DERR-2024-004986

L
:Mg i€ mso.qEl. r@ar Etrc l:trtm rixll tFmiSgl
|lotification for Underground Storage Tanks STATE USE ONLY
S6raa9@r@daaoG
ID NUMBER
TYPE OF NOTIFICATION DATE RECEIVED
: A. NEW FACILITY E B. AMENDED : C. CLOSUHE
A. Date Entereo lnto Comouter
B. Data Entry crerk rnitars iftscgssElil8
C. Owner Was Contadeo to 'A/7-.'
ctarify Responses. cor,neil[|O Z 2 1990
No. of tanks at facilrty -Z-uo. of ""^rr"tr; sneers anacneo?
INSTRUCTIONS
Please tyoe or orint in ink all items except "signature" in secton V. This torm
must be completed for each location containing underground storags tanks. lf
more lhan five (5) tanks are owned at thts locatlon. photocopy the foilowrng
she€ts, and staple continuatron sheets to the form.
tfficdon l. rtqnartd by fuaiC l.u lor lll undcrgEund t.nkt th.t
hav. bca.t ulad to nola rrgullEd tulatancaa Jtr Januty f. 19E4. that
am in th.grlurtd .a o, Uay 0, 1980. or tha ln! brosgm anto u...ft.r l/Ly E,
19E6. Tha inionnad.rn r.gu.i.d it rtquand by Sacuon 9@l ot th. R..ourc.
Cont.iln|on.rl(l Rccovrry Act, (RCRA), .! !nr.nd.d.
T}le gflmary purposa ot fiis nomrcauon program rs to tocaro an6 evatuato
umergrcund tanks that $or€ or have stor€d oetrolsum or ha:aroous Suostances.
ll is srDecleo that n6 rntormaoon you grovlde wrtl b€ b:uiso on reasonaoly
avalado Gcoros. or rn lh6 absonc€ ol sucn rsc!r6s, your l(nowteoge. oetret. or
re@lEcllon.
Who ihr.i Notlty? Seaion 9002 ot RCRA. .r:i amended. requues rhat. unless
erempEO. oiners ol un@rground tanks that $ore r€gulat€o subs&lnoes must
nody des.gnaleo surte or local ago.rcreri ol the el|$enca ot th€lr tanks. owner
,raSfli-
a) in the caso of an underground $orage tank an use on Novamoor 8, tg&t. ot
bmugm rnlo uso atter tha dato. any p€Gon who owns an undg(rround sto,ags
tank uli€o lor lho $oraEe. use, or clisp€nsrirg ot regulat€d subsEnces. and
bl in lhe casa of any undergrtund storage lank rn use botore Nov€moer 8.
19&{. but no longer ls us€ on ma date. any person wno owned sucn tank
immeoraely belore the dlscoilrrxla0on ol rls use.
c) at the sulre agencr 30 roqurrss. any tacility lhil has unoefgone any cnarigas
to taolity rnlormatton or tank sy$em status.
Whaf Tanlr Ar. lnclud.d? Undergrouncl storage tank rs clefineo as any one
or comunanon ot tanks lhat ( t ) is usaro lo contatn an acoJmutatton o, "regulatoo
suostancas.'ancl (2) whos6 volume (rncdiding conn€ded unoerEround gtomg) ts
l07o or more Dgneam m€ groum. Some eramoles aro underground tantG stonng:
l. Gasoline. us€d oil. or dtesel tuel. and Z indushat sotvents. pes0odes.
h€ruo(Es o, fumrgants.
What T.nlr Art Ercludad? fanks Iamotred rrom the ground are not subpcr
to notficatron. Other tanks orduded lrom nortication are:
1. tarm or rBsdenrlal lanks ol 1.100 gallons or te$ cagaory used lor $onng
morcr fuol loi non@mmeroal purpos{rs:
e lanks usod lor stonng heaDng oal lor consumprv€ use on the promlsos
where sbrEd:
3. segoc lanks:
4. grpolino lacilitis (inducring gah€nnq lines) regulaled undct ttta Nalural Gas
Pipolin€ Sarety Act ot 1968. or the Hazar(bus troud Pip€lrn€ Sarev Aci ol 1979. or
wnldr ts an rnra:iuile ptpolrno raolity reguraleo urroor State |ars:
5. surlace rmpoundmcour. grs, 9onos. or lagoons:
6. $orm watet or wage water @rledon systems:
7. tlow-through procsss tanks:
8. liqut(l tra96 or:tssooaed ganennE ltnes ouoclly r€lat€d to o[ or gas
croducuon arl(, gath€nng oPefa0ons:
9. stora€€ tanks srruat€d tn an unoerErcund ar€a (such iis a oas€menl. cellat.
mtn€ro.l(ng, dntt. shatt. or runndl rt th6 slorage tanx ts $tuato ugon or aoov€ lne
surtaca ol th6 floor.
Whtt grhanc.. Alt Covartd? Th6 no0ticaton reourromenGr aDpl), to unoor
Eround $orago tanlG thal comain regurated subsBnces. This ittdu(bs any
suamnco dsti.red a! hazadous rn s€€lton 101 dlid th. corilgrarr€nsve
Erwlronmenial Response. Compensauon ano q@Iffi lhot tgg0 (CERCI-AI. wrrn
th€ oxcagson ot those Substancs reEulared as nalaroous *lnr umer subtile c ol
RCM. lt arso andutalr qrrrobum, €.9-.. crude orl or ahi.rracton ttiulot wnrcn rs
ticrutd al sta rctaro @noruons ol temgerature ano pressure rE.-qaEoij6anrenne,t
aln 14.7 pouncr oor souarg rnqr aDsoruret. .t . - f [./X,wh-t ro No*rv? seno cow;;:'?T_::,' '" Q
.,. .,r , o
"- QO
*o oi'i,ofru:, ,, iso
wlrcn To t{otlry? 1. owners oi unoergrouno ,rofln/rr39r.l?/fuOrrtnat have
5€on raxen our o, oo€rarrcn atrer January I . 1974. bur strll'ihffSrpirir{d)musr norrw
Dy May 8. 1986. a Oiln€rs wno bnng unoargrouno storage tankS{rt& Dl* ane? Mav
L 1986. must notty $rhin 30 days ot Dnn$ng rne ranxs rnto us6. 3. Itlr(AEnte
reourros nouticatron ol any aunenomens ro taollty seno rnlormatron ro Stal6€gency
rmm€0lill6lY.
Pen tti.a: &ry owr.r uho knowanEly laila lo nolily or tubmatt l.ls.
in o'lrtdon thdl ba rubl.ct to t ciyil p.n.tty not to.rc..d 3'10.000 tor..ch
trnl ro? rlrdr nofillcltlon ir not giy.n o? lor which lrlra anlottttttion i!
3ubitilt d.
I. OWNERSHIP OF TANK(S)II. LOCATION OF TANK{S)a
7.7 OO Wes t
Ora naru rco@,ar@ rffit@J. Putr &sq. d OtE Enr&l
UDOT, Diyision of Maintenance
Srdlde
4501 So.
Salt Lake City, I.rtah B4l,19
iil Sa A iC o^ | .aE Er Frt
.qtilnrC@ftSiffi. rtrea
lG6 rctffit
500 North Mn i reef
Sevi er
&v. a m,IE tsct!6 d taE i rm d Seta d oerG. a'^utG. a€ '@ Erffi ui .2 :€
Larrtude3S .57 28 N Longrrude 111 .51 3 3
nS
Salt Lake
:lc C6a
CMs
r 801) 96s- 4769
Ph{,{@rtffi tQfut
L.,
III. TYPE OF OWNER IV.INDIAN LANOS
Tanxs are Ecateo on lano w[hin an lndian
Resewation or on other tru$ lands. tr
Tanxs are owneo oy native American natlon.
inbe. or inoivioua =
V. TYPE OF FACILITY
I Tribe or Nation:
l-
E Fxiera Gov't.
HState Govemmem
I Uocat Govemmenl
Commercral
Private
!
-
Contrador
_ Trucking/Transoon
_ Resoential
_ Farm
_ Other (Exptain)
Sel€ci the Apprognae Faciiity Oescnptron
_ Gas Station
_ Petrol€um Distnbuor
_Air Taxi (Aidine)
_AircrartOmor
_Auto OeaEctrip
_ Railroad
_ Loeal Govemmenl
Y Stanr Govemment
-
F€doral - Military
-Commerod_ lncusfral
-
Federal - Non-Military
-
Utilities
VI. CONTACTPERSON IN CHARGE OFTANKS
Phone Number (lndude Area Code)
( 801) s29 - 7 222
Nama Job Title Address
Larry Crane Station Supervisor See Location
VII. FIMNCIAL RESPONSIBILIW
lhare mt
accorlan
.n-*-^I*"il'*
Self lnsurance
Commercial lnsuranca
Risk Retemon Group
,t the finaneal responsrbility requiremenE in
ce wilh 40 CFR Subpan H i
I
I ,- Guaranree
I I Surery Bond
|
-
Lener of Creoit
-'+ state Funds
Other Methoo Alloweo Soeofy
Vlll. CEFflFICATION (Read and sign after comgleting all secttons)
I ceruty under penatty ol lry that I have personally examined and am tamiliar wrth the informatron submittect in thts ano all attached
documsnts. and thal bascd on nry inqriry of those indrvrduals immeoiately responsble for ootarnrng lhe informanon. I believe tnat the
submined inlormation is true.acalrate, and completo.
Oate Signeo
s- 7 -?
Nanre and olficial tide of owner : Signanrre
or owne/s authorizeo represenative (Print)
Daniel Hsiao, Div. of Iviaintenance 0;,t/lb^o
EPA estimates public reponing burden for this form to irverage 30 minutes per resoonse including Ime tor revrewrng rnstrudlons.
gathoring ard mainAinang th€ <taia nee(ed and complAing and reviewng the form. Send commenE regardin_g tlis_9ulU_en estmale to
eniet. tntormaion Policy Brardr PM-,B, U.S. Erwircnmentat Protection Agensy.4Ol M Straet. WashinElton D.C.20460. matt€d
'Attention Desk Offrcer ior EPA.'This torm amends the prwrous notilication forir as pnnted in 40 CFR Pan 280. Appendir l. Previous
edfions of this notificaion lorm may be used while suppibs las;t
lX' DESCRIPTION OF UNDEFGROUNO STORAGE TANKS (Comprere for each tank at this tocation.)
Tank ldentification Number fank No. 1 Tank No. 2 Tank No. _ Tank No. Tank No.
Stiatus ot Tank
(mark only one)Cunently in User
Temporanly Out of Usel
{HilFEEftusoIII,
Permanently Out of User
(nffitEilu@txl:
Amendment of lnformauonr
tv lr
2. Dats of lnstaflation June 1990 June 1990
3. Estimated Total Capacrty (gailons) 6 . o o o 8^000
Asphault Coated or Bare Steeti
Cathodiacally Protected Steet r
Epoxy Coated Steetr
Composite (Steel with Fibergtass) r
Fiberglass Reinforced Plastic I
Lined lntenor I
Oouble Walled I
Polyethylene Tank Jacket r
Concrete r
Excavation Liner r
unfnown i
:
Other, Please Speoty i
Has tank been repaired?r
4. Material ol Construction
(Mark all that apply)
I,l
,l
I
I:
tl
x
lxi
I
I
I
I
I
I
I
T
I
5. Piping (Material)
(Mark all that apply) Bare Steetr
Galvanized Steelr
Fiberglass Reinforced plastic
r
I
Copper i
Cathodicaily proteaed
r
Double Walled r
Secondary Containment r
Unknown r
Other, Please Specify I
,Xl
I
t,
lr
lr
I
:
I
I
I
I
I
6. Piping (Type)
(Mark all that apply)
Suction: no valve at tank, i;r--
Suction: valve at tant i i I
Pressurer i X I
Gravrty t"o, ---l
Has piping been repalred ? | | |
t-x r
Tank No. r Tank No. .r Tanx No.
-
Tank No-
-
ianx No'
-
7. Substance Cunenqv or t-ast Stored
ln Greatest Quantry by Volume
Gasoline
0ieset
Gasonol
Kerosene
x
Heating Oil
Us6cl Oil
Other. Please Speoty
r
Hazarlous Subsfrnca
CERCLA name and/or.
CAS number
Mixture of Subsances
Ptease Speefy
X. TANKS OUTOF USE. OR CHANGE IN SERVICE
1. Closing oi Tank
A. Estimated &re la$ usd
$noJdayry€€rl
8. Esilmae date tank dosed
(moJdayryeao
C. Tank was removed trcm grountl
D. Tank was dosad in grcund
E. Tant tilled fftt inert material
Describe
l,r
irl
F. Change in serur:e I
Evtrenca ol a leak detected
I
\ffi*c offi
Tank ldentification Number Tank No. L Tank No. 2 , Tank No. Tank No.
-
i Tank No.
-
1. lnstallation
lnstaller certified by tank and
piping manufacturers
B. lnstaller certified or licensed by the
implementing agency
C. lnstallation inspected by a
registered engineer
D. lnstallation inspected and
approt d bry implementing agency
Manutact ro/s installation check-
lists have b€€n compl€tod
Another method allowed by State
agency. Pleass specfu.
F.
il-
r-tl!rtt
ii-l
iil--];r
l-
,l1ll
i
lt
2. Release Oetection (Mark ail that appty)
A. Manual tank gauging
B. Tank tightness testing
C. lnvantory controls
TANKxx
PIPING
1,ff}":#"ffi;*aq)
G. lnterstitial moniloring double wafled
tanUpiping
LKx
rytr
tr
H.lnterstitialmonrtodng/secondary X-'
containment
l. Automatic line leak detectors
i
J. Line tighhess testing _ i
K. Oher method allowed by , i ,
ilmplementing Agency. Please Specrty.
TANKxx[KEmmm
m
!
:l
I
PIPING
EwEr4
*
TANK
r
rItrtltrrlE
lt
PIPINGi TANK
I
-i-
l':iI,
t-lr-I 'l Ilt:ril
I
I
I
I
PIPING
llr
i:
It,
TANK I PTPTNG
I
Etl
t_ltrE
EE !
EEr
Il........-lr-i'li
l
t-i-lir,:
-l+
I
It--]lr--'lIrll
3. Spill and Overfill Protection
A. Overfill device instatled
B. Spill devica installed
best o, my belief ard knowledge.information conceming installation that is
\-,
9Y ";"{*)*M ' veil* 'L
%-ry*ffi^(dN'***tr}il*)\crry
Q\'rD/r
FoR I RETURil Kenneth Alkema
iffi I
*."'*fB
Lqi'fltt:*llffi:ff:-zffiZo
Notificrtion is rcquircd by Fcdcnl hw for rl! undcryroud trnls dret hevc bccn
u!.d to 3torc rctulrtcd rubctmccs sincc Jenury I, l9?{. thrt erc in ihc arormd u of
Mry t. 19t6, or tht erc brou3ht into uc rftcr Mry t, 19t6. Thc informrtion rc$lcrcd
brcquircdby Scction9002ofthc RcsourccConservetionend Rccovcry Act,(RCRA)r.
rs rmcndcd.
The primary purpose of this notification program is to locate and evaluate under-
ground tanks that store or have stored petroleum or hazardous substances. lt is
expected that the information you provide will be based on rcasonably alailable
records. or. in the absenct of such records. your knowledge. belief. or recollection.
Who Must Notify? Section 9002 of RCRA. as amended. requires rhar. unless
exempted. owners of underground tanks that storc rcgulated substances must notify
designated State or local agencies of the existence of their tanks. Owner means-
(a) in the case of an underground storage tank in use on November 8. 1984. or
brought into use after that date. any person who owns an underground storage tank
used for the storage. use. or dispensing of regulated substances. and(ir) in the case ofany underground storage tank in use before Novembcr 8. 1984.
but no longer in use on that date. any person who owned such tank immediately beforc
the discontinuation of its use.
lYhrt Tenks Arc Includcd? Underground srorage tank is defined as any one or
combination of tanks that ( l) is used ro conrain an accumularion of 'rcgulited sub.
stances." and (2) whose volumi (including connected underground piping) is 1016 or
more beneath theground. Some examples arc underground tanks storihg:-t.gasoline.
used oil. or diesel fuel. and 2, industrial solvents. pesricides. herbicides or fumiganrs.
Wht Trnks Are Excludcd? Tanks removed from rhe ground arc not subjecr ro
noiification. Other tanks excluded from notification are:
t. farm or residential tanks of I . 100 gallons or less capacity used for storing motor fuel
for noncommercial purposes:
2. tanks used for storing heating oil for consumptive use on the premises where stored:
3. septic tanks:
4. pipeline facilities (including gathering lines) regulated under the Natural Cas
Pipeline Safety Act of l!)68. or the Hazardous Liquid Pipeline Salerl' Acr of 1979. or
which is an intrastate pipeline facility regulated under Srare laws:
5. surface impoundments. pits. ponds. or lagoons:
6. storm water or waste water collection systems:
7. flow-through process tanksl
t. liquid traps or associated gathering Iines directly relared to oil or gas production and
gathering operations:
9. storage tanks situated in an underground area (such as a basement. cetlar.
mineworking. drift, shaft. or tunnel) if the srorage tank is situated upon or abol.e rhe
surface of the floor.
Wh.t Sub.lrncc Are Covcrcd? Thc notification requiremenrs appl1, ro under-
ground storage tanks that contain regulared substances. this inctudei ini, substance
defined as hazardous in section l0l (14) of rhe Comprchensire Enr:ironmenral
Response. Compensation and Liability Acr of 1980 (CE RCLA ). wit h rhe exce prion of
those substances regulated as hazardous waste under Subritle C of RCRA. lr also
includes petroleum. e.g.. crude oil or any fraction thereof which is liquid ar standard
conditions of.temperature and pressure (d) degrees Fahrenheit and i4.7 pounds Jxrquare inch absolute).
Whcrc To Notify? Completed notificarion forms should be senr ro rhe address
given at the top of this page.
Whcn To Notify? l. Owners of underground storage tanks in use or that hat e becn
taken out of operation after Januarr' l. 1974. bur still in the ground. must notilv br.
Ma1 t. 1986. 2. Ownert uho bring rinderground storage tank"s into use afrer Mar i.
1986. must notify within 30 days of bringing the tanks into use.
Peneltics: Any owner who knowingly feils to notify or submits felsc informrlionshll bc subject to r civil penrlty not to rxcecd Sl0,lXXl for erch trnk for which
notilicrtion b not 3ivcn or for which frkc lnformrtion b submlttcd.
Please type or print in ink all items except 'signature'in Section V. Thb form mu$ by completed for
erch locrtion contrining underground storrge trnks. lf more than 5 tanks are owned at this-location.
photocopy the reverse side. and staple continuation sheets to this form.
lndicate numhr of
continuation sheets
attached
(Corporation, lndividual, Public Agency, or Other Entity)
Utah Daortment of Traneoortation
City State ZlPCode
Richfield Utah 84ZOf
Area Code Phone Number8or 8c5-824r
Type of Owner (frcr* ell thel e$y lf, )
I current S st"t"o,LocatGov't tr BtJyBi?S{"I ro.,", tr [ABX*Sfl,,l,o no tr 3#?{:l}1,
(lf same as Section 1, mark Uox nere E )
Facility Name or Company Site ldentifier, as applicable
Stati-oa 333
Street Address or State Road, as applicable
)OO North Main
City (nearest) State ZtP Code
Mark box here if tank(s)
are located on land within r-r
an lndian reservation or lJ
on other lndian trust lands
Name (lf same as Section l, mark box here
Lamy Crane
Job Title
Station Foreman
Area Code Phone Number8or 895-824r
tr Mark box here only it this is an amended or subsequent notification for this location.
l.certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attacheddocuments, and that based on my inquiry ol those individuals immediately responsible forobtaining the information, I believe tnat tfresubmitted information is true, accurate, and complete.
Name and oflicial title of owner or owner's authorized represontative
CarI Johnson SafetyAosg Control Mgr.
EPA Form 7530-1 (1
owngr..Nems (lrom secton l)Locatlon (lrom Sectlon Il)Pagp No.
-ot-
Tank ldentllication No.(e.9., ABC-123), or
Arbitrarily'Asdgned Sequentlal Number (e.9., 1,2,3...)
Tank No.
I
Tank No.a Tank No.a Tank No.
\+
Tank No.6
1. Status ol Tank(Markatlttnlawtya) CurrentlY in Use
' Temporarily Out of Use
Permanently Out of Use
Brought into Use after 5/8/86
E=t F E:t-t E
2. Estimated Aqe flearcl IA ZA z ZI 5
3. Estlmated Tota! Gapaclty (Gallons)tu *rr t-to66 7m I O66
4. Materlalolconstructlon Steel(Markone8') concrete
Fiberglass Reinforced Plastic
Unknown
Other, Please Specify
:I EI E EI
5. lntemal Protectlon(Markatlthatapryg) CathodicProtection' - Triterior Lining (e.9., epoxy resins)
None
Unknown
Other, Please Specify
E-l E E:E-l EI
6. Extema! Protectlon
(Markattthatapptyg) ^ .c.1'lfoProtection' Painted (e.9., asphaltic)
Fiberglass Reinforced Plastic Coated
None
Unknown
Other, Please Specify
EI EI EI E EI
7' PiPing Bare steer(Markallthatapp,ya) Gatvanized Steet
Fiberglass Reinforced Plastic
Cathodically Protected
Unknown
Other, Please Specify
E t-- lEI r:E=
y"tong
S.Substance.Qune$V.or$gr_!9*a a. Empry
in Grcatest Quantity by Volume b. petroteum(MarkalltlntaPryB) Dieset
Kerosene
Gasoline (including alcohol blends)
Used Oil
Other, Please Specify
c. HazardousSubstance
Please lndicate Name of Principal CERCLA Substance
OR
Chemical Abstract Service (CAS) No.
Mark box tE if tank stores a mixture of substances
d' Unknown
frr
l\.^li.- oll
tu
, T-_l
t{*li*oll
E
tu tu
E:l
b
EI_F
E
9. Addltional lnlormatlon (lor tanks permanently
laken oul ol servlce)
a. Estimated date last used (mo/yr)
b. Estimated quantity of substance remaining (gal.)
c. Mark box tE if tank was filled with inert material
(e.9., sand, concrete)
UWI sq' 'rar 1 Ffg€&
EPA Form 7530-1 (11-85) Reverse t u.3. Gorrnmrnt ttlntlng Otllcr: t!lHtl.7tl Page2
FoR . ! RETURN Kenneth Alkema
lH I**'flf8 H'fl"dt:#ffi::H-
Notificrtion is requircd by Fcdenl hw for att underground tenks thrt hvc bccn
glcd !o s!g]e reryhtcd substmccs since Jrnuery I, 1974, thrt rrc in the grourd rs of
Mry t, 19t5, or thrt rre bro_utlt into rrsc efter Miy t, 19t6. Thc informrtion rcquestcd
isrcquircd by Sccfion9002 of the Rcsource Conscnrtionend Recovery Act,(RtRA),
rs rmcndcd.
The primary purpose of this notification program is to locate and evaluate under-
ground tanks that store or have stored petroleum or hazardous substances. lt is
expected that the information you provide will be based on reasonably available
records. or. in the absence of such recbrds. your knowledge. belief. or recoilection.
