DERR-2024-005439

Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name INTERMOUNTAIN LIFE FLIGHT
Address 250 2370 W
SALT LAKE CITY, UT 84116
Contact INTERMOUNTAIN LIFE FLIGHT
Phone
Email [e-mail]

TANK LOCATION
Name INTERMOUNTAIN MCKAY DEE HOSPITAL
Address 4401 HARRISON BLVD
OGDEN, UT 84403
A Operator None
Phone None
B Operator SAME
Phone SAME
Facility ID: 1200675 Inspection Date: 03/28/2024
DISPENSER DETAILS
DISP
ID/ALT
ID
SUBSTANCE UDC PIPE FLEX LOC
INSTALL
DATE
UDC
INSTALL
DATE
FIRE
VALVE
SAT
PRESENT
UDC
TEST
DISP
FLEX
CP
TEST
TANK DETAILS
Tank ID/Alt ID 1 / 1
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 1910 / 4000 /
Substance
Stored Jet Fuel /
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Double-Walled
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Bare Steel / None
Pipe type/STP Cont / No
STP Flex
Connectors
LLD Model
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Overfill
alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel Det TankTightness
PipeLDNotListed
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
None
2024-03-28 Page 1 of 3
FACILITY RESPONSES
Financial Responsibility
Financial responsibility method is ok?Yes
The above accurately represents the
facility's release detection records Yes
TANK RESPONSES
Tank 1 Spill/Overfill
Tank has a spill prevention device?Yes
Are you able to visually inspect the spill
containment bucket(s) for functionality?
(i.e. are the buckets clean enough to
see cracks, etc?)
Yes
Is the spill containment bucket intact?Yes
Is the spill containment bucket(s) able
to contain a spill? (i.e. is there water,
product, debris, etc in the spill bucket
to prevent it from containing a spill?)
Yes
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
DISPENSER RESPONSES
MONTHLY LEAK DETECTION MONITORING
Mar '23 Apr '23 May '23 Jun '23 Jul '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24
Tank 1 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
NON-COMPLIANCE ITEMS
All items are in compliance.
2024-03-28 Page 2 of 3
Prepared by fueloperator.com
Inspection Information
Inspector:Ottley, Melissa
Record
Created:
March 28, 2024, 8:56
a.m.
Inspection
Date:March 28, 2024

2024-03-28 Page 3 of 3