DERR-2025-001517

Site 589 Compliance Report
January 1, 2024 to January 31, 2025
Site:Maverik 589 - Saratoga Springs, UT Tank Owner:Maverik, Inc.
2023 S. Redwood Road 185 S. State Street Suite 800
Saratoga Springs, UT 84045 Salt Lake City, UT 84111
Report Created: January 14, 2025 10:36 AM
Tank Release Detection Results - Interstitial Monitoring
Tank Product Test Date Period Test Type Result
1 UNLEADED 01/01/2024 01/2024 Interstitial Sensor Normal
2 PREMIUM 01/01/2024 01/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 01/01/2024 01/2024 Interstitial Sensor Normal
4 DIESEL 01/01/2024 01/2024 Interstitial Sensor Normal
1 UNLEADED 01/31/2024 01/2024 Interstitial Sensor Normal
2 PREMIUM 01/31/2024 01/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 01/31/2024 01/2024 Interstitial Sensor Normal
4 DIESEL 01/31/2024 01/2024 Interstitial Sensor Normal
1 UNLEADED 02/01/2024 02/2024 Interstitial Sensor Normal
2 PREMIUM 02/01/2024 02/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 02/01/2024 02/2024 Interstitial Sensor Normal
4 DIESEL 02/01/2024 02/2024 Interstitial Sensor Normal
1 UNLEADED 03/01/2024 03/2024 Interstitial Sensor Normal
2 PREMIUM 03/01/2024 03/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 03/01/2024 03/2024 Interstitial Sensor Normal
4 DIESEL 03/01/2024 03/2024 Interstitial Sensor Normal
1 UNLEADED 03/31/2024 03/2024 Interstitial Sensor Normal
2 PREMIUM 03/31/2024 03/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 03/31/2024 03/2024 Interstitial Sensor Normal
Tank Product Test Date Period Test Type Result
4 DIESEL 03/31/2024 03/2024 Interstitial Sensor Normal
1 UNLEADED 04/01/2024 04/2024 Interstitial Sensor Normal
2 PREMIUM 04/01/2024 04/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 04/01/2024 04/2024 Interstitial Sensor Normal
4 DIESEL 04/01/2024 04/2024 Interstitial Sensor Normal
1 UNLEADED 04/26/2024 04/2024 Interstitial Sensor Normal
2 PREMIUM 04/26/2024 04/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 04/26/2024 04/2024 Interstitial Sensor Normal
4 DIESEL 04/26/2024 04/2024 Interstitial Sensor Normal
1 UNLEADED 05/02/2024 05/2024 Interstitial Sensor Normal
2 PREMIUM 05/02/2024 05/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 05/02/2024 05/2024 Interstitial Sensor Normal
4 DIESEL 05/02/2024 05/2024 Interstitial Sensor Normal
1 UNLEADED 06/01/2024 06/2024 Interstitial Sensor Normal
2 PREMIUM 06/01/2024 06/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 06/01/2024 06/2024 Interstitial Sensor Normal
4 DIESEL 06/01/2024 06/2024 Interstitial Sensor Normal
1 UNLEADED 07/01/2024 07/2024 Interstitial Sensor Normal
2 PREMIUM 07/01/2024 07/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 07/01/2024 07/2024 Interstitial Sensor Normal
4 DIESEL 07/01/2024 07/2024 Interstitial Sensor Normal
1 UNLEADED 07/31/2024 07/2024 Interstitial Sensor Normal
2 PREMIUM 07/31/2024 07/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 07/31/2024 07/2024 Interstitial Sensor Normal
4 DIESEL 07/31/2024 07/2024 Interstitial Sensor Normal
Tank Product Test Date Period Test Type Result
1 UNLEADED 08/01/2024 08/2024 Interstitial Sensor Normal
2 PREMIUM 08/01/2024 08/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 08/01/2024 08/2024 Interstitial Sensor Normal
4 DIESEL 08/01/2024 08/2024 Interstitial Sensor Normal
1 UNLEADED 08/31/2024 08/2024 Interstitial Sensor Normal
2 PREMIUM 08/31/2024 08/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 08/31/2024 08/2024 Interstitial Sensor Normal
4 DIESEL 08/31/2024 08/2024 Interstitial Sensor Normal
