DERR-2025-003922

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D & A MCRAE INC .
PO BOX 570238
Utah Department of Environmental Quality
APST Equipment Verification Inspection
Ownership of Tanks Location of Tanks
SIGURD TERMINAL
59 W 1520 N
2000773
SIGURD IUT 184657 SIGURD luT 184657
Contact Name : #/Email:
SPCC Plan?: Yes No I Last Fire Marshal lnsp: ATG Info:
Complete for each tank. # I # # # # #
Capacity of tank (gallons): /5" [C.
Orientation of tank : Hor ,t 1 e:;M ,_,,., I
Bottom of tank in contact with (soil, -b, Du efai'~ gravel, concrete, not touching): Nob
Substance stored : Dt1 bL,.[
Date last used/depth of product:
Type of spill prevention device: D t\1 c.-0111 I eut=/B 0 i,.J_~
Type of Piping (Pressure or Suction): Ip~,,_,. ',./'£
Does pressure piping have LLD : ~ No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Spill bucket is clean , intact, etc .: ~es) No Yes No Yes No Yes No Yes No Yes No
Type of overfill Prevention device: ~hut= a-~..r ~
Overfill alarm (audible or visible) is properly located so delivery driver can hear or see it, and is clearly identified : Yes No NA
Pipe trans flex protection method
(Sump, CP, Isolated, Booted):
Containment sumps dry: Yes No ¥"-) Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Sump comments :
Stage 1 Vapor Recovery : 2pt Coax~o~ 2pt Coax None 2pt Coax None 2pt Coax None 2pt Coax None 2pt Coax None
Pressure Vent Valve is on vents : Yes No <l'f9 Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Secondary containment area
comments :
Complete for each dispenser # '\/1 # # # # #
Flex protection method (UDC ,
Cathodic Protection , Isolated , Booted):
UDC sump dry : Yes No ¥f>J Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Fire valve anchored , located below f) No ~ Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
grade, and without ball valve :
Comments :
Additional dispenser questions # # # # # #
Flex protection method (UDC ,
Cathodic Protection, Isolated, Booted):
UDC sump dry: Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Fire valve anchored , located below Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
grade , and no ball valve:
Comments:
Additional Comments : Financial Responsibility (State Use Only)
FR Method : ::1Jif $. Method OK?
Signatures
Attach Tank Info Sheet to Inspection with any edits .
Page2 of_ Utah Department of Environmental Quality
APST Facility Site Plat
NORTH
":,,.
2000773
[ff
-Show locations of all buildings, streets, tanks, piping, and dispenser islands . Indicate the product in each tank . Show locations of tank
manways and identify each : submers ible pump (S), tank fill (F), ATG probe (A), interstitial probe (I), vapor recovery (V), capped plug (C), other
(specify).
Comments :