HomeMy WebLinkAboutDERR-2024-005915
195 North 1950 West • Salt Lake City, UT
Mailing Address: P.O. Box 144840 • Salt Lake City, UT 84114-4840
Telephone (801) 536-4100 • Fax (801) 359-8853 • T.D.D. (801) 536-4284
www.deq.utah.gov
Printed on 100% recycled paper
State of Utah
SPENCER J. COX
Governor
DEIDRE HENDERSON
Lieutenant Governor
Department of
Environmental Quality
Kimberly D. Shelley
Executive Director
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brent H. Everett
Director
ERRP-141-24
April 10, 2024
Sara Gallien
Walmart, Inc.
201 Southeast Simple Savings Drive
Bentonville, Arkansas 72716
Re: Notice of Approval to Remove Delivery Prohibition Tag
Walmart Fueling Station #5167, located at 964 South Turf Farm Road, Payson, Utah
Facility Identification No. 1000997
Dear Ms. Gallien:
The Division of Environmental Response and Remediation (DERR) has received all the
documentation necessary to issue the attached certificate of compliance for the two 20,000-gallon
gasoline, 12,000-gallon diesel, and 8,000-gallon premium tanks at this facility. This notice satisfies
the requirement for written authorization to remove the delivery prohibition tag(s) in accordance
with Utah Admin. Code R311-206-8(6). Please remove and discard any tags that were attached to
the fill for these tanks during installation. If you have additional questions, please contact the DERR
project manager, identified on the red tag at (801) 536-4100.
Sincerely,
Brent H. Everett, Director
Division of Environmental Response and Remediation
BHE/PKL/ss
Enclosure: Certificate of Compliance
cc: Eric Edwards, Executive Director, Utah County Health Department
SARA GALLIEN
WALMART INC.
2024
UST CERTIFICATE
OF
COMPLIANCE
ISSUED TO: LOCATION OF TANKS:
WALMART SUPERCENTER FUELING
STATION #5167
964 SOUTH TURF FARM ROAD
2101 SE SIMPLE SAVINGS DR
BENTONVILLE, AR 72716
PAYSON UT 84651
Facility ID: 1000997
Tank# Capacity Substance Desc Compliance Financial Assurance Mechanism
1
2
3A
38
20000
20000
8000
12000
Gasoline
Gasoline
Gasoline
Diesel
Yes PST Fund
Yes PST Fund
Yes PST Fund
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
Underground Storage Tank Inspection Verification Form
Facility ID: 1000997
Owner Name: WALMART INC. Facility Name: WALMART SUPERCENTER FUELING STATION #
Owner Address: 2101 SE SIMPLE SAVINGS DR Street Address: 964 SOUTH TURF FARM ROAD
BENTONVILLE, AR 72716 PAYSON, UT 84651
Operator A: STEPHANIE SHELDON / (801) 465-8246 / 2/5/2027 Operator B: No Data I No Data I
Owner Email: Sara.Gallien@walmart.com UTM Coordinates X/Y: 435594 / 4431230 -----------------------------------------------------Disp ID/Alt Substance UDC Pipe Flex Loe Install Date UDC Install Date Fire Sat UDC Test Disp Flex CP
ID Valve Present Test
1 -1/2 Gas/Diesel Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex
2-3/4 Gas/Diesel Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex
3-5/6 Gasoline Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex
4-7/8 Gasoline Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex
5 -9/10 Gasoline Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex
6 -11/12 Gasoline Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex
7 -13/14 Gas/Diesel Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex
8 -15/16 Gas/Diesel Yes Direct Flex Piping in 01/25/2024 01/25/2024 Yes No 2/22/2024
Sump no Steel Flex -----------------------------------------------------Tank ID/Alt ID: 1 / 1 EGen/AST/Stat No/ No/ No Pipe Material-Mod: Flexible Plastic -Double-Walled
