
wrenrunt1Qilt6o-
onforUndergrcu@
5661lPgtuued.
oriBf{0206}00dgEPA
rurh ldantlMfin $lunler
l. StilFof?ilk(drcoksnlyone) GnrentylnUse
Terporady Closed
PcnnanentYClosed
e OaEdl]rtilalle$on(rufihrycao -
-t E t-rtld.dToLa gryrcitf OEfons)
a. ilrrcrtal qtcongbrrlion (dtccl( ai fi8t apdy)
Asdls[t CoatEd ot Bar€ $'d
Cafiodioally PtoEoEd Sbd
Cod ard Catrrodcqry P'obcEd Sbel
ConPorite (Steel Oad Bfi FDggltss)
Foerlbg8 Bstllfotc€d PtrsEo
Lhedffibr
evcffiiliner
' DouHewalled
PoryrycnaTaru<Jad(st
ConcrEb
lrr{apttm
tf Olhs, do-e tPtoifYhse
Ch€ckbo( if tatd( itas avlrbcsn reeired
5. Frflngretrd(dl*k.uf,ililfv, BatBSEd
GelranlredStesl
.frUcrgtass Reinturced Ptestb
OoPPer
Csttodcenymued
Dotlrowa!€d
SecoCarY Oonarrnern
Udmomt
Oher, flealesP€dry
" .r"t rF.'
--- J, *-r, (no Elve attanilrl
(CtrecNr.alrlrtapPy)'tl-S.'Steton*ffi
Gtarlity F€ed
Ch€d( bqf pig'.i€ hat Gt'6rbGen repail€d
Trrd(tS.Tsril(l'lo-
-
Tank tlo-
-fIn
tr
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tru
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-o;/Lr/02
0g:5E FAr, E01536A242 DEq DERR
EPA ftifi TExLr (Far- 11€s) Eleotordc-and Fper v€tEb,l3 aDceptuue'
fiwiow dnfong may Uc weO uille slpPlies lrsr.
PageS d5
oinstoz og:sE FAE-Ell[.06424u DEQ DERB
EPAFomr ?5Sl Ger. ll€t) Eleclrodc sru fpel wrsb.t3accep0&le.
Prvlore eddonsnEybe uredrfiIs s@CLs hst-
gEPA Envi
Nottlcad
Gasolhe
t,€el
Gasffi
l(eros€tlc
Fhdngoil
UlcdOA
tenk ldedlfioatirr ltlfi|bEr
7. $ffince GrrruillY storul (or lut
ailottd ln ttt cgG of c,G€d raflks)
( ch€d( all fratalCy)
It Othsr, dease sPedfY heIG
LfdtedStatss
ronmantal P]dscfion Agpncy
w.dfigbn.Irc204g)
cn ior Undsrgrounglsloragllankg--
ITarkNo.- | TanltNo-- | fartrtb'- t
I FornApEuvcd.
I ow No.2o5o{o66
I
t-
Tad(IrlD.
-
I Tankl.lo- ..-
n
trtrtrtl
tr
tr
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trtltr
trutrtrtr
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Hmdotts Sutr$attce
CERGLA nsrns ard/or
CA,sflrmbcr
n tr trI tf tr
le(hnBoi $.Efirtces
Fhasc$cdryh€rp
E]tr u tr tr
,*. l';;trlnt
trItrlntrlEltrlntrlnlnlntrln
tr
8. ftlece De[|GdoB (oftd dllhsrepPly)
mrr"ralar(gaqhg
Tgrk 0qhmeEG ttlthg
lflrronbryCorfirl
Automalicirrl( gar{hg
Vapormoniuttg
GrcurdrraErmmfur'ng
tnErdt lmon&*rg
Arld,ltlic lirE loak dehbrs
LfFtghu|'ls8ffilg
l.lo rdsss dstsdbn tEqut€d (srrfi as rmp tyle{ d
enb.t phhs, *t",i*, *"ffi.mgffi
OthcrrllEfiod aflo}ld !y implctllcftftg agPIEy(gdrasSlO'
- Plei6e+ecilycrvmetodh€tD
- "r,--;;rrftohtion Orefil det be fttsilall€d
Sptl &vice irngt,fl.d
PIPE
.tr
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TAI{K
tr
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PIPE
tril
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?A'{K
tl
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PIPE
tr
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TAilK
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tr
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Pagp4ofS
DEq DERR
ttrldSbtss
gvv9
oi t tst oz oe :.!s FAr.i-oLfiluru
$Em
TEre ldgrdncatbo Nunber
'l- Clorura otctErgs h SErvi'qt
Es,imared da!6o. usrnas 5mlglHflffi,
Clrect buil ltris b a chamn in scnte
z Trnkclosrt
E!finsEd de trnB dosea (mon&loalpyscr)
(€heck aI ttel aPCY beur)
Tank uar remowd fiqn grq"td
Tarrkwac dossd ln gtqm
Tmkttledwffi ircn mar'Ihl
tlscrDe Ole incrtfl mEErial h€r!
3. SteA'Cc$mcclt
Chr.k E(Edfte.ib aiseEs.nenl lual frtrpEEd
chdt bo<fi anilse ot e Ed( wlt deGoiE!'
Envi ronmgntarl Prohcti'on
wa$ingEn Dcm$0
AgBncy
Gfincation lor Undar{roryd Storaqe Ta$q
Tank t{o.
-
lTenkl'lo-Tarrh No-
-
TenkNo.
-
TarfiNe
-
EPAForur?8lo.t(Bcr,.l.l€t)E€ctodc_.ndp,Derv€(Ehns'cctPttbh.
ere,rio,'E cdlEto may be strd u'hib sqpporr trst
tr
tril
hmrE ol trlk Ard Prflog qq g!!9lilfHlEg
lG{ril.tclrtred by tank a,ld F*'trg marll'GdrEnl
tnoaq c.Itfi.d or ficttr$d by lhc tnP&lmqllhg alEnct
ttl3ttlatbn hlpc@d tY a tE$scred aleitcrr
lnstdbdon iEPeoGd and apPtwed by rtrylemeneq egency
trknmrdt irGLfnn drectEdE hev' b"n €oflrd€tpd
tr
tr
tr
tr
tr
tr&rofiernedrod afoud bYSlaE ?ogtlcy
lf so, Plcasc :PcctlY nerc
SElu!rc of uST lnstalhrcerdyhg PrPP€r hsolladotl ol UST S)'Gn
tr
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PageS of5
{pb
}{ollllatbo lr nquk d by F.dml Lr ta .ll uxhcAilrod tanl tri
h.v. b..n uxd to .iailrgoLl.d aub.LrE .[r- Jaasa, t. 197a, that
rrr ln th. g.D.r.rd r d Ury a. 1t46, otihd rt lr,q{ltl laio ur cltr &y l.
f 906. Th. Hdnrrbo trqu.a.a b r.qdltd l, S..rba Cel ol th. llronru
Cint rvnbn.rrd n aor.r, &r, (ncn^i, r d.a.
