DERR-2024-005691

Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name LIBERTY CORNER STORE LLC
Address PO BOX 268
LAPOINT, UT 84039
Contact LIBERTY CORNER STORE LLC
Phone
Email [e-mail]

TANK LOCATION
Name LIBERTY CORNER STORE LLC
Address 6982 N 9500 E
LAPOINT, UT 84039
A Operator None
Phone None
B Operator SAME
Phone SAME
Facility ID: 9000341 Inspection Date: 03/25/2024
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, 1998 / 10000 /
Substance
Stored Gasoline /
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Secondary Containment
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Not Listed / None
Pipe type/STP Cont Not Listed / No
STP Flex Connectors
LLD Model
Spill/Overfill/Sm
Delivery / / No
PST Fund/Other
Type No / None
Tank/Pipe Rel Det TankLDNotListed
PipeLDNotListed
CP Tank Test None
CP Pipe Test None
Tank ID/Alt ID 2 / 2
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 1998 / 10000 /
Substance
Stored Gasoline /
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Secondary Containment
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Not Listed / None
Pipe type/STP Cont Not Listed / No
STP Flex Connectors
LLD Model
Spill/Overfill/Sm
Delivery / / No
PST Fund/Other
Type No / None
Tank/Pipe Rel Det TankLDNotListed
PipeLDNotListed
CP Tank Test None
CP Pipe Test None
2024-04-04 Page 1 of 4
Tank ID/Alt ID 3 / 3
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 1998 / 10000 /
Substance
Stored Diesel /
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Secondary Containment
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Not Listed / None
Pipe type/STP Cont Not Listed / No
STP Flex Connectors
LLD Model
Spill/Overfill/Sm
Delivery / / No
PST Fund/Other
Type No / None
Tank/Pipe Rel Det TankLDNotListed
PipeLDNotListed
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
None
2024-04-04 Page 2 of 4
FACILITY RESPONSES
The above accurately represents the
facility's release detection records Yes
Financial Responsibility
Financial responsibility method is ok?Yes
TANK RESPONSES
Tank 1 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
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
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
Tank 3 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
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
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
Tank 2 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
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
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
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
Tank 2 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
Tank 3 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.
2024-04-04 Page 3 of 4
Prepared by fueloperator.com
Inspection Information
Inspector:Perdue, Laura
Record Created:April 4, 2024, 12:29 p.m.
Inspection Date:March 25, 2024

2024-04-04 Page 4 of 4
AST Annual Visual Inspection Checklist
(Revised 05/11/2023)
Facility ID#: qooo 3'l I Facility Name: L,b� Cbnnev--� LLL l1nspection Date: 2 -2 Z � t.C:::Z.t/
Street Address: L_o9g'2. 1-,-j � 9Soo e-. !city: LP,'()01,r\T lz1P: S,(J.03'1
# of Tanks Inspected: 3 Tank ID Numbers: .ti l unL�GD, .rt Z P.�:\)VV\. , �3 7),&t=L-
Any item marked "No" requires additional information to describe the condition and date the condition is corrected. ITEM STATUS COMMENTS / DATE CORRECTED
Containment
1 Is the containment structure in satisfactory condition �Yes ONo (diking, impounding, double-wall tank, etc.)?
2 Are the drainage pipes/valves in good working f;l]Yes ONo ONJA condition for continued service?
Tank Foundation/Supports
3 Free of tank settlement or foundation washout? lt:JYes ONo
4 Concrete pad or ring wall free of cracking or spalling? OYes ,f¼JNo
5 Tank supports in satisfactory condition? �Yes ONo
6 Is water able to drain away from tank? �Yes ONo
7 Is the grounding strap between the tank and OYes ONo �NIA foundation/supports in good condition?
Cathodic Protection
8 Are cathodic protection system in operating condition OYes ONo �N/A and functional? Rectifier reading
9 Volts: Amps: __ OYes 0No ri]N/AAre these readings within manufacturer specifications?
Tank External Coating
10 Free of visible signs of paint failure? OYes �o 60{'/\.-e. � Tank Shell / Heads
11 Free of noticeable shell/head distortions, buckling, IE]Yes ONo denting, or bulging?
12 Free of visible signs of shell/head corrosion or 11JYes ONo cracking?
Tank Manways, Piping, and Equipment
13 Flanged connection bolts tight and fully engaged with OYes 0No ['g!N!Ano sign of wear or corrosion?
Tank Roof
14 Free of standing water on roof? [KJYes ONo
15 Free of visible signs of coating cracking, crazing, iEYes t2SlNo peeling, or blistering?
16 Free of holes? �Yes ONo
AST Annual Visual Inspection Form Page 1 of 2
2024
UST CERTIFICATE
OF
COMPLIANCE
ISSUED TO:LOCATION OF TANKS:
LIBERTY CORNER STORE LLC
LIBERTY CORNER STORE LLC 6982 N 9500 E
PO BOX 268 LAPOINT UT 84039
LAPOINT, UT 84039 Facility ID: 9000341
Tank #Capacity Substance Desc Compliance Financial Assurance Mechanism
1 10000 Gasoline Yes PST Fund
2 10000 Gasoline Yes PST Fund
3 10000 Diesel Yes PST Fund
This certificate will automatically lapse if any of the required fees are not paid. It may also be revoked for failure to
comply with state and federal UST regulations. Possession of this certificate does not signify coverage under the Utah
PST Fund. Cleanup requirements may be obtained from the Division of Environmental Response and Remediation.
UTAH DEPARTMENT OF ENVIRONMENTAL QUALITY