Siphon/Compart: No/ No PW/Stagel: Yes Pipe Type/STP Cont: Pressurized/ Yes
Tank Status: Currently In Use
Installed/Cap/Loe: 12/5/2023 / 20000 / West
Substance Stored: Gasoline/ Regular
Two point
Tank Material-Mod: Fiberglass Reinforced Plastic -Double-Walled
ATG: Veeder Root I TLS-450 Interstitial Monitor
ATG Specs: / / Liquid Status
ATG Test: 3/26/2024
LTTTest:
Tank ID/Alt ID: 2 / 2
Siphon/Compart: No/ No
LLD Test: 03/26/2024
EGen/AST/Stat No/ No/ No
PW/Stagel: Yes
Tank Status: Currently In Use
Installed/Cap/Loe: 12/5/2023 / 20000 / Center
Substance Stored: Gasoline/ Regular
Two point
Tank Material-Mod: Fiberglass Reinforced Plastic -Double-Walled
ATG: Veeder Root I TLS-450 Interstitial Monitor
ATG Specs: / / Liquid Status
ATG Test: 3/26/2024
LTTTest:
Tank ID/Alt ID: 3 / 3A
Siphon/Compart: No/ Yes
LLD Test: 03/26/2024
EGen/AST/Stat No/ No/ No
PW/Stagel: Yes
Tank Status: Currently In Use
Installed/Cap/Loe: 12/5/2023 / 8000 / Southeast
Two point
STP Flex Connectors: Direct Flex Piping in Sump no Steel Flex
LLD Model: Veeder Root PLLD
Spill/Overfill/Sm deliv: 5 gal. Double Walled Spill Bucket / Automatic
shutoff/ No
PST Fund/Other Type: Yes/ Insurance
Tank/Pipe Rel Det: Interstitial DW / Interstitial DW / ALD
STP Sump Test: 02/22/2024 Spill Bk Test:
Overfill Test: 3/26/2024
CP Tank Test: CP Pipe Test:
Pipe Material-Mod: Flexible Plastic -Double-Walled
Pipe Type/STP Cont: Pressurized/ Yes
STP Flex Connectors: Direct Flex Piping in Sump no Steel Flex
LLD Model: Veeder Root PLLD
Spill/Overfill/Sm deliv: 5 gal. Double Walled Spill Bucket / Automatic
shutoff/ No
PST Fund/Other Type: Yes/ Insurance
Tank/Pipe Rel Det: Interstitial DW / Interstitial DW / ALD
STP Sump Test: 02/22/2024 Spill Bk Test:
Overfill Test: 3/26/2024
CP Tank Test: CP Pipe Test:
Pipe Material-Mod: Flexible Plastic -Double-Walled
Pipe Type/STP Cont: Pressurized/ Yes
STP Flex Connectors: Direct Flex Piping in Sump no Steel Flex
LLD Model: Veeder Root PLLD
Substance Stored: Gasoline/ Premium Spill/Overfill/Sm deliv: 5 gal. Double Walled Spill Bucket/ Automatic
shutoff/ No
Tank Material-Mod: Fiberglass Reinforced Plastic -Double-Walled PST Fund/Other Type: Yes/ Insurance
ATG: Veeder Root I TLS-450 Interstitial Monitor Tank/Pipe Rel Det: Interstitial DW / Interstitial DWI ALD
4/8/2024 Page 1 of 2
ATG Specs: / / Liquid Status STP Sump Test: 02/22/2024 Spill Bk Test:
ATG Test: 3/26/2024 Overfill Test: 3/26/2024
L TT Test: LLD Test: 04/01/2024 CP Tank Test: CP Pipe Test: -----------------------------------------------------Tank ID/Alt ID: 4 / 3B EGen/AST/Stat No/ No/ No Pipe Material-Mod: Flexible Plastic -Double-Walled
Siphon/Compart: No/ Yes PW/Stagel: No
Tank Status: Currently In Use
Installed/Cap/Loe: 12/5/2023 / 12000 / Northeast
Substance Stored: Diesel/ Diesel #2 (LS.)
None
Tank Material-Mod: Fiberglass Reinforced Plastic -Double-Walled
ATG: Veeder Root I TLS-450 Interstitial Monitor
ATG Specs: / / Liquid Status
ATG Test: 3/26/2024
LTTTest: LLD Test: 04/01/2024
4/8/2024 Page 2 of 2
Pipe Type/STP Cont: Pressurized/ Yes
STP Flex Connectors: Direct Flex Piping in Sump no Steel Flex
LLD Model: Veeder Root PLLD
Spill/Overfill/Sm deliv: 5 gal. Double Walled Spill Bucket / Automatic
shutoff I No
PST Fund/Other Type: Yes/ Insurance
Tank/Pipe Rel Det: Interstitial DW / Interstitial DW / ALD
STP Sump Test: 02/22/2024 Spill Bk Test:
Overfill Test: 3/26/2024
CP Tank Test: CP Pipe Test: