HomeMy WebLinkAboutDERR-2024-005669Utah 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 JACKSONS FOOD STORES #192
Address 1613 N STATE ST
OREM, UT 84057
A Operator Andrew Marvin
Phone (208) 888-6061
B Operator None
Phone None
Facility ID: 1000757 Inspection Date: 04/01/2024
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
1 - 1/2 Gasoline Yes Steel Flex in Sump June 2,
1998
None Yes No None None
2 - 3/4 Gasoline Yes Steel Flex in Sump June 2,
1998
None Yes No None None
3 - 5/6 Gasoline Yes Steel Flex in Sump June 2,
1998
None Yes No None None
4 - 7/8 Gasoline Yes Steel Flex in Sump June 2,
1998
None Yes No None None
5 - 9/10 Gasoline Yes Steel Flex in Sump June 2,
1998
None Yes No None 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 June 2, 1998 / 20000 / North
Substance Stored Gasoline / Regular
Tank Material-
Mod
Fiberglass Reinforced Plastic-
None
ATG Franklin / TS-550 with SCALD
LTT Test None
LLD Test March 31, 2023
Pipe Material-
Mod Flexible Plastic / Double-Walled
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Steel Flex in Sump
LLD Model Red Jacket / VR FX1V
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Automatic
shutoff / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankSIR
PipeAutoLineLeakDetection /
PipeSIR
CP Tank Test None
CP Pipe Test None
2024-04-01 Page 1 of 6
Tank ID/Alt ID 2 / 2
E-Gen/AST No / No
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc June 2, 1998 / 15000 / South
Substance Stored Gasoline / Premium
Tank Material-
Mod
Fiberglass Reinforced Plastic-
None
ATG Franklin / TS-550 with SCALD
LTT Test None
LLD Test March 31, 2023
Pipe Material-
Mod Flexible Plastic / Double-Walled
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Steel Flex in Sump
LLD Model Red Jacket / VR FX1V
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Automatic
shutoff / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankSIR
PipeAutoLineLeakDetection /
PipeSIR
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
None
2024-04-01 Page 2 of 6
FACILITY RESPONSES
The above accurately represents the
facility's release detection records Yes
Financial Responsibility
Financial responsibility method is ok?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
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
2024-04-01 Page 3 of 6
Tank 1 SIR/MTG
SIR - Dispensers have current
calibration stickers or proper calibration
documentation?
Yes
SIR - Drop tubes are present and
extend to within one foot of the tank
bottom?
Yes
SIR - Inventory readings for product
inputs, withdrawals, and the amount
remaining in the tank are recorded and
available for each operating day?
Yes
SIR - Product inputs are reconciled with
delivery receipts by measurement of
the tank inventory volume before and
after deliveries?
Yes
SIR - Records include the appropriate
number of water readings, and water
readings are used to adjust inventory
balances as necessary?
Yes
SIR/MTG - An appropriate calibration
chart is used to convert product level
readings to gallons, and is available for
review?
Yes
SIR/MTG - Inventory readings are
properly reconciled monthly (weekly
and monthly for MTG) to the
appropriate allowable amount?
Yes
SIR/MTG - Equipment used to take
readings (ATG, Gauge Stick, etc.) is
adequate, accessible, and operational?
Yes
SIR/MTG - 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.
Yes
Tank 2 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 2 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 2 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 2 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
Tank 2 SIR/MTG
SIR - Dispensers have current
calibration stickers or proper calibration
documentation?
Yes
SIR - Drop tubes are present and
extend to within one foot of the tank
bottom?
Yes
SIR - Inventory readings for product
inputs, withdrawals, and the amount
remaining in the tank are recorded and
available for each operating day?
Yes
SIR - Product inputs are reconciled with
delivery receipts by measurement of
the tank inventory volume before and
after deliveries?
Yes
SIR - Records include the appropriate
number of water readings, and water
readings are used to adjust inventory
balances as necessary?
Yes
SIR/MTG - An appropriate calibration
chart is used to convert product level
readings to gallons, and is available for
review?
Yes
SIR/MTG - Inventory readings are
properly reconciled monthly (weekly
and monthly for MTG) to the
appropriate allowable amount?
Yes
SIR/MTG - Equipment used to take
readings (ATG, Gauge Stick, etc.) is
adequate, accessible, and operational?
Yes
SIR/MTG - 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.
Yes
2024-04-01 Page 4 of 6
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
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
MONTHLY LEAK DETECTION MONITORING
Apr '23 May '23 Jun '23 Jul '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Tank 1 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
Line Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
Tank 2 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
Line Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
NON-COMPLIANCE ITEMS
All items are in compliance.
2024-04-01 Page 5 of 6
Prepared by fueloperator.com
Inspection Information
Inspector:Perdue, Laura
Record Created:April 1, 2024, 9:32 a.m.
Inspection Date:April 1, 2024
2024-04-01 Page 6 of 6