The offiirry Br,paa o, 6a mtfcaiIl o.ogiln G D b.aa ar$ orcuala
undsrground Enks d'ret a!o.a o. hlya 3Eed DeiDl.Jm or llezarsrs CllEtEEs.
ll 6 erpeded
'lat
ttle rnlqmam.l
'q,
prwtla rr r E ro on rrsorutly
avariaDL retD,r,s, d n oE aE Ea ol sudr t qa. ;ur knorrdgc. beliel. or
rocolleoo,L
Who gu.l Iotlty? S.cion so2 ol RCRA G.rnnd.d, ,.qri.c 1r.( unLs
eremprd, owna.r ol sarda.lluJard E rll lhar3E. r{uLDd SJtsirno- anust
moty desCrllr€d St t or lEl .er|sc or lh. .rEr.rca o{ drei tmlc. OrrrrmItE-
!) h lh. c!s. of .n l,n(bercu.d strrea u* h cr an Immb, 8. t g8a, a
t qfht hE lla art, rn (ba. ]ry p.to.! rlE ilr lt undrelurnd aErea
E rl lt.d br rha oltea. ur.. o. d-tDlr|! ol r.eirlE 3tE rr and
bl h dra FG. ol rny und..eurnd 3u.ea lnt ir l.. b.ls. Nagtrba. 6.
19&r. hrt ,E lqrer a tr. dr A.t d.!.. any paror sE o$r.d aJdr Enl
mmedaEly batda ,!a deadrtnr|Eo ol iE l...
c) il th. SEr .esrr, .o ,r.fJarE .ny hai ly rla h.. urds[m. rrv drnoG
lo holiry hbrEr.lon or E rl s)El.m aEo!3 (glt.,nrr6- E rl hbmrlon ,E6
ro be inclu*d).
Whrl Trnlc A't hcludrd? t {rd.Orq.rE sbrar unl b delhod .a lny qr.
o, cofi hn rbn ol tE il6 nat (t, b us.d b ccrrn lr rGrilatqt ol legd.tdsUBEIr' .lrd (Q *tcr rorno (ncfuaiE ovrotl utdrg,urnd ririne) b
t 0t d moll bdflr n erDrrd. Sodt c.IttE ..ra |'lcgtqrd Enta aEirg:
1. c.<olir.. u..d cl. 6 d-d txl ]rd 1 iurtf rdrrIr. p-tdd-l
h.iticidr 6llrnirilB.
ffrl Trntr An Erdsdrd? Trnlc rsna,.o fr!ft ,! erurd a,r nors,rtiact
6 rEdclDG Othr trnl(l uclrd tniltt no!ficrEr ar.:
f . hrm d ,Ga.rmtal t rL ol I .l (D e.bll o. E c.FoV ir.d h aeir[
motr tJ.l b. nqrcomrucid gJ.f-:
Z trksur.d h.arire h.rlqoi brcorunporG.ot tta Frtta-
rlrara SDrad:
4
Form Approvcd. OIIE No. 2050{1068. Approvel .rglrc. l/31/95
3..apdc Erkt:
a. Eip.lim hc{tb (i rfrdre g6l1..itre LiGl reguLLd uno. lha N.tJEl Ges
Pip.air &(cty Act ol r$8. or ,|. thz.r6|. LifJi, Plo.tirr S.Lty ,v: o, t 9rl. o.
u,tidt b ri h!.srrr. gft airl hc&y r.golrd ud.. Star brt;
5. rr.b mE,lora{rE gB 9dra. a lepqr:
C sb{rn HE d rltla iilr cdlcrin qt.lttE:
7. fio*throrJCh p.oca6s Enl(t:
!. lind taE o. asooated g8rtieri.tg linG dtecdy telaled b od o. Cai
prodJclqt lno gElhemC op.rauxrs:
9. rDrloa Enl(3 eurrd h an utfa.lrcrtrd arc (s./dl .s a bel.,nant oaabr.
mirrekip. dilt ehdt c n,Iro{) il fia.b.T. gnt asureE uFnd.DoY. tn.
$,l'(.c. ol th. n@..
Wlrt Ssbd.tE ln Covrod? Th. m!ficran rcqua,..ttgtE acCy E u.lo,
g.q,ld aD.aea Enl(s flr contin ?egu5.d g&eers. Ihb in<trds eny
rln6[ra d.tn d rs h.I.rdqrt h 3.@.r r01 (f a) ol ,r. Co.trg*olr
Efliurttrtd RelI.. ComprrnbnrndthbftyAad f Eo (CERCtl). rr0r
0r. Gofb olrrr.irElrltould-- hr.r6rs uld.6tff.C
RCRA t rbo irclnb p.mhrn. a.e. cnJd. ol c zry lrein th.c, rt*i i
Is*r.r.and.rd qrdrirrol enpilu[t ord gecalrr (60 (belr Falnt$.n
\'.: ,
Prin&o,Rqycted Paryrz\-,
lnd f a.7 pourl6 par sgtrr. irdr abcdia).
tt-r To rlorfr? S.lddrpa.bd batr. D:
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPC'NSE
168 NORTH I95O WEST IST FLOOR
SALT LAKE CITY, UTAH 84I 16
wtr..r To XdIr? t . Omrr ol undrrgtqrnd aEler lrnls h lla oa irr htv.
b..,r lrt .r oi o( opglin .rr.J.nu.ry r. 197a. hJr 30ll h 0r g,o.ltd mla mlfy
by llt t I Sa Z Orn r who ni1 unotpund sD.tgrc trnlrr hD cr elr Mey
I, tgtE, mra notty *fin S &yr ol Eirtil! ,r. tlnls irE irt . 3. I h. SD
,tqi'! rlilicrion d rn, urrrcnooc D h*ty a.nd hbfirdirn b Str .g.rE,
innc&rly.
Frndlli: /try crw rho ftEt lgl, tdb !o .totrr, ( ..rb.ta. l&
ldorrrdo drel L altl.tl b..tril Ftrdtr ttol ro orored ttQ0 lcodt
t.af la JiHr .rdtlc.lbo b ltd Clurr a la rlrhtr l.br tlolilbl b
elbcfir4
nemboa-doi
Notification for Underground Storage Tanks
TYPE OF NOTIFICATION
I e.nueruoeo
_ No. ol contin ation sheots attadr€d
A. Date Enier€d lnto C.onputer
B. Data Enty Clert lnitials
C. Owner Was Contact€d to
Clarity Responses. Cdmments
Please Ugi_etgjnlioj!f, aI items crcapt'sQnatre'ln s€dirn V. This lorm
rnlst be completed for eacfi locatim containirg un<brgrcund sbrage tenks. ,t
rnore tfian live (5) iankt 8re onned el tis letion, photEpyfie bllowirg
sh€€ts, and staple continuaUon sheets lo fio 6rm.
t. owNERsHrP oF TA'.lK(s) [. LocATtoN oF TANK(S]
f rr|lia li Sr., ci. t r o. laa Ein d rrS t.r.arrr aiu-..l! Erl
EE rF lr- .2. t6. t2 X l,!,8 al 2a, I
'.lY
Orem Utah 84058
Utah
B.rD-&Cirl.rrftcff! [ I
F-i rar. rcoql' 6a lO.fr... Ctd.
Crestview Station 1500 No. Inp.
Orem tJtah /.1':'t $ 8405?
Utarr ,':: FI.B ,,u,. ,cdrrv l,i. ^,jqtE?sed
1594 South State
EPA Form 7530-1 (Rcv.2-921
w- rNOtAN t N[IS
Terlrr a'c bcard sr led willtt m lndll
Rctrvabo c sr dhr fisl ler6.
