DERR-2024-004953

State Use Only
Permit Required? X
Permit # _____3742_________ Base
Fee $ _ Inspection
Fee* $200 x ___ $_ ___ PST Install
Fee $200 x ___ $_ ___ Total
$__Date Approved & Paid 03/8/2024
*Applies in non-LHD contract areas
Utah DEQ Underground Storage Tank
Installation Notification Form
www.undergroundtanks.utah.gov
Facility ID 1000723     New UST Install Upgrade/Repair
Installation Company: Csesco, Inc.
Contact Name: Tracy Boswell Phone: [phone]
Address: 830 West Northpointe Circle, North Salt Lake, Utah 84054
Certified Installers/Technicians on project
Name Luke A. Kelso Cert. # TL 0416 Exp. Date February 1, 2026
Name Conner Christensen Cert. # TL0457 Exp. Date February 1, 2026
Name Zane Christensen Cert. # TL0456 Exp. Date February 1, 2026
Tank Owner: LEE'S ROUNDUP NO 1 OF LEHI   
Address: 1531 NORTH STATE - LEHI, UT 84043    
Contact Name: Mamun Rashid Phone# [phone]     
Facility Name: LEE'S ROUNDUP NO 1 OF LEHI   
Facility Address: 1531 NORTH STATE - LEHI, UT 84043     
Installation / Upgrade /Repair Information Est. Date work will commence: 3/11/2024
Tank #2
Capacity 12,000
Tank Material FRP DW
Piping Material Flexible DW
Substance stored Unleaded
Check if upgrade or repair only. (Describe details below)
Describe Details of Install/Upgrade/Repair in the box below (Submit a drawing/site map of work to be done)
DEMO OF PORTION OF EXISTING DRIVE PAD AND UNCOVER EXISTING PRODUCT LINES BETWEEN DISPENSERS
#7/#8 AND #5/#6. PROVIDE AND INSTALL (1) NEW DOUBLE WALL FLEXIBLE UNLEADED LINE BETWEEN
DISPENSERS #7/#8 AND #5/#6. FURNISH AND INSTALL REPAIR ENTRY BOOTS IN THE EXISTING DISPENSER SUMPS
OF #7/ #8 AND #5/ #6, THEN PERFORM HYDROSTATIC TESTING ON THESE (2) UDC'S. BACKFILL TRENCH AND
POUR CONCRETE THAT WAS REMOVED TO MAKE THIS REPAIR. 3RD PARTY LINE TIGHTNESS TEST OF REPAIRED
UNLEADED LINE.     
Mail completed form to:
DEQ/DERR
Box 144840
Salt Lake City, Utah 84114-4840
195 N. 1950 W. 1st Floor
Salt Lake City, Utah
Phone [phone]
Fax [phone]
Ver. 8/1/2016