Who Must Notify? Section 9002 of RCRA. as amended, requires that, unless
exempted. owners of underground tanks that store regulated subsiances must notifv
designated State or local agencies of the existence of their tanks. Owner means-l(a) in the case of an underground storage tank in use on November 8. 1984. or
brought into use after that date. any p€rson who owns an underground storage tank
used for the storage. use. or dispensing of regulated substances. aid(ir) in the case ofany underground storage tank in use before November 8. 1984.
but no longer in use on that date. any person who owned such tank immediately before
the discontinuation of ils use.
tYhrt Trnks Are lnchdcd? Underground storage rank is defined as anv one or
combinllion of tanks rhar ( I ) is used io conrain anlccumulation of -reguldred sub-
stances." and (2) whose volumi (including connecred underground piping) is lOlc or
more beneath the_ground. Some exampleiare underground ianks stdrihg:I. gasoiine.
used oil. or diesel fuel. and 2. indusrrial solvenrs. peiticides. herbicides 6r furfuigants.
Whrt Trnls Arc Excludcd?,Tanks removed from the ground are not subject to
notification. Other tanks excluded from notification are:
l. farm or residential tanks of I . lfi) gallons or less capacity used for storing motor fuel
for noncommercial purposes:
2. tanks used for storing heating oil forconsumptive use on the premises where storedl
3. septic tanks:
4, pipeline facilities (including gathering lines) regulated under rhe Natural Cas
Pipeline Safety Act of 1968. or the Hazardous Liquicl Pipeline Safet) Acr ol 1979. or
which is an intrasrate pipeline faciliry regulared under Stite laws:
5. surface impoundments. pits. ponds. oi lagoons:
6. storm r+ater or waste water collection systems:
7. flow-through procrss tanks:
t. liquid traps or associared gathering lines directly relared to oil or gas production and
gathenng operatlons:
9.. storage tanks situated in an underground area (such as a basement. cellar.
mineworking. drift. shaft. or tunnel) if thi storage tank is situated upon or above rhe
surface of the floor.
Whrt Substrnces Are Covered? The notification requiremenls appl1, to under-
ground storage tanks that contain regulated substances. fnis inctudes'dni' substance
defined as hazardous in section l0l ( 14) of rhe Comprehensive Enrironminral
Responsr. Compensarion a nd Liabiliry Act of 1980 ( CE RCLA ). u it h the exception of
those substances regulated as hazardous waste under Subtitle C of RCRA. lt also
includes petroleum. e.g.. crude oil or any fraction thereof which is liquid ar srandird
conditions of temperarure and pressurel60 degrees Fahrenheir and i4.7 pounds pei
square inch absolute.;.
. Where.To Notify? Completed notification forms should be sent ro the addressgrlen at the top ol thls page.
When To Notify? l. Owners of underground srorage tanks i n use or t har har e becn
taken out of operation after Januarl l. 1974. bur still in the sround. must noril\ h\
May 8. 1986. 2. Owners who bring underground srorage tanks into use afrer Miv i.
1986. must notify within 30 days of bringing rhe tanks iito use.
Ptneltics: Any owner who knowingly feils to notify or submits frlse informrtionshrll be subje.ct to e civil penrlty not to excocd S10,000 for erch trnt for whichnofficrtion is not given or for which frlse informrtion is submitied.
lndicate number of
continuation sheets
attached
Please type or print.in ink all items except *signature" in Section V. Thb form mu$ by completed for
eech locrtion containing underground stonge trnks. lf more than 5 tanks are owned it this'location.
photocopy the reverse side. and staple continuation sheets to this form.
(Corporation, lndividual, Public Agency, or Other Entity)
UDOI StatLon 373
citY s"lirr" utfft"846fP4coo"
Type of Owner (rt ad( ail thet awtyw )
I current @ stateorrocatcov,t tr tJyli?SrtI Fo,,", tr t$Xllgfl,,f,.o.no. tr 3#:g!;1,
(lf same as Section 1, mark box trere S 1
Facility Name or Company Site ldentifier, as applicable
Street Address or State Road, as applicable
lndicate
number of
tanks at this
location
Mark box here if tank(s)
are located on land within
an lndian reservation or
on other lndian trust lands
Name (lf sameassection l, mark box nere El )Larry Crane Station Area Code
8or
Phone Number
529-7222
Job Title
Foreman
tr Mark box here only if this is an amended or subsequ€nt notification for this location.
l.certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attacheddocuments, and that basgd on my inquiry of those-individuals immediatety reiponsiute ioi oolai;inglhe l;i;fft;iionl ioeu"re thar thesubmitted information is true, accurat6, aild complete.
Name and official title of owner or owner's authorized representative
Dale Sylvester Dist. .#1 Saf ety Coordinat
7s30-1 (11-85)
Tank ldentilf calion No. leg'diaC -1.Z3i7, or
Arbitrarily Assigned Sequential Number (e.9., 1,2,3...)
Tank No.
I
Tank No.
9
Tank No.3 Tank No.4 Tank No.F
1' Status ol rank currently in Use(Mark all thatapilya) Temporariryout of Use
Permanently Out of Use
Brought into Use after 5/8/86
[K-l ffl rrr q-1 fv1
2. Estlmated Aoe ffeare)tq.d tqb.)I qn5 t 7L€)t?8.1
3. Estlmaled Total Capacltv (Gallons)2tbtt a. )tt b u ooa 3A00 / aoa
4. Materlalol Constructlon Steel1Ma*one8.) concrete
Fiberglass Reinlorced Plastic
Unknown
Other, Please Specify
a/tv
5. lniernal Protectlon
(Mark ail that appty$) cathodic Protection' - Triterior Lining (e.9., epoxy resins)
None
Unknown
Other, Please Specify
f7 rxl r-.71
6. Ertema! Protection
(Ma*attthatapptya) ^ TTf':Protection' Painted (e.9., asphaltic)
Fiberglass Reinforced Plastic Coated
None
Unknown
Other, Please SPecifY
r7].7 fv-1
7' PiPing Bare steel(Ma*allthatapplyB) Gatvanized Steet
Fi berglass Rei nf orced Plastic
Cathodically Protected
Unknown
Other, Please SPecify
rx]T lrrr f7-1 rF rKl
8. Substance.Cunentlyorlast Stored a. Empty
in Greatest Quantity byVolume b. petroleum(MarkallthatapilyB) Dieset
Kerosene
Gasoline (including alcohol blends)
Used Oil
Other, Please SPecifY
c. HazardousSubstance
Please lndicate Name ol Principal CERCLA Substance
OR
Chemical Abstract Service (CAS) No.
Mark box E if tank stores a mixture of substances
d. Unknown
aE1
.C,,,/ fr|A
aE1
8.,/ O; L
rFl
rrr
.6-t
rrl
*<.) ArL
l_Ft
E il
9. Additional lnlormatlon (for tanks permanently
taken out ol service)
a. Estimated date last used (mo/yr)
b. Estimated quantity of substance remaining (gal.)
c. Mark box tE if tank was filled with inert material
(e.9., sand, concrete)
,r) uDo* L, ';*;:;fi"cronrrl sari(- ,"n""".jJhgnr '
EPA Form 7530-1 (1 1-85) Reverse t u.S. Gowrnmsnl I'rlntln, Ottt6r t!!C-ttl6'735 Page2
| :a
Jwncr Nrmc (lrom Scc-tlon l)UDOE Locellr T (lrom Scctlon ll)PagcNo.]otlergatSaIina
t. :
Tank ldentilication No. (e.9., ABC-123), or
Arbitrarily Asrigned Sequentlal Number (e.9., 1 33-l
Tank No.L TankNo.Tank No.Tank No.Tank No.
1. Status ol Tank
ryr.d(.tt tr'tepp,y'J) r-,*::f3tl}ffi
furmanentlyoutof t se
Bought into Use atter SE/S
q
t-]
I-]
t-]t-l
r-1
I-]
2 ErffmatedAse (Yeanl t98,3
3. Erfimated Total Caoadty (Gallmr)zt DAa
tl. Mslcrl8l of Construclhr(rrlad(or,,lil, --' stel
Concree
Fiberglass Reinlorced Plastic
Unknown
Other. PleaseSpcify
l-]E
l-]t-]l-]l-]
l-lI-]
I-]t-]
r-]
r-]t-]1-]
5.lntemal ProtecUm
(Ma* atl that applyg). Cathodic Protecliql- ldteriorLining (e.g..epoxyrcsins)
None
Unknorn
Othe( PteaseSpecify
rrl l-]t-]r-.|r-]
6. Extemal Protec{lqr
(Ma*ailthatapptys) *,fff;:X"ffi
Fiberglass Reintorced Plastic Coated
None
Unknourn
Other, Please Specify
l-]
t--ll-]
7' PiPing Baresteel(Ma* all thatapprya) Gatmnized steel
Fibergtass Reinlorced Plastic
Cathod ically Protected
Unknown
Other, PleaseSpecify
r)Ct
t-]l-1
l-]l---ll-]
r---.l
8. Subslance Currenlly or last Stored
inGrealesrouantitybivoturne -
-a Empty
(Maftailthatapptygi - b' Petroleum
Diesel
Kerosene
Gasoline (including alcohol blends)
Used Oat
Other, Please Specily
c. HazardousSubstanca
Please !ndicate Name ol Principal CERCLA Substance
oa
Chemical Abstract Service (CAS) No.
Mark box El il tank stores a mixture of substances
d. Unknovm
rFl
l-l
rrll--]
n
r---l
r---]
E rl tr
l--I
Tf
l---_l
9. Additional tnlormation (lor tanks permanently
taken out ol service)
a. Estimated date last used (mo/yr)
b. Estimaled quantity of subslance remaining (gal.)
c. Mark box E if lank was filled with inert materia!
(e.9.. sand, concrete)
I I I I I
r-_--|l----_.|
EPA Form 753O-f (lf-85) Reversc tU.3.Gcfirme at ktntlBt Ofrld: ttta-{t3-rtt Page 2
FOR I RETURN KennethAlkema
iffi |
comPLnREn
Lq,'##ffr:x*
STATE
l.D. Number
T'SEONLY,nrt
Notillcrtlon lr rcquir:d by Fcdcnl hw for rll undrrrround trr*r drrt hrvc bcanut d t_o $ora rrtublcd rubstrrt jncc Jenurry t, t9a. fh.t rrt in thc grornd u oI
Mey t. l9!5. or rlrrt rn bror4ht imo rrc rftcr Miy t, t9E6. Thc irtramrOin nqraca
b rcqufud by Sccdon 9002 of-thc Rcrourcc Cmcivrdon ud Rccovrry Acq (n'CnAI.. rmcodtd.
Thc primary purposc of rhis norification program is to locatc and cvaluatc under-ground tanks that storr or hal'c stored pdtrolcum or hazardous subetancrr. !t is
expccted that the information you provide will bc bascd on reasonably availablc
rccords. or. in thc abscnct of srrch recbrds. your knowledgc. belief. or recoilcction.
Who Musr Nodfy? Secrion 9002 of RCRA. as amended. rcquires thar. unlcss
excmpted. owners of underground tanks that storc rtculstcd subsianccs must notifv
dcsignatcd Statc or local agencies of thc existcncc oI thcir unks. Oryrrr mcans-l
_ (a) in.thc casc of an undcrground sroragc tank in usc on Noraembcr 8. 19t4. or
brought into usc after that datc. any pcrson who owns an underground storagc tank
uscd for thc storagc. usc. or dispensin! of regulatcd subsunccs. a-nd
_ (ir) rn thc casc ol any underground storage unk in usc bcforc Novcmbcr 8. 1984.
but no longcr in usc on rhar datc. any pcrson iho owncd such tank immcdiarcly bcfore
the discontinuation of its usc.
lVhrf Tenlr An lnchdcd? Undcrground storagc unk is dcfincd as.ny onc or
combination of tanks that ( | ) is usrd io contain anlctumulation of .rcruhrcd sub
sunces.'and (2) whose volumc (including conncocd undcrground pipirig) is l07p or
morc bcncath ihc.ground. Somcexamples-arc underground rinks srdrihg:-i.gsoiinc.
uscd oil. or diescl fuel. and 2. indusrrial solvcnts. pesticides. herbicides 6r fu-miganrs.
Whrt Trnts Arc Ercludcd? Tanks removed from the ground arc not subject ro
notification. Othcr tanks excludcd from notilication arc: -
l. farm or rcsidcnrial tanks of l.100 gallons or lcss capacitl,uscd for sroring motor fucl
for noncommcrcial purposcs:
2. tanks uscd for storing heating oil forconsumptive usc on the prcmiscs where storcd:
3. scptic tanks:
4. pipcline facilities (including gathering lines) rctularcd under rhe Narural Gas
Pipclinc Safety Act of 1968. or rhi Hazardous Liquia Pipclinc Safery Acr of 1979. or
which is an intrastare pipeline facilily regulatcd under Stite laws:
5. surfacc impoundmenrs. pits. ponds. oi lagoons:
6. storm *aler or uaslc water collection syritems:
7. flow-through proccss tanks:
t.liquid traps orassociatcd gathering lincs dirtcrly rclatcd to oilorgr.s produoion and
galhcnnS opcrations:
9.. storage tanks siruatcd in an underground area (such as a bancmcnt. ctllar.
mincworking. drift. shaft. or tunnel) if the srorage tank is siruatcd upon or aborc thc
surfacc of the floor.
Wh.t Sub.trlu Arr Covcrcd? Thc norification rcquiremenrs apply to under-
* gro_un{ storagc tanks that conrain rcgulaled subsranccs. this includiiny subriunce*dcfirrd as hazardous in scction l0l (14) of thc Comorchcnsilc Enriironmcnml
Responsc, Compcnsarion and Liabiliry Acr of 1980(CERCLA). wirh rhc exceorion of
thosc substancrs rcguhtcd as hazardous waste under Subtitle C of RCRA. lr also
includcs pctrolcum. c.g.. crudc oil or any fraction thcrcof which is liquid ar srandard
conditions of.tempcraiurc and prcssurcj60 dcgrccs Fahrcnhcit end ii.7 pounds pcr
sr;uare inch absolutc;.
llYlr.rc To Nofffy? Complered notifrcation fonns should bc srnt to thc addrcss
gircn at thc top of this pagc.
lVhcn To Notlfy? t. Owners of underground storage tanks in uric or that hale becn
la-ken .out ^of o-pcration afier Janua4 l . 1974. but stil-l in the ground. must norifl. b1,
May 8. 1986. 2. Owncrs who bring underground storage ranh into use after Mi1.tt.
1986. must notify within 30 days of bringing the ranks inro usc.
hnrhic* Any owncr rrlrc tnowinjly feib to notifv c obmib frbc infonrntborbll b. $biGct to r civll pcn lty not to crcccd 3m.m0 fa cr.b trrt for rhlchnolfibtion b not jrcn or for rhic-h fekc intormrtbn b ertmLfrd.
Please type or print in ink all items except "signature' in Section V. Thb form muil by complGfcd for
clch locrtion contrinint undcryround stonp trnk. lf more than 5 tanks arc owned irr thisiocation.
photocopy the reverse side. and staple continuation sheets to this form.
lndicate number of
continuation shcets
attached
Typeof Owner (ltt*ol,tht rifly[f,)' '
I crrr"nt @ stateorrocatcov'r tr Bt6:"rS,tI ro-", tr tffillSflr,,.o.^o. tr g#m,
Name (Corporation, lndividual, Public Agency, or Other Entity)
Utah Deoartnent of Tranaoortation
City State ZtP Code
Richfield Utah 84?01AreaCode PhoneNumber8or 8c5-824r
Name (lf same as Section l, mark box here E )
LarrT Craae
Job Title
Station Forenaa
AreaCode PhoneNumber8or 896-8241
E Mark box here only if thls is an amended or gubsequ€nt notilication lor this location.
I.certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attschedoocuments, and that based on my inquary of thoso individuals immediately responsible for obtaining the informatlon, I belie\re that thesubmited information is true, accurate, ahd complete
Name and oflicial title ol owner or owne/s authoriz€d repr€sontetiut
Carl Johasoa Safcty/,ogs Coutrol !llr.
(lf same as Section 1, mark box here
Facility Name or Company Site ldentifier, as applicable
StatLon 113
StrB€t Addr€ss or Stgte Road, as applicable
5OO North Main
County
Sevier
City (nearest)ZlPCode
Mark box here if tenk(s)
are located on land within
an lndian r€servation or
on other lndian trust lands
Form 7530-1(11-85)
UMT I/Loc.0on (lrom Scctlon !l)
11
Page No.
-d-Pegpl
s*./.raOwnerNeme (lrom Sccilon l)
Tank ldentilicatlon No. (e.9., ABC-1Z!), or
Arbitrarily Asslgned Sequenthl Number (e.9., 13,3...)
Tank No.
I
Tank No.)
Tank No.3 Tank No.\t Tank No.4
1. Statusof Tank(Ifta,,(attillr,te,{|lyB- currentlY in Use' Temporarily Out of Use
Permanently Out of Use
Brought into Use after 5/8/86
I:l EI
T- -l
F
r*-l
2. Estimated AEe flears)I 2t 2 'zz 5
3. Estlmaled Total Caoadtv (Gallonr)*v>**n LlOoo ?rvra t bt'r
4. Matedal ol Condructlon Steel(Me*oneB) concrete
Fiberglass Reinlorced Plastic
Unknown
Other, Please Specify
:T EI EI EI
5.lntemal Proteclton
(Mark atl that ap1ryg) Cathodic Protection' - Iriterior Lining (e.9., epoxy resins)
None
Unknown
Other, Please Specify
E E E:l E=l EI
6. ExlemalProlecllon
(Markattt'rrt.pptyu) ^ .c."tlfi"Protection' Painted (e.9., asphaltic)
Fibcrglass Fleinfci'ced Plastic Coated
None
Unknown
Other, Please Specify
EI El EI E E
7' PiPing Bare steer(Ma*allthatepd|/a) oatvanizeo steet
Fiberglass Reinforced Plastic
Cathodically Protected
Unknown
Other, Please Specify
E t:t E
r, l
Y'tone
S.Substance.QunentlyorLastStorcd a. EmplyinGrcatestOuantltfbyVolume - *(Madcattthatawygi b' Peiroleum
Diesel
Kerosene
Gasoline (including alcohol blends)
Used Oil
Other, Please Specify
c. HazardoucSubstancc
Please lndicate Name of Principal CERCLA Substance
OR
Chemicat ahqtract Service (CAS) No.
Mark box tl if tank stores a mixture ol substances
d. Unknown
rb
, l-l
llo'li*oil
tu tu
E:
b
EI=E
E ri I
9. Addltlonat lnlormallon (lor tankt permanently
taken out ol rervlce)
a. Estimated date last used (mo/yr)
b. Estimated quantity of substance remaining (gal.)
c. Mark box t! if tank was f illed with inert material
(e.9., sand, concrete)
EPA Form 7530-1 (11-8lt) Reverse t u.a Ocnnrrm Flntlnt Otflc.! laaa-a..'rtl Fage2
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Direaor
To: Steve Canning
Utah State Fuel Network
PO Box l4ll52
Salt Lake city, utah 84141-1152
From: William Moore, Environmental Scientist
H*::;",iED
.i;i ' i 1007
DEQ
brronmsnut nulPt"il
Re: Non-compliance of underground storage tanks at UDOT #333, 500 North State Street,
Salina, Utah. Facility Identification No. 20N209
Dear Mr. Canning:
The Utah Underground Storage Tank Act (ACT) provides that the Executive Secretary
(UST) may revoke a Certificate of Compliance, if it is determined, that a facility is not in
substantial compliance with all state and federal UST statutes, rules, and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response
and Remediation (DERR) performed a compliance review for the underground storage tanks
(USTs) at the above facility. The inspection on April 10, 2007, and a compliance review
performed on April 13,2007, indicate you have not satisfied the requirements of the Act and are
out of compliance. To achieve compliance, you must do the following:
Submit a copy of a current (performed in the last 12 months) precision line tightness test for
the product lines associated with both USTs.
,X, Submit a copy of a simulated leak test for proper operation of the automatic line leak detectors' on the pressurized product lines associated with all both products in the USTs performed
within the last 12 months.
-X fne inspection documented you are using a Red Jacket ST-1401 Automatic Tank Gaugingt (RtC) system, to perform I-eak Tests on the tank portion of the UST system. However,
the inspection also documented that the ATG was indicating the current date as in 2OO2
and no tests available in the memory. The records on site were missing for September
2006, and for February and March 2007. Submit evidence that proper Automatic Tank
Gauging (ATG) is performed on both USTs, by:
168 North 1950 West. PO Box 144840. Salt Lake City, UT 841 14-4840. phone [phone]. fax [phone]
T.D.D. [phone] . wvw.deq.utalt. gov
Page2
a. Documenting repair and reprogramming, or replacement of this ATG system.
The above information must be submitted to this office by Mav 13. 2007. If it is not received
by the date specified, we will commence the revocation process of your Certificate of
Compliance. Continued non-compliance will result in the fees on your Certified USTs to be
increased from $100 per tank to $300 per tank and failure to pay the additional fee can
result in lapsing of your UST Certificate of Compliance. In addition, if you fail to submit the
required documentation as requested, you will be charged $70.00 per hour for time and
travel as allowed by statute, for eyery follow up inspection necessary to document
compliance. If you have questions concerning this matter or need any assistance, please contact
William Moore at [phone].
Steven Canning - Re: Sq!11a
-U_PO-f_. , .= _.
-
Page 1
I
From: William MooreTo: Steven CanningDate: 5l10lo7 9:11AMSubject: Re: Salina UDOT
I have extended an additional 30 days (6t13t07)
>>> Steven Canning 5t1Ot2OO7 8'41 AM >>>
Bill the Non-compliance letter you sent to me concerning salina uDoT, facility #2ooo2og dated April 13,just arrived on May 9. So I am asking for an extension of time to provide the ihformation you needed.
So you know what is going on ltem 1 &2 are being done ASAP
And item # 3 I have ordered a new ATG TLS300 c and as soon as it arrives here Todd will install it.
Thanks Steve Canning
From: Steven CanningTo: Steven Canning; William MooreDate: 5110107 8:41AMSubject: Salina UDOT
Bill the.Non-compliance letter you sent to me concerning salina uDoT, facility #2ooo2og dated April 13,just arrived on May 9. So I am asking for an extension oi time to provide the ihformation you needed.
So you know what is going on ltem 1 &2 are being done ASAP
And item # 3 I have ordered a new ATG TLS3OO c and as soon as it arrives here Todd will install it.
Thanks Steve Ganning
f.eg""-tJ
Appl-,o+xTXyypgty.qltTAl
.
sftv_r c E s, L. c.po Box rez no{[iAH ffiiiii6il?tr1]iuiTEIC. TEIThesesystemsmeetallrequirementssettortnbyUSEPAoo.,*ffi!iir,.,,,on.
PRECISION TANK & LINE TEST RESULTS SUMMARY
INVOICE ADDRESS:
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH 84141-1152
TANK LOCATION:
UTAH DOT # 333
5OO NORTH STATE
SALINA, UTAH
WORK ORDER # 07.I56
pEQ tD# 2000209
TEGHNICIAN: SM
TECH # 94027
STATE TECH # UT 0121
GROUNDWATER DEPTH:
N/A DW TKS
DATE:
6-26-2007
TIME START:
15:00
TIME END:
'16:30
TANK TANK PRODUCT TANK
1.
