DERR-2024-012871

Utah Petroleum Storage Tank Program
Previous Pollution Incidents Facility ID#
This letter, or an equivalent, must be signed and submitted as a requirement for receiving a
Certificate of Compliance.
To: Mr. Brent H. Everett
Director
Division of Environmental Response and Remediation
Dear Mr. Everett:
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 tank at my facility. Based on this test, there has not been a
release of petroleum. Additionally, based on "customary business inventory practices standards" I
am not aware of any release of petroleum from my tanks.
Signature of owner/operator
Or, if a release is known to have occurred at this facility:
I have had the following releases of petroleum (detailed below; also indicate the actions you have
taken to clean up the release):
Signature of owner/operator
Failure to report previous releases could invalidate your Certificate of Compliance.
ppiform 1022
9000055
Release ID: OJO, Type of Site: AST w/RP Lead, PM: Mark Crim, Date Reported: 12/17/2023, Date Closed: 2/7/2024
Release ID: NTZ, Type of Site: AST w/RP Lead, PM: Mark Crim, Date Reported: 1/16/2019, Date Closed: 1/29/2019
Release ID: NJU, Type of Site: AST w/RP Lead, PM: Mark Crim, Date Reported: 4/12/2026, Date Closed: 5/2/2016
Release ID: OKA, Type of Site: AST w/RP Lead, Project Manager: Mark Crim, Date Reported: 2/19/2024, Date Closed: 4/22/2024
Release ID: OJL, Type of Site: AST w/RP Lead, PM: Mark Crim, Date Reported: 10/23/2024, Date Closed:
Release ID: MJI, Type of Site: AST w/RP Lead (Agreement), PM: Mark Crim, Date Reported: 4/9/2008, Date Closed:
Release ID: KFB, Type of Site: RP Lead, PM: Mark Crim, Date Reported: 9/18/1997, Date Closed: 6/18/2015
Release ID: OFZ, Type of Site: AST w/RP Lead, PM: Mark Crim, Date Reported: 11/2/2022, Date Closed:
Release ID; OCS, Type of Site: AST w/RP Lead, PM: Mark Crim, Date Reported: 1/13/2022, Date Closed: 2/22/2022