HomeMy WebLinkAboutDERR-2025-000728
195 North 1950 West • Salt Lake City, UT
Mailing Address: P.O. Box 144840 • Salt Lake City, UT 84114-4840
Telephone (801) 536-4100 • Fax (801) 359-8853 • T.D.D. (801) 536-4284
www.deq.utah.gov
Printed on 100% recycled paper
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
ERRP-017-25
January 21, 2025
Sara Gallien
Walmart, Inc.
2101 Southeast Simple Savings Drive
Bentonville, Arkansas 72716
Re: Notice of Approval to Remove Delivery Prohibition Tag
Walmart Supercenter #5237, located at 1632 North 2000 West, Clinton, Utah
Facility Identification No. 3000571
Dear Ms. Gallien:
The Division of Environmental Response and Remediation (DERR) has received all the
documentation necessary to re-issue the attached certificate of compliance for the 20,000-gallon
gasoline, 12,000-gallon gasoline, 8,000-gallon gasoline, and 10,000-gallon diesel tanks at this
facility. This notice satisfies the requirement for written authorization to remove the delivery
prohibition tags in accordance with Utah Admin. Code R311-206-8(f). Please remove and discard
any tags that were attached to the fill due to revocation of the certificate of compliance. If you have
additional questions or concerns, please contact the DERR project manager identified on the red
tags, at (801) 536-4100.
Sincerely,
Brent H. Everett, Director
Division of Environmental Response and Remediation
BHE/GH/tt
Enclosure: Certificate of Compliance
cc: Brian E. Hatch, Director, Davis County Health Department
Jay Clark, Environmental Health Director, Davis County Health Department
UST Red Tag Removal Letter – CoC Issuance Sign-Off Sheet
ERRU#____________
Author
Subject
File Name on Google Drive
Enclosures
Attached CoC
Attached Tank Data
Sheet(internal use only – do
not mail)
Payment of Fees Confirmed?
Priority
CC’s
Special Instructions
Draft Approval Process
Project Manager
Section Manager
Final Approval Process
Section Secretary
Author
Branch Secretary
Administrative Secretary
Section Secretary
Scan #
Certified Mail
Enclosures Included
CC’s Mailed
Mailed By
GH
GH
CoC
Tank Data Sheet
Rush
01/21/2025
Yes
Red Tag Removal
Yes
3000571
Gary Harris
01/21/2025
01/21/2025
TT
::
017-25
01/21/2025
GH
GH 01/21/2025
SS
01/21/2025
01/21/2025
2025
UST CERTIFICATE
OF
COMPLIANCE
ISSUED TO:LOCATION OF TANKS:
SARA GALLIEN Walmart Supercenter # 5234
WALMART INC.1632 N 2000 W
2101 SE SIMPLE SAVINGS DR CLINTON UT 84015
BENTONVILLE, AR 72716 Facility ID: 3000571
Tank #Capacity Substance Desc Compliance Financial Assurance Mechanism
1 20000 Gasoline Yes PST Fund
2A 12000 Gasoline Yes PST Fund
2B 8000 Gasoline Yes PST Fund
3 10000 Diesel Yes PST Fund
This certificate will automatically lapse if any of the required fees are not paid. It may also be revoked for failure to
comply with state and federal UST regulations. Possession of this certificate does not signify coverage under the Utah
PST Fund. Cleanup requirements may be obtained from the Division of Environmental Response and Remediation.
UTAH DEPARTMENT OF ENVIRONMENTAL QUALITY
Underground Storage Tank Inspection Verification Form
Facility ID:3000571
Owner Name:WALMART INC.Facility Name:Walmart Supercenter # 5234
Owner Address:2101 SE SIMPLE SAVINGS DR Street Address:1632 N 2000 W
BENTONVILLE, AR 72716 CLINTON, UT 84015
Operator A:MOISES DE JESUS DIAZ CARABALLO / (801) 779-
3165 / 12/31/2027
Operator B:MOISES DE JESUS DIAZ CARABALLO / (801) 779
-3165 / 12/31/2027
Owner Email:Sara.Gallien@walmart.com UTM Coordinates X/Y:410896 / 4554562
Disp ID/Alt
ID
Substance UDC Pipe Flex Loc Install Date UDC Install Date Fire
Valve
Sat
Present
UDC Test Disp Flex CP
Test
1 - 1/2 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/7/2025
2 - 3/4 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/9/2025
3 - 5/6 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/9/2025
4 - 7/8 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/9/2025
5 - 9/10 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/9/2025
6 - 11/12 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/9/2025
7 - 13/14 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/9/2025
8 - 15/16 Gas/Diesel Yes Steel Flex in Sump 01/14/2025 01/14/2025 Yes No 1/9/2025
Tank ID/Alt ID:1 / 1 EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
Siphon/Compart:No / No PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use Two point STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:12/10/2024 / 20000 / LLD Model:Veeder Root PLLD
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/09/2025 Spill Bk Test:
ATG Test:1/16/2025 PVV Test:Overfill Test:1/16/2025
LTT Test:LLD Test:01/16/2025 CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:2 / 2A EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
Siphon/Compart:No / Yes PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use Two point STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:12/10/2024 / 12000 / LLD Model:Veeder Root PLLD
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/09/2025 Spill Bk Test:
ATG Test:1/16/2025 PVV Test:Overfill Test:1/16/2025
LTT Test:LLD Test:01/16/2025 CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:3 / 2B EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
Siphon/Compart:No / Yes PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use Two point STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:12/10/2024 / 8000 / LLD Model:Veeder Root PLLD
Substance Stored:Gasoline / Premium Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/09/2025 Spill Bk Test:
ATG Test:1/16/2025 PVV Test:Overfill Test:1/16/2025
LTT Test:LLD Test:01/16/2025 CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:4 / 3 EGen/AST/Stat
e:
No / No / No Pipe Material-Mod:Flexible Plastic - Double-Walled
1/21/2025 Page 1 of 2
Siphon/Compart:No / Yes PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / Yes
Tank Status:Currently In Use Two point STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:12/10/2024 / 10000 / LLD Model:Veeder Root PLLD
Substance Stored:Diesel / Diesel #1 Spill/Overfill/Sm deliv:5 gal. Double Walled Spill Bucket / Automatic
shutoff / No
Tank Material-Mod:Fiberglass Reinforced Plastic - Double-Walled PST Fund/Other Type:Yes /
ATG:Veeder Root / TLS-450 Interstitial Monitor Tank/Pipe Rel Det:Interstitial DW / Interstitial DW / ALD
ATG Specs: / / Liquid Status STP Sump Test:01/09/2025 Spill Bk Test:
ATG Test:1/16/2025 PVV Test:Overfill Test:1/16/2025
LTT Test:LLD Test:01/16/2025 CP Tank Test:CP Pipe Test:
1/21/2025 Page 2 of 2