2.
3.
4.
5.
6.
6000
8000
R/UL
DSL
PASS
PASS
PASS
PASS
PASS
PASS
PUMP
ryPE
PRESS
PRESS
TANK
MATERIAL
DWF
DWF
PRODUCT LINE LEAK WATER IN
K
PASS
PASS
0.0"
0.0.
PRODUCT LINES TESTED ATSO PSI FOR 15 MIN
LINE RATES (GPH)
1. R/uL -.ooo 4.
2. DSL -.ooo 5.
3. 6.
rEr 5ooo NoN VoLuMETRrc rtr
^-.rE r.'ooooro.rr.r*,.ro**r.r@rp * E
ADDITIONAL INFORMATION :
, "Tg,llXI:f l"# j.{i i'::ii.'
Date: 2007 .06.28 21 :,46: 1 3 _08,00,
Reason: Document is certified
All tests we.e pe,form
tightness testing' these resutts canfiot ue gru."ni;i. iii;; # no wananties expressed, written or impried.
DATE: 6-26-2007
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UT 84141-1152
[phone]
Facility Name and Site Address:
UTAH DOT # 333
5OO NORTH STATE Facitity tD#2000209SALINA, UTAH
Purpose: Regular___-Reinspection___-Complaints Annual lnspection _X___
ACTION TAKEN
Storage tanks properly labeleE
Fillcaps and undergrounO storage covers_ffi
Fuelfilters on pumps
Octane posted on pumps
Security seals intact
Dispenser Contin uity Test
GAS STATION INSPECTION REPORT
6-26-2007
FOR INSPEGTION
Unleaded Plus___ gallons
Diesel_ 6_ gallons
Date:
!o
o
J
b-
Eo
oo'6'
u
Eo
a.J:
(u
U)
'if,
q)
ooF
Loo
Ef,z
1-2
MOTOR FUEL PRODUCTS USED
Regular- gallons Unleaded Regular-.[__ gallons
Unleaded premium__ gallons
Product was returned to fuet storage tanks.
Water tests/Fuel storage
lnspection Remarks:
lnspected by: Steven B. Martin UTO1Z1
Applied Environmental Services L.C.
Received by:
^
HEIGHT
hIATER
TEMP
I
;
I
i
I
ir
SALINA UDOT
,HAY 28, ?otr? 3:tr5 At"t
LEAK TEST REPOET
T I :DIESEL
PROEE SERIAL NU[,I 18?558
TEBT STAETING TII'IE:
t"lAY 28, 2D07 l2:05 At.l
= 5S.O INCHES= 0.0 It€Hes= 50j8 F"
TEST LENGTH = 8..0.. HRS
STRT VOLLf1E = 5533.7 GAL
PERCENT VoLL[.lE = ?0.6
LEAK TEST RESULTS
RATE = -0.03 GAL,,HR
THRS = -0. l3 GAL,'HR
O.2O GAL,,HF TEET PASS
xxxxxENDxx.xxx
SALINA UDOT
f-1AY 28, 2007 3:05 AI,r
f
I
LEAK TEST REPORT
T z:UNLEADED
PROBE SERIAL NIJN 287559
TEST STARTIFS TII"IE:HAY 28, 200? tz:05 AH
fiEiFH', : if,,f; jilslEs
TEST LENGTH = g.0 HRS
Elf;l'ilfl'ffi1*i.o!' ' : 6?i;i
LEAK TEST RESULTS
ififiE : :3:13 31ir;f;U.?U GAL,,HR TEST FASS
xxr{xxENDxxxf,*-
TNFORM TANK PASSIATEST REPORT
Site: Salina UDOT Station # 333
TANK
NUMBER LABEL
prir^\on 7l2l2OO7 10:41:25AM
%FULL VOL
1
DATE
DIESEL
TIME
REPORT
VOLUME
Gal Hours
7t2t2007
712t2007
7t2t2007
6t18t2007
6t4t2007
5t21t2007
5t21t2007
12:05:00AM
12:05:00AM
12:05:0OAM
12:05:00AM
12:05:0OAM
12:05:00AM
12:05:00AM
TANK
3.0 gal / hr
0.2 gal I hr
Fullest Monthly 0.2 gal / hr
0.1 gal/hr
Fullest Monthly 0.2 gal I hr
Fullest Last 0.1 gal / hr
Fullest Monthly 0.2 gal / hr
4,370.12
4,370.',t2
4,370.12
3,329.13
5,322.60
5,839.20
5,839.20
0.00
3.00
3.00
3.00
3.00
3.00
3.00
55.73
55.73
55.73
42.46
67.88
74.47
74.47
NUMBER LABEL
2
DATE
UNLEADED
TIME
REPORT
TYPE VOLUME
Gal
DURATION %FULL VOL
Hours
7t212007
7t212007
7t2t2007
6t't812007
5t21t2007
5t21t2007
5t2',U2007
12:05:00AM
12:05:00AM
12:05:00AM
12:05:00AM
12:05:00AM
12:05:00AM
12:05:00AM
3.0 gal / hr
0.2 gal / hr
Fullest Monthly 0.2 gal / hr
Fullest Monthly 0.2 gal / hr
0.1 gal / hr
Fullest Last 0.1 gal / hr
Fullest Monthly 0.2 gal I hr
3,606.25
3,606.25
3,606.25
3,976.01
4,874.57
4,874.57
4,874.57
0.00
3.00
3.00
3.00
3.00
3.00
3.00
60.12
60.1 2
60.12
66.29
81.27
81.27
81.27
Page 'l of '1
WARRANTY REGTSTRATTON AND CHECKOUT FORM (WRACO)
The warantv is not valid unle*l,hip reqistration form is comoleted and retumed to Veede.{oot within 14 davs of installation.
/ou must attach Svstems Setuo lnformation Printout T,
PLEASE COMPLETE the INTRINSIC SAFETY CHECKLTST on back
Dordes REQUIRED DATA Fom wifi be rstumed if ALL rgquircd data is not completed.
FOLD
I
FOLD
I
() vEEDER-Roor
6th Ave' @ Bums Crossing phone: (goo) g73..3313
P.O. Box 1673
Artoona, pA 16603 Fax [phone]
CI,'STOMER INFORMATION O
Buriness Catsgry at ilslallaiio{l locatbn:
rOil Company E IC-Sto." tf sC'ovemmenp@ rUtility trI
sTelephone EI 6Trucking E zRenlalCar'6 eAirport g1
Under!rcund SreeTank t] Abovegrcund SbragsTank t]
Otter (pbas Bpodfu)
he\B t don tained h th€ prcpsr oporation ol tlb ogulFrHil: YES _ NO _
rlame (PRINTED):
Sionature:Date:
Title:
LINE LEAI( IDENTIFICATION rrr ApplrceeLEr
EI Check here if site has been upgraded with Line Leak
FORM NO.
(i.e. &4848{Hn1)
LINE LEAK
SERIAL NUMBER
CHECKVALVE
SERIiAL NUMBER
PIPE TYPE (STEEL,
FIBERGI-ASS, ETC)
TNSTALLATTONLOGATTON 0
Cil Brdnd: (a, /, - n t .r7-*- Site #:
Comoahy Name:
\ddr6ss l',
NJstzte
itore Manage(
it<l,re Phqne #
IECONDARY CONTAINMENT VACUUM SENSING (lFAPPLICABLE) P.iNt
;ensor.serial numbers from console'Diag' Smart Sensor Menu or record
rrial numbers from sensor housings.
trI Check here if site has been upgraded with vaanum Sensing
ieoondarv contalnment vacuum sensor senal numDell uNLr
t I t'l
2 2 l2
3 23 x,
4 t1 A
5 t5 !5
t6 t6 36
t7 t7 l7
IE t8 38
l9 p t9
t0 t0 i0 l0
IN=STATION DLAGNOSTIGS IISDI 1iF APFLTcABLE)
EI Check here lf Site has been upgraded'with ISD
laoorFlow tleter Sensoi and Pressure Sensor *rial numbers ONLY
t2
t3
t4
t0 t5
11 t6
Pressure Sensor SN:
.drrtify.lhatSrir s.)tstfir has:tEen lnstalled in a@ordance with the
as spedfied ln $e,publislEd Veqder-Root Site Prep and lnstallation
l,hEvejalso r6ad all,of the wai'irings and I certif, lhat thero are no
rCeitification #
b.e le1relZ3rl cer{fted to perlorm rtartuF rnit lS0 cerdfied fur lS0
trI Check here if site has been upgraded to add TL$.RF
FmNo.57701+586, Rev. I iISPESITI{G DISTEgI'IOR COPY
u
1
'/l
SYSTEI.i SET,UP
HAY 16.2OB7 I:I8 PM
SYSTE},I UNITSu.s.
SYSTET,I LA]SUAGE
EI'IGLISH
)l'
SYSTEI-I DATEzTIME FORI1AT
I-,ION DD Y/\Y HH:T{"I:SS X}'I
TIt,lE
TI},IE
IdnE
SHI.FT
SHIFT
SHIFT,stfiFr
DISABLED
NEEDED tIRf{
NEEDED I.JRN
NEEDED hJRN
TANK $ER TSI
DISABI;,ED
TA,M( Al{N TST
DISABLED
t ttE Ptn rsr
DISAELED
LINE .AI*IN TST
DISAELED I
DAt{I.l.C.ln 51
-rPPfilLED
SJART ,mTE
APR I.IEEKsIffi ,11us.
PRIi{T TC \YOLUIES
E}}\BLED .i
TE},IP COI,IPEI.ISAT I ON
VALTE (DEG F ): 60.0
S,T{CK HE.iGFrr oFFSET
RE-DIRECT LOCAL PRI i{TOIN
DISAELED
PROTqCOL PREFIX
sYsrEH SECURTTY
coDE : 000000
TANH CTIART SECURITY
DISAELED,.- \,
.. t
CL'STOT,I ALARflS
DISAELED
E.NrI'T'lt'lE2rt0 *1
EURO
S
COI,II,IUN I CAT I ONS SETUP
PORT SETTINGS: (
STOPEIT :ISTOF
DATA LENGTH: 7 DATA
FS-232 SECURITY
CODE : DISABLED
DIAL TYPE : TONEANSI/ERON : I RING
HODEII SETUP STRING :..,
DJAL" TotlE
_l i{TERVAL :
SBz
5?;fEirF* oF r.1ES;=_ArjE
AUTO DIAL ALARI{ SETUP
I T{-TAI'IX SETUPcot"tHBoARD : I (Fi{,toD)
BAUD RATE i 24OD iItBlry : oDD J
COITI EOARD
'..EftI/.Qr RATE.... PARITY'"rr
STOP BIT
2 (RS-232)
1200 '!
oDD"''-'-' 'I STOP
INPUT ON
INPUT OFF
T I :DIEEEL
PRODUCT CODE
THERI,HL {:OEFF
TAI-IK DIAI1ETER
TANH PROFILE
FULL VOL67.3 INCH VOL44.9 INCH VOL22.4 TNCH VOL
NAX OR LABEL VOL:
OVERFILL LI14IT
HIGH PRODUCT
DELIVERY LINIT
LOt^, PRODUCT
I
.0t14700
89.75
4 PTS
7E4t
5402
397 I
r 150
FLOAT SIZE: 4.0 IN.
I^IATER r^tARNING f ,.,HIGH I^JATEP LII1IT: .t.E
{
j
{1
DATA LENGTH: 7 DATARS-2q2 BECURITY
CODE : DISABLED
AUTO TFAI{SMIT SETTI I.IGS:
AIJTO LEAK ALARf,l LIHIT
DISABLED
AUTO HIGH KIATER LINIT
DISABLED
AUTO OVERFILL LII4IT
DISABLED
AUTO LOt^, PRODI.JCT
DISAELED
AI.JTO THEFT LIMIT
DISAELED
AUTO DELIVERY START
DJ-SAELED
ALITO DELIVERY END
DISAELED
LEAH ALARI"I LII"IIT:
SUDDEN LOSS LI]"IIT:
TANK TILT i,
PROBE OFFSET Y
7E4t
92%
7?.t3
9Z?;
72t3
tol,{
784
l50tl
99
2tr0
0.50
0.00
AUTO EXTERNAL
DISAELED
AI.TTO EXTERNAL
DISABLED
AUTO EEI,ISOR FUEL ALARI{
DISABLED
ALTTO SET{SOR hIATER ALARI.I
DISABLED
AUTO SENSOR OUT ALARM
DISABLED
RECEIVER SETUP:
NONE
AUTO DIAL TII"IE SETUP:
NOI'lE
SIPHON I'IA1'IIFOLDED TANKST$: NONE
LINE I-IANIFOLDED TANKST$: NONE
LEAK I'1IN PERIODIC: 3I]9;q_-- I zgEP
LEAX MIN ANNUAL :
PERIODIC TEST TYPE
STANDAFD
ANI'IUAL TEST FAIL
ALART'I DISABLEI]
PERIODIC TEET FAIL
ALARM EI'IAELED-_.
GE{]SS TEST FAIL
ALARI.I DIEABLED
ANI'I TEST AVERAGII{G:
PER TEET AVERAGING:
TAI']li TE,ST I-IOTIFY: OFF
TI.'IH TST EIF,HOI..I EEEA}|:OFF
TiELIVERY DELAY' : 5 I"III.IPutlp THEEEHOLD : t t]. t]0jn
o%
0
OFF
OFF i
l
\
l
I
LEAK HIN PERIODICi'- \-_
LEAK MIN ANNUAL
PERIODIC TE T TYEEANDARD
ANNUAL t*lrt#orsAELED
PERIODIC ,Tffi|NABLED
cRoss rEsrAISk D15AELED I
B}H IEBT TVEEffiIffiI 8FF
TANK TEST I'IOTIFY: OFF
TNK TST SIPHON EtrTRX:OFF
B',fii'F[[,BEbt[ I
'E
tL[
30nr',
r799
t/,
0
ilffi,,i'iiit \l
\
*ali$iit[i
I tia
1 ]\ ffi:t lffifl utt i iiE+
1
',L;-o^'slzE: 4'o lN'
il mr,rrmgu's*''i i"z
\\ ffi-gt'ffiih,Io'i liil, I\\ H,GH PRoD,cr i ,ZTa l
t i\ DELTVERY Lrl4rr ; LY;
i
'\\
"#FJ'#H*il'';]1
\\l ir,pun:::rJJl^l:Y
hlY*ffiE
\
i
I
i
i
!Ett{_r!sl r"rErH0D
TEST I,''EEI(LY : ALL TAI'IK
MON
START TINE : I2:tI5 AI"I
TEST RfITE :0.20 GAL.IHR
DURATION : 3 HOURS
TST EARLY STOP:DISAELED
LEAK TEST REPORT FORI'IAT
ENHAI..ICED
\
LI AU I D-SENSOF-SETUP
NONE
EXTERNAL-INPUT SETUP
NONE
ourPUr_RELlY ?EIUI _ _
#.t"l:
$lj
JON M. nI/NTSMAN, JR
Govemor
GARY HERBERT
Lieutenant Governor
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Director
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
Date: April 13,2007
From: William Moore, Environmental Scientist
To:Steve Canning
Utah State Fuel Network
POBox 141152
Salt Lake city, utah 84141-1152
Re: Non-compliance of underground storage tanks at UDOT #333, 500 North State Street,
Salina, Utah. Facility Identification No. 2000209
Dear Mr. Canning:
The Utah Underground Storage Tank Act (ACT) provides that the Executive Secretary
(UST) may revoke a Certificate of Compliance, if it is determined, that a facility is not in
substantial compliance with all state and federal UST statutes, rules, and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response
and Remediation (DERR) performed a compliance review for the underground storage tanks
(USTs) at the above facility. The inspection on April 10, 2007, and a compliance review
performed on April 13,2007, indicate you have not satisfied the requirements of the Act and are
out of compliance. To achieve compliance, you must do the following:
1. Submit a copy of a current (performed in the last 12 months) precision line tightness test for
the product lines associated with both USTs.
2. Submit a copy of a simulated leak test for proper operation of the automatic line leak detectors
on the pressurized product lines associated with all both products in the USTs performed
within the last 12 months.
3. The inspection documented you are using a Red Jacket ST-1401 Automatic Tank Gauging
(ATG) system, to perform lrak Tests on the tank portion of the UST system. However,
the inspection also documented that the ATG was indicating the current date as in 2002
and no tests available in the memory. The records on site were missing for September
2006, and for February and March 2007. Submit evidence that proper Automatic Tank
Gauging (ATG) is performed on both USTs, by:
168 North 1950 West . PO Box 1M840 . Salt lake City, UT 841 l4-484O. phone [phone] . fax [phone]
T.D.D. [phone] . www.deq.utah.gov
Page2
a. Documenting repair and reprogramming, or replacement of this ATG system.
The above information must be submitted to this office by Mav 13. 2007. If it is not received
by the date specified, we will commence the revocation process of your Certificate of
Compliance. Continued non-compliance will result in the fees on your Certified USTs to be
increased from $100 per tank to $300 per tank and failure to pay the additional fee can
result in lapsing of your UST Certificate of Compliance. In addition, if you fail to submit the
required documentation as requested, you will be charged $70.00 per hour for time and
travel as allowed by statute, for every follow up inspection necessary to document
compliance. If you have questions concerning this matter or need any assistance, please contact
William Moore at [phone].
Release Detection I
UtahdST Program
Ghecklist
lndicate below the corrosion protection methods in place for all UST system components. ldentify each dispenser by pump numbe(s). show readings
Location ofTanks E oenRUse
s 1*L state(fr- zio 7 L{ lt
pnone QLTI Z9Z
Number of tanks at the
lndicate if tank is siphoned or compartmentqd. Shg'/v3lgteql
lf not in use, qive date last used and depth of product in tank'
Overfill alarm (audible or visible) is so deliverv driver can hear or see it, and is
The results of the last two cathoqE-ple!99!!enl99!q ale six months of installation and every three
Testino. Date of last test:
Dates of last three checks:lrnprdsed current system is checked for proper operation at least every
60 davs and the results ofthe last three checks are available'
for the most recent Site Drawing North
6ry
Distribution: White- DERR, Yellow- lnsp*tor, Pink- Facility/Owner Ldcheck1205.doc
UtalrUST Program
Automatic Tank Gau lnterstitial Monitorin
TANK LEAK
ATG Shutdown Testi ATG Continuous Testinq I I lnterstitial
name and model of
to the answers qiven in the first column.Yes or No for each
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
for at least one year after work is
l/@/u 1'5 lYcA) z-
{aA I noP*
ATG console or other equipment used to take readings and perform tests is
Documentation of valid testing or monitoring is available for the last 12
months. Show results in table below.
The probe is located at the yes
center of the tank.
lf not in center, show tilt Tilt: #l-, #2 ^ #3 #4
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.
is capable of detecting a release of regulated substances from any
ioino within one month of release
results of monitoring for each tank for the last 12 months. lndicate Pass, Fail, lnvalid, or No Results for each month. For ATG tests, show the
( n Automatic Line Leak Detector.Type (Mechanical, Electronic, Other):
Manufacturer and model ofeach leak detector:
Date of last leak detector performance test: _ Results:
lndicatetypeoftest: SimulatedLeak,3gph,.2gph,.lgph(3,.2,.1-electronicLLDonly)
Tester name:Cert. Number UT
PIPING LEAK DETECTION
tr Piping qualifies as Safe Suction. Documentation is available and verifiable to show that piping operates at less than atmospheric pressure, has
only one check valve (under pump), and has proper slope of piping. lf all these criteria are met, no leak detection is required on the piping.
Piping method(s) used. Pressurized piping must have an Automatic Line Leak Detector and leak detection.
Tank I Tank 2 Tank 3 Tank 4
JJ'O Uo MEO MEO
sL 3 .2 .'1 s1 3.2.1 s1 3.2.1 s1 3.2.1
Test Method
Date of last line tightness test:
I Same as above Tester name:Cert. Number UT Test Method:
E Monthly monitoring. lndicate the
method used:
tr .2 GPH Monthly Testing E lnterstitial Monitoring. Type of lM Documentation:
n SIR E GW Monitoring n Vapor Monitoring
for the last 12 months.or No Results lor each month.
COMMENTS
Distribution: White- DERR, Yellow-lnsptrtor, Pink- Facility/Owner Ldatgim1205.doc
' Uti UtT,rP,rogret!!
Release Detection lnspection Ghecklist
',FecitltYlD .ZW'?"61
Paoe t of L,
Ouvnershin of Tanks lffin,,dTank8,',,,,, -,, 5,slate'use
owner Name Sfafg FUW Nflrloe<LocationName Lll>OT * 333
Address ArrN. Sfe{€ SAlrtC,Via Address fu16.5rAtZ 5T.
city SOUI te<e Crff State C,lT- zio 8l4'll+city SAJ^JA , stare ur zio E4G54
Contact SfeVE C*r.trlurr phoneSol'611'tz3z contact Legal CA\G phone
Complete-for each tank. f the facillty has morc Sran isur lenks: oomolclarfn,:hfffi,lbr ,,le*b:an,a,strirarab lrm.
Number of tanks at the facilitv: 2-Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date 5lz+l4o ,pilqn
Capacity of Tank (in sallons)6,@ Ot Q5
lndicate if tank is siohoned or compartmented. Show related tanks.^IO
F.lO
Substance Stored GAsut^tg DIEfu
Tank is in use.6s1 No [-esl No / Y., No / Yes No
lf not in use, qive date last used and deoth of oroduct in tank-
Answor the following for,alltenks;
Current year tank tags are in place.G1 No fiA\ No Yes No Yes No
Material of construction of tanks F,PP trzP
Material of construction of oioino FAP FPP
Piping type fVass tress
Type of Spill Prevention device. Note on form if tank is filled by transfers
of less than 25 gallons. lf so, no spill prevention is reouired.6uw Buctc-T I
Spill containment bucket is clean, dry, and free of product. water. debris.Yes I No /es I No Yes No ..Yes No
Type of Overfill Prevention device. Note on form if tank is filled by
transfers of less than 25 gallons. lf so, no overfill prevention is required.fu)-ntAT EktLR$T
lf an overfill alarm is the primary overfill device: Alarm is located where it
can be seen and heard, and alarm is clearlv marked.
N/AYes' No v"ffo *o Yes No Yes No
Cor on Protec{lon. 'Answer the following forrall tanlis'
Corrosion Protection method used on tanks FR"tre?
