DERR-2025-000949

Tank # / Tank Facility ID / Product
Leak Detection:
UST Monthly Compliance Inspection
Facility Information
Name:Fast Stop 1109 Certification/Inspection #:56710
Address:6030 W 20800 N State ID:0100133
Phone
Number:Form Completed By:Larry Vasquez Date:11/20/2024
T2 DSL 1
T2 DSL 1
Diesel
T3 DSL 2
T3 DSL 2
Diesel
T5 DYE
DSL
T5 DYE
DSL
Dyed
Diesel
T6 ETH
FREE
T6 ETH
FREE
Ethanol
Free
Unleaded
T4 PUL
T4 PUL
Premium
Tanks:
1 Is release detection equip. operating w/o alarms or unusual conditions? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
2 Is tank free of water? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
3 Primary Tank Release Detection Method Inspected:Interstitial
Monitoring
Interstitial
Monitoring
Interstitial
Monitoring
Interstitial
Monitoring
Interstitial
Monitoring
4 Date of last passing result:11/20/2024 11/20/2024 11/20/2024 11/20/2024 11/20/2024
5 Are Inventories reconciled daily and are the variances within the guideline
set by the facility owner?
Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
Lines:
6 Are line leak detectors present? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
7 LD s operating properly (no slow flow)? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
8 Primary Line Release Detection Method Inspected Sump Sensor
Monitoring
Sump Sensor
Monitoring
Sump Sensor
Monitoring
Sump Sensor
Monitoring
Sump Sensor
Monitoring
9 Date of last passing result:11/20/2024 11/20/2024 11/20/2024 11/20/2024 11/20/2024
Fill/Overfill:
10 Fill caps, adapters, gaskets in good condition? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
11 Fills properly marked? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
12 Spill bucket free of liquid/debris? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
13 Spill bucket free of damage/drain work correctly? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
14 Does the spill bucket drain assembly work correctly? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
15 For double wall spill bucket, is the interstitial monitoring equipment
functioning, in good condition and not in alarm?
Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
16 Fill cap in place and sealed tightily? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
17 Overfill drop tube free of obstructions? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
Vapor:
18 Vapor cap in place and sealed tightly? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
19 Vapor recovery adapter intact? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
20 Vapor recovery lids painted orange? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
21 Is Vapor Bucket free of damage and free of liquid/debris? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
STP Secondary Containment:
22 Sump containment free of water/fuel/debris? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
23 STP and piping free of leaks and seeps? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
24 Sump containment free of damage? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
25 For DW containment with Brine, are levels correct? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
12/9/24, 2:26 PM Monthly Inspection UST CO
about:blank 1/2
Tank # / Tank Facility ID / ProductLeak Detection:
13
26 Sensors located @ lowest point in containment? Y N
NA
Y N
NA
Y N
NA
Y N
NA
Y N
NA
T1 RUL
T1 RUL
Unleaded

Tanks:
1 Is release detection equip. operating w/o alarms or unusual conditions? Y N NA
2 Is tank free of water? Y N NA
3 Primary Tank Release Detection Method Inspected:Interstitial
Monitoring
4 Date of last passing result:11/20/2024
5 Are Inventories reconciled daily and are the variances within the guideline set by
the facility owner? Y N NA
Lines:
6 Are line leak detectors present? Y N NA
7 LD s operating properly (no slow flow)? Y N NA
8 Primary Line Release Detection Method Inspected Sump Sensor