Tar*s ttout dbYnetive Alri:al
ndbn, trlbe, c l'tdtddral-
tr Fe{riGorrarn:rr tr cocn:ul
tr SErr@rrmn:nl E PAar
tr tocdGorrnrgrt
Seloct the Approgirlr fafi Ocsipibn
X o""stelirr
-PtdrrntlrtttE -FdorC-Ndtl,Crt -tllto
VI @NTACTPERSC'N IN CTIAffiE OFTANKS
Nem JobTItL Adrr Pltcrilmtc(ln td.AtrCod')
T. Robert Cordner Pres. 1594 South State 0rem, UT 84058 (801 ) 224-8?)?
VtI. FII.IANCI.AL RESFONSEIUTY
I hlvr rrr G. madd rtpcsffiry req,ieirrntr h
strrprft 40CFR &tprytH
*..4^116ApCI
ffi sol lrnrzrcr
l-] CocnrdJ hsrrr
l1r-1$eirRndr
l-lrr,rrr ar,a
l-'l omr lratrod Ald sg.cily
Vllt CEFTIF|CIflCN G.- rd den dtrett?ld{ d l6nr|
,gtfrf q*Ftdtyollrrfrd llrrurpaculyrsrtrrddrnrtgrilruilrlhr Hann&r]naiEdhtlrlrlld rllidl.d
&qnrnatdlrdb.rd;rryhqfyricirrCrfi*tflrildalrrl po.tdUebotnrffiigtrrffinne[on.lbelbrrlhtGl
e.tritb.l ttulndm b tu.snt+ gd omCcte
Od.Slend
2121le5
N.ab.ddEJ6odarsorrrt gtprtsod trfrrtOn (ftttl
T. Robert Cordner Pres.
EPA erdmaa Frblc repofilng hrrtn la $b lorm !o anrege 3O ntrJbs Por retPorlse indudng ttrr bt 1di:!1lg- !f!gg1
g-il63tng sd niamarrrrii Oc-Aq neeoeO end_corpletlrg i{rwleuinglit€ fam. Scnd conuncntl qS{E lit-l*a:IgP b
eht4 tnflorntdon eofrgr-Bre rctr P]*%,U.S. Emdft;;irt frrotadon A€etEy.4O1 !t SrgA lVglr,tUtct 0.C.2Oa6O' tnrt!-
tAltentlorr Oerk ofilor lc EpA.'THs lorm arnonos trJrJvio,lr.oracad lonir ar printetl h ao cFR Part 280. ApP..tdr t Prathr
edtonsol thlt noffcdiottform tnrybc us.d utal. ruppllo lart
EPA Fonu 83O.1 (B.tr 2'9i4
tx. DESCR|mON OF UNOERGROUNO STORAGETANKS (Compaot lor edr tank atlhll locaion-)
Tank ldenti{icaton Nurber Tenk tlo.l Tanlr No. -L Tank No. 3 Tar{< No.
-
Tank No.
1. Status ol Tank
(mark only one) Cunendy ln Use
Tenporuily Out ol Use
(-iIu.-ll
PermanendY otrt ol Use
tE.rssiAl
Arnondment ol lnlormation
2. Date ol lnstaltstion (nD/yoar)q-74 q-71 q*7'/
3. Estirnated Totd Caprity (gallom)lX..ooo 1a,?eo lz,ooo
4. Material ol Constructicn
(Mark aJl tta +pty)
Asphalt Coat€'d or Bare Steel
C ahodicallY Prolected Steel
EPorY Coatod Ste€l
Conposite (Steel with Fiberglass)
Fiberglass Reinlorcad PlasUc
Llned lnterior
Double Wall€d
PotyethYlene Tank Jacket
Concrete
Excavalim lJner
Unknown
Otrer, Please spxitY
Has tank been repaired?
X
(X
5. Piping (Md€rial)
(Mark ail that apply) Bare Steel
Gahanized Stael
Fiberglass Reinlorced Plastjc
CoPPer
Cathoclicolly Prolecied
Double Wsllod
Secondary Containment
Unknown
Otpr, Please spedfy
6. Piping fl'ype)
(Mark a! tha +ply)
Suciion: no valve at tank
Sr.rc{on: valve at tank
Pressure
Gravity Feed
Has piping been repalred?
lr-r
Paf 3EPA Form 753O.1 (Rcv. 2-92)
Tarx ldentifrcation Nunber Tsd( rb. /TarrtNo.lL TankNo. 3 Tank No.Tank No.
;. Substanco Cunenty or ttst Sorad
ln Grearct Ouantty by Vdunr
Gasolhc
Dlecel
Gasohol
Kerosene
Heaing Oil
Used Oil
Otrcr, Ptease epecity
Hazardous Substarce
CERCT-A narne ancUor,
CAS number
Mixture of Substances
Please spedty
X.TANKS OUT OF USE OR CHANGE IN SEBVICE
l. Closing ol Tank
A. Estimated date last us€d
(rmJday/year)
B. Estimate date lank dosed
(nEJdaylyearl
C. Tank was rerpved from gromd
D. Tank was dosed ln grannd
E. Tank fillod with lnst mdbdaj
Oescribe
F. Chango in asvice
2. Site Assessriont Cofiplol€d
Evidence ol a lealr deteded
EPA Form 7530-1 (Bn 2-92)Fapa
xt. cenrrr,crrroru o@ FoR rt.L NEUv ANo u
Tank ldentilication Nunbor I f"r,t Xo. I
lnstallation
A. lnstatler certified by tank Bnd
PlPng mandadurefs
B. lnstaller c€rtfied or licensed by the
impl€m€nting agency
C. lnsta.llation inspecred by a
registered erBinee
D. lnstallatlon inspoctod 8nd
approved by implenrntirB agoncy
E. Manulactrels installatirn
checkJists have been complsted
F. Another method allow€d by State
agency. Please specity.
rT]
II
l-t
2. Release Oetection (Mark all that apply)
A. Manual tank gauging
B. Tank tjghtness t€sting
C. lnventory controls
D. Autrcmatic tank gat4ing
E. Vapor nnnitoring
F. Groundwder nrcnitoring
G. lnterstitial nronitoring double walled
tantUpiFing
H. lnterstitial monitoring/secondary
containrn€nt
l. Aubmauc line leai deteclorc
J. Line tightness tesdrE
K. Ottrer rnetrod allound by
lmplementing Agency. please
speoty.
TANK
EKEEtl
t_lE
E
E
tl
PIPING
flEE
E
EEfl
TAI.IK
flEtlEtlE
t_l
fl
tl
D
PIPING
EEtl
E
FEE
tlfl
[]
L]
EEE
TANK
[]EtlErltlErl
E
E
TANK
tlrlEEEflE
fl
fl
E
PIPING
fltltl
[]
flfl
[]
TAAJK
flEtlEflEtl
E
tl
fl
PIPING
trflEr
t_ltlE
3. Spilland Overli! Protedjon
A. Overfill device lnstalled
B. Spill device lnstall€d
tT-t il-t
oATH: I certig the lntormation concemlng lnstallaton tiat b provirJed ln ses{on Xl ls tue to the best ol rny bold ar|d lurodedge.
