DERR-2025-000659

Page 1 oi _L Utah Department of Environmental Quality
UST Release Detection lnspection
0100080
Ownershlp ol Tanks Locatlon of Tanks
FAST STOP sToRES FAST STOP l,22
pO BOX 150546 25 N BEAR LAKE Bい ′DoGDEN lur l8a! r s OARDEN CITY l∪丁 184020
op A. RoBrN HARDTSTER {wHALEy) l(8oi } 39tiz37 OP BI ROBIN HARDISTER●VHALEY) |[phone]
V.dfy L.b o. t ntd.t .h..t
.r .urrnt.nd on f1,..oこ 聾) No NA Sinslo wall€d Spall buck6l3 (G, No NA
O No NA Ove輌 l devicei ω No NA
Lino lighlnoss{suclon 3y4:CD No NA 6E@ Hr
Yos No NA
Yos No @
Compl.lo lor o.ch t.nk.2#`| ●t#Capacily or lank {gallons):ヽ―●0ヽ―O■-0 %●●
R..い 、ャ ,__,_■_、0‐ハ
0116 l8l ussd/doph or ploduci:
Typ€ of spill pr6v6ntio. d€vic.:Sも S、ヽ0 もヽ ｀O S3
Doubb Walい d8Ⅲl buCIte1 98uo0 3
ChedK3d,■Onth〔y and ve"【Yos No @ Y€s No @ @NoNA (@ No NA Ves No NA Yes No NA
SⅢl budKetも cに an ntacl etcl の No ⑬ No O No ⑬ N。Yos No
Typ€ ot ovsrnl Prcv€niion d6vi@ A,′へ
`´^`0 A"
ovallaぃ m (aじ dible oi visible)is p●perly Ocaled so deh′oO dlVer can hear or see n andis cbary●ent Fedl ′~▽
^う No NA
STP Flsi pmiadbn morhod (Sump,
C.rhodic Prot€ction, Eolri6d, Boot6d):A**e S*-p ヽヽ、,ヽヽ‐PContrinnl6ni sump! dry @No NA (r, No NA C No NA 0し
") No NA
Yes No NA Ves No NA
Sttg6 1 Vapor Rocovory:2pt@ None 2pr@ No.e 2p―one 2pr Coax @jr)
P6ssurs V6nt V.lve E on v6nts:'@a No NA 6, No NA eJ塞》 No NA Y6. No @ Yes No NA Yes No NA
CompLt. tor..ch dl.p.6..r | ｀1■″ ヽ′、ヽ′t.7/8 ″
Fbx prolectOn memod(uoc
Cathodに Pい 。n130 aled Booled,3″計 t計 t・ 々●●tЧに
VeS lR, NA Y6s No @ Yes No @ Ye N。 さいレ dA, No NA Yes No ヽ
DW piping hav6 ilmp6rs i. Dlac€:Yo3 No@ YBNo@ Yes No @ Ye No t“pY6s No @ ヽ
Fir. v.lv. an hoEd. bet d beki"
!rad6, and sthout ball valvo:
σ No NA こg`7 No NA (P No NAC 〉No NA α No NA[AComttn●Jャ に ^駐 t`Ⅲ
Ad.lldon.l dl.p.nr.r qu.rtlon.,###″
Fbx p.or€ctoi n orod {UOC,
Cathodlc F1sl6clio., lsolai.d, Bootod):
Yes No NA Yes No NA Yes No NA Yo No NA Yes No NA NA
DW plplng hlvo jump€.s in placs:Yes No NA Ves No NA Yes No NA Ye No NA Ves No NA NA
Fir€ valv..ncrE €d, tocat€d b.lox
glad6, end m b.ll v.l!a:
Yes No NA Ves No NA Yes No NA Ye No NA Yes No NA NA
lnpr.'..d Cumnt C.rhodlc Prot ctton Last lh.e dates reclfier cheked:
FInancial Ro3pOnSlbl t
。) NO FR Meth“|IMethOd OK?I Yes No
Э No
'C'Op.rltor! E i..d or unm6nn6d !n 3ign 6 visibt6?<6r) No NA r ltr.tt afl;tnspeclod thrs radhty on l-2 ■石ll ho .ita B u.msnn d and dEp€N€s tu€t. do63 it hav6
an .rn6i96nc, $utof doUcs?@rcu S°
無 _2_TI
●●13Monlhly check ist avaい Ole and comp ete,YeY No
070 S On輌 にノイタ
"κ
蒻/`l:`,|
Page 2 ol -!Tank and Piping Release Detection
Automatic Tank Gau nterstitial Monitoring
Tank3 inSta![●d BIter Octobe,1,2003 mutt do inter3●1181 MOn“o日 ng
0100080
1 2 9ph monthり teSt
i SIR
コ inteにOa monlolng
I,GW monionn0
Type oflM,
〔 l ATO Shutdown test メl ATC Conlouous lest
に1:. f5‐X..ul.ciur., .nd tro.Ll ot .y.t.m:
Y.i o. No lff €ach qu$no.'. ln th. la.l column. olplain and den y by lank any ercoplios to lh6 anlw6l! giv€n ln li. trll cohmn.
Typ€ ol s€.ondary co.lri.mnl !s6d:TrDo ol rM d,ocumsnta{on us€dr(m Manurr
Syli.m 6 c€pabL of d.t .ting s l.l€a!€ ot rcgulsi.d lub3lanc38 Lom any
ponjon of h€ pnmary lanldprprn! within ona monli ol l!10630:
ATG con.ob o. otior squipment ui.d !o t ko lsadinls and p.dorn i'3ts is
3d€+'31€..c.6*nbl., 3nd op€ralio.l5l:
The tank wa8'led lo at138tthe m n mum 13Vel Ⅲured lo ensure a vald b3k
103t and the lank 3●O iS W thin¨31中 uppe′and owo′s■lmに|'}"PMyM●1●●●lM●●k“
t●●●●tio ATG Sh●―●●tShor r..un ot.nonltorlns tor ..ch t nr ro. th. l..t 12 month.. lndlc.i. P..., f.ll, lnv.lld, o. No R..ultr lo. ..oh moith. Fq ATG 3hurdown t rt ,.hor th. hlgh.tt product bv.l t $.il fo. ..ct donth.
lndicate tho mothod used:
piping mlsl hav€ an Auloniatic Lin€ L6rk o6l€.tor and on6 othor tom ol bat d6t6clion.
Suction paplng must b€ lostod svory 3 ysars or havo montnly monttding. ( 35la sudion, bak dciaciion is d.brr!d.
Lr{ Llm L..k D.t.ctor t..tln,Plpln0 1n3ta[b●3rter Octob。71.2003 must do[nter3tit131“Onitorlng
**ar,
S-9 -r.s{ s/s/zo (.*'J*) rl't o^ t"r' ta?
Ver 10′留2018
I Inrelstit'ar Monitodng