Corrosion Protection method used on oioino €a"Ftzt>
Corrosion Protection method used on flex connectors. swino ioints. etc.Attanks: BAf AtdisDensers: /OT
Enclosed containment sumps are present at tanks and dispensers Attanks: 16;l 'No Atdismnsgrs: Yes /n-J
Containment sumps are sealed, free from water. oroduct. etc.MA No
Cathodic Protoe'tion Toetlng, hqw,the t?sirlk,,
The results of the last two cathodic protection tests are available (within six
months of installation and every three years thereafter).Yes No ila I.\
Tank Tester UT Date volts volls volts volts
Piping Tester UT Date volts volts volts volts
Flex Connectors/ Swing Joints At tank
Tester UT Date At disDenser
volts volts volts volts
volts volts volts volts
For lmpressed Current Systems: The results of the last three equipment
operation checks are available (required every 60 days).Yes No
E Emerqencv generator tanksEmergency gener only;deferred.
tr USTs temporarily closed and empty; leak detection not required
tr USTs temporarily closed, locked and secured.
r tfuuA J.. fteCoe inspected this racititv on n/ zz/oS
sisnature: tllfuZ- ldds
Nameof owner/operatorreor4sentative: ,/ l-:Al/. lt inCs**J -ff'n
Distribulion: White- DERR, Yelldv- tnspector, pink- Facility/Owner LdcheckoSo4.doc
'.it
ltffi
s1
Site Drawing North f
frt Lueo
ClASoo,P ?*g
DTSPR
lo,o*P
turqr fttLs
RECEIVE
i{CI\i '1 i', iilU.}
ilAt /
6hdt E,iw
w)d
0E&
Facility/Owner
Ut--. UST Program
lntersfitialAutomatic Tank
ANK LEAK DETECTION
Method used for tanks:
[ ]Automatic Tank Gauging Shutdown Testinq 1A Automatic Tank Gauging Continuous Testinq I lnterstitial Monitorino
Manufacturer, name and modet of system, XCD &cfagT Sf ,401
Documentation of performance claims (t-[i4lparty certification) for
the system is availabte. EeA NoCircleYesorNoforeach@lainandidentiffbytankanyexceptionstoth9answeFoivinintt'EnEi"t,t,'n.
IM Type of Secondary Containment used:Type of lM Documentation used:
ffiJrrr,r
Records on site document that the system is properly installed, calibrated,
and maintained (system and tank setuo reDorts. maintenance records).GJ *o
/ffiJrn,r Device documentation is available on site (owner's manual, etc.)GNo S6arrce te\ CA@taS rtAl'tt(t-:
ffil rr',r
ATG console or other equipment used to take readings and perform tests is
adequate, accessible, and operational.(re1 *o
IA1GI rn,r
Documentation of valid testing or monitoring is available for the last 12
months. Show results in table below.F""J *o
tffil The probe is located at the ffil
center ofthe tank. r'"" I No lf not in center, show tilt Tilt: #1
factors from the setup report.
#2 #3 #4
6ia The tank was filled to at least the minimum level required to ensure a valid
leak test, and the tank gize is within the allowed upper and lower size limits.@No Third Partv Minimum Level:
IM System is capable of detecting a release of regulated su6st ncesTrorn any
portion of the primarv tanUoioino within one month of release Yes No
IM lf observation wells are part of the system, wells are clearly marked and
secured to avoid unauthorized access and tamoerino.Yes No nla
IM
(Bladder or
excavation
liner)
Secondary barrier is properly placed and constructed, designed for
groundwater considerations, has an acceptable permeation rate, is
compatible with the substance stored, is non-corrodible, is always above
groundwater, and is not in the 25-yr flood plain (per site assessment).
Yes No nla
Show results of monitoring for each tank to
highest product level tested for each month.
Mol/r to[or 7 lor 8/os *lor GloY shs 4los slot L/or tlo<tZlo,l ^lul#l ?n5s U^rfi Pa€s -:>#2 lass 0rtr 't{€&sr +
#4
#
PIPING LEAK DETECTION
Method(s) Used (Automatic line leak detector and one other method are required for Pressurized piping):
f4Aulomalb Line Leak Detector ;,.]tine Tightness Testing I jlnterstitial Monitoring rvi6 or lM Documentation
Statistical lnventory Reconciliation'I I Vapor Monitoring i i Groundwater Monitoring-i ] .2 GpH Monthly T
Safe Suction Piping: Documentation is available and verifiable to show that piping operates at less than atmospheric pressure, has only one checkvalve (under,qump), and has proper slope of piping. yes No
Results of laFtrlin-E.l.i€Jht0ess test are available: t V J N Results
Tester name and cert. number: 9&{eNv.S'/ca uT OlZl Test Method: il/n,
Type (M- Mechanical E- Electronic S- Sump Sensor):
Manufacturer and model of each leak I?l Fx rV
Results of last leak detector test are available: lY I N - Results
05 Tester name and cert. numoer: St+l 4 /hPfttd)eNV. Sv6. ur otzl Test Method: f1?tt lA
Show results of monitoring for piping for the last 12 months. lndicate lnwlid, or No Results for each month.
coMMENrs ,l^/.T rlr tfc*q) O( ttt lNR Aubp ilt futL l dm nr EwrctU /. at
tr
tr
tr
Emergency generator ; leak detection deferred.
USTs temporarily closed and empty; leak detection not required.
USTs temporarily closed, locked and secured.
COMMENTS
Distriburion: Whit+ OERR, Yello*Ldch4k0804.d@
Name STATE FUEL NETWORK
5OO N STATESTAddress ATTN STEVE SALTZGIVER
SALINA State UT Zio 84654SALT LAKE CIry State UT Zio 84114
CANNTNG phone [phone]
lndicate if tank is siphoned or compartrnented. Show related tanks.
lf not in use. qive date last used and depth of product in tank.
Material of construction of tanks
device. Note on form if tank is filled by
of less than 25 oallons. lf so, no spill orevention i
device. Note on form it tank is filled
translers of less than 25 lf so. no overfill orevention is
primary overfill device: Alarm is located where it
and alarm is clearlv marked.
Protection method used on flex
Enclosed containment sumps are present at tanks and
Containment sumps are sealed, free from water, product, etc.
results of the last two cathodic protection tests are available (within six
months ol installation and every three
Flex Connectors/ Swing Joints
Tester UT
ol the last three equipment
Utah UST Program ^.
Iank and Piping Leak Detu-tion Facitity lD zooozos
Ivlehod used f q tanks: ATG tvletlpd used f or pipim: ALD LTT
lVlaruf acturer, nanB and nodel nunber of svstem Red Jacket ST 1401 with CSLD 3d partv cert. available Yes No
Girde Yes or lrb for ard ldentifv bv tank the answer lnthe first olumn.
Fbcords on site docunent thd the systemis proper! instdled, calibrated, and
naintained (svstern and tank
Dvice docurrenhtion b available on-site (owner's nanual,
Quipnent used toacquire dda, tale readings, perlcmtest is adequde, accessible
and f mctional. lrnl. AIG corsole, dipstick, etc.
Dcunentalion of valid testing or nonitoring is available f q the hst 12 nontrs. Slnw
bsting or nmitorhq results in orid below.
The probe is locded atthe center d the hnk. lf not, tB tilt correction factorf or eac
hnk is shown on the tar*
Ihe tank w as f illed to at least the nhinumlevd reqr.lred by the nanufacturer,s
equipnent protocol to ensure a vald leaktest and the tanksize is w itlin the allowed
rpper and loru er size lirits.96t
Secordary barrier is proper[ placed ard constructed, designed f or gw
ideratims, has an acceptable pernealion rate, is conpatide w ih the substance
stored, is nm-conodiUe, and is nd in the 25-yr f loodplain (per site assessnEnl
hvenbry readings f or prodrct inp.rts ard w ithdrawals are properly obtairBd ard
Fbcords include he proper runber of water readirBs, ard w der readings are used to
inventorv balances as necess
An appropriate tank calbratim chart is rced and is auailable f q revis/r/.
Ds have current calbratio'r stickers s calibratbn daunBntation.
Dop tdces are and extend to w lhin ore I od ol tlB tank bottom
Show results of monitoring for each tank for the last 12 months. lndicate pass. fail. no results. or inconclusirc.
Tar{< and Line Tightness Testirg, Llne Led< lbtector Testirg:
Date of last tiohness test f or tanks:
Nane andcertlicatim nunber d tester:
s test fq -,? -OJ
Nane and certlicatim nunber d teste+:
Date of last leakdetector perf ornance test:-1 -of
Safe Suction piling: Docunentdion is available and verif iabb to show tfat pipng operales at less than atnospheric
pressure, has only me cleck valve (under punp), and has propa slope of dping.
^
tr Emergency generator tanks only; leak detection defened.
tr USTs temporarily closed and empty; leak detection not required.
tr USTs temporarily closed, locked and secured.
CoMMENTS 7?r.lrs * ?eua A(8, DaneG-uIAUE|.
Utah UST Program
Releaae Detection lnspection Checklist
FacilitY lD ?,W?Og
Paoel of 3
Ownership of Tanks Lodh olTanke El4tate use
owner Name LITAI{ StATe FE€T 6?s Locationruame UDOT (fa'N # 333
Address Address too Nc\. STAT€ ST.
citv SALT (Are Ct',t srate llT zi"g4ll4 citv SALINA state ur 2,"t.4654
contact STEV€ CANN l,..lc. prrone 8ol '@l-fiZ contact STever.I &rururr.lG prroneSol '691'f ZtZ
Comolete lor each tank. f the facilltv has more than lour tanks. comolete the lnformatlon lor addltlonal tanks on a seDarate form.
Number of tanks at the tacilitv: 7 Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date s- z+-90 l-A-go
Caoacitv of Tank (in oallons)6000 Eaoo
lndicate if tank is siphoned or compartmented. Show related tanks.NO NO
Substance Stored (ea. cres Dtdeu
Tank is in use.fGl No ,61 No Yes No Yes No
lf not in use. oive date last used and deoth of oroduct in tank.
tnswer lhe followlno for all tanks.
Current vear tank taqs are in place.ffi;l No tGl No -Yes No Yes No
Material of construction of tanks FRP 9R-P
Material of construction of oioino FR.?FA?
Pipinq tvpe ?t@ss Pn6s
Type of Spill Prevention device. Note on form if tank is filled by transfers
of less than 25 oallons. lf so. no soill orevention is reouired.fuic*er BvLvor
Soill containment bucket is clean. drv. and free of oroduct. water. debris.GlNo TYed No Yes No Yes No
Type of Overfill Prevention device. Note on lorm if tank is filled by
transfers of less than 25 oallons. lf so. no overfill orevention is required.BAufrarr za:u-6.upr
lf an overlill alarm is the primary overfill device: Alarm is located where it
can be seen and heard. and alarm is clearlv marked.lGI No Yes No Yes No Yes No
lon Protectlon. Answer the lollowlno for all tanks.
Corrosion Protection method used on tanks fE"trEP
Corrosion Protection method used on oioino trw rE?
Corrosion Protection method used on flex connectors, swinq ioints, etc.Arranks: B6(Atdisoensers: kbT
Enclosed containment sumos at tanks and dispensers Attanks: -r%;l No At dispenseE: YeS m'r
Containment sumos are sealed. free from water. product. etc.fGl No
lndicate dates of upqrades- lininq, tank or pipinq cathodic protection r..IorSe
Cathodlc Protectlon Testlnq. Show the results ol the most recent test rr each hnk. llne. or flex connector/gwlnq lolnt.
The results ol the last two cathodic protection tests are available (within six
months of installation and everv three vears thereafter).Yes No tb
Tank Tester Date volts volts volts volls
Pioinq Tester Date volts volts volts volts
Flex Connectorsi/ Swing Joints Ar rank
Tester Date At disDenser
volts volts volts volts
volts volts volts volts
For lmpressed Current Systems: The results of the last three equipment
oDeration checks are available (required everv 60 davs).Yes No
Site Drawing (North 6 )
Sto*uxt Drt(d,t,a Arrec*aa.
f,{KCEIVED
j.,;i * i 7,00{
UEU -
nvrroH'r,ff.1r4 t #fi ilse & Rcmedntio n
t\l'--
qWtfl3-fuuttA
Utah UST Program to 2w
Automatic Tank Gauging lntefrliliql_lvlgll!9l!
rarux ueax DETECT|ON ,/ ,/M9!hog_ure{o!qq!: [/)turomarE relk 9_e!9q9L ],.$_hutdown ;/_l Qotweulsstrns -_l L!I'!e,E1L!E!V19!!9!!9-
Ilpe ql SecondatY Contai Tvoe of lM documenlalion used
Manulacturer, name and model ot system: (LD .lk[€T Documentation ol perlormance clairns (third party certilication) lor
the system is available Yes No
to the answers qiven in the first column.
monlhs. Show results in table below
ATG
The tank was filled to at least the minimum level requrred lo en. rr' , jit l{I El "'@_1e3!]g$.qaq!9-194 size is withrn the allowed upper qrrd lowe' : -:' timits'
System is capable of detecting a release of regulated subslances from anyIM
IM
Yes No
ion ol the within one month ol release
IM
(Bladder or
excavalion
Show resulls monitoring tor Gaoh lank last 12 months.PaC;Fail, lnvalid, or No Results tor each month' For ATG tests'
lorrd each month.
Mol/r
PIPING LEAK DETECTION
Meth.od(s) Used (Automatic line leak detector and one other method are required for Pressurized Piping): -iz;;iil;illinJ u."i'6"t".to, | ,rfLine Tightness Testins I J lnterstitial Monitoring 14.7 cen Monthlv Testing
i'istatisticat tnventoryReconciliationi'lV"porflonitoring [ ]GroundwaterMonitoring[ ]Other
coMMENrs INLL, tNr,NlLustne .PWtt lunp t/Nwuil uNfi 4llbt€ lruL- ,tNtT },€\ N6( TesT PtPttid
bfiecrtog t{o$Tt(1.
+f^rtce Tecd -(--,4te |UAN^ALS
lf not in cenler, show tilt Tilt: #1
lactors lrom the
The probe is located at the yes
center of the tank.
tf observation wells are part of the system, wells are clearly marked and
secured to avoid unauthorized access and
Secondary barrier is properly placed and constructed, designed lor
groundwater considerations, has an acceptable permeation rate, is
iompatible with the substance stored, is non-corrodible' is always above
, and is not in the 25-yr llood plain (per site assessment).
Sale Suctlon PlPlng:is available and veriliable to
rne nf ninino
show that piping operates at less than
Yes No
atmospheric pressure, has only one check
Line Tiohftoas T,63moi Li]te Laak Detodor TsstiD$,Tankl I Tank2 Iank 3 Tank 4
;,,"1 ?PN
)ZT (lW6/.8 rWt4l,nQtzl lsss Merhod: I PsLl.lt.rvs /S t"'1,il
Automatic Llne Leak Detectors: lndicale type, madulaglqgf,r, and model for
each leak detector M- Mechanical E- Electo[iU \ S- Sump Sensor
1rt{ E s
P
l[]E s
P
MES MES
;;;;t;E- rester name and cert. number: 5w1 c)oz4- (sffttal 5 v,,t vttr,lfi or2l kstuetnoa, fi 6t fri lt/'l'N
mi. tnOicate Pass, Fail, lnvalid, or Nt,^Resrttls lor.qgc{t month:
SxnPSo
o
@
Ges{Dl6s€t
DISPR
aAtoude
o
uS [brY
gq
jhow locations ol all buildings,slrs€ts, tanks,
\lso indicato the location ol PID
iesidences fu'+
pl*w stor
lluuttna
lurface Water
Line
omments:
?6'
I
U'fl.UfY L,.ra (Ur.rrxr< rrnarr.O)
and dispenser islands. lndicate location and depth o, all samples collecled by the sampler and the inspector.
tltl rrcco
EAwtPntsr.tt (*ga
&r.l
o
FIlrs
Yellow{nspoctor,
certity that I inspected the above-named
Closurepz rovo2ol.wPd
I Utah UST Program
Release Detection lnspection Checklist E#"a*r
ID 0a
l Ownership of Tanks Locatlon of Tanks -4*
owner Name ATAil SaTe tLe€T O'F4 Location Name hUen 33 3
Address Address 56 rup Stlte<r
city SLC srate UIT zip B+UA citv €ALtnlA state Ur zioEr&€4
contact Sfeve SALZGTV€R Phone Locationcontact 'too> kt$& pnoneEol 58O-rlt4
Complete for each tank. It the taclllty has more than 4 tanks, complete the lnformation for addltlonal tanks on a separute fonn.
Number of tanks at facility: 2 Tank 1 Tank2 Tank 3 Tank 4
Tank lnstallation Date 5-24- 9 o s-2q-qo
Capacity of tank (in gallons)G, ooo 8,c6O
lndicate if tank is siphoned or compartmented. Show related tanks.FtO NO
Substance stored 6Asawe.ut D,6€L
Tank is in use (Yes / No). lf not in use, give date last used Yes v€s
lf not in use, depth of product in tank (in inches)
Answer the following lor all tanks. Note any exceptions ln the laet column.
Current year tank tags are in place VES
Material of construction of tanks trRP
Material of construction of piping FPP
Piping type Ress .T:FIT'Eh
I ype oI liplll Hrevenlron uevrce. Note rl lanK rs Irlleo Dy translers oI less
than 25 oallons. lf so. no spill prevention is reouired.Bucucr rrlly
Type of Overfill Prevention Device. Note if tank is filled by translers of
less than 25 qallons. lf so. no overfill orevention is required.BrtLTU*T irAY r ? m3
ll an ovenrll alarm rs tne pnmary ovenrll devrce: Alarm ts located wnere
it can be seen and heard. and alarm is clearlv marked g=f--x"Enylronmsnhr o.?^I3" , b---
Coroelon Protection. Answer the following lor atl tanks. Note any erceptlons ln the laEt column. er;
Corrosion Protection method used on tanks EIZP
Corrosion Protection method used on piping rR.P
Corrosion Protection method used on flex connectors $-arvteS9 /)^lat /f Jzllry
Enclosed containment sumps at tanks (subpump) and dispensers Gi 6.)
lndicate dates of upgrades- lining, tank or piping cathodic protection NA'i6
Cathodlc Protection Teeting. Show the results ol the most rpcent test lor each tanlq llne, or flex connec.lor.
I he results ot the last wvo cathodic proteclion tests are available (within
6 months of installation and everv 3 vears thereafter).Yes No ;r/*
Tank Tester Date volts volts volls volts
Pipinq Tester Date volts volts volls volls
Flex Connectors subpump
Tester Date DisDenser
volts volls volts voltr
volts volts volts voltl
For impressed current system: The results of the last three equipment
ooeration checks are available. (reouired everv 6o davs.)Yes No
Comments
Page L otL
r(name) HgrzuO l. (qaC certify that I inspected the above-named facilitv on (date) Afff yrq e ffi+1 S h lO <
rnspector,ssiqnature /[e-mail]/ r/r/os
Owner/Operator name:rr//Lrv4 Siqnature:,./rf h"/
Distribution: White-DERR, Yellow-lnspect6r, Pink-F Ldcheck.wpd rev0902
Utah UST Program
Tank and Piping Leak Detection Facilrw to 1oa7og
Method used for tant "' ATti Method(s) used for pipins: ALI) L7T-
Manufacturer, name and model number of svstem: ?er> i,Rc t<Ci 5T
'461 '^ /C 5 System 3'd party cert. availablefYggl No
Clrcle Yes or No for each ouestion. ln the last column. exolaln and ldentllv bv tank anv exceotlons to the en3wer ln the llr6t column.
Ere lir'rr Records on site document that the system is properly installed, calibrated, and
maintained (svstem and tank setuo reoorts. maintenance records).@*o
liel rnlt Device documentation is available on-site (owner's manual, etc.).Yes /-No lePrn S{c.luu
If,{Equipment used to acquire data, take readings, perform test is adequale, accessible and
functional. lnclude ATG console. diostick. etc.@*o
fr-r-1
-l
Jocumentation of valid testing or monitoring is available for the last 12 months. Show
'aalina ar mani+nrina raor rllc in nrid halnrrr ffil ruo
hrl The probe is located at the center of the tank, or, if not in the center, show the tilt factor
for each tank from the tank setuo reDort.
Center Tilt Factors: #1 f2 #3 #4
GFffi -> o'9lz 6.183
FT fhe tank was filled to at least the minimum level required by the manufacturer's
3quipment protocol to ensure a valid leak test, and the tank size is within the allowed
rooer and lower size limits.
@*"
IM Secondary barrier is properly placed and constructed, designed lor groundwater
considerations, has an acceptable permeation rate, is compatible with the substance
stored, is non-corrodible, and is not in the 25-yr llood plain (per stqq!9999rne!!L
Yes No
IC SIR
MTG
lnventory readings for product inputs and withdrawals are properly obtained and
recorded. Beadinos are orooerlv reconciled.Yes No
IC SIR Records include the proper number of water readings, and water readings are used to
adiUst inventorv balances as necessarv.Yes No
IC SIR
MTG
An appropriate tank calibration chart is used and is available lor review'Yes No
IC SIR Disoensers have current calibration stickers or proper calibration documentation.Yes No
tc SIB Droo tubes are Dresent and extend to within one foot of the tank bottom.Yes No
Show results of monitorinq tor each tank for the last 12 months. lndicate Pass, Fail, No Results, lnvalid (ATG) or lnconclusive (SlR).
Mol/r floL 6/oz ?loz 61nL L)laL to /ot-tt/oz tlloz I /t3 z/o3 3/03 4 /o3
# TLG)P P ?NQ ?^/(
7 P {)P P r
# 20)P NA p D ?NR P p p P P P
#
#
Tank and Line Taghtnoss Testing, Llne Leak Detector Testing:Tank I Tank 2 Tank 3 Tank 4
Date of last tiqhtness test lor tanks: 1' I - Ot-Test results ??
Nameandcertiricationnumberottester: APgtttO€UV.hlcf. fieftfhmt$t 0t2! t"rtu"tn"* frFl fu ltilN
Date ot tast tiqhtness test for pipins: ilq hZ Test results P p
Name and certification number of tester: hpcao q'N WcS {feW ilArzU^ftT 0 IZL TestMethod: lb frt fultrlN
Automatic Line Leak Detectors. lndicate type and
model number for each leak detector.Wffi&E ffVs1 <ftFur"slffiwr Il4-f E s
RLDWA{ Frt,t
IUI E S
l?coJacvsT C3o-@o
Date of last leak detector oerformance test: Cl -'l 'O>Test results f)P
Safe Suction piping: Documentation is available and veriliable to show that piping operates at less than atmospheric pressure,
has onlv one check valve (under pump), and has proper slope of piping.
-,Yes No,r//*
Comments fJ€-GfulLrtL-f#.rr l * fian,B xttza, z1'r(av{a<*€atr: erc2-11u.(.ffi
l-NL. NR &R 6lOZ,6rnutNG^ l$cud) ouT 0F ftla>, C0,.1-t> lWT 4€tilrlayffon, A(Tea PoutqzBL,rynD
kt(rfl d* rAmrfroe. .il <ame k alOZ. ,Jk/
Paoe 2 otL
Distribution: White-DERR, Yellow-lnspector,
sire Plar.wpd o8/o2
:
UTAH UST PROGRAM Faqittty tD No. .-==r ?e1
Release Detection tnspection checktist EJi)t m
l. Ownership of Tank(s)ll. Location of Tan(s) {*l\
i;i":I"?+= k Ft--tepsl €nl 6sr-Facilitv Name' t-+y'oT 9+*. 3SZ
Address"---ifZ t)et* 13?oo S-_J.n
Street Address-"--d;; Al. s#-J-<-c'hn-n..State Zio Code
6q ",i-ot -l)-\City _ State Zip Code
C.-ll n.- t t*-.1 fqL{t-l
Ar6a CoAe
-Pnone
Number County
9^c ;t'z- r
Contact Person At UST Location , Phone #7>AA F:-,c G"r ) $ga .. {-r r+Certificale of Compliance on site(i6$ No Certificale Year:
) ">ol
lll. Tank lnfOrmatiOn Complete for each tank. lf facility has more than 4 tanks, compl€te information for additircnal lanks on separate torm.
Number of tanks at facility: Z Tank 1 Tank 2 Tank 3 Tank 4
Current year tag is displayed d6A No @No Yes No Yes No
Tank presently in use (.jq) uo eB No Yes No Yes No
lf not in use, date last used
lf not in use, depth of product in tank (in inches)
Month and year tank installed rlr-.* I qo t-
" 1l 47n
Capacity of tank (in gallons)L C-o.c a._ c)<2.o
Substance stored c^-V.rb,r\) t-/l-z
Material of construction of tank (steel, FRP, etc.)€f'!" O-;Cft? -{}L)
Material of construction of piping (steel, FBP, etc.)€{LL t), t Fr<(ov)
Piping type (pressure, suction, gravity, etc.)f,sYs<v.4-rt *<ss q E
lV. Release Detection For Tanks lndicate the method(s) used tor each tank. Complete the appropriate checklist for each nethod used.
Method used (enter method used and complete appropriate form)4r e--Itrc-
Emergency Generator tank (leak detection deferred)
V. Release Detection Fof Piping lndicate method(s) used and complete appropriate tank checklists where applicaHe.
Method used (complete separate lorm where applicable)L*T LILO IT.T ALO
Automatic Line Leak Detector type and model l-J'=r-. L*/t-,1.r. , L
Date of last Leak Detector performance test ,1 ',[, o>o {l r, l.r -.,.,
Test result (pass/fail)r'?csl ,?-'ss
Date of last Line Tightness Test ql r,l z eoo qI ,, Iz .,-.,
Test result (pass/fail),4e,< <rtc-s (
Nameandcompanyof certifiedtester (J,-. * ly.,.l<n lAn,"l:n) €rr,s:tr,,t*r{-.i eo'.u .?1 Cert. No. UTa(l I
No leak deleclion required (must answer "yes" to all questions b'elow)
Operates at less than atmospheric pressure Yes No
Slope ol piping allows ALL product to drain into tank when suction is released Yes No
Has only ONE check valve, located directly under pump Yes No
Above information is verifiable; use comments section below to document how it is verifiable Yes No
€-.4 tL/that I have inspected the above-named facility on )aLc.- c \ la :-=-. ( 4 : ec'g$*,
(lmh, &y, y€a( tre)
I n.,-. 1'h-^-L i2 .2..*.. Ise1-),.,ainn
Signature of Owner or Owner's Representative Present During lnspection:
Distribution: White-DERR, Yellow-LDchecklist.wpd 2/99
UTAH UST PROGRAM Facinty1p6.2o ooZog
Automatic Tank Gauqinq
Manulacturer, name and modet number or syster, l.<i iT.o. L* 5f / Y o /
Please circle Yes or No for each queslion lor each tank I lacllity has more than 4 tanks, complete intormation for additional tanks on
separate rorm.
Tank 1 Tank 2 Tank 3 Tank 4
Device documentation is available on-site (e.o.. owner's manual).ztYO tto /6 tto Yes No Yes No
Records on site document that the system was properly installed and calibrated (system
and tank setuD reDort).9*o @to Yes No Yes No
System is maintained in accordance wilh manufacturer's instructions(records are
available on site).@ro @Ho Yes No Yes No
The probe is located at lhe center ol the tank. ll no, indicate tilt correction tactor from
the tank setuD reDort.
Yes @Tilt: O . e Yes e
Tilt: 2-e
Yes No
Tilr:
Yes No
Titt:
Device can measure the height ol the product to the nearest 1/8 of an inch @no trA No Yes No Yes No
Device monitors the in-tank liouid levels over the full ranoe of the tank's internal heioht ,b No ,,feO uo Yes No Yes No
A monitoring box is present and there is evidence that the device is working (i,e., the
device is eouiooed with roll of oaoer lor resulis documentation)@*o @*o Yes No Yes No
Documentation is available demonslrating that the Automatic Tank Gauge performed a
valid leak test at least once a month for the last 12 months
Yes @ Yes @ Yes No Yes No
lf no, lor which months was a valid test not perlormed? (specify months and year, use
space below il necessary)
l\es Oo
ftf-. *lac-r. @
|P,Vt. cto
The tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test
@No @*o Yes No Yes No
The tank capacity is within the upper and lower size limits required by the
manufacturer's equipment protocol to ensure a valid leak test @"o @*o Yes No Yes No
Have any of the leak test reports indicated a failed test? lf yes, specify in the space
below the month. vear. and what follow-uo aciions have been teken-
ves d(6 Yes 6-Yes No Yes No
Documentation of perrormance claims lor the automatic leak test leature is availabte and
shows the ability to detect leaks ol 0.2 gph with g5% or greater probability o, detection
and 5o/o or less probability of ,alse alarm (3rd parv certification).
4Pn'z#\ No Yes No Yes No
fndicate month(s) of inr"lrd or ri""in9 t""tr , ( h ,4 na | -r.e.-e _ N./z-r ,.1 :L.- k r4r
lndicate month(s) of any failed test:
Comments:
lnspector's Signature;4-
Signature of Owner or Owner's Representative Present During lnspection:
Distribution: White-DERR, Yettow-tnspJctor, pink-Facility/Owner Revised 12\95
t#
Manufacturer and model of monitoring system:-fu3)S--L.f Srrclei Date installed:
lnterstitial space is monitored (Check one): ( I Manually on a monthly basis 0(Automatically: continuously ( l Automatically: on a monthly basis
::s}Iii*:l:i:l:lll:;:::i::::::.:.::ri
:::::::::::::::::::::::::::::.:.:.:,:i.:}i:
System is capable of detecting any release of stored regulated substances from any portion of tn 6r6-"dt@ffiwithin one month of the release (verify number and location of tank and piping sensors) \- -@ No
Documentation of performance claims is available (third party certification)(6)No
lnstallation records are available on-site (manufacturer's checklist)G)No
Maintenance and calibration documents and records are available and indicate appropriate maintenance procedures for the
system have been implemented G No
lf observation wells are part of release detection system, observation wells are clearly marked and
secured to avoid unauthorized access and tampering (answer for each well) A) lrtn
Yes No Yes No Yes No Yes No
Tank is fitted with secondary containment and interstitial monitoring d@tto (Bsr tto Yes No Yes No
lndicate type of secondary containment for tank (double-walled, bladder, lined excavation, etc.l )u )-,
Product lines are fitted with secondary containment and interstitial monitoring 66s6 .>*- <e4 Yes No Yes No
Indicate type of secondary containment for lines (double-walled. lined excavation, etc.)-t )-r
Monitoring box, if present, is operational (mark for each tankl @no r€b ruo Yes No Yes No
lf monitored manually, equipment used to take readings is accessible and functional fl l-a.Yes No Yes No Yes No Yes No
Documentation of monthly monitoring is available for the last I2 months (sensor .,",r. ,rjor,.,
manual inspections, etc.)@ruo @ruo Yes No Yes No
lf a leak was detected or the system has recorded a leak alarm, indicate the month and year.
Provide additional information as necessary in the comments section on investigation/repair.
4o le.L'
d l.a
vo le*ktpl*
It the tank is fitted with an internal bladder: The bladder is compatible with substance stored and
will not deteriorate in the presence of that substance
Yes No Yes No Yes No Yes No
Excavation is linad with an impervious artificial material {if yes, answer tho following questions):
Secondary barrier is always above groundwater Yes No Yes No Yes No Yes No
lf the secondary barrier is not always above groundwater, secondary barrier and monitoring system
are designed for use under such conditions
Yes No Yes No Yes No Yes No
Secondary barrier is constructed from artificially-constructed material and will allow permeation at
a rate of no more than 1 O'8 cm per sec for the regulated substance stored
Yes No Yes No Yes No Yes No
Secondary barrier is compatible with the regulated substances stored and will not deteriorate in
presence of that substance
Yes No Yes No Yes No Yes No
Secondary barrier is non-corrodible or protected from corrosion Yes No Yes No Yes No Yes No
Secondary barrier is situated outside the 25 year floodplain Yes No Yes No Yes No Yes No
l::a:::::::::
Comments:7' --T<'-..-O.-
-\ tz )tf)ata. k-v7 lo/
Signatureofownero,o*n",,,R",,"""Ku.PresentDuringlnspect,^..W
Distribution: White-DERR, yellow-lnspector,
UTAH UST PROGRAM Facility lD No@.jct,
Spill, Overfill, and Corrosion Protection lnspection Checklist
Please complete all inlormation for each tanli Use additional forme as neoeasary lf the lacility has more th6n 4lanks.
SPILUOVERFILL PREVENTION
Tank 1 Tank 2 Tank 3 Tenk 4
ls the UST system is filled by transfers of 25 gallons or less? lf yes, spill
and overtill prevention is not required.Yes @ Yes @ Yes No Yes No
ls there a spill containment devic twiltprevent release ol Droduct into
w@dt.,spill bucket >5 gat.,the environment? lndicate typ
Containment sumD at tank fill.
Spill @'to &No Yes No Yes No
ls.therq an overfill prevention device installed on the ta2t2lndicate type :
fitl ttoat (in vent line), Automatic shutoff (in litl pipe17fta6fu Omer
lspecify) rrSia- t-ll ; " '-^Wo.rt,-tr-
9*"P*"Yes No Yes No
For overfill alarm only: ls the alarm located where it can be easily sedn
and heard by the delivery driver?@No qYe$ No Yes No Yes No
For overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?<46er ruo (Jqi No Yes No Yes No
CORROSION PROTECTION
Tank 1 Tank 2 Tank 3 Tank 4
lndicate the type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrificial Anode
'ffit,^Tank
AJ ..^.
Tank Tank
(SA), or Not protected (NP).Piping7N,x PipingAl,-Plping Pipang
lndicate the type ol corrosion protection on Flex conneclors and/or Swing
joints: Booted (B), Total containmenl (TC), Not in contact with soil or (
water (NC), Cathodically protected (CP), Non-metallic (NM) and Not
Protected (NP)
?w ffi Sub'Pump 56-Pump
ffi Wa:Oisp€nsr Ol$eEer
Tank lining
lf tank or piping has been
upgraded, indicate dale Tank cathodic protection
upgrades were perlormed:
Piping cathodic protection
CATIIODIC PROTECTION TESTS Becord results of the most recent ca*roc[c protedion test. R€cotd ttro lowes reading for each tarddrdrirwlflex set.
The results of the last two cathodic protection tests are available. (within
6 months of installation and every 3 years thereafter).Yes No Yes No Yes No Yes No
Tank. Tester Date volts votts volis votts
Piping, Tester Date volls volls volts volts
Flex. Tester Date
Sub-Pump
volts
Sub-Pump
volls
Sub-Pump
volls
Sub-Putrp
volls
Dispe@r
volis
Oiwnser
volts
Dbpelg
volts
OiFMr
volts
For impressed current system: The results of the last three equipment
operation checks are available. (Equip. check required every 60 days.)Yes No Yes No Yes No Yes No
Comments:
lnspector's
Signature of Owner or Owner's Representative present During lnspection:
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner 2199Ldspillover.wpd
State Zip Code
Area Code r Phono Numbor[kot) .rzg- tcqz
Contast Per5on At UST Location Phone #
ko<n Ca-a.tin
Facilitv Name
Sto€t Addrc68 , I.-S-ao N S/-k €*?.f
< ->i.c /
Certificate of Compliance
Ctty a State Zp Codc'S-lino ttl-t -Pvr-r.l
commenls. l-.1e1^<, A:T'b a^-l )io-- l.'-h*a*gs ks'l-t^
-' J<. s'l-J*{ ^l .-ro^i {'or,''^
t Gu"( Q.--L'ns.t--<-- celiiatatlhavainspectedtheabovo-namedfacitity on 4?.. Za9? //-'eo
lnspector's Signature: *l -2 .\-/zd,*,al.}: . t oatg, t*n-, -2.o
Signature of Owner or Owner's Repr€sontativ€ Present During lnspecti
Distribution: White-DERR, Yellow-ln3Doctor,
Automatic Flow Restrictor (if y6s, indicato model in comments soctionl
Autom8tic Shut-off Device (if yes, indicate model in comment8 sectionl )
Continuous Alarm System (if yos, indicate model in commonts sectionl
Records of last Line Leak Detoctor performance tost aro aveilable on-site
Date of last Line Leak Detector
Rssult of last Line Leak Detector porformanco tost
Records of last Line Ti
Date of last Lino Tiohtness Tsst
Rerult of last Line Tishtness Test
Name and compsny of certifiod tester: Lzal,'al E^r'*n*n{-l 9...u:..Utah Teeter Certification Number: Uf A zl
(if yes, use Vapor Monitoring checklictl
Groundwater Monitoring (if yes, use Groundwate, Mgnitoring checklistl
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklistl
Statistical lnventory Reconciliation lslRl (if y6s, us€ SIR checklistl
Other approved mothod (if yes, use oth€r mothod checklist)
Records of last Line Tightness Test are available on-site
Date of last Line Tightnoss Test
Result of last Line Tiqhtness Test
Monitoring (if yes, use Vapor Monitoring checklistl
Groundwater Monitoring (if yes, use Groundwatsr Monitoring checklistl
lnterctitial Monitoring (if yes, use lnterstitial Monitoring checklistl
Statistical lnventory Reconciliation ISIRI (if y€s, use SIR chocklistl
Other approved method (if yes, use 6th6r mothod checklistl
at le6s than atmospheric pr€ssuro
Slope of piping will allow ALL product to drain into tank when suction is
released
Has only ONE check valve, located
All above information on suction piping is VERIFIABLE, use comments
section b6low to document how it is verifiable.
co ^.n", Kz) --J-,.V -+ i€- l. I +*, +o. s /.-t-J
Signature of Owner or Owner's Bepresentative Present During
Distribution: White-DERR, Yellow-lnspbctor,
uffitIffiPXOC .hclllty,lD ilo;
Checklist
sFlffiliillliiL$ls i;,'it+1,::::1ir : i :irlltrii
Tank 1 Tank 2 Tank ?Tank 4
The UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.Yes Yes @ Yes lo Yes I No
I
ls there a spill containment bucket or another device that will prevent
release of product into the environment?,@ No @No Yes No IYes I No
i
ls lhere an overfill ryg,snliond€vicelAstalled on lhe tank? lf yes, indicate
Jbg;[Le of device( Ball float (in vent lQa), Automatic shutoff (in fill pipe),'-{tan\d oner giatrqf--tritT{,\ ^ \ )p^ + ) 4 4t-,,^
dP *o ryNo Yes No t"/*o
-For overflll alarm only: ls the alarm located where il can be easily seen
and heard by the delivery driver?G) No GNo Yes \ r.ro ves/ No
For overrlll alarm 6nly: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?No @*o Yes No YeS No
eonnosrcN FE mBxi
Tank 1 Tank 2 Tank 3 Tank 4
lndicate the type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrificial Anode
Tmkil r-r - Tm*A)^Tsk TUI
(SA), or Not protected (NP).?iphs
A) r-,PiphcN*r Pphs Pbhg
lndicate the type ol corrosion protection on Flex connectors and/or Swing
joints: Booted (B), Total containment (TC), Not in contacl with soil or water
Sub-PunpTc-SuFPurp
l(_Sub.Purp Sub. Pwp
(NC), Cathodically protected (CP), Non-meiallic (NM) and Not Protected
(NP)
,B*,o*ff'Disnor Dispmsr
lf the UST is not protected, was the tanldpiping installed before May 7,
'1985? lf vcc aar:oclan nralcnllan Ic n6l "Mrrlr.r{ rrntll lt+ ,, lOOn.
Yes rtnk No Yes Ttnk No Yes T"nk No YeS T",K No
do not complete the remalnder ol thls sectlon.Yes PiPnc No Yes PiPnc No Yes Pipns No Yes PiPne No
The results of the last two cathodic proteclion tests are available. (within
6 months of installation and every 3 years thereafleo.Yes No Yes No Yes No Yes No
Results ol the most recent calhodic protectlon test.
Name of tester:
Tank
Piping
Flex
Tesi
volts volts volls volls
volts volts volts volls
volts volls volts volts
For lmpressed current system: The results of the last three equipment
operation checks are available. (Equip. check required every 60 days.)Yes No Yes No Yes No Yes No
lf the tank has been retrofit (lined or cathodically protected), indicate the
date the retrofit was completed.
tnspector'ss,gn",rr"'>4 * =L )zr*-L- Date: /n-z,rzi) tqgi
UPGRADE NOTIFICATIOII (C6mplete only for pre-l988 Tanks)
understand that the tollowing marked items must be completed by
(pranl nam)
December 22, 1998 in order to meet the 1998 upgrade requirements: tr Spill prevention for tank(s)#
tr O,verfill prevention for tank(s)#tr Corrosion protection for tank(s) *
D Corrosion protection for piping/flex assoc. with tanxlsl * .-44 , , ,/ @adtity meets 1998 upgracts refluirem?ts.
SignatUreofownerorownersRepresentatiVePresentDuringlnspect"n,WtA7,/fu1l2L,/?i
Oistribution: While-DERR, Ysllow.lnspector, Pink.F Rovised O8/0U97
UTAH UST PROGRAM FactlttytDNo. z-.s>-,"* 7
Automatic Tank Gauging
Manufacturer, name and model number ot ty.t ^, kA -tt-1 o"1.,<*STt q., I
Please circle Yes or No for each question for each tank ff hcility has more than 4 tanks, complete intormafion lor addltional tanks on
separate torm.
Tank 1 Tank 2 Tank 3 Tank 4
Device documentation is available on-site (e.q.. owner's manual).,f"D ruo dJ Ho Yes No Yes No
@*o,E*o Yes No Yes NoRecords on site document that the system was properly installed and calibrated (system
and tank setuD reDorl).
System is maintained in accordance with manufacturer's instructions(records are
available on site).@to -"rO ruo Yes No Yes No
The probe is located at the center ol the tank. lf no, indicate tilt correction factor from
the tank setup reoort.
@ruo
Tilr:
@*o
Tilr:
Yes No
Titr:
Yes No
Titt:
Device can measure the heiqht of the Droduct to the nearest 1/8 of an inch :Xes-)No ,deO no Yes No Yes No
Device monitors the in-tank liquid levels over the full ranEe of the tank's internal heioht {eB tto 6Ho Yes No Yes No
A monitoring box is present and there is evidence that the device is working (i.e., the
device is equipped with roll of paper for results documentation)
4-\
--YeslNo @*o Yes No Yes No
Documentation is available demonstrating that the Automatic Tank Gauge performed a
valid leak test at least once a month lor the last 12 months
pNo @No Yes No Yes No
lf no, for which months was a valid test not performed? (specify months and year, use
space below il necessary)
The tank was filled to at least the minimum level required by the manufacturer's
equiDment protocol to ensure a valid leak test @t"@w Yes No Yes No
The tank capacity is within the upper and lower size limits required by the
manufaclurer's equipment protocol to ensure a valid leak test @*o @ruo Yes No Yes No
Have any ol the leak test reports indicated a failed test? lf yes, specify in the space
bel.x, the month, year, and what rollow-up actions have been taken.
.u--ffi ) Yes No Yes No
Documentation ol performance claims lor the automatic leak test feature is available and
shows the ability to detect leaks of 0.2 gph with 95% or greater probability ol detection
and 5/" or less probability ot ralse alarm (3rd Dartv certification).
€Ho @uo Yes No Yes No
lndicate month(s) of invalid or missing test:
lndicate month(s) of any failed test:
Comments:
lnspector's Signature:
Signature ol Owner or Owner's Representative present During lnspection:?)>ru[,
Oistribution : White-DERR, yellow-lnspector,Bevi$d 12\95
UTAH UtT PROGBAM pqcli1y rD l.lg.H=*A.
Helease Detection lnspeolion Checklist ii#.*J €ry4/\fr^/
l. Ownership of Tank(s)ll. Location ofTank(s)
Owner Name"'ii.1'"stl-- Ft .* rz-'-*'^t
AOOTeSS--{t.- <*+-- O€{\r. 6l,l.-
ret"t" Z,oCoO"'(zc. t{*-< frtiq
Area Code Phone Number?e ll 9)&- )6'{J
Contact Person At UST Location Phone #{Jeu-^ C<n., i n
pscilitvNameb,(*.-(
t ) r) oT S}.. r z 7
Citv - State Zip Code51 ,r,,e r. (-l*-at^ f,q ZLL
County-
\,?Jt< -
Cortificate of Compliance on site@ No
""nO;E4
lll. Tank lnformation Complete for each tank. ll laclllty has morc than 4 ianks, complote inlormatlon lor addltlonal tanks on separEts torm.
Number of lanks at facility: ?-
Current year tag is displayed
lf not in use, date last used
lf not in use, depth of product in tank
Month and year tank installed :"^ qtr
n l-..L- nl f- re i
Material of construction of tank (steel, FRP, etc.)
Material of construction of piping (steel, FRP, etc.)
lV, Release Detection For Tanks lndlcate rneilrod(s) uaed tor each tank corndoto tlra approprlate
Emergency Generalor tank (leak detection defened)
V. Release Detection For Piping complqte plplng checldlst and approprlab tank checklbt(s) for each
Other approved method (indicate name of melhod)
Comments: L,,ls,'^., 4rC, d>. n--.^lt^i., ]-<sl-,'-? f ,'^k.gA H^l ,*-^;.k^i-l
--_.---/-
that I inspected the above-named facititv on */, -O,#r,Jr7,r1,*, ,O' .'*
Distribution: Whil+DERR,Revisod 08/0€Y97
:::..::tD:,,'.i
:: )::il:
Iiir;, ll i iilil.ii\.,r* {.qlii
*i
,'."1n
FffiylB,,!{ilffi#ffiffi#
:s ii,'i, ffi,ff ff'jliflli{,,iil,,iitiiii*iiii;:,::i,:1i,::.: ''J"
,
Tank 1 Tank 2 Tenk 3 Tank 4
The UST syslem is filled by transfers or 25 gallons or less. lf yes, spill
and overfill prevention is not required.Yesr--ft-o)ves(fu €r Yes; No
ls there a spill containment bucket or another device thal will prevent
release of product into the environmenl?@No @No Yer No Yes No
ls there an overfill prevention device inslalled on the tank? lf yes, indicate
the type of device: Ball float (in vent line), Automatic shutoff (in lill pipe),
Alarm,orOlher(specity)
-
4-Y"i'--.[ta QB No 'r No Yer No
For overllll alarm only: ls the alarm located where it can be easily seen
and heard by the delivery driver?YeS No Yes No /es No Yer No
For overllll alarm 6nly: ls the alarm clearly marked to indicate whal is
meant when the alarm sounds?Yes No YeS No /es No t"{ No
eO,eBO.$P,$f . Fffi C$ffii,:
Tank 1 Tank 2 Tank 3 Tank 4
lndicate the type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lntemal lining (lL), lmpressed Current (lC), Sacrilicial Anode /vH fnkAl,-t Tmk Tst
(SA), or Not protected (NP).llShsN i-.,
PbnsnJx^Pbhs Pphg
lndicate ths type of conosion proiection on Flex connectors and/or Swing
ioints: Booted (B), Total containmenl (TC), Not in contact with soil or water
Sub.Pu,r?
lL-
Sub.Purpn<Sub.Purp SuEPqnp
(NC), Cathodically protected (CP), Non-metallic (NM) and Not Protected
{NP)
Di.p$&,Tc Oi!p$stT<-Disosr Oirp6$r
lf the UST is not protected, was lhe tanUpiping installed before May 7,
1 985? ll yes, corroslon protectlon is not requlred untll Dec. 22, 1 998;
do not complete the remalnder ol thls sectlon.
Yes r'nk No Yes rtnk No Yes r"nk No Yes T"nk No
Yes P'Pnc No Yes PiPne No Ygs P'p.ne No Yes Pipne No
The results of the last two cathodic protection lests are available. (within
6 monlhs of installation and every 3 years thereafler).Yes No Yes No Yes No Y€S No
Results of the mosl recent cathodic protection test.
Tank
Piping
Name of tester:
Tesl Data'
volls volts volts volls
volts volts volts volls
Flex volts volts volts volls
For lmpressed current sy3tem: The results of lhe last three equipment
operation checks are available. (Equip. check required every 60 days.)Yes No Yes No YeS No Yes No
lf the tank has been retrofit (lined or cathodically protected), indicate the
date the retrofit was completed.
Commenls:
U'FGRADE NOTIFICATION (Cbmplete only for pre-1988 Tanks)
understand that the following marked items must be completed by
(prinl n.m)
December 22, 1998 in order to meet the 1 998 upgrade requirements:tr Spill prevention for tank(s)#
O Overfill prevention lor tank(s)#D Corrosion protection tor tank(s) #
tr Corrosion protection tor pipinglflex assoc. wilh tank(s) # /J I / ./Aiacility meets 1998 upgradqrequirelrenls.
Signatureofownerorowne/sReDresentativePresentDUrinolnsDecli"^.-ffi|]^'Yfu.[lz,l/tr
Oislribution: WhiteDERR, Y6llow-lnsp€ctor,08/08/97
Automatic Flow Restrictor (if ves, indicate model in comments soction)
Autometic Shut-off Device (if yes, indicate model in commonta seaion) !
Continuous Alarm Svstem (if ves, indicate model in commonts sectionl
Records of last Line Leak Dotoctor Dorformance test ar6 available on-eite
Date of last Line Leak Detector performance test '3l zi /€S
Result of last Line Leak Detector
Records of last Line Tightnoss Test are available on-site
Date of last Line Tightness T€st
Result of last Lino Tightness Test
Name and comDanv of certilied tester: .-A- a t i:*.^{.1 /sr-Utah Teeter Cortificataon Number: UTcslz
Vapor Monitorins (if yes, use Vapor Monitoring checklietl
Groundwater Monitoring (if yes, use Groundwater Monitoring checklistl
lnterEtitial Monitoring (if yes, use lntorstitial Monitoring checklist)
Statistical lnventory Reconciliation tslRl (if yes, use SIR checklist)
Other approved method (if yes, use othor mothod checklistl
Records of last Line Tightness Test ar6 available on-site
Dato of last Line Tightness Test
Result of last Line Tightness Test
Vapor Monitoring (if yes, use Vapor Monitoring checklistl
Groundwater Monitoring (if yes, use Groundwater Monitoring checklistl
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklistl
Statistical lnvgntory Reconciliation tslRl (if y6s, usa SIR checklistl
Other approved method (if yes, use 6th€r mothod checklist)
Operates at less than atmosphoric pressure
Slope of piping will allow ALL product to drain into tank when suction is
released
Has only OilE check valve, located
All above information on suction piping is VERIFIABLE, us6 comments
section b6low to document how it is verifiable.
co ^"nt , K-)-T^ .L.* lz -l- ),-1- .1-: ,,/n.r t=^4*
Signature of Owner or Owner's Representative Pros€nt During lnspection:
Oistribution: Whit6-DERR, Y
UTAH UST PROGRAM Facility lD Ns. z--oeszac-l
Automatic Tank Gauging
Manuracturer, nameandmodetnumber o, "y"r", L1.<- J. r - 4o--l TLS - g :-o
Please circle Yes or No for each question for each tank ff hcility has more than 4 tanks, complete information for addltional tanks on
seParate form.
Tank 1 fank2 Tank 3 Tank 4
Device documentation is available on-site (e.o.. owner's manual).@11o 40 no Yes No Yes No
Records on site document that the system was properly installed and calibrated (system
and tank setup report).@*o @No Yes No Yes No
System is maintained in accordance with manufacturer's instructions(records are
available on site).
,.@ru6 @no Yes No Yes No
The probe is located at the center of the tank. lf no, indicate tilt correction lactor from
the tank setup report.
'VA-No
Tili:
Guo
Titr:
Yes No
Tilr:
Yes No
Titr:
Device can measure the height of the product to the nearest 1/8 of an inch 4"Ouo @No Yes No Yes No
Bqvice monitors the in-tank liquid levels over the full ranqe of the tank's internal heioht .@No @ tto Yes No Yes No
A monitoring box is present and there is evidence that the device is working (i.e., the
device is equipped with roll ol paper for results documentation)
g;?No @No Yes No Yes No
Documentation is available demonstrating that the Automatic Tank Gauge perlormed a
valid leak test at least once a month for the last 12 months @"o ->,-- Yes) No Yes No Yes No
lf no, for which months was a valid test not performed? (specify months and year, use
space below il necessary)
The tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test
1'G;Pruoa 9*o Yes No Yes No
The tank capacity is within the upper and lower size limits required by the
manufacturer'g equipment protocol to ensure a valid leak test F*o @*o Yes No Yes No
Have any of the leak test reports indicated a failed test? lf yes, specify in the space
below the month, year, and what follow-up actions have been taken.
ves @ yves@ Yes No Yes No
Documentation of performance claims for the automatic leak test feature is available and4
shows the ability to detect leaks of 0.2 gph with 95o/o or greater probability of detection -
and 5o/o or less probability of false alarm (3rd Dartv certificationl.
G.No @No Yes No Yes No
lndicate month(s) of invalid or missing test:
lndicate month(s) of any failed test:
Comments:
lnspector's
Signature of Owner or Owner's Representative present During
Oistribution: White-DERR, yeilow-lnspector, pink-Facitity/Owner Revised l2\95
SPEED MEMO
To:D)'"-lL wi \ Se-a-
DEQ / DERR
168 North 1950 West, lst Floor
Salt Lake City, Utah 841l6
From: Steven L. Canning
Fleet Services, Tank Management
1380 WestNorthTemPle
Salt Lake City, Utah 84116
(801) s2t-2706
Fa:< [phone]
CSMOTOR. SCAI.INING@EMAIL. STATE.UT.US
Subject:uO a 3B-5 DeQ. d z<radz-O1
cLr^-\:1.>tl1
Find attache.d this divisions response to the compliance issue concerning the above mentioned
facility. Thank you for yo,r heip and support in dealing with these issues'
L
#1: A ,"e^! e.&k.,{ (to hc.s 6.g+-) "Utt l ."l-
VI/1JY.\l!
LA-)W
fl Haruo DELIvEREo
#2:
#3:
{A;
Thanks Again, Steve Canning , t^{
Michael O. Lcaviu
Crovcmc
Dianne R. Nielson, Ph.D.
Erccutivc Dirccbr
Kent P. Gray
DiGlor
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 1,14840
Salt [^ake City, Utah 841144840
[phone] Voie
(E0l) 359-8853 Fax
[phone] T.D.D.
Date February 27,1998
TO:Steve L. Canning
Utah State-Fleet Services
1380 W. North Temple
Salt t,ake City, UT 84116
RE: Non-compliance of underground storage tanks at UDOT #333, 500 N. State St., Salina' Utah;
Facility I.D. #2000209.
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary ruSD may revoke a Certificate
of Compliancp if it is determined that a facility is not in substantial compliance with all state and federal UST statutes,
rules and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and Remediation (DERR)
performi a compliance review for the underground storage tankg at the above facility. Thank you for your response
received December 5, 1997 to the speed *rrr- sent October 6, lgg7. To achieve compliance you srill must do ONE
of the following:
Submit evidence that proper Interstitiat Monitoring is performed on USTs #l& 2 by documenting that
the interstitial probes are pnoperly functioning (print a probe status report at least once a month).
Submif prob" ,totut reporls for December 1997 and January, February, and March 1998'
OR
Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #1, & 2 by:
Documenting that the ATG system perfornrs and records a valid leak test at least once a month.
Documentirrg tt "t the tank is lilled to the minimum level required by the manufacturer's
equipment p-to"ot to ensure a valid trx;L Submilvalid lcak tests for aA USTs for December 1997
and January, February, and March 1998. O/1
please return a copy of this speed memo with the above items to speed processing. The above information must be
submitted to this office by A[Anr1998. If it is not received by the date specified, we will commence the revocation
process of your Certificate of Compliance. If you have questions concerning this matter or need any assistance, please
contact D/lid ytY2lt<801 ) s3 6-4 I 00.
cc: Steve Saltzgiver, Fleet Services
Bruce Costa, Central Utah Public Health
4 Wrg -4--lq;,-Tk
$!\'
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF E}.TVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 144840
Salt lake City, Utah Ml14-4840
(801) 5364100 Voice
[phone] Fax
(801) 5364414 T.D.D.
\
Michael O, Lravitt
Govcmor
Dianne R. Nielson, Ph.D.- ExeutiYc Dirrctor
Kent P. Gray
Dircctor
Date February 27,1998
TO:Steve L. Canning
Utah State-Fleet Services
1380 W. North Temple
salt Lake city, uT 84116
RE: Non-compliance of underground storage tanks at UDOT #333, 500 N. State St., Salina, Utah;
Facility I.D. #2000209.
The Utatr Underground Storage Tank (UST) Act provides that the Executive Secrctary OST) may rcvoke a Certificate
of Compliance if it is determined that a facility is not in substantial compliance with all state and federal UST statutes,
rules and regulations.
Atthe request of the Executive Secretary (UST), the Division of Environmental Response and Remediation (DERR)
performed a compliance review for the underground storage tanks at the above facility. Thank you for your response
received Decentber 5, 1997 to the speed memo sent October 6, 1997. To achieve compliance you still must do ONE
of the following:
Submit evidence that proper Interstitial Monitoring is performed on USTs #l&2 by documenting that
the interstitial probes are properly functioning (print a probe status report at least once a month).
Submit probe status reports for December 1997 and lanu.ary, February, and March 1998.
OR
Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #1, & 2 by:
a. Documenting that the ATG system performs and records a valid leak test at least once a month.
b. Documenting that the tank is lilled to the minimum level required by the manufacturer's
equipment protocol to ensure a valid tesL Submil valid leak tests for all USTs for December 1997
and lanuary, February, and March 1998.
Please return a copy of this speed memo with the above items to speed processing. The above information must be
submitted to this office by Apn127,1998. If it is not received by the date specified, we will commence the revocation
process of your Certificate of Compliance. If you have questions concerning this matter or need any assistance, please
contact David Wilson at [phone].
cc: Steve Saltzgiver, Fleet Services
Bruce Costa, Central Utah Public Health
SPEED MEMO
Date:
168 North 1950 West, lst Floor
Salt Lake City, Utatr 84116
From: Steven L. Canning
Fleet Services, Tank Management
1380 WestNorthTemPle
Salt Lake city, utah 841l6
(8ol) s2t-2706
Fa:< [phone]
csMoroR SCAIINING@EMAIL. STATE-UT.US
uDDt{t3eB, D@
L-..-=.i ['f
DEQ / DERR
Find attached this divisions response to the compliance issue concerning the above mentioned
facility. Thank you for your help and support in dealing with these issues'
#3:
IA:
Thanks $Bain, Steve Canning / v
o..mii:,,;;;;1x,,+,,;,;,^,,1i,tu,',x+,;i,,
!M .B pspARTMENT oF ENVTRoNMENTAL QUALITY<-, 1 orvtstoN oF ENVTRoNMENTAL RESpoNsE AND REMEDIATIoN
lI
Michael O. L,caviu $ l6E North 1950 Wcst
covcrm $ p.O.Box l44g4o
Diannc R. Nielson, Ph.D. .ff Salt Lake City, Utah 841144840
Exccurirc Dirccbf # (g0l) 53641fl) voicc
Kcnt P. Gray # taotl 359{853 FaxDi*ln H <nl53G44l4T.D.D.
Date October6,1997
Steve L. Canning
Utatr State-Fleet Services
1380 W. North Temple
Salt Lake City, UT 84116
RE: ,. Non<ompliance of underground storage tanks at UDOT #333, 500 N. State St, Salina, Utatr;
The Utatr Underground Storage Tank (UST) Act provides that the Executive Secretary (USD may revoke a Certificate
of Compliance if it is determined that a facility is not in substantial compliance wittt dl state and federal UST statutes,
rules and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and Remediation (DERR)
performed a compliance review for the underground storage tanks at the above facility. The compliance review,
performed on Septcmb er 3, l9fil, indicates you have not satisfied the requirements of the Act and are out of
compliance. To achieve compliance you must do the following:
Submit evidence that proper Interstitial Monitoring is performed on USTs #1& 2 by documenting that
the interstitial pnobes are properly functioning (print a plgF status report at least onoe a month).
Submit probe status report for the last six
TO:
Please return a copy of this speed memo with the above items
submitted to ttris omcefii':icismuer 6;lNlS If it is not n
revocation process of your Certificate of Compliance. If you
assistance, please contact D/vrd WAon/4 (801) 5364100.
[J$(frn-
speed processing. The above information must be
by the date specified, we will commence the
questions conceming this matter or need any
*rYs
r ,yr'J'l*"I-t<{
.,Pu )
we
this
cc: Steve Saltzgiver, Fleet Services
Bruce Costa, Central Utah Public Health
o€?r. ,{
-\v- - 9,,J' ^.tN- 6**
*^,f,e",,-.0\-'.f t"*-
\l''{
Notiflcation for Underground Storage Tanks
TYPE OF NOTIFICATION
E] A. NEW FACILITY
No. ol tanks at facility _ No. of continuation sheets anached
-l',*-.,'.,'n.' t-
'...,-. . lt --r. J'"-
I. CITJNESSHIP OF IANK(S)
Or,- iw.:J.n,rr,@,r!ro! r!* rira c Gv Edr.
Please rvoe or onnt in ink all items axcept -signature- in seclion v. This lormmust be complered for eaar rocation containing underground sitorage tanks. rfmore rhan five (5) tanks are owned at nis bcalion, pn&ocopy the littow;ngshe€ts, and staple contlnualion sheets to the form.
. l,bttllcrtioa l! rtquirtd by f"c€crrJ lrr lor rll uodcrground t.nk, t rrlhrvr bccn urad to ttolt tlgulrtH ,.Jbrancaa dnca &-nury .t, lgo/t, U'at
:111ng. gr-ound er ot r&y E, tgaf . or thrr ,r. oro,rgit into ur. rrtx Ly t,19€5. ThG intonnlrion .!gu6iad it rlauirld U,y S".rili SeZ ol ll1. Acaour!..Cons.raaton and Recovcry Ad. (RCRA),.,.;O;..
The pnrzrdry puroose ct ints jic:lica:lon progtam rs to locara afid evaluar€unce,g€uno tanks:nat siore cr:ia"e sicreo ;a!;g1gr[r o, nazarccus suos.,,Jtca3.It rs ercecao i|.lar ti:e rnfafl:airc;: ycu alcvrce wril 5e !a:i€€ on reasonaatyavariaare reccros. or rn tne acseic3 ct sr:i rec3rcs, your xnQwEcge. b€[rel. oarecarlle€:ion.
Who Mult Notify? S*;rcn !€.:2 3f HCRA. as afie.l(t€d. ,equires fid. ufli€sseremcned. owne6 o, unoergrcLicc:anx-s tfia! Siore r€lulelad subsErrces,riJsinotfy cesrgnared srale or rocar ace,',cEs ot ln€ err$s;cs or fiar Enxs. orn€rm€in9-
a) in the case o, an unceGE.JFa s:araga tank in usa on l{oven:lcr !1. ,gg4, O,brougi:i into use aner inai cate. any Eerson wnc oms an une€rlr?uno s:cragel;lnk us€c tof lie s:orage. us€. or Stsraflstng ol reluiiled siJisiaic€s. and
_ --b) :n ne case ot any uncergriu,.:c Scragg ranl in ss! Eerore Nc.refa€r g.19.g but no tonger is us€ on fia! aaiE. efiy-p€fs.rn wno owneo Sudl tankini:meotatety betore iie ctscanDnuaDcn of ils use.
. o.ll fie.Staia agency so rec,Jrras. any taaiiry EEI ha.5 uricerg3ne any crrangesla taclii, rnfoffi3:ien cr 13nx sysieii siarus.
what Tanxs Ara lncluded? ui6argrcur6 siorage lank rs definec a:, eny onaor Ffrornanon ol lanks ii:3( ( i ) rS ,Jsec :a ccn:atn an] aermuranon ci -regutated
suEslanc3s.'anc l2l wncse voriifie lrneuctng canneced uncergGunc o,o,nst i"
:1a-"-.-:"-....1"-i"-":"]l:grounc. Scne gxai:cies
"." u*".g-u* ranl€ sionng:I. (tasctrne. usea crl. or creser fuet. ai.c z rftrustnal sovents. pesi,cces.haroredes Ot lumrgan'S.
Whal fank! Ar! Erctud.d? farxs removed irom iit€ grEunc are nor ssbFctlo nciicatron. Otner, ianrs Srcluca5 trc:,:: ncBircr1on are:
1. farm or rasrdeaillat tinl(s cl t.tCC gajtoqt orl€6s ca.oaoty used rarsionngrnoror fuel tor floncom.naical guracses:
2. tanrs usec fol sloing noanng oil tor cansumgtry€ us€ on tne prsfiLt rswl't9re store6:
3. saol:c lanxs:
I
(,.ro,'a/',,l ralat8l
lIl- tlrll irHFi
STATE USE ONLY
ro NUMBEF 2@o
OATE BECEIVED
A. Date Entered lnto Computer
B. Oata Entry Clerk lnirials
C. Orner Was Contaaed to
Clarity Hesponses. Comments
a. Cipalinc laolrnes (itrduding gafienng lines) rGgutated unds, ri. NaB.aI Gas
Pipetine Salety Ac: ol i968. or rr€ Ha:arcous Li:ud Pip€In. Sateiy lq o1 1979. o,
wlllan €:rn intE €rB gp€l'ne laolity regutaleo sr{Gr State t.lrs:
5- suriaca rmi€und,rk nts. gtrs. poncs. or lagoons:
6- siorm waler o? was:a warer collea::on systerns:
7. low.fi roug:l,r.ceSS tanks:
& lioulo racs or assccralea galnenng hnes olrecily r?Ete,J to orl or gas
Producon an6 Eaii:enng ccefaions:
9.stcragg tanxs s:::.rate€ In an rndetgicuno erea lsu-! as a Uasemen:.:eita..
mmeworkrng, cri. st'iar. or !.jnnet) ri :!:e s:iragE !an( ls $:rai6 ulon or a!c"e irie
srjrtacr o, lie lloor.
Wh.sl Sql'tanc€a Arc &vercd? The nodfcaton (xrJtremenui aogty:E u.ca.
ground sareg8 Enks i:at ccfan rE€utated suosiaices. inis inciuoos any
substarEa c€iinea as lE:araous in s€cton 101 (14) ol tr6 Comorrnalntv?
Envirormenat Eespo.ls€. Compans:oon ar€ Liatiliry Ac! o, tgEO (CEiCtAl, stn
tia itcsaion oi E:ose slrbsiaice3 ragutstad ilt niqrtooss ra,:ne uroE Solrea c c, I
RCFA n also iodudes pei!'i+Jrn, e.E.. -JCe orl or 3ny h?caon nareot wft6 rs
Iou'd a Saridaro canorions ef lemp€raEre anc p.essure (60 degrccs Fenrennert
att 11.7 pouncs ,{r sQuare r,Ei illsaiute).
U'lr{t To t{otify? S€m campr€rec lcniis !o:
Whan To Notify? 1. Gans5 61 uncaryrcunct 3tolaEE Enxs rn us€ or rra! iave
b€e,1 laten oul ci oclerSnon aiEr Januan, l. 1974. iut 3llll tn ne g:ounc. Fru:fi l:ai:ry
Dy May 8. 1965. 2- Grrrers rno Dnng uncangrsunc sto€ge ianxs rnlo usa ati3r f,lay
I, t986. fiusi nor;f wrtnn 30 days ol inn$ng ne tanxs tnic tjs€.3. It m€ State
rectr/rres noircatron or any a:ienomefis io laexty seno rniormaron ro Siae rEency
imrnecia!eiy.
Pcr:eltks: .Aiy oxncf wno lnoHingly lail! to notily or rubmilt t.l:ra
hilornrrtlon rhrlt b. iubicct to r civil ptnrtty not lo.rc..d:1O.mO tor.rcn
Ent ,ot rhich notlllc.tion ir not givrn or lor rtrich trlx inrormrtioo it
$brnin!d.
ll.LOCATION OF TANK{S)
ar.-sS<:r, -*O.-rrI
O-hFrgrr-qrsrun.rle,{F l,lrrorya quh r{& lr}+ag rl lt
rl-En at !r. rk
Laltude Longitude
':
tr Fcdtral Got/L E Commerciat
Eg," Gorremmcnt E Privara
fr trx:,l Goremmarrt
Name and otlicialtitle of owner iorpwne/s authorEed representative (prinil i
S[crs'ey..-L .Cacvrv\\r,n4'r I i
Date SigneC
r./1 (qZ
burden for this formh avo,:lgo 30 minutests,"4 €s0fiElt6s puolic reponing burden for this formlo avo,:lgo 30 minutes petsrasponse induding time lor raviewing insfirtions,
galngring and rnaintaining_tha data nee(ed and completing ind reviawing tire lorni. Send commints reganding this burden rtlmata to
Chief, lntormation Policy Brand PM-223. U-S- Envirinme-nral Protecrion-Aqency. 4Ot M Stre€t. Washiriston 6.C.20460..marksdGtrisf, lntormation-Policy Brand PM-223. U-S- Environmenral Protecrion Agency. 4Ot M Stre€t. Washingrton D.C.2Oa6O..marked
i{ttention Oask Officer lor EPA'This form amends the previous notilicatioi lonir as printed in a0 CFFI Part 280. Appendir t. Prcvious
editions of this notjfrcation lorm may be used whila *ppiies hst \
III. TYPE OF
S€l€d fie Appropiaae Fadlilq- Dcsoiption
_Gas Stadon
_Petrolzum Disdhnor
_AirTaxi (Airtirn)
_ Aircraft Orner
_Arrto Deaftirship
_ Railroad
Tenls en @on land rithln an lrdlan
Bcsor,rairn d m dhor hJst lards. tr
Tanrc arc'orrred by natfue Arnorican ndion.
tsibo. or hdvkfd tr
lTtibe or l{illon:
_c.,m-aaor
-Truck
ny'fransport
_ LJlilities
-Fesidential
-Futtt
V. TYPE OF FACLTTY
-Loca,
Govemment
-Stata
Go,9nment
-
Federal - ttton-Uititary
-
Federal - Mittary
-Comrnercial_ lndusilial
VI. CONTACT PERSON IN CI-I,ARGE OFTANKS
VII. FINANCLAL HESPONS IBI UTY
I have met fie financial respqsib@ requiremants in
acccrdanca with 40 CFR SubF t H
Guerafltee
Surety Bond
Letter sf Credit
!,f, ou,.' (Exphin) -ll O(}flil^ffi
Phone Number (lndude Area Code)
i ' Trust Fund
Name r. Job Trtle Address
f^*.1 .*^-, S{J;$p*,Eo+* *rt, l**k"+(60r) az-r-lz
-T
Check All that Apply
ffiLs* tnsurance
-l Commercial lnsurance
Flisk Retention Group
Vlll- CEBTIFICAT1ON (Fead and sign dter completing alt se<iions)
l.certify under penalty ol hw that I have personally eramined and am familiar with the inlormation submined in this and a[ anacired
doo.lments. and that based on my inquiry of fiosi indMduals immediately responsible lor obtaining the inlormation, I believe that tlle
submitted inlormation is true.ac.urate, aird complete.
l,-l
i-l
t:
D( OESCRIffiON .rf UNOERGROUNO I
Tzrf-ldrfifia)on Numbor Tanf XoJ
TTOR GE TAlll€ (Cornplere tor cacfi tank d this localioa)
ll
- Tank llo. + Tank No. _ Tenk No. _ Tank Ib.