!rsflaler:
EPA Form 7530.1 (Rct. 2421
qs/-l{9l-q9:q? FAx [phone] ^ DEo DERR
, .l
D[;r
Invrr0flniBnlai iiespliise & llsflrediair00
14 002
9FPA
unitd!
Envlronmental Pr'
ashtngon'
Notiticatlon for Underl
'THffiffiffitiH, =",txg,ED,^,oNrss Notrm T9SOWEST
$11P{cStlY, UrA}l 8/[18
tround StorageTanls
ftrtca I trtr$flI OMBNo2050'otcction Agency I
DCz04(to
STATE USEONLY
BECEIVED:
,flt **lo!-*
l-J- nr.u"t ortar{G
I attaclitY
ffi r. or*o- lE!"- "-rr*=
-
Number oI cutinLEtion sheets aoadled
' :[I:"'ffi"lgil yfL[J:,: ffiH#ffi3',,S1,3fu1$Jii l$gil [ ilf[B8[,T#l lflslon oF ENvrRoNtrENrAL RESP.NSE
dlsconlinuatbn. Po Eox 1a4840
Aso. it the sra|€ so l.e$rirEs, arry facility that P* T4: "nv .suttso. to sl-r LAXE CITY' l',TAl e411AM
tirii[i'liii.-]rton "i usr "F, slatuE, m'sr e'bnrit a nofincauon btm
(on[-amended rnmrmauon n6ili' n- oiriiuuieor. when To Ncrifv? 1. @"rs! usrs in ,se o' rhet ha\e beerr Eken orn o'ffi* ,**ff;ffi#lf'gi:m:ffiilu$u,rua;.#uuw*
store ierroteJni o*.za,uo,i'iii6lilJijiii t'Edio"ins ivtrat Pensrties: Arry owrrer-lno *g'i8l"l"iilE iTit'rffi'ffiHIi'8"[P"Hfr1il$iifii"i-A," tio,ered). ;ltllgl:l?,T:liffiflffi)tH,Hou *;;* is siven.
-tNtilrilare S': Y$EHffiffi5f#iftpffifi.e,ryi - ^
ffiffi?#Sffi;lffirtsH.t#ffi''"'lfl]Elx'i'"0"
t
F?T*ffifff#ffiT;Looiarr6nsoitisscapac'tvEiorrnsmotortusr
;air";arair,G:. -. DoPypasEuurpuurrrtJHscErErrrrer
: Iffi*ugr-.;eelmrusionfiepremiseswlrBrestored;
rhe primary puryog€ ot thtr nodficatrbtgro$am is b hcate and eratuare ' iidtiiHi;;iliues (incrudins satheriiflffiltrf'trffi:ilS##H.1r*
undenEround *oragp t nx "ffi;-0!tSi;iht n9* oi riiGGreo ?Peline saletv Act of l soB' ol
oerroteum of hazardoua suDsranc6- Ths inromaEon )rofirovid! wI be r#i"biffiitii ';'-a-n anrastite pipertne lacitiv regulated under stlre huus:
based on rsasonabty availo]JiirtUi,'"ii-; .h";b€€,1";Eiil; il;td=. ' S,rtace imDoundments' pils' ponds' q la$oons;
your knowledse or recollection' : ffiFJ.1,ffiHli:,*tlectlon
€ve|Erns;
Federal taw rcqulrrs lrgr ofiierB to use uis norificr$on torm tor all . udriifreiifu""*ixeo gahetlng lines difEcdy felated to oil or gas
USrs srortns rcg,reU *iOlitii}, t -iari-iirrgitiirt use altcr Mry - g'6oucnioh and e,nedng operations:
0.1916,orusre rnuregro-;rfrfiiili.rgssir.tii.*urr"o . r"ilrili';;#rdr-r".isf undergoundareas,sucrrasbaEemsnrsor
*ffi;i,Hffi{Hj,ETl3#'"'#.1.f,ftT3,,,"" . Hl*u*n .capacitv or r10 salons or ress.
, coneeruton and FEcovery Act (HGFA), as aorenced. whal subgEncE Arc @veIelrz Tlre notificetiol requiremarB apply b usrG
I '' Er\nvFry' *rtin-fii'pHiiI;';-cinain haz"+*-*-ry1*f-131:ffi',*T"
",who rf,usr Notiry? seciton soo2 or BcRA as amended. rcquires onners qr ;:Itr$l;'rffi;;liEh-tu-Jtrrd" "il
oranv ttaant'n trereot whiofi is lhui' at
usrs rhn srore resutatEd sul;;#;G[* ;e*i,t"di 6iroury Stanoiiil -noirio* ot ternp",{ut;-ani p*saure (60 degrees Fehrcnheit and
d€sisnated stac or rocar agJ,i;6"Fd\iHffifr;;5iii6ildi#il roaner ili ffrilE-'l;dr. tnit.'-aGotrGt- itaredoui substancee am fioce
is dehned as: lnses qr ms s!.lEI,* ur u rr
rorirriin dEfiii idi 'irlf
of flre comdrshensive Envircnmenhl R€spon8€'
' 5*Lffi.g,tyil;**m*ffiitr"+J:sd;:sg,'31?:: ffiSH;T*H'[tI'1*"1"tr"8HS'B;ffi$'frEHfl,thoEe
;ffi*ffif,ii{fritrd-*rb*tanocs: o. Where To Nodty? Send comPleted lorms to:
Cornrv \\&
Gtv
Crrr*. frame tCotporadon, mdlvldt'd, Publlo AgenqY' or O$er Endty)
1-A* I,L ?ru.L'^^^ *1
-
SmeiAddrEas . ArlbZ N' \r'L\c
o, - I..rf ?4 O(1
l*ffjCntt,tko,Etrd6,*iF,fi ffir,rl,H""E.r#esrEe-.mrnu*s.and
Lalitudr- t neihJdc '
Faclllty NarrE orCcnpanySG ldentifier, as appuqeble
;;il** l" h. *-*. L in s"aron 1, cfieck rhe Dox ano pfoc€ed ro sectbn nr- u ioorcss ls dillgl€nt' enler .ddress belorY:
Su€Et AddrEss
County
Fq ;is 1F::$ ,.:4
fi"t*i,,,,,;;1 f
-b-tJ" lzeciol" -
City
Pagc 1 ol 5
EPA FormTsil&l (rcrr' tr+O EteclronlcgtrC Papervergtons aqlcptable'
Fidiio,rJiadonr niay ue u.eeo *ltlle $updlet lait'
ld 003
gEm
08/16/02 09.:58 EAL-E0I5J64Z{Z DEq DENR
UnitEdsbEs
Envlronmental Protec'tion Agcncy
Washhs@qDc_yEo -__.
