HomeMy WebLinkAboutDERR-2025-002212Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name JACKSONS FOOD STORES
Address 3450 EAST COMMERCIAL CT
MERIDIAN, ID 83642
Contact JACKSONS FOOD STORES
Phone
Email Andrew.Marvin@jacksonsfoodstores.com
TANK LOCATION
Name JACKSON'S # 161
Address 12567 S. Creek Meadow Rd.
RIVERTON, UT 84065
A Operator Andrew Marvin
Phone (208) 888-6061
B Operator SAME
Phone SAME
Facility ID: 4002553 Inspection Date: 03/25/2025
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
1 - 1/2 Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
2 - 3/4 Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
3 - 5/6 Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
4 - 7/8 Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
5 - 9/10 Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
6 -
11/12
Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
7 -
13/14
Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
8 -
15/16
Gas/Diesel Yes Steel Flex in Sump May
15,
2018
May
15,
2018
Yes No May
15,
2024
None
TANK DETAILS
Tank ID/Alt ID 1 / 1
E-Gen/AST No / No
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc April 12, 2018 / 20000 / East
Substance
Stored Gasoline / Regular
Tank Material-
Mod
Fiberglass Reinforced Plastic-
Double-Walled
ATG Franklin / TS-550
LTT Test None
LLD Test April 22, 2024
Pipe Material-
Mod Flexible Plastic / Double-Walled
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Steel Flex in Sump
LLD Model Incon TS-LLD
Spill/Overfill/Sm
Delivery
5 gal. Double Walled Spill Bucket /
Overfill alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankInterstitialDblWalled
PipeAutoLineLeakDetection /
PipeInterstitialDblWalled
CP Tank Test None
CP Pipe Test None
2025-03-25 Page 1 of 11
Tank ID/Alt ID 2 / 2A
E-Gen/AST No / No
Siphon/Compart No / Yes
Tank Status Currently In Use
Installed/Cap/Loc April 12, 2018 / 10000 / North
Center
Substance
Stored Gasoline / Premium
Tank Material-
Mod
Fiberglass Reinforced Plastic-
Double-Walled
ATG Franklin / TS-550
LTT Test None
LLD Test April 22, 2024
Pipe Material-
Mod Flexible Plastic / Double-Walled
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Steel Flex in Sump
LLD Model Incon TS-LLD
Spill/Overfill/Sm
Delivery
5 gal. Double Walled Spill Bucket /
Overfill alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankInterstitialDblWalled
PipeAutoLineLeakDetection /
PipeInterstitialDblWalled
CP Tank Test None
CP Pipe Test None
Tank ID/Alt ID 3 / 2B
E-Gen/AST No / No
Siphon/Compart No / Yes
Tank Status Currently In Use
Installed/Cap/Loc April 12, 2018 / 10000 / South
Center
Substance
Stored Diesel /
Tank Material-
Mod
Fiberglass Reinforced Plastic-
Double-Walled
ATG Franklin / TS-550
LTT Test None
LLD Test April 22, 2024
Pipe Material-
Mod Flexible Plastic / Double-Walled
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Steel Flex in Sump
LLD Model Incon TS-LLD
Spill/Overfill/Sm
Delivery
5 gal. Double Walled Spill Bucket /
Overfill alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankInterstitialDblWalled
PipeAutoLineLeakDetection /
PipeInterstitialDblWalled
CP Tank Test None
CP Pipe Test None
Tank ID/Alt ID 4 / 3
E-Gen/AST No / No
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc April 12, 2018 / 10000 /
Southwest
Substance
Stored Gasoline / Non-Ethanol
Tank Material-
Mod
Fiberglass Reinforced Plastic-
Double-Walled
ATG Franklin / TS-550
LTT Test None
LLD Test April 22, 2024
Pipe Material-
Mod Flexible Plastic / Double-Walled
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Steel Flex in Sump
LLD Model Incon TS-LLD
Spill/Overfill/Sm
Delivery
5 gal. Double Walled Spill Bucket /
Overfill alarm / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankInterstitialDblWalled
PipeAutoLineLeakDetection /
PipeInterstitialDblWalled
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
Title: Needs class C list
Not on site.