Monitoring
9 Date of last passing result:11/20/2024
Fill/Overfill:
10 Fill caps, adapters, gaskets in good condition? Y N NA
11 Fills properly marked? Y N NA
12 Spill bucket free of liquid/debris? Y N NA
13 Spill bucket free of damage/drain work correctly? Y N NA
14 Does the spill bucket drain assembly work correctly? Y N NA
15 For double wall spill bucket, is the interstitial monitoring equipment functioning, in
good condition and not in alarm? Y N NA
16 Fill cap in place and sealed tightily? Y N NA
17 Overfill drop tube free of obstructions? Y N NA
Vapor:
18 Vapor cap in place and sealed tightly? Y N NA
19 Vapor recovery adapter intact? Y N NA
20 Vapor recovery lids painted orange? Y N NA
21 Is Vapor Bucket free of damage and free of liquid/debris? Y N NA
STP Secondary Containment:
22 Sump containment free of water/fuel/debris? Y N NA
23 STP and piping free of leaks and seeps? Y N NA
24 Sump containment free of damage? Y N NA
25 For DW containment with Brine, are levels correct? Y N NA
26 Sensors located @ lowest point in containment? Y N NA
Dispensing Equipment:Qty:Facility Notes:
27 UDC free of water/fuel/debris? Y N NA
28 All meters/ piping free from leaks and seeps? Y N NA
29 UDC in good condition & free from damage? Y N NA
30 For DW containment with Brine, are levels correct? Y N NA
31 Sensors located lowest point in UDC? Y N NA
32 Shear valves properly set and secured? Y N NA
33 Nozzles, swivels, hoses and connectors free of
leaks? Y N NA
34 All product and whip hoses in good condition? Y N NA
Cathodic Protection:
35 Rectifier is on? Y N NA
Contractor Signature:Date:11/20/2024
Printed Name:Larry Vasquez Certification Number:
12/9/24, 2:26 PM Monthly Inspection UST CO
about:blank 2/2
If any answers in Questions 3,4,5,6,7,11,13 or 14 are No, the system has failed the test.
Overfill Alarm Inspection
Facility Information
Name:Fast Stop 1109 Certification/Inspection #:56712
Address:6030 W 20800 N, Plymouth, UT, 84330 State ID:0100133
Phone Number:Form Completed By:Larry Vasquez Date:11/20/2024
Overfill Alarm Information
This procedure is to determine wheather the high level alarm is operational and will trigger when the tank is no more than 90% full. See PEI/RP1200
Section 7.3 for inspection procedure. This procedure is applicable to tank level monitor stems that touch the bottom of the tank when in place.
Tank #T1 RUL T2 DSL 1 T3 DSL 2 T4 PUL T5 DYE
DSL
Tank Facility ID T1 RUL T2 DSL 1 T3 DSL 2 T4 PUL T5 DYE
DSL
Product Stored Unleaded Diesel Diesel Premium Dyed
Diesel
Tank Level Brand Veeder Root Veeder
Root
Veeder
Root
Veeder
Root
Veeder
Root
Tank Level Model TLS-350 TLS-350 TLS-350 TLS-350 TLS-350
1. Tank Diameter, in 117.500 91.500 91.500 91.500 91.500
2. Actual Tank Capacity, gal 19761 14543 14543 11593 7795
3.Overfill alarm activates in the test mode at
the console?
Y Y Y Y Y
4.When activated, overfill alarm can be heard
or seen while delivering to the tank?
Y Y Y Y Y
5.After removing the probe, it has been inspected
and any damage or missing parts replaced?
Y Y Y Y Y
6. Float moves freely on stem without binding?Y Y Y Y Y
7. Moving product level float up stem triggers alarm?Y Y Y Y Y
8.Inch level from bottom of stem when 90% alarm is
triggered
105.75 82.35 82.35 82.35 82.35
9. Calculated tank volume from Question 8 17780 13080 13085 10428 7011
10. Tank % full 89.98 89.94 89.97 89.95 89.94
11. Is Question 10 less than 90%Y Y Y Y Y
12.Fuel float level on the console agrees with the
gauge stick reading?
Y Y Y Y Y
13. Overfill activates at 90% or less of tank capacity?Y Y Y Y Y
14.Fuel float level on the console agrees with the
gauge stick reading
Y Y Y Y Y
Test Results Pass Pass Pass Pass Pass

Tank #T6 ETH FREE
Tank Facility ID T6 ETH FREE
12/9/24, 2:26 PM Overfill Alarm Inspection
about:blank 1/2
If any answers in Questions 3,4,5,6,7,11,13 or 14 are No, the system has failed the test.