1 UNLEADED 09/01/2024 09/2024 Interstitial Sensor Normal
2 PREMIUM 09/01/2024 09/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 09/01/2024 09/2024 Interstitial Sensor Normal
4 DIESEL 09/01/2024 09/2024 Interstitial Sensor Normal
1 UNLEADED 10/01/2024 10/2024 Interstitial Sensor Normal
2 PREMIUM 10/01/2024 10/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 10/01/2024 10/2024 Interstitial Sensor Normal
4 DIESEL 10/01/2024 10/2024 Interstitial Sensor Normal
1 UNLEADED 10/31/2024 10/2024 Interstitial Sensor Normal
2 PREMIUM 10/31/2024 10/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 10/31/2024 10/2024 Interstitial Sensor Normal
4 DIESEL 10/31/2024 10/2024 Interstitial Sensor Normal
1 UNLEADED 11/01/2024 11/2024 Interstitial Sensor Normal
2 PREMIUM 11/01/2024 11/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 11/01/2024 11/2024 Interstitial Sensor Normal
4 DIESEL 11/01/2024 11/2024 Interstitial Sensor Normal
1 UNLEADED 12/01/2024 12/2024 Interstitial Sensor Normal
Tank Product Test Date Period Test Type Result
2 PREMIUM 12/01/2024 12/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 12/01/2024 12/2024 Interstitial Sensor Normal
4 DIESEL 12/01/2024 12/2024 Interstitial Sensor Normal
1 UNLEADED 12/31/2024 12/2024 Interstitial Sensor Normal
2 PREMIUM 12/31/2024 12/2024 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 12/31/2024 12/2024 Interstitial Sensor Normal
4 DIESEL 12/31/2024 12/2024 Interstitial Sensor Normal
1 UNLEADED 01/01/2025 01/2025 Interstitial Sensor Normal
2 PREMIUM 01/01/2025 01/2025 Interstitial Sensor Normal
3 ETHANOL-FREE UNL 01/01/2025 01/2025 Interstitial Sensor Normal
4 DIESEL 01/01/2025 01/2025 Interstitial Sensor Normal
Site 589 Compliance Report
January 1, 2024 to January 31, 2025
Site:Maverik 589 - Saratoga Springs, UT Tank Owner:Maverik, Inc.
2023 S. Redwood Road 185 S. State Street Suite 800
Saratoga Springs, UT 84045 Salt Lake City, UT 84111
Report Created: January 14, 2025 10:36 AM
Line Release Detection Results - Interstitial Monitoring
Label Test Date Period Type Result
DIESEL STP 01/01/2024 01/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 01/01/2024 01/2024 Interstitial Sensor Normal
PREMIUM STP 01/01/2024 01/2024 Interstitial Sensor Normal
UNLEADED STP 01/01/2024 01/2024 Interstitial Sensor Normal
DIESEL STP 01/31/2024 01/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 01/31/2024 01/2024 Interstitial Sensor Normal
PREMIUM STP 01/31/2024 01/2024 Interstitial Sensor Normal
UNLEADED STP 01/31/2024 01/2024 Interstitial Sensor Normal
DIESEL STP 02/01/2024 02/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 02/01/2024 02/2024 Interstitial Sensor Normal
PREMIUM STP 02/01/2024 02/2024 Interstitial Sensor Normal
UNLEADED STP 02/01/2024 02/2024 Interstitial Sensor Normal
DIESEL STP 03/01/2024 03/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 03/01/2024 03/2024 Interstitial Sensor Normal
PREMIUM STP 03/01/2024 03/2024 Interstitial Sensor Normal
UNLEADED STP 03/01/2024 03/2024 Interstitial Sensor Normal
DIESEL STP 03/31/2024 03/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 03/31/2024 03/2024 Interstitial Sensor Normal
PREMIUM STP 03/31/2024 03/2024 Interstitial Sensor Normal
Label Test Date Period Type Result
UNLEADED STP 03/31/2024 03/2024 Interstitial Sensor Normal
DIESEL STP 04/01/2024 04/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 04/01/2024 04/2024 Interstitial Sensor Normal
PREMIUM STP 04/01/2024 04/2024 Interstitial Sensor Normal
UNLEADED STP 04/01/2024 04/2024 Interstitial Sensor Normal