Josie Nyberg
Liberty Corner Store
6982 N 9500 E
Lapoint, Utah 84039

Re: Notice of Certificate of Compliance

Liberty Corner Store LLC, located at 6982 N 9500 E, Lapoint, Utah
Facility Identification No. 9000341

Dear Mrs. Nyberg:

The Division of Environmental Response and Remediation has received all the
documentation necessary to issue the attached certificate of compliance for the 10,000-gallon
regular, l0,000-gallon premium, and 8,000-gallon Diesel Aboveground Petroleum Storage Tanks
at this facility.

If you have additional questions, please contact the Project Manager Laura Perdue at (256)
656-2847.

***

Sincerely,

Brent H. Everett, Director
Division of Environmental Response and Remediation

Enclosure(s): cert. of compliance

cc:
Underground Storage Tank Inspection Verification Form
Facility ID:9000341
Owner Name:LIBERTY CORNER STORE LLC Facility Name:LIBERTY CORNER STORE LLC
Owner Address:PO BOX 268 Street Address:6982 N 9500 E
LAPOINT, UT 84039 LAPOINT, UT 84039
Operator A:No Data / No Data / Operator B:No Data / No Data /
Owner Email:[e-mail] UTM Coordinates X/Y:600051 / 4473169
Tank ID/Alt ID:1 / 1 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Fiberglass Reinforced Plastic - None
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Not Listed / No
Tank Status:Currently In Use STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:1/1/1998 / 10000 / LLD Model:
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv: / / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Secondary
Containment
PST Fund/Other Type:Yes /
ATG: / Tank/Pipe Rel Det:OTHER / OTHER / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:2 / 2 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Fiberglass Reinforced Plastic - None
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:1/1/1998 / 10000 / LLD Model:
Substance Stored:Gasoline / Premium Spill/Overfill/Sm deliv: / / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Secondary
Containment
PST Fund/Other Type:Yes /
ATG: / Tank/Pipe Rel Det:OTHER / OTHER / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:3 / 3 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Fiberglass Reinforced Plastic - None
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Not Listed / No
Tank Status:Currently In Use STP Flex Connectors:Steel Flex in Sump
Installed/Cap/Loc:1/1/1998 / 10000 / LLD Model:
Substance Stored:Diesel / Spill/Overfill/Sm deliv: / / No
Tank Material-Mod:Asphalt Coated or Bare Steel - Secondary
Containment
PST Fund/Other Type:Yes /
ATG: / Tank/Pipe Rel Det:OTHER / OTHER / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
4/4/2024 Page 1 of 1