DERR-2024-004887

GEORGE STURM
UTAH STATE FUEL NETWORK
4315 S 2700 W
SALT LAKE CITY, UT 84114
RE:Request for Underground Storage Tank Records
UNIVERSITY HOSPITAL, located at 50 N MEDICAL DR, SALT LAKE CITY
Facility Identification No. 4000303
Dear GEORGE STURM:
UST operators are required to ensure that certain tests are conducted for their tank system.
Dates highlighted in "Yellow" - tests are due soon.
Dates highlighted in "Red" - tests are due and you are out of compliance.
Tank ID/Alt
ID
Description LTT
--------------------
LLD
Spill Bucket
--------------------
Overfill
Tank or Flex
--------------------
Pipe CP
ATG
--------------------
Sump
15/15 Diesel-Diesel #2 (U.L.S.)-24970 N/A N/A N/A 2/4/2024
2/4/2024 N/A N/A N/A
16/16 Diesel-Diesel #2 (U.L.S.)-24970 N/A N/A N/A 2/4/2024
N/A N/A N/A N/A
17/17 Diesel-Diesel #2 (U.L.S.)-24970 N/A N/A N/A 2/4/2024
N/A N/A N/A N/A
18/18 Diesel-Diesel #2 (U.L.S.)-24970 N/A N/A N/A 2/4/2024
2/4/2024 N/A N/A N/A
19/19 Diesel--5000 N/A N/A N/A 11/22/2023
195 North 1950 West - Salt Lake City, UT
Mailing Address: - P.O. Box 144840 - Salt Lake City, UT 84114-4840
Telephone [phone] - Fax [phone] - T.D.D. [phone]
www.deq.utah.gov
Printed on 100% recycled paper
December 14, 2023
State of Utah
SPENCER J. COX
Governor
DEIDRE HENDERSON
Lieutenant Governor
Department of
Environmental Quality
Kimberly D. Shelley
Executive Director
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brent H. Everett
Director
11/22/2023 N/A N/A N/A
LTT - Line Tightness Test
LLD - Line Leak Detector
Overfill ±Overfill Device
Tank or Flex/Pipe CP - Corrosion Tests
ATG ±Automatic Tank Gauging
Sump - Tank Top Sump and applicable Dispenser Sumps
Please note that UDC tests are not listed, but are required on your facility's next sump test
cycle starting July 1, 2023, if applicable.
Please submit a copy of the required tests to the DERR within 30 days of the date due.
If you have any questions please call DeAnn Rasmussen at 801-536-4100.
195 North 1950 West - Salt Lake City, UT
Mailing Address: - P.O. Box 144840 - Salt Lake City, UT 84114-4840
Telephone [phone] - Fax [phone] - T.D.D. [phone]
www.deq.utah.gov
Printed on 100% recycled paper
December 14, 2023
State of Utah
SPENCER J. COX
Governor
DEIDRE HENDERSON
Lieutenant Governor
Department of
Environmental Quality
Kimberly D. Shelley
Executive Director
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brent H. Everett
Director
APPLIED ENVIRONMENTAL SERVICES, L.C.
PO BOX 1073 BOUNTIFUL, UTAH 84011 801-540-9258
TEI 5000 NON VOLUMETRIC, TEI 4000 VOLUMETRIC, TEI ULLAGE, TEI LT3
PRECISION TANK & LINE TEST RESULTS SUMMARY
INVOICE ADDRESS:TANK LOCATION: WORK ORDER #
TECH # 94027
TECHNICIAN: SM
STATE TECH #
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
UNIV HOSP REHABILITATION
85 NORTH MEDICAL DRIVE
SALT LAKE CITY, UTAH 84123
24003
UT 0121
DATE:
1-19-2024
TIME START:
10:30
TIME END:
15:00
GROUNDWATER DEPTH:
N/A DW TK
TANK TANK
CAPACITY
4947
PRODUCT
DSL
TANK
PASS
VENT
PASS
PRODUCT
LINE
PASS
LINE LEAK
DETECTOR
PASS
WATER IN
TANK
0.0"
PUMP
TYPE
PRESS
TANK
MATERIAL
DWF1.
2.
3.
4.
5.
6.
PRODUCT LINES TESTED AT 50 PSI FOR 15 MIN
LINE RATES (GPH)
1.
2.
3.
5.
6.
DSL -.010
ADDITIONAL INFORMATION:BOILER TANK
CERTIFIED TECHNICIAN SIGNATURE:DATE:1-19-2024
These systems meet all requirements set forth by USEPA 40 CFR and has received third party certification.
4.
TEST METHODS USED FOR THIS LOCATION
TEI 5000 NON VOLUMETRIC TANK TEST TEI 4000 VOLUMETRIC TANK TEST TEI TANK ULLAGE TEST TEI LT3 LINE TESTX X
LINE LEAK DETECTOR TYPE & SIMULATED LEAK RATE
1.