DIESEL STP 04/26/2024 04/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 04/26/2024 04/2024 Interstitial Sensor Normal
PREMIUM STP 04/26/2024 04/2024 Interstitial Sensor Normal
UNLEADED STP 04/26/2024 04/2024 Interstitial Sensor Normal
DIESEL STP 05/02/2024 05/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 05/02/2024 05/2024 Interstitial Sensor Normal
PREMIUM STP 05/02/2024 05/2024 Interstitial Sensor Normal
UNLEADED STP 05/02/2024 05/2024 Interstitial Sensor Normal
DIESEL STP 06/01/2024 06/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 06/01/2024 06/2024 Interstitial Sensor Normal
PREMIUM STP 06/01/2024 06/2024 Interstitial Sensor Normal
UNLEADED STP 06/01/2024 06/2024 Interstitial Sensor Normal
DIESEL STP 07/01/2024 07/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 07/01/2024 07/2024 Interstitial Sensor Normal
PREMIUM STP 07/01/2024 07/2024 Interstitial Sensor Normal
UNLEADED STP 07/01/2024 07/2024 Interstitial Sensor Normal
DIESEL STP 07/31/2024 07/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 07/31/2024 07/2024 Interstitial Sensor Normal
PREMIUM STP 07/31/2024 07/2024 Interstitial Sensor Normal
UNLEADED STP 07/31/2024 07/2024 Interstitial Sensor Normal
Label Test Date Period Type Result
DIESEL STP 08/01/2024 08/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 08/01/2024 08/2024 Interstitial Sensor Normal
PREMIUM STP 08/01/2024 08/2024 Interstitial Sensor Normal
UNLEADED STP 08/01/2024 08/2024 Interstitial Sensor Normal
DIESEL STP 08/31/2024 08/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 08/31/2024 08/2024 Interstitial Sensor Normal
PREMIUM STP 08/31/2024 08/2024 Interstitial Sensor Normal
UNLEADED STP 08/31/2024 08/2024 Interstitial Sensor Normal
DIESEL STP 09/01/2024 09/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 09/01/2024 09/2024 Interstitial Sensor Normal
PREMIUM STP 09/01/2024 09/2024 Interstitial Sensor Normal
UNLEADED STP 09/01/2024 09/2024 Interstitial Sensor Normal
DIESEL STP 10/01/2024 10/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 10/01/2024 10/2024 Interstitial Sensor Normal
PREMIUM STP 10/01/2024 10/2024 Interstitial Sensor Normal
UNLEADED STP 10/01/2024 10/2024 Interstitial Sensor Normal
DIESEL STP 10/31/2024 10/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 10/31/2024 10/2024 Interstitial Sensor Normal
PREMIUM STP 10/31/2024 10/2024 Interstitial Sensor Normal
UNLEADED STP 10/31/2024 10/2024 Interstitial Sensor Normal
DIESEL STP 11/01/2024 11/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 11/01/2024 11/2024 Interstitial Sensor Normal
PREMIUM STP 11/01/2024 11/2024 Interstitial Sensor Normal
UNLEADED STP 11/01/2024 11/2024 Interstitial Sensor Normal
DIESEL STP 12/01/2024 12/2024 Interstitial Sensor Normal
Label Test Date Period Type Result
ETHANOL-FREE UNL STP 12/01/2024 12/2024 Interstitial Sensor Normal
PREMIUM STP 12/01/2024 12/2024 Interstitial Sensor Normal
UNLEADED STP 12/01/2024 12/2024 Interstitial Sensor Normal
DIESEL STP 12/31/2024 12/2024 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 12/31/2024 12/2024 Interstitial Sensor Normal
PREMIUM STP 12/31/2024 12/2024 Interstitial Sensor Normal
UNLEADED STP 12/31/2024 12/2024 Interstitial Sensor Normal
DIESEL STP 01/01/2025 01/2025 Interstitial Sensor Normal
ETHANOL-FREE UNL STP 01/01/2025 01/2025 Interstitial Sensor Normal
PREMIUM STP 01/01/2025 01/2025 Interstitial Sensor Normal
UNLEADED STP 01/01/2025 01/2025 Interstitial Sensor Normal
Site 589 Compliance Report
January 1, 2024 to January 31, 2025
Site:Maverik 589 - Saratoga Springs, UT Tank Owner:Maverik, Inc.