ttotiticaton for Undegfound Storagp TanE
Trbs or tlation vvhere USTg ara locebd:
USTs arc loocFd on land rrriilrh an lndan -,Resena{onorontusthnGoutride u
reervation hurfirie$,
USTsareounredUyaNadveAmericrn tr
E r"o"t"r Goernnrern
fl sr"ec.,.t *,, Jctt*"r*'
Ftr
tr
n
tr
GasShtion
Petol€um Distibuior
AfiTa$ (Airlhe)
Airoraft Oflner
Aulo D€alsGlth
E Ramoao
E] r.oer"r - Non'Mlhry
f] r"u"'"1- Mililary
E r,oueria
fl conrrolot
E rrucrhgnronsPort
E uunue"
E noio.rtrt",
E p"*
Phone Number (lncJude Ar}e Cgde):
%t.ttl -1li^*,-.rt6a$,1. SkI-
hos"--
S ** ,,,", ,he ilrranchr rrynsDility requiremenE (in aooordanc€ lyith 40 cFH subpart H) by u$ng the followlng mechanisrns:
Check ru rhatAPPIY
E s"rrcr-,"=
E commeroiaj lnsuraflct
E aiurn"cttionGrouP
E I-*"1 Or*mrr*tt FirErciAl Te€t
fl eu","**
E suretyaono
E u*racr"rn
EI eono HadrpTest
E rr",r*o
fl orn*n.mod (desontehere)
6d and arn farnilinr qrth the^ inbrmation sutrnitHl in seqtions I through xl of flrtb nstlficatbn form
and E, artaor*d dooumenrs. and fiEt bdsed on rny inquiryfi ffi;ilitffii;ffi1nd"lffi',".d;ilii;i} ootaini,ng fie lnlormhlon' I be[$'€ fiEt lhe
iOmitteO in ormarion is Uue. a@urale, and comdeie- I '
.-.--...-- t tl.\eQiMtr*"'";;;6**"
authodz.d lepl€sentatht€ (Pttnt)
I
&u@l-{u-{*s,*-J Att*S ucro'n-Act ilo'ce - - *--"c dnrcriffi and dEin'inrne o,6 dare o
l*
eereirr,"rcserro*o*ng*ts-rorrhiBromio "f-r.-Jigp1sffiJffi8ffiffi='*t*nnst.drons'sah€rins
and i.intrt'n'ng n'6 dala necdert and
comrreriqsndrErd.*$nst"g11".i.J-,,,*,,r..g."r-,,sjti#iiiIffiTJo'*il."'ffiXidm*H';f**l,tZlt*Wtm-. ^r-- u,--H.*.. r*'*-ttJ'm..tot O-estotfcrrbrEPA'ThblormanEndr lhs t
lfr e6-, zorer (Eev- ,1s) Aedrsde 8rd peperva'cionB saceptabb'
F eiiqr-* eairione .ttry be utEd rYhiL $PPlica lEBt'
PagE 2 ot s
tdloo4
oS-/La./OI 0g:58 FAI. 8015364242 DEE DEER
Noimeation tor Undergrounq S.torage Tanlc
far*No. .--
E
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
Tank [.lo.
-
tr
tr
tr
tr
u
tr
tr
n
tr
tr
tr
TEnk No--
tr
n
tr
tr
tr
tr
trn
_T.ankNo -5
Etr
tr
.. ----
?00.06
tr
trlslnlnlnlnlnlnlnlp
f1
trn
tr
tr
tr
tr
F
tr
tr
n
D
tr
tr
n
*
D
tr
n
tr
tr
tr
tr
ts
trn
tr
tr
Htr
tr
Tanhld€dfbdion llmDcr
1, StsUltofTrk(ctreckof{yone) OnrenttylnUse
TempoaflyClosed
PemanenayGbsed
z D&olllEtdhtton (mglfi IGar)
e BtmaE TorC CengtY(glons)
.. ilrGdd ol ConEfidion (check aX $tat apPly)
Asphaltcoated ot Batt Ste€l
Carfrodi;ally PrctscGd Sleel
coded and cattEdicaiy Prolect€d Sbel
CanPcfte (Steel Oadx'llh msgbts)
mergfase ReElforced Pbstio
l-lned ffidor
Eml,Ethn Liner
DouHe tlValled
Polyeillfl ene Tank Jaoket
Conseb
Unlatwrt
lf Otrr, plms sptdfyhele
checkbox iltank has 6rwbcenrwaired
t ,-,rrr tful (ctrckall ilr.rapplv) BarE stEet
Galwn'rzed Sileel
,FibeIgless Rekrfotced Plastb
@Per
Catpdcafy Prouclsd
Double Wailed
secmdary containmenr
Unknown
Olher, PleasesPeclfu
S- Plplngnne'Safe'tualon(rcvat'reatEnk)
(checft.arrlqtapdy) !-S.'StE{6r*"#:::
GravitY Feed
Ch€cN( box f plp'mg has a'er beeri repair€ct
u
tr
n
u
tr
tr
tr
tr
tr
EI6
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
tr
E
tr
tr
tr
tr
tr
n
tr
tr
tr
tr
u
tr
tr
n
tr
PagE 3 of5
EPA tuffi TEIFI Fe|,- 11{8) Hecmnb-and p?per verslons acc4taHe-
Fre\riotg efiltrts m'ay bc used u'hile EupPliee l6st'
Eoos08/15/02 00: 6E rd[-EgL0.36LzLz DEO DENR
Environmental Proffilon Agency
WffihlngnDn' Irc AH€o
ltl'otillcason for Undergrcund $torage Tanlc
rankNo,- l ratk'-
7. $ffince grrmdY3bttd (or last
rilond lnthecare of closcd rmlG)
( Chect a[ ftatapdy]
m
trtl
trtr
tr
u
trtltrn
tr
tr
tr
trt]
tr
tr
It Ofier, pl€ase lpeoily hele
EI.
trtrtr
trtr
Hazurdars SuHance
CERG-LA narne and/on
CAS numbcr
rnnr I pPr
tr
tr
tr
tr
tr
tr
n
ffiTr,pe
tr l.ntrlntr1trtr1tr
Eltr
ifirfrrl? ol sub*noet
Flease 4eoifY hete
8. Rdeesa D.nEGdon (dackall tharapply)
ilhntral iank gauglng
Tar& 0ghtnsGe t€cling
lnu€nloryCont!|
turomath tankgaugtrlg
VqPormofliffillg
GrDlrdvsaEr monMing
hHt lmonlbthg
Aggnatic line hak detectors
Lflefighkr€ss leslhg
No robasedeuctim raqrntd Fuch as sometypesd
sudbr p[&tg, emergenci,a g€ne]abr talx(g or rglo
Ofier m€ffiod allored by implcmenfing ffifl,
Please spedty eher memd lrels
" "rn -;;lrroerion
orerf,l devlce hstalled
Spm devics insfialhd
tr
tr
tr
tr
B
tr
tr
tr
tr
tr
tr
E]
tr
tr
tr
fI
tr
tr
fI
PIPE
tr
tr
tr
tr
n
E]
tr
TANK I PIPE
tr
E
tr
tr
tr
s
fI
PaE4ol 5
EPA Fonn ?EDf {Hc!r. f 1€6) Electtonb and pap6r Yc'alons tccepiable'
Prevh8 effona may be t,sed rfille slsdlos lasl-
Utah County Online Records
^
REAL PROPERTY OWNER INFORMATION
Serial: 17:010:0135
gwne-r; BRANDOW DEVELOPMENT LLC
Mailing Address: 889 E 900 SOUTH PLEASANT GROVE UT 84062-4204
Property
Address:
Payments Balance
$0.00 $0.00
$0.00 $5,328.45
$4,869.60 $0.00
$4,136.21 $0.00
Page 1 of 1
Years Valid: 2004.....
