DERR-2025-004589

Utah DEQ Underground Storage Tank
Installation Notification Form
www.undergroundtanks.utah.gov
Facility ID 1001001 New UST Install Upgrade/Repair
Installation Company: Csesco, Inc.
Contact Name: Tracy Boswell Phone: [phone]
Address: 830 West Northpointe Circle, North Salt Lake, Utah 84054

Tank Owner: Holiday Oil Company
Address: 3115 West 2100 South - West Valley City, UT 84119
Contact Name: Jay Cahoon Phone# [phone]
Facility Name: Holiday Oil# 84 - Orem
Facility Address: 1981 South Geneva Road, Orem, UT 84058

Installation / Upgrade /Repair Information Est. Date work will commence: 11/7/2024
Tank # 1A 1B 2A 2B 2C
Capacity 24,000 6,000 12,000 12,000 6,000
Tank Material FRP DW FRP DW FRP DW FRP DW FRP DW
Piping Material DW UPP DW UPP DW UPP DW UPP DW UPP
Substance stored Unleaded Ethanol Free Diesel Premium DEF
Check if upgrade or repair only. (Describe details below)
Describe Details of Install/Upgrade/Repair in the box below (Submit a drawing/site map of work to be done)
Install (2) new Xerxes double wall fiberglass (1) 2-Compartment and (1) 3-Compartment UST's for a total of (4)
new regulated tanks with anchoring system. Please note: 1-Compartment is for 6,000 Gallons of DEF. Install (5)
FRP tank sumps and (6) new polyethylene dispenser sumps with sump sensors. Install double wall spill and vapor
buckets with overfill prevention drop tubes. Install all new 2" double wall semi-rigid UPP product piping to the (6)
new dispenser sumps. Install new Franklin Fueling EVO600 ATG with (5) In-Tank Probes, (2) Interstital Tank Brine
sensors, (11) sumps sensors, and a remote overfill alarm for overfill prevention. Install (4) F.E. Petro Submersible
Pumps with with LS500 Transducers for line leak detection. Install Single Wall Fiberglass vent lines underground
to the vent risers at the new canopy columns. Install (6) new Gilbarco Encore 700S 3+1 Blender Dispensers and (1)
DEF Dispenser.
Mail completed form to:
DEQ/DERR
Box 144840
Salt Lake City, Utah 84114-4840
195 N. 1950 W. 1st Floor
Salt Lake City, Utah
Phone [phone]
Fax [phone]
Ver. 8/1/2016
State Use Only
Permit Required?
Permit # _____________________
Base Fee $ __500
Inspection Fee* $200 x ___ $_ ___
PST Install Fee $200 x ___ $_ ___
Total $__ ___
Date Approved & Paid ___________
*Applies in non-LHD contract areas
Certified Installers/Technicians on project
Name Zane Christensen Cert. # TL 0456 Exp. Date February 1, 2026
Name Mitch Hull Cert. # TL0557 Exp. Date March 11, 2026
Name Luke Kelso Cert. # TL0416 Exp. Date February 1, 2026
1697-2025-5
X