2023 S. Redwood Road 185 S. State Street Suite 800
Saratoga Springs, UT 84045 Salt Lake City, UT 84111
Report Created: January 14, 2025 10:36 AM
Sensor Status
Sensor Sensor Category Sensor Label Test Date Period Result
1 Dispenser Pan DISP. 1-2 UDC 01/01/2024 01/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 01/01/2024 01/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 01/01/2024 01/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 01/01/2024 01/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 01/01/2024 01/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 01/01/2024 01/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 01/01/2024 01/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 01/01/2024 01/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 01/01/2024 01/2024 Sensor Normal
10 STP Sump UNLEADED STP 01/01/2024 01/2024 Sensor Normal
11 STP Sump PREMIUM STP 01/01/2024 01/2024 Sensor Normal
12 STP Sump DIESEL STP 01/01/2024 01/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 01/01/2024 01/2024 Sensor Normal
14 Annular UNLEADED INT 01/01/2024 01/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 01/01/2024 01/2024 Sensor Normal
16 Annular DIESEL INT 01/01/2024 01/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 01/31/2024 01/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 01/31/2024 01/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 01/31/2024 01/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
4 Dispenser Pan DISP. 7-8 UDC 01/31/2024 01/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 01/31/2024 01/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 01/31/2024 01/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 01/31/2024 01/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 01/31/2024 01/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 01/31/2024 01/2024 Sensor Normal
10 STP Sump UNLEADED STP 01/31/2024 01/2024 Sensor Normal
11 STP Sump PREMIUM STP 01/31/2024 01/2024 Sensor Normal
12 STP Sump DIESEL STP 01/31/2024 01/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 01/31/2024 01/2024 Sensor Normal
14 Annular UNLEADED INT 01/31/2024 01/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 01/31/2024 01/2024 Sensor Normal
16 Annular DIESEL INT 01/31/2024 01/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 02/01/2024 02/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 02/01/2024 02/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 02/01/2024 02/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 02/01/2024 02/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 02/01/2024 02/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 02/01/2024 02/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 02/01/2024 02/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 02/01/2024 02/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 02/01/2024 02/2024 Sensor Normal
10 STP Sump UNLEADED STP 02/01/2024 02/2024 Sensor Normal
11 STP Sump PREMIUM STP 02/01/2024 02/2024 Sensor Normal
12 STP Sump DIESEL STP 02/01/2024 02/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
13 STP Sump ETHANOL-FREE UNL STP 02/01/2024 02/2024 Sensor Normal
14 Annular UNLEADED INT 02/01/2024 02/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 02/01/2024 02/2024 Sensor Normal
16 Annular DIESEL INT 02/01/2024 02/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 03/01/2024 03/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 03/01/2024 03/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 03/01/2024 03/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 03/01/2024 03/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 03/01/2024 03/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 03/01/2024 03/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 03/01/2024 03/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 03/01/2024 03/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 03/01/2024 03/2024 Sensor Normal
10 STP Sump UNLEADED STP 03/01/2024 03/2024 Sensor Normal
11 STP Sump PREMIUM STP 03/01/2024 03/2024 Sensor Normal
12 STP Sump DIESEL STP 03/01/2024 03/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 03/01/2024 03/2024 Sensor Normal
14 Annular UNLEADED INT 03/01/2024 03/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 03/01/2024 03/2024 Sensor Normal
16 Annular DIESEL INT 03/01/2024 03/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 03/31/2024 03/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 03/31/2024 03/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 03/31/2024 03/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 03/31/2024 03/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 03/31/2024 03/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
6 Dispenser Pan DISP. 11-12 UDC 03/31/2024 03/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 03/31/2024 03/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 03/31/2024 03/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 03/31/2024 03/2024 Sensor Normal
10 STP Sump UNLEADED STP 03/31/2024 03/2024 Sensor Normal
11 STP Sump PREMIUM STP 03/31/2024 03/2024 Sensor Normal
12 STP Sump DIESEL STP 03/31/2024 03/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 03/31/2024 03/2024 Sensor Normal
14 Annular UNLEADED INT 03/31/2024 03/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 03/31/2024 03/2024 Sensor Normal
16 Annular DIESEL INT 03/31/2024 03/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 04/01/2024 04/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 04/01/2024 04/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 04/01/2024 04/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 04/01/2024 04/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 04/01/2024 04/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 04/01/2024 04/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 04/01/2024 04/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 04/01/2024 04/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 04/01/2024 04/2024 Sensor Normal
10 STP Sump UNLEADED STP 04/01/2024 04/2024 Sensor Normal