Stallr qlTank
(marlc only ona)I-r
r-t
l-t
Ii-lii--r-t rli--
irF-l|]
Ir-r ll I
Z0ara of lnstaltaion
b,ao
5. Piping (Materiat)
(Mafk all that apply)
1. r{,LIDnat ot g{rnsfruction i i -(t ark att rrat apply) I It_r _
Aspiuuh Coated or Bare sreeri I ---_l I f----l
Cathodiacaly proteoed s,*,1 [ ----__l i i l
j, Epoxycoatedr,"",l FI i ,-:]
. Composite (Steetwith Fibergtass) f l__:' i .__-j
FibersrassFreinrorcedprastici i xx r ii -xrsxj
Lr'neclnieriorl I iii i:_
Doubrewaredl DCE i lT r y I
potyethytene Tank Jacket i f-l I l-l
concretel l-l i t-l
Excavation un"rl [-l I l-]
Unknownl l--lifl
other, Ptease Speifyi f ----_-l ; f--l
t __l _
Has tank been repaired, i iE I if-l
rl
Irlr_r_llill'l-l I f iif-f-llr-ii
i._:_lr':,tl-iilir--rli-i--li,i:
I-lll-lli r
r i-ir i-lIl :ll ii-lli-lii-l-lll-llf
'i-lit ,ii ':
-: -
It-lt-ir':l
f--lli ii--t-lit---ii-il'li-l! i,l:-rr-llril'-i-
;il:__i'
l-ll::'
Il-i--
Il-'-
6. Pipins [rype) i(Mark sll that appty) I i
suction: no rarve ar iank I i--l i
ri-..-r
Suction: rralve at ranf< | I I I
Pressurel f lo'ry-]
i
Gravitv r* I i-l I':-
Has piplns been repaired, i l=-Ti-O--l i
I
I
I
I
I
II:
l
-.--_,
Tank tdcntttlcadon Numbor \-,Tgrk t Tzt*t I ra)r-<o.-Tenk No.-T.rf(t{d,-?'-r
7. Substence Cunan0y or lest Stored
ln Grcatasl Ouafidty by Volume
Czasollnc
Dbsol
Gasohol
lGrosslre
lleatirg Ot
Us€d Oil
Otrer, Please Spodfy
Hazardous S.rbsAnca
CEFCLA name andor.
CAS number
t-tt,
l-ll-ll--l
+E+-
I
Mixnrre of Substances
Please Spedfy
I
i
X TANKS OUTOF USE. ON CHANGE IN SERVICE
l. Closing of Tank
A- Esiimated date lasi used
(mo.rday{ear)
-i--
B. Estimate dare Enk dosed
(mo-/Ca.v{ear)
I
C. Tank was removed from ground
O. Tank was dosed in ground
E- Tank filled with inen material
Describe
F. Change in service
t-
Ir
.
=il
Ii-lit-
2. Site Assessment Completed d I
-iiT
i,
Evidence ol a leok deteded
I
t#
It
, .a,i_
-
:':. -X1.65gnp1sATrcN
OF ner.nNCe ICOUn-ffe FORAu.NFfl ANO ITSFADED TAI'll(3 ATTHIS LOCATION)
Tank ldcntilication Numbcr
l. lnstallation
A. lnstall€r c8rttfredry Enk and ...
fiping rnanulaarers
8. hnaller cartified or lcansed by tta
implementing qarcy
C. lnsallation inspactad by a
regisered u:6,ir:ner
D. lnstallaion lnspectad and
approvd by implementing a€en6y
E. Manufaalre/s installation dreck-
lists hava be€n compl€tad
F. Another method allowed by State
egetnt. Pleasa Wdtt.
f-l
lr
rl
2 FleleasS Detedion (Mark all that appty)
A. ManualtEnk gauging
B. Tank tightness testing
C. lnventory canrols
D. Automaric tank gauging
E. Vapor moniioring
F. Grounciwater monitoring
G. lnterstitial monitoring double walled
tant/piping
H. lnterstitial monitoringlsecondary
containment
l. Automatic line leak detector:s
J. Une tighiness testing
K. Other method allowed by
lmplementing Agency. Plqse SgAcjfy.. l->e^^ea^-\k Vl/anil,ot
3. Spill and Overfill Protection
A. Overfill devica insialled
B. Spill device instalted
rl Ii! ,
:
Ii_i-lro\Ps IiiTrsIii
lTva- iry's'lr-
/,
OATH: I cartify the th€ intormation conceming installarion rhat is rylideO iF's€crion X is true tgD€!€Et of my beliel and knowledge'
rnsralrer: t) -. A^&rrca,,r , . ', /-,",.-,- Z.<1"-- :lz191=-.&. _==== t-""W*..\ [i+\
SPEED MEMO
,^,"fl!,",[q'1
ro, E; \\- l$cqtg---
DEQ / DERR
168 North 1950 West, lst Floor
Salt Lake City, Utah 84116
From: Steven L. Canning
Fleet Services, Tank Management
1380 West North TemPle
Salt Lake City, Utah 84116
(801) s2t-2706
Fax [phone]
\l
5u5;..1. J'.r"ofton UOD( " zaac zos
Srli,n,- o0tlrt * Lo@ZOn "",-'d
l((e d.ftX * z@o2,Ce
crOC( E
Find attached this divisions response to the compliance issue concerning the above mentioned
o;[l2^ks
ScJ"
L---S-t!
D xaruo DELIvERED
c s MoroR. s CANNING@EMAIL. STATE.UT' U S
(-
*.So o
'(-eBz- qJgq ro !t*-/J*,Jl
\:."..., tr0a-t 4 rod aeooTo e,,/.; -
* 7@OZ:O
Thanks Again, Steve Canning / spM".o*pr
Mich&lO. Iravitr(brtrlrc
Diatrrc R. Nielsoo, Ph.D.
ErlcltriEDircca
IGot P. GrayDitda
Statiof utah
DEPARTMENT OF EI.IVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AI{D REMEDIATION
l6t Nonh 1950 West
P.O. Box 144840
Sall I*e City, Utah E4l l,l4t/to
(EOl) 53641(X) Voicc
(801) 359-tE53 Fax
(80r) 5364414 T.D.D.
August 14,1997
ERRU-378-97
CERTIF'IED MAIL
RETTJRN RECEIPT REOT'F^STED
Steve L. Canning
Utah State-Fleet Services
1380 W. North Temple
Salt Lake City, UT 84116
RE: FACIury ;, ;;*zo: MH*r ze1/zwozo,,r)#); r/*ror6-&\fr1,
and 2000210 (LJDOT #334). t- l. t
"r.\.
(\tFtoa-
Dear Mr. Canning:
The site plaS you submitted with regards to underground storage of petroleum products on
your site has been reviewed and a determination has been made. As Executive Secretary (UST), it
iras been determined that the unregulated heating oil tanks on your above referenced facilities are
located such and of simitar product t)?es as the regulated Underground Storage Tank (UST) system,
that it would be difficult to accurately determine which of the tanks may be the source of a release,
should a release occur.
As such, you must perform one of the following:
l) Upgrade your unregulated USTs to the December 22,1998 standards
for regulated USTs and obtain coverage under the Petroleum Storage
Tank (PST) Fund on those unregulated tanks and maintain
compliance as a regulated UST within the next 60 days, OR;
2) Properly permanently close your regulated USTs by submitting a
properly completed closure plan, obtain approval, and close the
regulated UST systems as approved within 60 days of this letter, OR;
3) For the reglaprd UST system, obtain coverage for financial environmental
liability unO"r un optio;al method, meeting the requirements at 40TFR
subpart H, within the next 60 days.
v
Facility ID No' s ?Jo0203, 2000208, 2000209, 20002 I 0
Page2
\-/
If you fail to perform one of these options, we will begin the revocation process of your
Certificate of Compliance and coverage under the PST Fund for you regulated UST. If you allow
your coverage under the PST Fund and Certificate of Compliance to be revoked you will be required
to remove the regulated UST or come into compliance, and may be assessed penalties.
Sincerely,
b*ltJAL.0 <(-\_
Kent P. Gray, Executive Secretary (UST)
Utatr Solid and Hazardous Waste Control Board
KPG/DJWem
cc: Steve Saltzgiver, Fleet Services
Bruce Costa" Central Health Department
TJNDERGROT'ND FT'EL TANK SYSTEM REMOVAL SPECIFICATIONS
for
UTAH DEPARTMENT OF TRANSPORTATION
JUNCTION IT{AINTENANCE STATION 326
255WestCenterstreet'Junction,PiuteCounty'Utah
SePtember l9rl997
PART I GENERAL
1.01 SCOPE: Performed by Tank Remover/Contractor
A. This section oovers cleaning removing and disposing of existing underground fuel storage
tanks and associated piping appurtenances and backfill ofexcavation'
B. Contractors involved with any underground tank activities shall have a State of Utatr tank
remover certfficate for such activities- Contractor shall provide proof of underground tank
remover certificate to Owner or Owner's Representative before beginning any work.
C. Contractor shall provide list of equipment to be used on tank removal site to Owner or
Ownet's representative before beginning any work'
D. Contractor shall be responsible for contacting Blue Stakes for the location of any and all
utilities (Blue Stake Phone Number t-800-562-41I l)'
E. No welding, brazing or open flames on or around existing tanks during entire tank closure
process, including cutting torches'
F. Contractor shall place T.Io SMoKING" signs at each tank removal site. signs shall be
removed at comPletion of Project
G. Contractor shall be responsible for mainaining an orderly work area at all times, as to not
intemrPt dailY traffrc flow.
H. Contractor is not authorized to conduct remediation activities under this contract. All
remediation activities must be coordinated with a State-Certified UST Consultant
I. Contractor shall be responsible for the preparation and submittal to the Ovmer any and
all documentation neeied for a tank removal to include but not limited to, Closure Plan,
Closure Notice, Environmental Sampling and Environmental Sampling Analysis Results
as-well-as Payment of any and all Fees associated with this removal.
J. Site Specific Conditions: Junction trDOT Maintenance Station 326, Located at 255 West
-Genter Street, Junction, Piute€egnty, Utah. Two 3,000 Gallonsteel Heating Oil Tank$
\[iffiTteel Product and Vent?ipiilg. As shown on attached sitedmving.
I.O2 DESCRIPTION OF WORK:
A. The work associated with cleaning removing and disposing of underground fuel Anks
Page I of5
1
generally consists of the followittg:
l. Tank sYstem cleaning
2. Tank sYstem removal
3. Placement and compaction of backfill material
4. Tank sYstem disPosal
5. Placement of finish surface material'
B. Contractor shall be responsible for oleaning, removing, and the Proper disposal of tank
contents, including sludge and rinsate. Conhactor shall provide documentation of disposal
oftankcontentstotheownerorownet'srepresentative.
C. Contractor shall be responsible for all excavation in conjunction with the tank system
removal.
D. Contractor shall furnish and be responsible for all backfill and surface finish materials
placement in conjunction with the ank system removal'
E. contractor shall be responsible for removal and proper disposal of all tank system
components, excavated soils not used as backfill, asphalt, concrete or other materials
dispiaced or removed in conjunction with the work'
F. Contractor shall perform such independent investigation as he deems.necessary to satisff
himself as to the surface and subsurface conditions to be encountered and the procedures
to be used in the performance of this project
I.O3 RELATEDDOCTJMENTS:
A. The following publications and regulations of the issues listed below, but referred to
n"ron"r Uv dsic designation only, ior,
"
part of this specification-to the extent indicat€d
by the refe-rences Orereto. Publications shown shall be the latest edition.
1604 Removal and Disposal of Used Underground Petroleum Storage Tanks
UTAH STATE DEPARTMENT OF HEALTH
R450-204 Underground Storage Tank Removal
3. NATIO}IAI FTRE PROTECTION ASSOCIAIION (NFPA)
30 Flammable and Combubtible Liquids Code 329 Underground kakage of
Flammable and Combustible Liquids
l.
4.
Page 2 of5
^
Excavation and Trpnching Operations
PART 2 PRODUCTS (NONE)
PART 3 EXECTITION
3.01 TAI.IK DEFT ELING: (Performed by Ovmer)
A. Owner will defuel existing fuel tanks. Contactor shall notiS Owner 72 hours prior to
@mmencement of removal operations to allow Ovmer time to defuel existing fuel tanks.
3.02 TAI{K CLEANING: @erformed by Tank Remover/Contractor)
A. Tank cleaning operations will commence upon removal of soil overburden by Contractor.
Tank cleaning shall be done with the tank in the ground'
3.03 TANK REMOVAL:
A. After existing unk has becn dcfueled and cleane4 tank removal shall proceed as follows:
l. Disconnect electrical circuit to fueling system at breaker box.
2. Excavate to toP of tank.
3. Tank cleaning operation performed by Tank Remover/contractor.
4. Drain existing fuel line back into tank'
5. Remove and cap all pipes (except vent) from tank'
6. purge tank down to ZV/o of lower oplosive limit, or inert tank until oxygen is
reduced to or below ltrl" by tank volume'
7. Remove and cap vent pipe, leaving a l/tn opening for expansion of ank
atmosPhere.
8. Excavate and completely remove tank'
g. Inspection of tank and excavation by Ovmer or Owne/s Representative'
10. Collection of all environmental samples by Contractor. And delivery to a State of
Utah Certified Laboratory for analysis'
I l. Backfill and compact excavation.
B. =6irt
a"tor shall remove explosivi a6lbphere from ank usinffib ofthe methods defined'
l. purge tank according to API Recommended Practice 1604. Tank shall be purged
to}}Yo of the lower explosive limit or below'
Page 3 of5
1
2. Inert tank atnosphere with inertgas according to API Recommended Practice 16O4.
Inert gas shall be nitrogen or carbon dioxide (in dry ice form). Oxygen shall be
reduced to l0%o by volume or below.
C. Tank and piping excavation shall not be backfilled until Ovmer or Owner's Representative
authorizes Contractor to backfill.
D. Contractor shall backfill and compact excavation. Backfill materid shall be placed in 6'
lifu and compacted to 95Yo density, unless specified othenrise by Ovmer or Ownet's
Representativi. Backfill material to be reViewed by Owner or Owne/s Representative.
E. Asphalt placement shall be in compliance with the practices and recommendations of
UpOf Sinaara Specifications for Road and Bridge Constnrction - Sec. 402 and Sec. 704
and other related UDOT specifications and standards. Asphalt which is not placed in
accordance with recommended practices, as determined by the Site Manager, shall be
removed and replaced by and at the expense of the Contractor. Asphalt schedules for
removal will be sawcut to establish a clean joint. Placement of new asphalt will be roller
compacted to form a smooth and uniform surface with the surrounding and adjoining design
mix surfaces. Asphalt suppliers design mix shall be pre-approved by LJDOT prior to
installation on State Projects.
3.04 EXPLOSION MONITORING: (Performed by Tank Remover/contractor)
A. Tank atmosphere shall be monitored by a combustible gas indicator if the tank has been
purged with air, or by an oxygen indicator if tank has been inerted using an inert gas. In the
case of purging, tant<s shall-be inerted to 10% oxygen by volume or below. No work shall
Ue conducted on anks until one of these limits is achieved. Tank Remover/Contractor shall
perform this task.
3.05 TANK DISPOSAL: (Performed by Tank Remover/Contractor)
A. Contractor shall transport removed fuel tanks from site to salvage yard. Tanks shall be
transported to salvage yard within 30 days of tank cleaning. Contractor shall obtain a bill
of lading or invoice-from salvage yard. A bilt of lading or invoice shall be turned overto
Owner at the completion of project for each tank removal'
B. Each bill of lading or invoice shall contain the following minimum information:
l. Date tank was received.
2. Site number.
3. Tank size in gallons
--4- Statement "Tank will not be reused as a storage tank''-
3.06 FUEL SPLL CLEANUP: (Performed by Tank Remover/Contractor)
A. Contractor shall be responsible for cleanup of spills of fuels, sludges and rinsate that result
from operations of the Contractor, Contractor's employees or Sub-contractors.
Page 4 of5
B. In the event of a fuel spill in ex@ss of 5 gallons, the Owncr shall bc notified immediarcly.
The Contractor shall take measure necessary to prevent migration of the spill to ttrc
environment.
3.07 EI'wIRONMENTAL SAMPLING: (Performed by Contractor)
A. Environmental sampling will be performed by the Contractor as outlined in R3l l'202,Part
280.72 and R3ll-205 (U.A.C.)
PART 4 MEASTJREMENT AND PAYMENT
4.OI METHOD OF MEASIJREMENT:
A. Measurement for payment shall be for each tank system removed and the excavation
backfilled.
B. Measurement for payment for the removal of contaminated soil and subsequent backfilling
and compaction Jtrait be by unit prices through amendment of this conEact.
4.02 BASTS OF PAYMENT:
A. payment for all work performed under this section will be made at the lump sum price
quoted for each tank system removal in the Bid schedule. No separate pa5rment will be
made for backfill.
PROJECT CONTACTS:
Owner / State of Utah, Fleet Services
Steven L. Canning UST Program Specialist
1380 WestNorttrTemPle
Salt t ake City, Utatr
(8ol) s2l-2706
Site Contact / I-en Mills Station Supervisor
Utah Departnent of Transportation
Junction Maintenance Station 326
255 West Center Street
Junction, Piute CountY, Utah
(801) s77-2873
JuncriHO:Rcm
Page 5 of5
i'r'l -a,;l
F CA*3 ^.+
/a;r; fre
fuh- ?t #Abt&
,-^rL
?4o
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-1
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ET.TVIRONMENTAL RESPONSE AND REMEDIATION
l6E Norfr 1950 West
P.O. Box 144840
Salt kke City, Utah 8411,1-4840
(801) 5364100 Voice
(801) 359{E53 Fax
(801) 5364414 T.D.D.
. "ii!'i, i!
Michael O. kaviu
Govcrnor
Diaone R. Nielson, Ph.D.
Brccutivc DkElor
Kent P. Gray
Dincctor
TO:
RE:
Date October 6,1997
Steve L. Canning
Utatr State-Fleet Services
1380 W. North TemPle
Salt Lake City, UT 84116
Non-compliance of underground storage tanks at UDOT #333, 500 N. State St, Salina, Utah;
Facility I.D. #2000209.
The Utatr Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke a Certificate
of Compliance if it is determined that a facility is not in substantial compliance with all state and federal UST statutes,
rules and regulations.
At the rpquest of the Executive Secretary (UST), the Division of Environmental Response and Remediation (DERR)
performet a compliance review for the underground storage tanks at the above facility. The compliance review,
performed on Septemb er 3, 1997, indicates you have not satisfied the requirements of the Act and are out of
iompliance. To achieve compliance you must do the following:
Submit evidence that proper Interstitial Monitoring is per{ormed on USTs #l&2 by documenting that
the interstitial probes are properly functioning (print a probe status report at least once a month).
Sabmil probe status reports for the last six months'
please return a copy of this speed memo with the above items to speed processing. The above information must be
submitted to thistffi"" by December 6rL9W. If it is not received by the date specified, we will commence the
revocation process of your Certificate of Compliance. If you have questions concerning this matter or need any
assistance, please contact David Wilson at [phone].
cc: Steve Saltzgiver, Fleet Services
Bruce Costa, Central Utah Public Health
-- ---/J - 7
"* 3 ,L,
Area Code Phone Numbor
Certificate of Complirnce on ehe?
Signature of Owner or Owner's Representative Prosent
, Pink-Facility/Owner
ilt..a!t|i,
,rr!lftj.::::,
Manufacturer and modetor monitorins "y"t ^, '%e-+(e- (4rr4 TLS-dSd ( Date instaled: 7777-
lnterstitial space is monitored (Check one): ( ) Manually on a monthly basis ( ) Automatically: continuously k{Automatically: on a monthly basis
iUriUtH*::#m ji jffi ::ftlui:ffi iilacH':,ffi iffi il;''i ,,.i,.,.,.i:,:iii td,XS!:ililiiu
System is capable of dotecting any release of stored regulated substances from any portion of the primary tank or piping
within one month of the release (verify number and location of tank and piping sensors)I No
Documentation of performance claims is available (third party certification)&/No
lnstallation records are available on-site (manufacturer's checklistl Yes IG
Maintenance and calibration documents and records are available and indicate appropriate maintenance procedures for the
system have been implemented
Yes @
lf observation wells are part of release detection system, observation wells are plearlv markd fr,rd
secured to avoid unauthorized access and tampering (answer for each wel| 7La %g/*2-
Yes No Yes No Yes No Yes No
E,*
Tank is fitted with secondary containment and interstitial monitoring f"pruo (6 no Yes No Yes No
lndicate type of secondary containm€nt for tank (double-walled, bladder, lined excavation. etc.l DLII t2lu
Product lines are fitted with secondary containment and interstitial monitoring r{.?no ,v#)ruo Yes No Yes No
lndicate type of secondary containment for lines (double-walled. lined excavation, etc.)D t1/DW
Monitoring box, if present, is operational (mark for each tank)(V60 rvo fE r'ro Yes No Yes No
lf monitored manually, equipment used to take readings is accessible and functional Yes No Yes No Yes No Yes No
Documentation of monthly monitoring is available for the last
manual inspections, etc.)
1 2 months (sensor status reports,);r.v €,L.C
Ye,@ v." {y Yes No Yes No
lf a leak was detected or the system has recorded a leak alarm, indicate the month and year.
Provide additional information as necessary in the comments section on investigation/repair.
lf the tank is fitted with an intornal bladder: The bladder is compatible with substance stored and
will not deteriorate in the presence of that substance
Yes No Yes No Yes No Yes No
Excavation is lined with an impervious artificirl materiat (if yos, answor the following questionst:
Secondary barrier is always above groundwater Yes No Yes No Yes No Yes No
lf the secondary barrier is not always above groundwater, secondary barrier and monitoring system
are designed for use under such conditions
Yes No Yes No Yes No Yes No
Secondary barrier is constructed from artificially-constructed material and will allow permeation at
a rate of no more than 1 O'8 cm per sec for the regulated substance stored
Yes No Yes No Yes No Yes No
Secondary barrier is compatible with the regulated substances stored and will not deteriorate in
presence of that substance
Yes No Yes No Yes No Yes No
Secondary barrier is non-corrodible or protected from corrosion Yes No Yes No Yes No Yes No
Secondary barrier is situated outside the 2S year floodplain Yes No Yes No Yes No Yes No
::i:i::i::::::::::::::i::::::,::::i:i::i:ii:t:.i:::::::::::::::::::;;iiii:iiii::::::::i:i::::::::::::,:,,i:i::::::;:i:::::!:!:!:i:iarlaIIiFE
Comments:
lnspector's Signature:
Signature of Owner or Owner's Representative present During
Oistribution:
d
*i4lr,id$li
lliijii I liiljlli{tiiiliiiillii;:i : !r,,:,,, !i ! !i lr1ra,;dilidiiillr!