No Photos
2025-03-25 Page 2 of 11
FACILITY RESPONSES
Financial Responsibility
Financial responsibility method is ok?Yes
The above accurately represents the
facility's release detection records Yes
Operator Training
A Operator current?Yes
B Operator current?Yes
Monthly checklist available and
complete?Yes
Is the site unmanned?Yes
Is a sign posted in a conspicuous area
giving the name and telephone number
of a person in case of an emergency
and if the station is manned part of the
time, are C operators trained?
Yes
Does the site have emergency shutoff
device?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
Tank has an overfill device?Yes
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
No
Tank 1 Cathodic Protection
Tanks are protected from corrosion?Yes
Piping is protected from corrosion?Yes
Flex connectors at the tank sub-pumps
are protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Tank 1 Pressure Piping Leak Detection
Does the pressurized piping system
have a line leak detector?Yes
Does the pressurized piping system
have a valid line leak detector test?Yes
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
Tank 1 Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Does the overfill device have a valid 3-
year test or the tank is exempt?Yes
Tank 2A Cathodic Protection
Tanks are protected from corrosion?Yes
Piping is protected from corrosion?Yes
Flex connectors at the tank sub-pumps
are protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
2025-03-25 Page 3 of 11
Tank 1 ATG/IM
IM - Type of Documentation Used?ATG
IM - System capable of detecting a
release of regulated substances from
any portion of the primary tank/piping
within one month of release?
Yes
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - Documentation of valid testing
or monitoring is available (must have
records for the two most recent months
and 10 of last 12 months)? Show results
in the RD tab.
No
Tank 1 ATG/IM
Does the ATG system have a valid
annual test?Yes
Does the Containment Sump have a
valid 3-year test?Yes
Tank 2A 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
Tank has an overfill device?Yes
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
No
Tank 2A Pressure Piping Leak Detection
Does the pressurized piping system
have a line leak detector?Yes
Does the pressurized piping system
have a valid line leak detector test?Yes
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
Tank 2A Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Does the overfill device have a valid 3-
year test or the tank is exempt?Yes
Tank 2B Cathodic Protection
Tanks are protected from corrosion?Yes
Piping is protected from corrosion?Yes
Flex connectors at the tank sub-pumps
are protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Tank 2B Pressure Piping Leak Detection
Does the pressurized piping system
have a line leak detector?Yes
Does the pressurized piping system
have a valid line leak detector test?Yes
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
Tank 2B Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Does the overfill device have a valid 3-
year test or the tank is exempt?Yes
Tank 3 Cathodic Protection
Tanks are protected from corrosion?Yes
Piping is protected from corrosion?Yes
Flex connectors at the tank sub-pumps
are protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Tank 3 Pressure Piping Leak Detection
Does the pressurized piping system
have a line leak detector?Yes
Does the pressurized piping system
have a valid line leak detector test?Yes
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
2025-03-25 Page 4 of 11
Tank 2A ATG/IM
IM - Type of Documentation Used?ATG
IM - System capable of detecting a
release of regulated substances from
any portion of the primary tank/piping
within one month of release?
Yes
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - Documentation of valid testing
or monitoring is available (must have
records for the two most recent months
and 10 of last 12 months)? Show results
in the RD tab.
No
Tank 2A ATG/IM
Does the ATG system have a valid
annual test?Yes
Does the Containment Sump have a
valid 3-year test?Yes
Tank 2B 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
Tank has an overfill device?Yes
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
No
Tank 3 Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Does the overfill device have a valid 3-
year test or the tank is exempt?Yes
2025-03-25 Page 5 of 11
Tank 2B ATG/IM
IM - Type of Documentation Used?ATG
IM - System capable of detecting a
release of regulated substances from
any portion of the primary tank/piping
within one month of release?