11 STP Sump PREMIUM STP 04/01/2024 04/2024 Sensor Normal
12 STP Sump DIESEL STP 04/01/2024 04/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 04/01/2024 04/2024 Sensor Normal
14 Annular UNLEADED INT 04/01/2024 04/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
15 Annular PRM/E-FREE CMPMT INT 04/01/2024 04/2024 Sensor Normal
16 Annular DIESEL INT 04/01/2024 04/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 04/26/2024 04/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 04/26/2024 04/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 04/26/2024 04/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 04/26/2024 04/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 04/26/2024 04/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 04/26/2024 04/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 04/26/2024 04/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 04/26/2024 04/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 04/26/2024 04/2024 Sensor Normal
10 STP Sump UNLEADED STP 04/26/2024 04/2024 Sensor Normal
11 STP Sump PREMIUM STP 04/26/2024 04/2024 Sensor Normal
12 STP Sump DIESEL STP 04/26/2024 04/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 04/26/2024 04/2024 Sensor Normal
14 Annular UNLEADED INT 04/26/2024 04/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 04/26/2024 04/2024 Sensor Normal
16 Annular DIESEL INT 04/26/2024 04/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 05/02/2024 05/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 05/02/2024 05/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 05/02/2024 05/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 05/02/2024 05/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 05/02/2024 05/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 05/02/2024 05/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 05/02/2024 05/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
8 Dispenser Pan DISP. 15-16 UDC 05/02/2024 05/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 05/02/2024 05/2024 Sensor Normal
10 STP Sump UNLEADED STP 05/02/2024 05/2024 Sensor Normal
11 STP Sump PREMIUM STP 05/02/2024 05/2024 Sensor Normal
12 STP Sump DIESEL STP 05/02/2024 05/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 05/02/2024 05/2024 Sensor Normal
14 Annular UNLEADED INT 05/02/2024 05/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 05/02/2024 05/2024 Sensor Normal
16 Annular DIESEL INT 05/02/2024 05/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 06/01/2024 06/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 06/01/2024 06/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 06/01/2024 06/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 06/01/2024 06/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 06/01/2024 06/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 06/01/2024 06/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 06/01/2024 06/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 06/01/2024 06/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 06/01/2024 06/2024 Sensor Normal
10 STP Sump UNLEADED STP 06/01/2024 06/2024 Sensor Normal
11 STP Sump PREMIUM STP 06/01/2024 06/2024 Sensor Normal
12 STP Sump DIESEL STP 06/01/2024 06/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 06/01/2024 06/2024 Sensor Normal
14 Annular UNLEADED INT 06/01/2024 06/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 06/01/2024 06/2024 Sensor Normal
16 Annular DIESEL INT 06/01/2024 06/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
1 Dispenser Pan DISP. 1-2 UDC 07/01/2024 07/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 07/01/2024 07/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 07/01/2024 07/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 07/01/2024 07/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 07/01/2024 07/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 07/01/2024 07/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 07/01/2024 07/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 07/01/2024 07/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 07/01/2024 07/2024 Sensor Normal
10 STP Sump UNLEADED STP 07/01/2024 07/2024 Sensor Normal
11 STP Sump PREMIUM STP 07/01/2024 07/2024 Sensor Normal
12 STP Sump DIESEL STP 07/01/2024 07/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 07/01/2024 07/2024 Sensor Normal
14 Annular UNLEADED INT 07/01/2024 07/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 07/01/2024 07/2024 Sensor Normal
16 Annular DIESEL INT 07/01/2024 07/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 07/31/2024 07/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 07/31/2024 07/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 07/31/2024 07/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 07/31/2024 07/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 07/31/2024 07/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 07/31/2024 07/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 07/31/2024 07/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 07/31/2024 07/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 07/31/2024 07/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
10 STP Sump UNLEADED STP 07/31/2024 07/2024 Sensor Normal
11 STP Sump PREMIUM STP 07/31/2024 07/2024 Sensor Normal
12 STP Sump DIESEL STP 07/31/2024 07/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 07/31/2024 07/2024 Sensor Normal
14 Annular UNLEADED INT 07/31/2024 07/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 07/31/2024 07/2024 Sensor Normal
16 Annular DIESEL INT 07/31/2024 07/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 08/01/2024 08/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 08/01/2024 08/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 08/01/2024 08/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 08/01/2024 08/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 08/01/2024 08/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 08/01/2024 08/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 08/01/2024 08/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 08/01/2024 08/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 08/01/2024 08/2024 Sensor Normal