Tax District: 09Q
Acres: 1.20
Property 100cooe:
Taxrng_elescjlptjen {nollqr lesal dasulneots)
COM S 198.33 FT & E 2200.439 FT FR W 1/4 COR., SEC. 3, T6S, R2E, SLB&M.; N 18 DEG 14'26.W 192.379 FT; ALONG A
CURVE TO R (CHORD BEARS: N 63 DEG 27'4'E 16.378 FT...
4 Year Tax History
Year Market Value Assessed Value Taxes Adjustments
2004 467,736
2003 467,736
?apz 467,736
2001 401,145
Mo-re tax history
| 17:010:0135;2005 "l
4A7,796 0
467,736 5328.45
$0.00
$0.00
467,7_Q6 4869.60 $0.00
401,145 4136.21 $0.00
Main Menu
Comments or Concerns on Value/Appraisal Assesqo,t s Qffice
Documents/Owner/Parcel info Rec,qrdefl s- Offioe
Address C_hange forTax Noliee
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Utah County Parcel Map Page I of I
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I 70 1 00 r74
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ABSTRACT INFORMATION FOR SERIAL # 17:010:0135
117:010:0135;2005 ffi
Beginning Sept 3, 1985 Manual abstracting was discontinued
lnst Date Consideration
Rec Date Satifaction
Rec Time Tie Entry No
Page I of 2
Grantor
. . Grantee
Comments
Entry No
Book Page
Kind of lnst
BBANDOW HANSEN LLC
. . WHOM OF INTEREST
199040:2003
i
RESOL
1211912003
1U1912003
04:22
BRANDOW HANSEN LLC
. . BRANDOW DEVELOPMENT LLC
19903 :2Q03
QCD
12t19t2003
1211912003
O4:22
FILLMORE, W JEFFERY TEE ET AL
. . SPEEDY TURTLE PETROLEUM INC
1 90448:2003
AND
1210112003 $1,920,000.00
12t0312003 x 085531 2003
09:54
FILLMORE, W JEFFERY TEE
. . SPEEDY TURTLE PETROLEUM INC
185283:20-03
ND
1112112003
11t21t2003 X 08s53'1 2003
01:32
FIRST INTERSTATE FINANCIAL LLC
. . FILLMORE, W JEFFERY SUCTEE
1&?8?:2!q3
SUETEE
1112112003
1112112003 x 085531 2003
0'1:32
SPEEDY TURTLE PETROLEUM INC
. . B&H QUIKI MART LLC
132054;2003
BILL SL
08/1 5/2003
0B/1 5/2003
05:00
$10.00
SPEEDY TURTLE PETROLEUM INC
. . BRANDOW HANSEN LLC
13?053:-2003
BILL S.L
08/1 5/2003
08/1 s/2003
05:00
$10.00
SPEEDY TUHTLE PETROLEUM INC
. . B&H QUIKI MART LLC ET AL
13?052:2Q03
ASI
08/1 5/2003
08/15/2003 A 000000 0000.
05:00
SPEEDY TUHTLE PETROLEUM INC
. . BHANDOW HANSEN LLC
09978,Q;2003
ACD
o6t2712003
0710212003
11:24
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Status
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Ciry
Orem
ti
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SPEEDY TURTLE #7
Buslness Name:
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SPEEDY TURTLE #7
5327635-0151
o411012003
1588 N STATE ST
Orem, UT 811058
Active
License lssuance
0411012003
DBA
o411012006
KYLE KENNEDY
4692 N 300 W NO 100
Provo
UT
84606
4471 -Gasoline Stations
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Position
Applicant
Regislered Agent
Name
SPEEDY TURTLE PETROLEUM, INC.
KYLE KENNEDY
City
Orem
Address
4692N300W#100
4692 N 300 W NO 100
sarch
a
iHetF
Status
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Provo UT 84604
Provo UT 84606
,
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OREM
CRESTVIEW STATION #1600 NORTH, INC.
1122834-0142
oaozl1993
UT
1594 S STATE ST
OREM , UT 84058
Active
Annual Report
o2lo3/2003
071o712003
Corporation - Domestic - Profit
0210212004
T ROBERT CORDNER
1 594 S STATE ST
OREM
UT
84058
N
2212-Natural Gas Distribution
0000050000
COMMON
0000000000
0000000000
0000000000
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puibhase cefifiicate d exiitence llll"J,ffi,i,l[""[l,.i:Xffi,i""::{;.i,:J:e,1,;l;fi:J1'",,',H,3::,1?S i
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PHILLIP ANDERSON
T ROBERT CORDNER
PHILLIP ANDERSON
PHILLIP ANDERSON
T ROBERT CORDNER
T ROBERT CORDNER
City
OREM
Address
1190 E 180 N
1881 N GENEVA RD
1190E180N
1190 E 180 N
1881 N GENEVA RD
1594 S STATE ST
Name
CRESTVIEW STATION #1 600
NORTH,INC.
Position
Diroctor
Director
Treasurer
Secretary
President
Begistered Agent
SPRINGVILLE U
PROVO UT 846C
SPRINGVILLE U
SPRINGVILLE U
PROVO UT 846(
OREM UT 84058
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SOUTH,INC.
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SOUTH,INC.
CRESTVIEW STATION #1 600
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DOCUMENT DETAIL
| 17:010:0068;1995
SerialNumber:
lnstrument Date:
Kind of lnst:
Rec Party:
Mail Party:
MailAddress:
Tax Address:
Grantor(s):
Grantee(s):
Abstr Comments:
Satisfaction:
Tie Entry Numbers:
Tie Serial Numbers:
#d
17:010:0068 Entry #: 068188-1994
0811111994 Recorded: 08/251199403:55
WD - WARRANTY DEED
PROVO LAND TITLE COMPANY
DELIVERED
1588 N STATE ST OREM UT 84057-2548
C,OBDNEB, T FOB-ENT
COBPNEN, THOMA$ RO-BE FT
pBEqTylE*W SIAIQN _f_L690 NORrH I NC
Book, Page: 351 7, 0236-0237
Consideration: $10.00
Fees: $12.00
Page 1 of I
Other Seriat Numbers: | 17:010:0039;1995
117:010:0137;1995 ffi ltz:OrO:9999;1995
No Document Release
Document Abbreviated Legal Description : Type s section 03 Township 6 s Flange 2 E
OqSumen! llnag e^ V,ielve r
Documents recorded before 1994 will not be found
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PARTY FIND ON: CRESTVIEW STATION FOR KOIGROUP: ALL
Page 1 of I
Party 1 Party 2
X
XX
X
X
XX
X
X
KOI Party Name
qnEST"V_lEW SIATIO.N f :!500 N,O.R fU INC_
c-nEsrvtEw s-rAllQN s_1600 NpBrH lNQ
CNESIVIEW$-IAIQN lNO
CRESTVIEW STATTION #1600 NORTH INC
CRESTWOOD APARTMENTS
CRESTWOOD APARTMENTS A UTAH LIMITED PARTNERSH
CBESTWOOD APARTMTNTS LIMITED PARINEfiSHIP
CRESTWOOD APARTMENTS LLC
CRESTWOOD APARTMENTS LTD
C H ESTWOOP AP RTM ENTS (C RESTWOO D D-EV E-.LOP ME NT L!
