HomeMy WebLinkAboutDERR-2024-006007Utah 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 richard.wright@jacksonsfoodstores.com
TANK LOCATION
Name JACKSONS FOOD STORES #199
Address 1250 W 800 S
PAYSON, UT 84651
A Operator Andrew Marvin
Phone (208) 888-6061
B Operator None
Phone None
Facility ID: 1000703 Inspection Date: 04/16/2024
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 No Steel Flex Galvanic
CP
None None Yes No None Oct.
19,
2016
2 - 3/4 Gasoline No Steel Flex Galvanic
CP
None None Yes No None Oct.
19,
2016
3 - 5/6 Gasoline No Steel Flex Galvanic
CP
None None Yes No None Oct.
19,
2016
4 - 7/8 Gas/Diesel No Steel Flex Galvanic
CP
None None Yes No None Oct.
19,
2016
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 March 2, 1994 / 6000 / South
Substance
Stored Diesel / Diesel #2 (U.L.S.)
Tank Material-
Mod
Galvanic Cathodic Protection
(STIP3)-None
ATG Veeder Root / TLS-350 CSLD No
Manifold
LTT Test Oct. 27, 2023
LLD Test Oct. 27, 2023
Pipe Material-
Mod
Fiberglass Reinforced Plastic /
None
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Combined Steel Flex CP
LLD Model Vaporless LD2000
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Overfill alarm
/ No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankATG
PipeAutoLineLeakDetection /
PipeLineTightness
CP Tank Test Jan. 17, 2023
CP Pipe Test None
2024-04-16 Page 1 of 10
Tank ID/Alt ID 2 / 2
E-Gen/AST No / No
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc March 2, 1994 / 10000 / South
Center
Substance
Stored Gasoline / Regular
Tank Material-
Mod
Galvanic Cathodic Protection
(STIP3)-None
ATG Veeder Root / TLS-350 CSLD No
Manifold
LTT Test Oct. 27, 2023
LLD Test Oct. 27, 2023
Pipe Material-
Mod
Fiberglass Reinforced Plastic /
None
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Combined Steel Flex CP
LLD Model Vaporless LD2000
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Overfill alarm
/ No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankATG
PipeAutoLineLeakDetection /
PipeLineTightness
CP Tank Test Jan. 17, 2023
CP Pipe Test None
Tank ID/Alt ID 3 / 3
E-Gen/AST No / No
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc March 2, 1994 / 10000 / North
Center
Substance
Stored Gasoline / Regular
Tank Material-
Mod
Galvanic Cathodic Protection
(STIP3)-None
ATG Veeder Root / TLS-350 CSLD No
Manifold
LTT Test Oct. 27, 2023
LLD Test Oct. 27, 2023
Pipe Material-
Mod
Fiberglass Reinforced Plastic /
None
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Combined Steel Flex CP
LLD Model Vaporless LD2000
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Overfill alarm
/ No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankATG
PipeAutoLineLeakDetection /
PipeLineTightness
CP Tank Test Jan. 17, 2023
CP Pipe Test None
Tank ID/Alt ID 4 / 4
E-Gen/AST No / No
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc March 2, 1994 / 10000 / North
Substance
Stored Gasoline / Premium
Tank Material-
Mod
Galvanic Cathodic Protection
(STIP3)-None
ATG Veeder Root / TLS-350 CSLD No
Manifold
LTT Test Oct. 27, 2023
LLD Test Oct. 27, 2023
Pipe Material-
Mod
Fiberglass Reinforced Plastic /
None
Pipe type/STP
Cont Pressurized / Yes
STP Flex
Connectors Combined Steel Flex CP
LLD Model Vaporless LD2200
Spill/Overfill/Sm
Delivery
5 gal. Spill Bucket / Overfill alarm
/ No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankATG
PipeAutoLineLeakDetection /
PipeLineTightness
CP Tank Test Jan. 17, 2023
CP Pipe Test None
INSPECTION COMMENTS
Title: In case of emergency sign needed
2024-04-16 Page 2 of 10
2024-04-16 Page 3 of 10
FACILITY RESPONSES
The above accurately represents the
facility's release detection records 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?
No
Does the site have emergency shutoff
device?Yes
Cathodic Protection
The results of the last two cathodic
protection tests are available (within six
months of installation and every three
years thereafter)?
Yes
Financial Responsibility
Financial responsibility method is ok?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
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
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
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
2024-04-16 Page 4 of 10
Tank 1 ATG/IM
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - 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
ATG - The tank was filled to at least the
minimum level required to ensure a
valid leak test, and the tank size is
within the allowed upper and lower size
limits?
Yes
Tank 1 ATG/IM
Does the ATG system have a valid
annual test?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
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
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 3 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 3 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 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
Does the overfill device have a valid 3-
year test or the tank is exempt?Yes
Tank 4 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 4 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
2024-04-16 Page 5 of 10
Tank 2 ATG/IM
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - 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
ATG - The tank was filled to at least the
minimum level required to ensure a
valid leak test, and the tank size is
within the allowed upper and lower size
limits?
Yes
Tank 2 ATG/IM
Does the ATG system have a valid
annual test?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
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
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
Yes
Tank 4 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
2024-04-16 Page 6 of 10
Tank 3 ATG/IM
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - 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
ATG - The tank was filled to at least the
minimum level required to ensure a
valid leak test, and the tank size is
within the allowed upper and lower size
limits?
Yes
Tank 3 ATG/IM
Does the ATG system have a valid
annual test?Yes
Tank 4 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
If an overfill alarm is being used is it
properly located so the delivery driver
can hear or see it, and is clearly
identified?
Yes
2024-04-16 Page 7 of 10
Tank 4 ATG/IM
ATG/IM - Records on site document that
the system is properly installed,
calibrated, operated, and maintained
(system and tank setup reports,
maintenance records)? Written
documentation of calibration,
maintenance, and repair is kept for at
least one year after work is completed?
Yes
ATG/IM - ATG console or other
equipment used to take readings and
perform tests is adequate, accessible,
and operational?
Yes
ATG/IM - 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
ATG - The tank was filled to at least the
minimum level required to ensure a
valid leak test, and the tank size is
within the allowed upper and lower size
limits?
Yes
Tank 4 ATG/IM
Does the ATG system have a valid
annual test?Yes
DISPENSER RESPONSES
Dispenser 3/4
Flex connectors at the dispensers are
protected from corrosion?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
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
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
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
2024-04-16 Page 8 of 10
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 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 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
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 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
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 4 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass
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
FACILITY
No Photos
Question: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?
Comments:None
2024-04-16 Page 9 of 10
Prepared by fueloperator.com
Inspection Information
Inspector:Lundell, Phillip
Record Created:April 16, 2024, 9:40 a.m.
Inspection Date:April 16, 2024
2024-04-16 Page 10 of 10