10 STP Sump UNLEADED STP 08/01/2024 08/2024 Sensor Normal
11 STP Sump PREMIUM STP 08/01/2024 08/2024 Sensor Normal
12 STP Sump DIESEL STP 08/01/2024 08/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 08/01/2024 08/2024 Sensor Normal
14 Annular UNLEADED INT 08/01/2024 08/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 08/01/2024 08/2024 Sensor Normal
16 Annular DIESEL INT 08/01/2024 08/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 08/31/2024 08/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 08/31/2024 08/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
3 Dispenser Pan DISP. 5-6 UDC 08/31/2024 08/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 08/31/2024 08/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 08/31/2024 08/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 08/31/2024 08/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 08/31/2024 08/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 08/31/2024 08/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 08/31/2024 08/2024 Sensor Normal
10 STP Sump UNLEADED STP 08/31/2024 08/2024 Sensor Normal
11 STP Sump PREMIUM STP 08/31/2024 08/2024 Sensor Normal
12 STP Sump DIESEL STP 08/31/2024 08/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 08/31/2024 08/2024 Sensor Normal
14 Annular UNLEADED INT 08/31/2024 08/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 08/31/2024 08/2024 Sensor Normal
16 Annular DIESEL INT 08/31/2024 08/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 09/01/2024 09/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 09/01/2024 09/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 09/01/2024 09/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 09/01/2024 09/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 09/01/2024 09/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 09/01/2024 09/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 09/01/2024 09/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 09/01/2024 09/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 09/01/2024 09/2024 Sensor Normal
10 STP Sump UNLEADED STP 09/01/2024 09/2024 Sensor Normal
11 STP Sump PREMIUM STP 09/01/2024 09/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
12 STP Sump DIESEL STP 09/01/2024 09/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 09/01/2024 09/2024 Sensor Normal
14 Annular UNLEADED INT 09/01/2024 09/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 09/01/2024 09/2024 Sensor Normal
16 Annular DIESEL INT 09/01/2024 09/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 10/01/2024 10/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 10/01/2024 10/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 10/01/2024 10/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 10/01/2024 10/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 10/01/2024 10/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 10/01/2024 10/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 10/01/2024 10/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 10/01/2024 10/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 10/01/2024 10/2024 Sensor Normal
10 STP Sump UNLEADED STP 10/01/2024 10/2024 Sensor Normal
11 STP Sump PREMIUM STP 10/01/2024 10/2024 Sensor Normal
12 STP Sump DIESEL STP 10/01/2024 10/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 10/01/2024 10/2024 Sensor Normal
14 Annular UNLEADED INT 10/01/2024 10/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 10/01/2024 10/2024 Sensor Normal
16 Annular DIESEL INT 10/01/2024 10/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 10/31/2024 10/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 10/31/2024 10/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 10/31/2024 10/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 10/31/2024 10/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
5 Dispenser Pan DISP. 9-10 UDC 10/31/2024 10/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 10/31/2024 10/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 10/31/2024 10/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 10/31/2024 10/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 10/31/2024 10/2024 Sensor Normal
10 STP Sump UNLEADED STP 10/31/2024 10/2024 Sensor Normal
11 STP Sump PREMIUM STP 10/31/2024 10/2024 Sensor Normal
12 STP Sump DIESEL STP 10/31/2024 10/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 10/31/2024 10/2024 Sensor Normal
14 Annular UNLEADED INT 10/31/2024 10/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 10/31/2024 10/2024 Sensor Normal
16 Annular DIESEL INT 10/31/2024 10/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 11/01/2024 11/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 11/01/2024 11/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 11/01/2024 11/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 11/01/2024 11/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 11/01/2024 11/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 11/01/2024 11/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 11/01/2024 11/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 11/01/2024 11/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 11/01/2024 11/2024 Sensor Normal
10 STP Sump UNLEADED STP 11/01/2024 11/2024 Sensor Normal
11 STP Sump PREMIUM STP 11/01/2024 11/2024 Sensor Normal
12 STP Sump DIESEL STP 11/01/2024 11/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 11/01/2024 11/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
14 Annular UNLEADED INT 11/01/2024 11/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 11/01/2024 11/2024 Sensor Normal
16 Annular DIESEL INT 11/01/2024 11/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 12/01/2024 12/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 12/01/2024 12/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 12/01/2024 12/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 12/01/2024 12/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 12/01/2024 12/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 12/01/2024 12/2024 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 12/01/2024 12/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 12/01/2024 12/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 12/01/2024 12/2024 Sensor Normal