CRESTWOOD APTS
X
X X
X
X
X
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REAL PROPERTY OWNER INFORMATION
Serial: '17:010:0068
owneJ: CORDNER, T ROBERT & THOMAS R AKA
Mailing Address: 1594 S STATE OREM UT 84097
Property Address: 1600 N STATE OREM UT 84057
Taxing descliplron lnol for leg-al d-o,-sumen!s)
COM S 180.87 FT & E 2194.68 FT FR W 1/4 COR SEC 3, T6S, R2E, SLM; N
AROUND PERIPHERY OF SD CUR (CHD N 63-27'.04"E 16.378 FT)...
Years Valid:
Tax District:
Acres:
Property code:
Year Market Value
1994 92,284
1993 92,284
:t992 84,664
1991 74,267
1990_ 74,267
More lax history
Balance
$0.00
$0.00
$0.00
$0.00
$0.00
117:010:0068;2005
5 Year Tax History
Assessed Value
92,284
87,67-:A
80_,431
7_9-,5:54
59,4:14
Taxes Adjustments
1268.91 $0.00
1083.16 $0.00
1005.47 $0.00
922.14 $0.00
830.s1 $0.00
Payments
$1,268.9'l
$1,083.16
$1,005.47
$922.14
$830.31
18-14'26'W 173.99 FT; NELY 16.966 FT
1993-1994
090
1.14
100
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UTAH COUNTY TREASURER
PARCEL OWNERSHIP LIST
Serial Number: 17:010:0008 Years Valid :1993-1994
Name Suffix
CORDNER, T ROBERT
CORDNER, THOMAS ROBERT
Page 1 of 1
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REAL PROPERTY ADDRESS SEARCH
Address
Owner
1599 N STATE OREM UT 84057
MIDGLEY ENTERPHISES INC
Tax
Dist
090
Serial
Numbers
48j-55t00-04
Valid
1995.....
Page I of2
f
48:155:0004;2004 :J
1600 N STATE OREM UT 84057
CORDNER, T ROBERT & THOMAS R AKA
17:010;0068 1 993-1 994 117:010:0068;1994 el090
1600 N STATE OREM UT 84057
CORDNER, GLORIA P
'17:010:0068 1 991 -1 992 117:010:0068;1992 il090
1600 N STATE OREM UT 84057
CORDNER, T ROBERT
090 17:010:0068 1 983-1 990 117:010:0068;1990 #
1606 N STATE OREM UT 84057
MURANO, RICHARD S & SHARON A JT
090 17:01 1 :0004 1 984-1 991 117:011:0004;1991 ;|
1606 N STATE OREM UT 84057
MUHANO, RICHARD S & SHABON A JT
17:01 1 :0105 1 992 117:011:0105;1992 :J090
1609 N STATE OREM UT 84057
GAPPMAYER, MEHRILL & RICHARD JT
17:01 1:0029 1 991 -1 997 117:011:0029;1997090
1609 N STATE OREM UT 84057
GAPPMAYER, MERRILL & RICHABD JT
090 17:01 1:0158 1 998 | 17:01 1 :0158;1998 ;l
1621 N STATE OREM UT84057
BSB PROPERTIES L.C.
090 36:767:0007 1999NV 136:767:0007;V .:J
1641 N STATE OREM UTB4O57
GAPPMAYEB, MERRILL & RICHARD B ET
AL JT
090 36:767:0008 1999NV 136:767:0008;V :.I
1655 N STATE OREM UT 84057
GAPPMAYER, MERRILL & MARIE H ET AL
JT
U:0'!l:0033 1992.....117:01'l:0033;2004 :l090
1655 N STATE OREM UT 84057 090 'r7:011:0033 1988-1991 117:011:0033;1991 j
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CAMPBELL, TIMOTHY R
Page 2 of 2
1655 N STATE OREM UT 84057
CAMPBELL, TIMOTHY R & CHARLENE N JT
17;011:0033 1 986-1 987 f17:011:0033;1987 ffi090
1655 N STATE OREM UT 84057
ABRAHAM, PAUL JOSEPH
090 lZ:Q]1100,3_3 1 984-1 985 117:011:0033;1985 M
1655 N STATE OREM UT 84057
CAMPBELL, T]MOTHY R
090 17:012:0055 1989NV 117:012:0055;V ffi
1655 N STATE OREM UT 84057
CAMPBELL, CHARLENE
090 120.12:00-55 117:012:0055;1988 W1 988
1660 N STATE OREM UT 84057
ANDERSON LUMBER COMPANY
090 34:280:0001 1999.....
f
34:280:000'l;2004 Wfl
1660 N STATE OHEM UT 84057
ANDERSON LUMBEB COMPANY
090 40.33-0;000:!'1994-1998
[46:330:0001;1998- ffi
1663 N STATE OHEM UT 84057
BSB PROPERTIES L.C.
090 36:767:0005 1999.....
f
36:767:000s;ZOo{ $f
1664 N STATE OREM UT 84057
MURANO, RICHARD S TEE
17:01 1 :0005 1 984-1 991 117:011:0005;1991 H090
ffil,';
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ABSTRACT ENTRY SEARCH BY PROPERTY SERIAL #
Page 1 of2
Serial #
17:010;00Q8
17_t01Q:0068
17,010-;0068
l7jQ]8:00$g
l7:010t0008
17-0_1O.0,008
17:010:0069
'17:010:0069
17;010;0-069
17t0,10;0069
17,'010:0009
17:010t0069
'17^:01Qt0009
17:0:10;0069
17t010:0069
17:010;0069
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Enf!] v"",
14684 1981
30041 1990
610s 1992
62966 1994
6-2e67 1994
0q188 1994
2611 1983
2612 1983
30950 '1985
2e379 1986
2!)s7e 1986
2e380 't986
31840 1986
36544 1986
4426e 1986
14757 1987
21570 1987
2457] 1987
40572 1990
3728 1991
Koi
WD
WD
WD
SUB
TEE
BEC
WD
QCD
QCD
TRD
WD
WD
TRD
REC
REC
TRD
WD
EAS
EAS
WD
AS
Grantor
VENITELLI, BETTIE LOU AKA
CORDNEFI, T ROBERT AKA
CORDNER, GLORIA P
JACOBSEN, CREGG M
PROVO LAND TITLE COMPAN
TEE
CORDNER, T ROBERT AKA
LAY, WALTER S
LAY, WALTER S
LAY, RANDALL S
RAY, SUSANNE M
LAY, WALTER STONE TEE
LAY, WALTER S
FIDELITY LAND & TITLE TEE
CHOCKER CUSTODY
CORPORA TEE
LAY, WALTER S
LAY, WALTER S
LAY, RANDALL SCOTT
DODGE, S ARVID
LAY, WALTER S
PACIFIC FIRST BANK SUC TO
Grantee
JACOBSON, GBEGG M
CORDNER, GLORIA P
CORDNER, T HOBERT AKA
PROVO LAND TITLE COMPAN
SUBTEE
COHDNER, T ROBEBT
CRESTVIEW STATION #1 600