Product Stored Ethanol Free
Unleaded
Tank Level Brand Veeder Root
Tank Level Model TLS-350
1. Tank Diameter, in 91.500
2. Actual Tank Capacity, gal 7795
3.Overfill alarm activates in the test mode at
the console?
Y
4.When activated, overfill alarm can be heard
or seen while delivering to the tank?
Y
5.After removing the probe, it has been inspected
and any damage or missing parts replaced?
Y
6. Float moves freely on stem without binding?Y
7. Moving product level float up stem triggers alarm?Y
8.Inch level from bottom of stem when 90% alarm is
triggered
82.35
9. Calculated tank volume from Question 8 7005
10. Tank % full 89.87
11. Is Question 10 less than 90%Y
12.Fuel float level on the console agrees with the
gauge stick reading?
Y
13. Overfill activates at 90% or less of tank capacity?Y
14.Fuel float level on the console agrees with the
gauge stick reading
Y
Test Results Pass
Comments
Operator Certification
Contractor Printed Name:Larry Vasquez Contractor Signature:
12/9/24, 2:26 PM Overfill Alarm Inspection
about:blank 2/2
UST Overfill Equipment Inspection
Facility Information
Name:Fast Stop 1109 Certification/Inspection #:56711
Address:6030 W 20800 N, Plymouth, UT, 84330, Plymouth,
UT, 84330
State ID:0100133
Phone Number:Form Completed By:Larry Vasquez Date:11/20/2024
Tank Information
1.Tank #T1 RUL T2 DSL 1 T3 DSL 2 T4 PUL T5 DYE DSL
2.Tank Facility ID T1 RUL T2 DSL 1 T3 DSL 2 T4 PUL T5 DYE DSL
3.Product Unleaded Diesel Diesel Premium Dyed Diesel
4.Nominal Capacity, gallons 19761 14543 14543 11593 7795
5.Actual Capacity, gallons 19761 14543 14543 11593 7795
6.Req. Shutoff %95 95 95 95 95
7.Calculated Shutoff Vol., gallons 18772.95 13815.85 13815.85 11013.35 7405.25
8.Calculated Shut-off Level, inches 106 82.37 82.37 83.37 82.12
9.Drop Tube Length, inches 35.75 50 50.5 52 58
10.Top of Droptube to Shutoff Level,
inches
49.25 59 62 57.5 60.5
11.Tank Dia/depth, inches 117.5 91.5 91.5 91.5 91.5
12.Riser Length, inches 9 9.5 10 4 5
13.Measured Shut-off Level, inches 77.25 42 39.5 38 36
14.Overfill Prevention Device Brand OPW OPW OPW OPW OPW
15.Overfill Type Drop Tube Flapper
valve
Drop Tube Flapper
valve
Drop Tube Flapper
valve
Drop Tube Flapper
valve
Drop Tube Flapper
valve
Automatic Shutoff Device Inspection
16.Drop tube removed from tank?Yes Yes Yes Yes Yes
17.Drop tube and float mechanisms are
free of debris?
Yes Yes Yes Yes Yes
18.Float moves freely without binding
and poppet moves into flow path?
Yes Yes Yes Yes Yes
19.Bypass valve in the drop tube is
open and free of blockage (if present)?
Yes Yes Yes Yes Yes
20.Flapper is adjusted to shut off flow at
required shutoff capacity?
Yes Yes Yes Yes Yes
Ball Float Valve Inspection
21.Tank top fittings are vapor-tight and
leak-free?
NA NA NA NA NA
22.Ball float cage free of debris?NA NA NA NA NA
23.Ball is free of holes and cracks and
moves freely in cage?
NA NA NA NA NA
12/9/24, 2:26 PM UST OverFill
about:blank 1/2
24.Vent hole in pipe is open and near
top of tank?
NA NA NA NA NA
25.Ball float pipe is proper length to
restrict flow at required shutoff
capacity?
