DERR-2024-005136

Underground Storage Tank Inspection Verification Form
Facility ID:4002615
Owner Name:UNITED PARCEL SERVICE Facility Name:UNITED PARCEL SERVICE
Owner Address:380 SOUTH 6400 WEST Street Address:380 SOUTH 6400 WEST
SALT LAKE CITY, UT 84104 SALT LAKE CITY, UT 84104
Operator A:No Data / No Data / Operator B:No Data / No Data /
Owner Email:[e-mail] UTM Coordinates X/Y:411650 / 4512200
Tank ID/Alt ID:1 / 1 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Fiberglass Reinforced Plastic - Secondary
Containment
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:Not in contact with soil
Installed/Cap/Loc:2/22/2018 / 20000 / LLD Model:
Substance Stored:Diesel / Diesel #2 (U.L.S.)Spill/Overfill/Sm deliv:> 15 gal. Spill Bucket / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-350 Tank/Pipe Rel Det:ATG / OTHER / ALD
ATG Specs:50% old 30% new / 30K / Shutdown Test STP Sump Test:Spill Bk Test:05/22/2023
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:2 / 2 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Fiberglass Reinforced Plastic - Secondary
Containment
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:Not in contact with soil
Installed/Cap/Loc:2/22/2018 / 20000 / LLD Model:
Substance Stored:Diesel / Diesel #2 (U.L.S.)Spill/Overfill/Sm deliv:> 15 gal. Spill Bucket / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-350 Tank/Pipe Rel Det:ATG / OTHER / ALD
ATG Specs:50% old 30% new / 30K / Shutdown Test STP Sump Test:Spill Bk Test:05/22/2023
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:3 / 3 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Not Listed - Secondary Containment
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:Not in contact with soil
Installed/Cap/Loc:3/1/2018 / 20000 / LLD Model:
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv:> 15 gal. Spill Bucket / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-350 Tank/Pipe Rel Det:ATG / OTHER / ALD
ATG Specs:50% old 30% new / 30K / Shutdown Test STP Sump Test:Spill Bk Test:05/22/2023
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:4 / 4 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Not Listed - Secondary Containment
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:Not in contact with soil
Installed/Cap/Loc:3/1/2018 / 20000 / LLD Model:
Substance Stored:Diesel / Diesel #2 (U.L.S.)Spill/Overfill/Sm deliv:> 15 gal. Spill Bucket / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-350 Tank/Pipe Rel Det:ATG / OTHER / ALD
ATG Specs:50% old 30% new / 30K / Shutdown Test STP Sump Test:Spill Bk Test:05/22/2023
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
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