NORTH
LAY, WALTER STONE TEE
LAY, WALTER STONE TEE
OREM CITY OF
LAY, WALTER S
LAY, WALTER S
AMERICAN SAVINGS & LOAN
ASSOCI
LAY, RANDALL S
LAY, HANDALL SCOTT
AMERICAN SAVINGS & LOAN
ASSOCI
LAY, WALTER S
OREM CITY OF
OREM CITY OF
LAY, RANDALL SCOTT
FIRST SECURITY BANK OF
UTAH
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Mryetu
ABSTRACT ENTRY SEARCH BY PROPERTY SERIAL #
Serial#
t7;0,10:0099
1,7;010;0069
17;0,10:0069
]f:QllioQ0e
I7:010t000,9,
17:Q1O0069
17;010;0069
17;010:0069
17:010t0069 S
17t010;0070
17:010:0Q70
17:010:0070
I7:010:0070
17:010:0070
17;010t0070
17:0'10:0070
17:010:0070
V:010:0071
17:0'10:0071
17:O1a:0072
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Enfl] vear xoi Grantor Granree
3e148 1ee1 D rR PANDA BEAR HOMES tNC ['tr] sEcuRlrY BANK OF
3e561 1ee1 D rR PANDA BEAH HOMES tNC By ['f^t]
sEcuRlrY BANK oF
46565 1991 BLA PANDA BEAR HOMES INC LAY, RANDALL SCOTT
1780s 1992 c AS RESoLUTIoN THUST pActFtc FTRST BANKCOHPOR FOR
670]1 1993 D TR LAY, RANDALL SCOTT MULTI SERVE INC
708re 1ee3 AS MULI SERVE rNc ilBH?EX3li["#i
es377 1ee3 suB rEE ['i^:] sEcuRlrY BANK oF Anfff"D rrrlE coMPAN
ssaTa 1993 REC ASSOCIATED TIrLE coMPAN LAy, wALTER sTEE
95379 1993 OWNRREQ LAY, RANDALL SCOTT
2A2O8 1982 WD HARRISON, GEORGE T CROFT, EDWARD G
28430 1984 BLA HARRISON, GEORGE T HARRISON, GEORGE T
6716 1985 QCD HARRISON, GEORGE T DOWNS, ELVIN
6717 1985 QCD HARHISON, GEORGE T CROFT, EDWARD G
671S 1985 QCD DOWNS, ELVIN CROFT, EDWARD G
6719 1985 QCD CROFT, EDWARD G DOWNS, ELVIN
28747 1985 N LN JACK'S TIRE & OIL INC JACOBSEN, NIEL DBA
156509 2OO2 QCD CROFT, EDWARD G CROFT, EDWARD G
34eai 1983 BLA coRP oF PRESIDING BlsHoP ALptNE cREDtr uNtoNOF CH
3e4.14 1989 Sp WD WTNDSOR CORPORATTON CORP OF PRES BtSHOp
CHURCH OF CHURCH OF
34e81 1983 BLA coRP oF PRESIDING BlsHoP RtptNE cBEDtr uNtoNOF CH
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ABSTRACT ENTRY SEAHCH BY PROPERTY SERIAL #
Serial #
V$10t006e
l7;010t0Q69
:17;010:0069
17:01!:0q09
I7l0l0t00,9e
17$CIO0S9
17t0"10;0069
17t0-:[0:0069
I7:010t0069
17;010;0070
7t0"i0:007Q
17;010t0Q70
.t7Q10:007Q
17:0'10:0070
17;010;0070
17:010:0070
l7;0"10:0070
UtO10_:0071
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J7:O1O:0O72
Ne! pqge
Enfl] Year roi Grantor Grantee
3-e1-4,8 1ee1 D rR PANDA BEAR HOMES tNC 5',i^tl
SECURITY BANK oF
3e561 1se1 D TR PANDA BEAR HOMES tNC By t'i^t] sEcuRlrY BANK oF
46565 1991 BLA PANDA BEAR HOMES INC LAY, RANDALL SCOTT
usas 1ee2 c As 338?b'--i"ArRUSr PACrFrc FrRSr BANK
670.11 1993 D TR LAY, RANDALL SCOTT MULTI SERVE INC
L087e 1ee3 AS MULI SERVE rNc ilBUR?EXItt#"#i
e5377- 'ree3 suB rEE [,'trJ
sEcuRrrY BANK oF
t33?3p-tD
rrrLE coMPAN
es378 1993 REC ASSOCIATED TIrLE coMPAN LAY, wALTER s
95379 1993 OWNRREQ LAY, RANDALL SCOTT
20208 1982 WD HARBISON, GEORGE T CROFT, EDWARD G
A8{3Q 1984 BLA HARRISON, GEORGE T HARRISON, GEORGE T
6716 1985 QCD HARRISON, GEORGE T DOWNS, ELVIN
6717 1985 QCD HARRISON, GEORGE T CROFT, EDWARD G
671S 1985 OCD DOWNS, ELVIN CROFT, EDWARD G
6719 1985 QCD CROFT, EDWARD G DOWNS, ELVIN
28747 1985 N LN JACK'S TIRE & OIL INC JACOBSEN, NIEL DBA
.156509 2OO2 QCD CROFT, EDWARD G CROFT, EDWARD G
34e81 1983 BLA coRP oF PRESIDING BlsHoP ALPINE cREDtr uNtoNOF CH
3e414 1989 Sp WD WINDSOR CORPORATION CORP OF PRES BISHOP
CHURCH OF CHURCH OF
34e8i 1983 BLA coRP oF PRESIDING BlsHoP ALptNE cREDtr uNtoNOF CH
Page I of 2
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Utah County Online Records .
ABSTRACT INFORMATION FOR SERTAL # t7:010:0068
117:010;0068;2005 tr,
Beginning Sept 3, 1985 Manual abstracting was discontinued
Grantor
. . Grantee
Comments
lnst Date Consideration
Rec Date Satifaction
Rec Time Tie Entry No
Page I of 1
Entry No
Book Page
Kind of lnst
CORDNER, T ROBERT & THOMAS R AKA
. . CRESTVIEW STATION #1600 NORTH INC
Part to 17:010:0135 (More)
06818,81.!99a
3517 236
WD
0811111994
08125t1994
03:55
$10.00
PROVO LAND TITLE COMPANY TEE
..CORDNER,TROBEFIT
0€2967:1994
3503 563
R_EQ
08/05/1 994
08/05/1 994
03:19
R 1914 540.
JACOBSEN, CREGG M
. . PBOVO LAND TITLE COMPANY SUBTEE
062966;1 994
3503 561
SUB TEE
08/05/1 994
08/05/1 994
03:19
x 1914 540.
CORDNER, GLORIA P
. . CORDNER, T ROBERT & THOMAS AKA
006'105; t992
2888 286
WD
o2t07t1992
02t11t1992
10.44
$10.00
CORDNER, T ROBERT & THOMAS R ET AL
. . CORDNER, GLORIA P
q39941:19-eo
2722773
WD
09/1 2/1 990
09112t1990
01:52
$10.00
VENITELLI, BETTIE LOU AKA ET AL
. . JACOBSON, GBEGG M
**** From 17:010:0040
117:010:0068;2005 ;,
01 4684:1 981
1914 716
WD
05/20/1981
0512111981
10:18
$10.00
01 4683;1 981
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