NA NA NA NA NA
26.Test Result Pass Pass Pass Pass Pass
1.Tank #T6 ETH FREE
2.Tank Facility ID T6 ETH FREE
3.Product Ethanol Free
Unleaded
4.Nominal Capacity, gallons 7795
5.Actual Capacity, gallons 7795
6.Req. Shutoff %95
7.Calculated Shutoff Vol., gallons 7405.25
8.Calculated Shut-off Level, inches 82.12
9.Drop Tube Length, inches 55.5
10.Top of Droptube to Shutoff Level, inches 63.75
11.Tank Dia/depth, inches 91.5
12.Riser Length, inches 6
13.Measured Shut-off Level, inches 33.75
14.Overfill Prevention Device Brand OPW
15.Overfill Type Drop Tube Flapper
valve
Automatic Shutoff Device Inspection
16.Drop tube removed from tank?Yes
17.Drop tube and float mechanisms are free of debris?Yes
18.Float moves freely without binding and poppet moves into flow path?Yes
19.Bypass valve in the drop tube is open and free of blockage (if present)?Yes
20.Flapper is adjusted to shut off flow at required shutoff capacity?Yes
Ball Float Valve Inspection
21.Tank top fittings are vapor-tight and leak-free?NA
22.Ball float cage free of debris?NA
23.Ball is free of holes and cracks and moves freely in cage?NA
24.Vent hole in pipe is open and near top of tank?NA
25.Ball float pipe is proper length to restrict flow at required shutoff capacity?NA
26.Test Result Pass
Manufacture's suggested procedures were used.
Comments
Operator Certification
Contractor Printed Name:Larry Vasquez Contractor Signature:
Certification Number:
12/9/24, 2:26 PM UST OverFill
about:blank 2/2
UST Operator Inspection -Utah
YEAR ;J_tJJ?-/
Facility Name fr)L..../-, ')fr)f'.. !/()CJ Faclllty ID O lot:,/ J 3
Address Id) is Iv I ~0~(}0 Ni ?I lJM'l~ I Primary Class B Operator
NAME(S) AND INITIALS OF PERSON(S) CONDUCTING MO~HLY INSf>ECTIONS:
~ 5tMMS ~>
Please respond to ALL of the following questions with a Y (Yes), N (No), or NA (Not Applicable) answer.
Months of the Current Year J F M A M J J A s 0 N D
Monthly Inspection -Release Detection
1 Release detection equipment is operating with no alarms or other unusual ✓ ✓ ✓ / / / ✓ ✓ --Y y operating conditions. ✓ I
2 Records of release detection (tanks and piping) are reviewed and current. .., v ,/ / / / ./ ,/ / rY y
Monthly Inspection -Spill Prevention Equipment
3 Equipment is undamaged, intact and free from defects. V ✓ ./ / / ,,....
/ V / V
4 Equipment is free from debris, water, or product. V ' ✓ ✓ / / ,,
/ / / , \
s Fill Pipe is unobstructed. V ✓ / / ✓ ,,, / Iv / '~ \
6 Fill cap is un-broken and is securely on the fill piP.e . V ✓,,,..., / / ,.. / ....-../'-I~
7 Double walled spill prevention equipment -Interstitial area is free from leaks. ✓ / V / / /' / ✓ ~ ' y
Initials of person performing Inspection. ~· ~ ~ X-. I.JV ,tit! f-5:) ~ (If, ~V l.11 ..
Annual Inspection -Containment Sumps Date of annual Inspection
8 Secondary Containment Sumps Visual Inspection of sump indicates no damage and it is free from debris, water and fuel.
(STP, Dispenser and Transition) The penetration fittings for conduits and piping entering the STP Sumps are intact.
9 Double Walled Sumps Interstitial area is free from leaks.
10 Hand-held release detection Hand-held release detection equipment (bailer, gauge stick, etc.) is serviceable and
equipment operable.
I certify under penalty of law that I am the Class B Operator referenced above and that I am familiar with information on this form
and that it is true, accurate and was completed in accordance with R311-203-7.
Signature of the Primary Class B Operator (Sign this document after the last inspection of the Current Year) Date
B Operator#
Comments/Follow up:
Turn over for record of lnlcr~tlllal Monitoring v!Nual ln~11ccllons 1111d l11111rcss cd C urrent rcctllll•r checks.