10 STP Sump UNLEADED STP 12/01/2024 12/2024 Sensor Normal
11 STP Sump PREMIUM STP 12/01/2024 12/2024 Sensor Normal
12 STP Sump DIESEL STP 12/01/2024 12/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 12/01/2024 12/2024 Sensor Normal
14 Annular UNLEADED INT 12/01/2024 12/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 12/01/2024 12/2024 Sensor Normal
16 Annular DIESEL INT 12/01/2024 12/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 12/31/2024 12/2024 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 12/31/2024 12/2024 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 12/31/2024 12/2024 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 12/31/2024 12/2024 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 12/31/2024 12/2024 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 12/31/2024 12/2024 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
7 Dispenser Pan DISP. 13-14 UDC 12/31/2024 12/2024 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 12/31/2024 12/2024 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 12/31/2024 12/2024 Sensor Normal
10 STP Sump UNLEADED STP 12/31/2024 12/2024 Sensor Normal
11 STP Sump PREMIUM STP 12/31/2024 12/2024 Sensor Normal
12 STP Sump DIESEL STP 12/31/2024 12/2024 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 12/31/2024 12/2024 Sensor Normal
14 Annular UNLEADED INT 12/31/2024 12/2024 Sensor Normal
15 Annular PRM/E-FREE CMPMT INT 12/31/2024 12/2024 Sensor Normal
16 Annular DIESEL INT 12/31/2024 12/2024 Sensor Normal
1 Dispenser Pan DISP. 1-2 UDC 01/01/2025 01/2025 Sensor Normal
2 Dispenser Pan DISP. 3-4 UDC 01/01/2025 01/2025 Sensor Normal
3 Dispenser Pan DISP. 5-6 UDC 01/01/2025 01/2025 Sensor Normal
4 Dispenser Pan DISP. 7-8 UDC 01/01/2025 01/2025 Sensor Normal
5 Dispenser Pan DISP. 9-10 UDC 01/01/2025 01/2025 Sensor Normal
6 Dispenser Pan DISP. 11-12 UDC 01/01/2025 01/2025 Sensor Normal
7 Dispenser Pan DISP. 13-14 UDC 01/01/2025 01/2025 Sensor Normal
8 Dispenser Pan DISP. 15-16 UDC 01/01/2025 01/2025 Sensor Normal
9 Dispenser Pan DISP. 17-18 UDC 01/01/2025 01/2025 Sensor Normal
10 STP Sump UNLEADED STP 01/01/2025 01/2025 Sensor Normal
11 STP Sump PREMIUM STP 01/01/2025 01/2025 Sensor Normal
12 STP Sump DIESEL STP 01/01/2025 01/2025 Sensor Normal
13 STP Sump ETHANOL-FREE UNL STP 01/01/2025 01/2025 Sensor Normal
14 Annular UNLEADED INT 01/01/2025 01/2025 Sensor Normal
Sensor Sensor Category Sensor Label Test Date Period Result
15 Annular PRM/E-FREE CMPMT INT 01/01/2025 01/2025 Sensor Normal
16 Annular DIESEL INT 01/01/2025 01/2025 Sensor Normal
pei.org 49
Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities
APPENDIX C-9
MECHANICAL AND ELECTRONIC LINE LEAK DETECTORS
PERFORMANCE TEST
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Maverik#589
2023 S Redwood rd
Saratoga Springs, UT, 84045
1000949
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185s State st Ste 800
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pei.org 47
Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities
APPENDIX C-7
AUTOMATIC TANK GAUGE
OPERATION INSPECTION
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Maverik#589
1000949
01/27/2025
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Maverik#589
1000949
01/27/2025
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01/27/2025
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pei.org 43
Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities
APPENDIX C-3
SPILL BUCKET INTEGRITY TESTING HYDROSTATIC TEST METHOD
SINGLE AND DOUBLE-WALLED VACUUM TEST METHOD
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01/27/2025
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APPENDIX C-6
OVERFILL ALARM
OPERATION INSPECTION
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1000949
01/27/2025
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Facility Name
UST Operator Inspection - Utah
YEAR
Address X/
I L %4 i5c`
n NAME(
S) AND IN ITIALS OF PERSON(5) CONDU-CTIN'G MON Facility
ID 13 f
PSZPrimary
Class B Operator THtY
NSPE IONS: Please
respond to ALL of the follovvincr n ACtinn t.,;*L, ... ,.__ ., ,.,_1 __ A rKi.,+ ,,lirahfel answer. o ,.....,..,
n vviu a i T05) IV (NO), Uf IVH k vv r,N r,..,.•_._, - 7
Months
of the Current Year J F M ATM J i A S 0 N D Monthly
inspection — Release Detection Release
detection equipment is operating with no alarms or other unusual operating
conditions. 2
Records of release detection(tanks and g piping) are reviewed and current. Monthly
Inspection —Spilt Prevention Equipment 1737
Equipment is undamaged, intact and free from defects. YN/ 1 4
Equipment is free from debris, water, or product. Ry 7 ylyy 5
fiiii Pipe is unobstructed. y "%f yy1'*y -1,
Y.
6
Fill cap is un-broken and is securely on the fill pipe. 7
Double waled spill prevention equipment - Interstitial area is free from leaks., jr Initials
of person performing inspection. Annual Inspection —
Containment Sumps Date of annual Inspection 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. 41 Za Hand-
held
release defection Hand-held release detection equipment (bailer, gauge stick, etc.) is serviceable and equipment operable.
1 certify
under penalty of law that I am the Class B Qperator referenced above and that 1 am familiar with information on this farm 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
Years I Date e-r -nI41 fir ti ov le r fci 34 reco rd of I nte r stiti 'i n
spect i 0
11 S .91 n ) ressed Diu i-ren t rect Ifi r cheick, s. a
UST Operator Inspection - Utah — Pale 2 of
INSTRLiCTIONS
1. The monthly UST system inspections must be conducted by or udder the direction of the PrimarY Class B UST Operator. The Primary Class B UST Operator must alert the UST Owner or Operator of amp condition discovered during the monthly visualinspectionthatmayrequirefollow-up actions.