2.
3.
M = MECHANICAL E = ELECTRONIC # = (GPH) RATE
4.
5.
6.
E 3
All tests were performed according to manufacturer protocol, and within the common practices of the industry. However due to the variables of
tightness testing, these results cannot be guaranteed. There are no warranties expressed, written or implied.
DEQ ID#4000303
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2024.01.23 13:42:54 -07'00'
Reason: I am the author of this document
UNIVERSITY HOSPITAL REHABILITATION
85 NORTH MEDICAL DRIVE
SALT LAKE CITY, UTAH 84123
4000303
STATE FUEL NETWORK
APPLIED ENVIRONMENTAL SERVICES
PO BOX 141152
SALT LAKE CITY, UT
BRETT GURNEY 385-602-4872
801-540-9258 1-19-2024
1
DSL
VEEDER
PLLD
X
29
2
X
X
X
EMERGENCY BOILER TANK
STEVEN B MARTIN
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2024.01.25 13:27:10 -07'00'
Reason: I am the author of this document
UNIVERSITY OF UTAH HOSP REHABILITAITION
85 NORTH MEDICAL DRIVE
SALT LAKE CITY, UTAH 84123
4000303
APPLIED ENVIRONMENTAL SERVICES
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
BRETT GURNEY 385-602-4872
801-540-9258 1-19-2024
TANK INTER
DSL
X
X
X
X
X
X
TRANS SUMP
DSL
X
X
X
X
X
X
X
X
STP SUMP
DSL
X
X
X
X
X
X
X
X
TANK INTERSTICIAL SENSOR SETS IN BRINE IN NORMAL CONDITIONS, ALARMS WHEN REMOVED FROM LIQUID
STEVEN B MARTIN
APPLIED ENVIRONMENTAL SERVICES, L.C. PO BOX 1073 BOUNTIFUL, UTAH 84011
801-540-9258 [e-mail]
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2024.01.23 13:47:10 -07'00'
Reason: I am the author of this document
UNIVERSITY HOSP REHAB
85 NORTH MEDICAL DRIVE
SALT LAKE CITY, UTAH 84123
4000303
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
BRETT GURNEY 385-602-4872
801-540-9258 1-19-2024
AES UTAH 801-540-9258
STP SU
FIBERGLASS
X
X
37
9
15 3/4
12:08
15 3/4
13:18
1 HR 10 MIN
0
X
TRANS SU
PLASTIC
X
X
28
10
15 1/8
11:50
15 1/8
13:18
1 HR 28 MIN
0
X
STEVEN B MARTIN
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2024.01.25 13:49:43 -07'00'
Reason: I am the author of this document
AUTOMATIC TANK GAUGE OPERATION INSPECTION
Facility Name:
Address:
City, State, Zip Code:
Facility I.D. #
Testing Company:
Owner:
Address:
City, State, Zip Code:
Phone #
Testers Phone #
Date:
This procedure is to determine whether the ( ATG) is operating properly. See PEI/RP1200 Section 8.2 for the proper inspection procedure.
Tank Number
Product Stored:
ATG Brand and Model
1. Tank Volume, gallons
2. Tank Diameter, inches
3. After removing the ATG from the tank, has it
been inspected and any damaged or missing
parts replaced?
4. Float moves freely on the stem without
5. Fuel float level agrees with the
value programmed into the console?
6. Water float level agrees with the value
programmed into the console?
7. Inch level from bottom of stem when 90%
alarm is triggered.
8. Inch level at which the overfill alarm
activates corresponds with value programmed
in the gauge?
9. Inch level from the bottom when the water
float first triggers an alarm.
10. Inch level at which the float alarm activates
corresponds with value programmed in the
gauge?
If any answers in Lines 3,4,5, or 6 are "NO" the system has failed the test.
TEST RESULTS
Comments:
Testers Name: Steven B. Martin Testers Signature:
UNIV HOSP REHABILITATION HOSPITAL
85 NORTH MEDICAL DRIVE
SALT LAKE CITY, UTAH
4000303
AES UTAH TESTER # UT 0121
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
BRETT GURNEY 385-602-4872
801-540-9258
1-19-2024
1
DSL
TLS 450 PLUS
4947
92
YES
YES
YES
YES
77
YES
1.5
YES
PASS
BATTERY BACKUP FUNCTIONS PROPERLY, SETUP REPORT PRINTED
SUMP SENSORS AND TANK INTERSTICIAL SENSOR FUNCTION PROPERLY
Digitally signed by STEVEN B MARTIN
cn=STEVEN B MARTIN, o=AES, c=US
Date: 2024.01.23 13:44:36 -07'00'
Reason: I am the author of this document