Yes
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - Documentation of valid testing
or monitoring is available (must have
records for the two most recent months
and 10 of last 12 months)? Show results
in the RD tab.
No
Tank 2B ATG/IM
Does the ATG system have a valid
annual test?Yes
Does the Containment Sump have a
valid 3-year test?Yes
Tank 3 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
Tank has an overfill device?Yes
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
No
2025-03-25 Page 6 of 11
Tank 3 ATG/IM
IM - Type of Documentation Used?ATG
IM - System capable of detecting a
release of regulated substances from
any portion of the primary tank/piping
within one month of release?
Yes
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - Documentation of valid testing
or monitoring is available (must have
records for the two most recent months
and 10 of last 12 months)? Show results
in the RD tab.
No
Tank 3 ATG/IM
Does the ATG system have a valid
annual test?Yes
Does the Containment Sump have a
valid 3-year test?Yes
DISPENSER RESPONSES
Dispenser 3/4
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
Dispenser 7/8
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
Dispenser 1/2
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
Dispenser 5/6
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
2025-03-25 Page 7 of 11
Dispenser 11/12
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
Dispenser 15/16
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
Dispenser 9/10
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
Dispenser 13/14
Flex connectors at the dispensers are
protected from corrosion?Yes
Containment sumps are sealed, free
from water, product, etc?Yes
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
MONTHLY LEAK DETECTION MONITORING
Mar '24 Apr '24 May '24 Jun '24 Jul '24 Aug '24 Sep '24 Oct '24 Nov '24 Dec '24 Jan '25 Feb '25
Tank 1 Not Avail Not Avail Not Avail Not Avail Not Appl Not Avail Pass Fail Pass Pass Pass Pass
Line Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
Tank 2 Not Avail Not Avail Not Avail Not Avail Not Avail Not Appl Not Appl Not Appl Pass Pass Pass Pass
Line Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
Tank 3 Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Pass Pass Pass Pass
Line Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
Tank 4 Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Not Avail Pass Pass
Line Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
NON-COMPLIANCE ITEMS
TANK 1
2025-03-25 Page 8 of 11
Question:If an overfill alarm is being used is it properly located so the delivery driver can hear or see it, and is
clearly identified?
Comments:No sign.
TANK 1
No Photos
Question:ATG/IM - Documentation of valid testing or monitoring is available (must have records for the two
most recent months and 10 of last 12 months)? Show results in the RD tab.
Comments:None
TANK 2A
Question:If an overfill alarm is being used is it properly located so the delivery driver can hear or see it, and is
clearly identified?
Comments:No sign
TANK 2A
No Photos
Question:ATG/IM - Documentation of valid testing or monitoring is available (must have records for the two
most recent months and 10 of last 12 months)? Show results in the RD tab.
Comments:None
TANK 2B
2025-03-25 Page 9 of 11
Question:If an overfill alarm is being used is it properly located so the delivery driver can hear or see it, and is
clearly identified?
Comments:No sign.
TANK 2B
No Photos
Question:ATG/IM - Documentation of valid testing or monitoring is available (must have records for the two
most recent months and 10 of last 12 months)? Show results in the RD tab.
Comments:None
TANK 3
Question:If an overfill alarm is being used is it properly located so the delivery driver can hear or see it, and is
clearly identified?
Comments:No sign.
TANK 3
No Photos
Question:ATG/IM - Documentation of valid testing or monitoring is available (must have records for the two
most recent months and 10 of last 12 months)? Show results in the RD tab.
Comments:None
2025-03-25 Page 10 of 11
Prepared by fueloperator.com
Inspection Information
Inspector:Wilson, David
Record
Created:
March 25, 2025, 12:09
p.m.
Inspection
Date:March 25, 2025
2025-03-25 Page 11 of 11