3. The LIST owner or Operator must maintain a copy of the rnanthl
shall be maintained on -site or off site at a readily available location4w
Vet.4/1 /21 inspection
reports for the most recent 1.) months. The records
Comments/Follow u :
UST Operator Inspection - Utah
YEAR 7117
Facility ID • C
r lj""\
I I / - Address l._,1)"/ <.. IQ..,. Q•_ ,_,." CJ ,\ P(imary Class B Operator -..t)f l f'\,--,.i- v , .'l 1vvu, ... O ,v "··NAME(S} AND INITIALS OF PERSON(S} CONDUCTINGM0 1.,. :LY 1r sp ,: t¼-,O N-=--S--: -------------------------------------------------------- --.J
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 O N D
Monthly Inspection - R lease Detection
1 Release detection equipment is operating with no alarms or other unusual
operating conditions. y
2 Records of release detection (tanks and piping) are reviewed and current.
I Monthly Inspection - Spill Prevention Equipment '
3 Equipment is undamaged, intact and free from defects. y
4 Equipment is free from debris, water, or product.
5 Fill Pipe is unobstructed.
6 Fill cap is un-broken and is securely on the fill pipe. Y
7 Double walled spill prevention equipme t - Interstitial area is free from leaks.
Initials of person performing Inspection. l'i' •
Annual Inspection - Containment Sumps Date of annual Inspection
8 Secondary Containment Sumps
(STP, Dispenser and Transition)
Visual Inspection of sump indicates no damage and it is free from debris, water and fuel.
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 amthe 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)
B Operator#
Date
\I
1 11rn over for record of Ir1terstitial Mor1itoring visual ir,spections and Impressed Ct1rre11t rectifier ct,ecks.
2025

UST Operator lr1spection -·ut 1h - Page 2 of 2

If you perform Interstitial Monitoring on your tanks and/or piping and use a visual check rather than sump or
interstitial sensors for your monthly leak detection, complete the table to document the monthly visual checks.
Months of the Current Year J F M A M J J A s 0 N D
1 Visual check of the interstitial space of the double-walled tank indicated no
release or unusual operating conditions. i
2 Visual ct,eck of piping {STP, dispenser and transition) containment sumps
indicates normal function and no indication of water or leaked product. '/

Imoressed Current 60 Day Rectifier Check
Months of the Current Year J F M A M J J A s 0 N D
Sho,v the date tl1e Impressed Current
systen1 ,vas inspected to ensure the
eqt1ipment is running nroperlv
ij
f
Amperage reading from impressed
curre11t rectifie1· if'\-
•
Voltage reading from impressed current
rectifier·
" '

IV.
' •

INSTRUCTIONS
1. The n1onthly UST system inspections must be conducted by or under the direction of the Primary Class BUST Operator.
2. The Primary Class BUST Operator must ale1t the UST Owi1er or Operator of any condition discovered during the monthly
visual inspection that may require follow-up actions. 3. The UST Owner or Operator must maintain a copy of the1nonthly inspection reports for the most recent 12 months. The records
shall be maintained on-site or off-site at a readily available location.

Ver. 4/14/2016

•

I
Elliott Jex 1/1/2025 1/1/2025 Mamun Rashid, Maverik's Program
Washburn Scarlet 12/29/2024 12/29/2024 Mamun Rashid, Maverik's Program
Herrell Sadie 12/2/2024 12/2/2024 Mamun Rashid, Maverik's Program
Browning Jacob 11/21/2024 11/21/2024 Mamun Rashid, Maverik's Program
Bastian Jenn 11/12/2024 11/12/2024 Mamun Rashid, Maverik's Program
Bowman Shyann 11/12/2024 11/12/2024 Mamun Rashid, Maverik's Program
Gilmore Jozeph 10/24/2024 10/24/2024 Mamun Rashid, Maverik's Program
Flores Daniel 10/6/2024 10/6/2024 Mamun Rashid, Maverik's Program
Villarreal Breanna 9/18/2024 9/18/2024 Mamun Rashid, Maverik's Program
Sipe Brody 9/17/2024 9/17/2024 Mamun Rashid, Maverik's Program
Jones Cristian 9/8/2024 9/8/2024 Mamun Rashid, Maverik's Program
Lopez Christopher 9/7/2024 9/7/2024 Mamun Rashid, Maverik's Program
Hoen James 8/22/2024 8/22/2024 Mamun Rashid, Maverik's Program
Allred Alec 7/23/2024 7/23/2024 Mamun Rashid, Maverik's Program
Samano Andrade Steven 7/19/2024 7/19/2024 Mamun Rashid, Maverik's Program
Webb Meagan 5/29/2024 5/29/2024 Mamun Rashid, Maverik's Program
Tedrow Dane 5/20/2024 5/20/2024 Mamun Rashid, Maverik's Program
Burk Porter 4/22/2024 4/22/2024 Mamun Rashid, Maverik's Program
Stoddard William 4/17/2024 4/17/2024 Mamun Rashid, Maverik's Program
Reeves james 12/2/2023 12/2/2023 Mamun Rashid, Maverik's Program
Park Caleb 11/25/2023 11/25/2023 Mamun Rashid, Maverik's Program
Maverik Store #389 100002023 South Redwood Road, Saratoga Springs, UT