DERR-2025-001374

Number of tank systems that contributed to the release at the site (attach additional sheets if needed).
Tank Number Tank Volume Product Installation/Closure Date
Is this release covered under independent insurance?
Yes (if yes, please submit a copy of your insurance policy) No
Number of tank systems that were or will be removed during the course of this site cleanup?
How was the release confirmed? (Attach a brief summary that includes laboratory analysis, field instrument readings, visual
observations, tank tightness test results, etc.)
Is there evidence of a previous release? If so, describe how the release was determined.
Was the release caused by a third party? If so, explain the circumstances and provide the name, address, and telephone number of
Have you received any
how much and when was it received?
Have you signed a release? Utah Code Ann. 19-6-426(7) prohibits responsible parties from doing anything that may prejudice the
right of the State to recover from third parties.
None. Leak was fixed
Dripping gasoline inside the dispenser was noted during a DERR inspection
Releases FSW (closed), JAP (closed), and NOU have been reported at the site.
No
No
No
Release was at the dispenser 1/2
promptly