3-#hl#ffiriUitertdilffiffi
Tank I fank )Tank 3 Tank tl
The UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
Yes ffi'L,/
/)Yes r No\*z Yes No Yes No
ls there a spill containment bucket or another device that will prevont
release of product into the environment?(Y' No /uN No Yes No Yes No
ls there an overfill prevention device installed on the tank? lf yes,
indicate the typ94t$evice: Ball float (in vent line), Automatic shutotf
(in fill pipe), flarm)or Other (specify)\.
(fr No (:"3' No Yes No Yes No
For overlill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
(;j) No Gt' No Yes No Yes No
For overlill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?(>'""(,i.'No Yes No Yes No
tt:
Tank 1 Tank 2 Tank 3 Tank I
lndicate the typs of corrosion protection: Nonconodible material (FRp),
Composite steel (CS), lntemal lining (lL), lmpressed Current (lC),
Sacrificial Anode (SA), or Nol protscted (NP). t, FRP or CS do not
complete the remainder of this section.
FKT r'{.?T.r*Tar*
rif rql Llm UM
lf the UST is not protected, was the tanMine installed before May 7,
1985? Il yes, corrosion protection is not required until Dec. 22,
1998; do not complete the remainder of this section.
Yes No Yes No Yes No Yes No
The results of the last two cathodic protection tests are available.
(within 6 months of installation and every 3 years thereafter).
Yes No Yes No Yes No Yes No
Results of the most recent cathodic prolection test.
Name of tester:
Test
T.r*
volts
Td
volts
Trd(
volts
Tar*
volts
LlrF
volts
Um
volts
LID
volts
LTE
volts
For impressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
60 days.)
Yes No Yes No Yes No Yes No
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the retrofit was completed.
' iiiniiiriiixlltiltiiilrl;
UP,$:E4P,El4ofiFIe*:f loN
(pdd lme)
understand that the following marked items must be completed by
December 22, 1998 in order to meet the 1998 upgrade requirements: ! Spill prevention for tank(s)#
! Overfill prevention for tank(s)#! Conosion protection for tank(s) #
! Corrosion protoction for piping assoc. with tank(s) #1998 upgrade requirements.
.Z?Signature of Owner or Owner's Representative present During
meets
Distribution:ellow-lnspector
Distribution: White-
@
Michael O. L€avin
Govcmor
Dianne R. Nielson, Ph.D.
Excutivc Dir*tor
Kent P. Gray
Dircclor
1 FILE $OPY
1
DEPARTMENT OF ENVIRONMITTITAL QUALITY
DIVISION OF ENVIRONMENTALRESPONSE AND REMEDIATION
168 Nonh 1950 West
P.O. Box lzl4840
Salt kke Ciry, Utah 841144840
(801) 5364100 Voice
(801) 359-E853 Fax
(801) 5364414 T.D.D.
August 14,1997
ERRU-378-97
CERTIFIED MAIL
RBTURN RECEIPT REOT]ESTED
Steve L. Canning
Utah State-Fleet Services
1380 W. North Temple
Salt Lake City, UT 84116
RE: FACILITYIDs#2000203 (UDOT #326),2000208 (LJDOT #332),20W2O9 (LJDOT #333),
and 2000210 (LJDOT #334).
Dear Mr. Canning:
The site plats you submitted with regards to underground storage of petroleum products on
your site has been reviewed and a determination has been made. As Executive Secretary OST), it
has been determined that the unregulated heating oil tanks on your above referenced facilities are
located such and of similar product types as the regulated Underground Storage Tank (UST) system,
that it would be difficult to accurately determine which of the tanks may be the source of a release,
should a release occur.
As such, you must perform one of the following:
Upgrade your unregulated USTs to the December 22,1998 standards
for regulated USTs and obtain coverage under the Petroleum Storage
Tank (PST) Fund on those unregulated tanks and maintain
compliance as a regulated UST within the next 60 days, OR;
Properly permanently close your regulated USTs by submitting a
properly completed closure plan, obtain approval, and close the
regulated UST systems as approved within 60 days of this letter, OR;
For the regulated UST system, obtain coverage for financial environmental
liability under an optional method, meeting the requirements at 40 CFR
subpart H, within the next 60 days.
l)
2)
3)
U
Facility ID No's ?ffi0203, 2000208, 2@0209, 2000219-
Page2 --:'
If you fail to perform one of these options, we will begin the revocation process of your
Certificate of Compliance and coverage under the PST Fund for you regulated UST. If you allow
your coverage under the PST Fund and Certificate of Compliance to be revoked you will be required
to remove the regulated UST or come into compliance, and may be assessed penalties.
Sincerely,
F r*-pala^L ^,[-vC__
Kent P. Gray, Executive Secretary (UST)
Utatr Solid and Hazardous Waste Control Board
KPG/DJW/em
cc: Steve Saltzgiver, Fleet Services
Bruce Costa, Central Health Department
U
MEMORANDT]M
TO: Dale Marx, Section Manger
Underground Storage Tanks
Division of Environmental Response and Remediation
THROUGH:Randy Taylor, Manager
Leaking Underground Storhgi
FILE COPY
Division of Environmental Response and Remediation
FROM: Edward Fall, Project Manager ru?
Lraking Underground Storage Tank Section
Division of Environmental Response and Remediation
DATE:July 8, 1997
SIIBJECT: PST Fund Recommendation for Underground Heating Oil Tanks
Facility ID#2000209
t DOT Station #333, Salina, Utah
Review of attached site plan and available information concerning soil conditions, groundwater depth and flow in the
Salina area indicate the following: Location of heating oil USTs (assumed) is 130 feet down gradient of UST fueling
facility but only 80 feet down gradient of dispensers. Available information indicates local groundwater depth is between
25 and 30 feet below grade flowing to the west or northwest. Native soils are layered but generally granular. Were
significantreleases to occur from the heating oil or new fueling USTs, contaminant migration would be largely vertical
to the groundwater table. With the limited distance between the two systems, it is quite possible that releases from the
UST systems could migrate beneattr the heating oil tanks and commingle with releases from those systems. Because the
chemical signature of heating oil (a grade of diesel) would be nearly identical with ttrat of diesel fuel, distinction between
system releases would be difEcult if not impossible. On the basis of the system configurations shown and uses intended,
it is my recommendation that the facility owner be requird to place the heating oil USTs at this site on the PST Fund.
F:\ERR\UST\EFALL\USTRLESU-209\PSTMMO
tlI;:liets
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FACILIIYNAITIE
FACILTTYADDRESS
Check Only One
3ACItr1Ty p6 )Ooo zitjT
PETROLET]M STORAGE TANK
FINANCIAL RESPONSIBILITY DECLARATION
Complete one form for each facility
Retrun completed form by l\[ay lrl997
2000209 / 2 UST
Salina UDOT 333
500 North State Street
Salina, Sevier CountY, Utah
L5N
-\r-
B I choose to continue to participate in the PST Tnrst Fund.
O Submit this Financial Responsibility Declaration fonn by May l, 1997.
O Submit the Fiscal Year 1998 Facility Throughput Declaration (blue form) by May l, 1997.
O AII tanks including aboveground stor4ge tanks (ASTs) located at this facility may be required
to participate in the PST Tnrst Fund.
O Indicate number of ASTs, if any, located at this facility &
tr I eloose another Financiat Assurance Responsibitity MeelanismG)
Submit this Financial Responsibility Declaration form by May 1, 1997.
By June L5,1997, submit acceptable financial assurance documents and $1000 processing fee
per mechanism (Use the exact format required by federal regulation,40 CFR Part 280,
Subpart H.).
O Indicate your Company's " Fiscal Yeat'' sading date
o
a
sler:er.rr L. C"-\.,..,\.n n
SA*\"- oS rA..\. / Fbe,+ Secvite5
u L-21ob
q[\n\q"t
* SEI{D NO PAYMENT AT TIIIS IIME'F
hint name of owner/operator or
Michael O. Leavitt
Governor
Ravlene G. Ireland
[rtjIlgifui*S$tg,
David G. Fletcher
Director
Mr. Gary
State of
Division
158 North
SaIt Lake
DFO / DERR
BECEIV:D
i'r,lR 2I ffi
n HqNo DELIvERED
State of IJtah
Department of Administrative Services
Division of General Services
B-38 State Capitol Building
$Sltlake City, Utah 84114
{edrYsse-sot+
[phone] FAX
Astin
Utah, Department Of Environmental- Quality
of Environmental Response and Remediation
1950 West, 1st Floor
Cit.y, Utah 84116
Dear Gary:
In response to your letter dated 2/15/96, concerning Non-compliance
of UST,s at the Salina UDOT Station #333. This site is l-ocated at
500 North State Street, Salina, Sevier County, Utah. The DEQ ID
number is 2000209. A copy of said letter is attached for your
convenience.
Your let.ter states "The following must. sti11 be submitted t.o close
the compliance action:"
Item # 1 - Overfill A1arm,' If an ATG overfill alarm is used as a
tank's overfill prevention device, the alarm must be clearly
audibl-e and/or visible t.o the delivery driver and must be clearly
marked to indicate what it. means when the al-arm sounds or lights
up. If there is an outside beII or buzzer which activates when t.he
ATG system alarm activates, the beLl/buzzer needs t.o be marked with
a sign which says what it. is and what it means when it goes off.
Please submit documentation to show the outside alarm is clearly
marked and identified...ResponEe - The Salina IIDOT Station #333 has
been equipped with two tlpes of overfill prevention devices. First;
The Veeder-Root TLS-250i Tank Monitor, this tank monitor is
equipped with an Overfill Limit feature which will warn of a
potential owerfill condition. A printout showing alarm trce, tank
nr-rnber, producE, date and time. By Ala::zr Cause IrED indicators that
flash when an alarn eondition is detected. In additionr €r1 audible
alarm will beep when any Eensor alarn condition is detect,ed.
Secondi Ttre UST'E are fitted with a Float Vent Valwe aE shown on
the attached inf o:rrration copied f ron the Site Operational Manual.
It.em # 2 - fnterstit.ial Monitoring, If you use the Veeder-Root
TLS-25OL for interstitial monj-toring, it monitors the system
}J|AR :1 I t996
DFO / DT3R
RECEIV!D
D xaruo DELIvERED
contj-nuously. The system does rmaIly show any "results", it
just alarms if it detects anything. To document you are
performing proper interstitial monitoring, you need to show that
the system is properly set up and functioning, and show that for
each month no alarms were noted, or if any were noted, that they
were invest.igated and corrected. For this system, you. should have
the following reports printed out and kept at the facility or
available at the facility for inspection: l-) Sensor Status
Report.; 2) Tank Alarm History Report and Sensor Alarm History
Report; 3) Sensor Alarm Report; and 4) System SeLup Parameters,
Sensor Setup Parameters, and Tank Setup Parameters Reports...
Response - Find attached copies of the above mentioned reports.
Hopefully this information is what is needed Lo maintain
compliance at this facility. If I can answer any questions
concerning this or any other facility owned and/or operated by
the Division of General Services / USt Program please call me at
(801) s2t-2706.
Steven L. Canning
UST Program Specialist
State of Utah, Department of Administrative Services
Division of General Services, UST Program
l-380 West North Temple
Salt Lake City, Utah 841,1,6
AstnM2Sb
^
Thank You
Stete 0f tTtah a @ooz, o2/L6/96 15:14 r.eX 801 (3e L773
We acknowledge receipt of the followirtg irrformation:
It) fire following Release Detection documents:
Michaol o. lraviu lf teg North 1950 Wcst""'"*'"d';; ii po.Borl4a840 girR tS 96
Dicnnc R. Nictsoa, Ph.D. 11 Slt t-t" Citv. Utth 84114'4840 I L'v ' Y
r\cgniyc Dingl(tr + (g0l) 5364100 voice
Kcnr P. Grly il fsotl:sg's&53 Fer
Diroiro( i' (S0l) 536-+414 T-D-D.
ttAGf LITI I;D.'*:, 20002)9-
TO: Stcve Canning
state of utah/Gencral senrices Datp: 2lt5l9'6
1380 west North Temple 'Froa:':]ClaryrAstin
Salt Lake CitY, UT 84115
RE: underground storage Tanks at UooT #333. 500 North statc st.- saline Uutr::Facility'ID#2(XXE(D'
6e-p)
V) The following must still be submitted to close the compliaocc action:
Item #1. Overfifl alarm- If an ATG overfi]l alarm is used as a tark's overfi.ll preveution dcvice, the alarm must
be clearly audiblc and/or visible to the delivery driver and uust be cleuly marked to indicale what il means when
the alarm sounds or Iights up- If therc is an outside bell or buzzu which activates when the ATG system alarm
activares, the bell/b,,'zer nieds to be marted with a sign which says what it is and what it in@ns when it goes
off. ptease submit documenution ro show the outsidialarm is clearly ma*cd and identified. (I plan to be iu
the area arorrnd the 12th of March. I can stop by the faciliry to sec if there is auother type of overfill device in
place- If so, the wall alarm would not need to ue iaentified.) Item #& Intersfrtial Mouttortug- If you use the
vceder-Root Tls-250i for intcrstitial monitoring, it monitors the sysrcm continuously. Ths systcm does not
normally show arry ,tesulLs": it just alarrus if it detects anyttring- To doculnEut you arc perfqrming proper
interstirial moniorilg. you need to show that rhe syscm is properly set up and fi.raotioning, alld show that for each
month no alarms were uoted, or if any were note4 that they were investigatcd 8nd corrected. For this sysEm,
you strould have the following rcporte printed out and kept at the facility or available a 9g frSry for inspection:
:i) a seruirr ,srrrrs :nrr;;a 1rcrJ"tia,.ootu. This shows thc stans of each sensor at the time the re,?ort is pun ted
tz\TrlntcAtarrltiltstoii'Niporr rsensarAlarmiltstory'Reporttoshowthealarmhistoryforeachmouth. These -
would not necessarily have to bc printed each month if there [e uo alarms. but t]re infomration to show the status
for each morrrh n""0" to be kept. iB) rsensor.,tlazn repottsrfor any atsrms which ru&y @cur. and documentation
of investigarions of those alarms. ft*) Syslem Seq.Parrlmercrs, Sensor Senp Param&iis;'and Tar* Setup
parameters rcports{ These should be dooe once and kepl and repriuted if any setlp parameter$ are changed'
Thare are the reports you sent iu with the leuer of 7/18/95- Plcase submit copiesrof 'thc:Sea+at Status Report for
tbE curtcnt monrh and currdui copies of the Ta* Alanfl History Repon and the'Sanso rAlr',ini'Illsrory Repot't'
This will satisff the cununt cumpliance actiou.
fire following Release Detection documents:
If you have any questions. please call me at [phone].rkaorvl!tn 0215/96
I
I
I Fbat Valve Extractors
1
I
I
I
A7g-qrl Float Vent Valve
Extractor Assembly
The A79O01 Assembly consists of the
extractor fitting body, extractor cage,
and the A75O02 float vent valve. The
extractor fitting mounts on the under-
ground tank flange and secures and
positions the float vent valve in the tank.
A2" porl on the litting accommodates
the tank vent line. The float vent valve
can be removed from the tank, using
the 456O002 extractor wrench, without
the need for excavation.
Overfillprotection is provided as the
float vent valve is designed to close at
approximately 95% of tank capacity.
As the valve doses, product flow rate
from the delivery vehicle is dampened
to prevent sudden line shock. When
the valve is fully closed, flow rate is
reduced by 99%. ln the event ol overfill,
a standard Vs" bleed hole provides
pressure relief for cornpressed air in
the tank.
The A79{01 Assembly is recom-
mended for use in conjunction with
Dual Point Vapor Recovery systems,
and where underground vent piping of
similar products may be manifolded. ln
these applications the float vent valve
will reduce product crossover. (See
also A75).
Features a heavyduty cast iron body,
galvanized lor rust protection.
Vent Tank Riser Bleed
Model No. Port Connection Connec{ion Weight Hole
A79{01
A79{06
A79{08
A79011
Model No.
Z Female NPT 4" Mate NPT 4" MateNPT
Z, Female NPT 4'Mde NPT 4" Male NPT
Z Female NPT 4" Male NPT 4" Male NPT
Z Female NPT 4" Male NPT 4" Mde NPT
1672lbs. YB"
1672lbs. tlrd'
16/z lbs. N/A
16% lbs. 1/e"
479{01 7',A79-006 7',A79{08 7',A79011 7',
Materials
Body: Cast lron, Gahanized
Cage: Stainless Sted
Tube: Alurninum
Ball Float Stainless Steel
Replacement Assemblies
4@26: Extractor Fitting Body
4@28: 2" ExtractorCage
'A7$002: Float Valrlre
45@002: Z' ExtractorWench
491723: Test Plug
*See also page 31 for A75 detail.
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I
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I
I
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a ii.i!-!H iJi lJiLLaiiJatt
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:H:'tI,. i
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Il i ! qq :.i':r'i i r-rE r':.'-;i:il i i -1 ._i_ lii::Ii;r ]nn I;:';= -f f i , tj+It:l f :J+ I:;'::J J:JI. ,,'.-i
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f*i.iir. rj-i i -':'r- i
.i_-!11 1 i t:
i' i i ,-l:,
i--r:i i
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i= I+;:: -i-!
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=
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i -._. .!_:ii r.
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4: I t, Ft'l
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r-lr/EFIF i LL -----l
-iuti 14 I 1 '-l'-{r,
I
i i: 84 ntl
t{tJi/ E:I+r ii+i+i!: 57 Al.l
l.irJiJ '-f r i.J!:j
4: 57 Pl'l
LUI.I LiiiIT
-iAi-i 1:l, 1i+i+fi: E i Ff,l
llr-l,./ iBr 1'-i!5
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rlrjT EE, 1!._i5
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5Ei.i:_+r-rR 1A
rJFEt{ :{Ei.{:-1r:rF;r:rjT i,i, 1i:i+rlr
1rl: 45 Atl
5Et{:_irlE 1A
FUEL ITETEI-:TfrljG 15, 1-_r'_ll:r
1E: i:I+ Atl
5Ei.i5uE i f{
I.IATEFI IIfTEI-:TIrIJG '-1r 1-_+ir]r
:l+: ;g pH
5u.t-,.^1.*EEffi I -tl-Hr.l,l "!1.,.: I UltT l{Ll'UF; I'
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t'l+ L I'=t:{
i,i= i.:.,:,n
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i,j;'.: i .l i,l: . i: +
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l
EEtiSrJE rlHf{t{t'{EL E^
EEi.iSrJFl Eri
I'IATEF; TIETEIT
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E: 4a Al,l
EEI.iEUE EA
rJFEt{ Eti.iSr_rFl
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4: ia PH
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5Ei.i5UE iA
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5EF EE, 1'-lirl
l_+: :-?E AH
SEiiirJE i+n
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5EF 17, 1r-;'_ltr
E: i.-1 f{f.l
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tlnTEF; IrtTft_:T
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5EH:_;r.tF; 4A
tIATEF: ITETET_:T5EF 4 r 199r:r
i rr: EE Fl',1
SEI.iEUFJ 4A
FUEL IIETEIJT
-ilil i 4, 1'-li+E
'-i: 46 AH
iEHSr_lF; 4fr
I.]HTEFI NETEI-:T-ilil 1E r 159rlri i: titi Ai'l
::T::: :::T::: I
:-;Et'{5r-rE 5A
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-llil E r 159Er
4: ia Ptl
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5Ei'{5lJE F,t{
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4: i e, Ptl
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EEi-i5uE 7n
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0FEt'{ EEt'iEr-tFr
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4: iE Ptl
SLrttl r_:HFfrr_: i Tfit{rjE* uF EAHFLEE = Ir:rlI
Tnt{F. E
II I ESEL
r_:r:r Ehi, 5E 485. E 1riE i4:3i.i7 i44f,EEri4 i 444. 71 i r]r59. E5
'::E EPI. 7rJ E7 i . 4 ir_:E 1E5. '_lE E i 4i. e,Ur
FE'llrlir-:T- I Ir:i5t:t-Etl-i
FlElr'i E I tlt{ Lf !'EL:tli-iEr
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EEE I AL t.{UT.lEEE
rjIErjUIT ljlJIlE
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THHiI. E
IIi EEEL
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u I F;r-U i T t::UIrE ut:t i
LEI{GTH '-iE. t:tF-r
FFII-IEE FfiEAT.IETEFIE :
TAHH. H
III ESEL
SEFl I AL t{Ui'lEEF; ultrt:ti+
r; I FluU I T r-.UIrE tit:1 i
LEf-{rjTH :iE, uit:t
5 THi.{ItAF:It r-:frPfrrj i T$iti r-: t
* uF Ef{f.lFLEE = Erlr
TAtitj; 'c
TII ESEL
UtIt EE-,-t. Sljt
r-:E 14:33. 1ut
t_:4 i 444. E4
L:h E7:-i. hE
'::E 185. 9rlr
Trri.{H. E
IIi EiELIrr:r i i EIri 1'_+5Iri 7Et,It'i 7:-+t
Ir4 731Ir5 748ItE 75 iIr7 145
tit:t i 5I
ti i r4EI,lr i Eh4t'l:i l EEetl4 i EEt]r
H5 1eE9
t.tE 1E9E
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['l]'li i5,_i. Ertllii i:i87. E!
485. EF,
i 447. 5E
185'-i. '_1E
E7i,4F,
e 14:r. EE
UU
r:t lt
f.t!r
rJ8
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FF;I]EE FAEAI.IETEFjS :
H* 1e8E
1,15 t eE9
l,lb t z9B
H7 lEgE
THt{tr. E
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l,ltlt 15i
t'11 34h HH 1
I'lE l EF-,4 tlHE
H3 iEEe
r,l4 l EBB
H5 lEEt
I'lh l EgEt'rI l etg
ITLHFJT'1 H i ETI.IFIT
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LIJI.I LII'1IT
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tirlil iLir i:{95
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a a a r t a t r t.t t t s
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rr: 4r, f{t4
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t.IHTEF: IIETETTEEF 4 r 1!i+rr
i r]r: EE Ft'l
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FUEL TIETEtjT
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:{: 4F, Atl
EEH:_.;rJE 4A
I.IATEFI IIETEIjT_rul 1E, 1,-1,-181i: gl Af,l
:::::: :::T::: T
riEr.iSL-rFj 5A
rJFEt{ EEtiErlrFl
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4: ia Ptl
t:.Jrlll r t
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tr itT
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THI.{H. E
II I EEEL
I t..lPUT
l tgtl
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TAI-{}i. E
Iri ESELNE 118
Ir l 1'_i5 lrli i
Ire 7Eh trliE
Ir:_l 7Jh lrlliIr4 7:l+ 1 IrH4IrE 74ii trHEIrh 751 IrHhIr7 745 IIHT
HB 15ill1 348 HH I
HE 1er.4 HHE
I.I3 l EBE
l.l4 1el1t4
H5 leEY
I'lr, l eYEtl7 l Ei+E
1'-iE. l:tt:t
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f ..-1!:. r' 't
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74:{. tlrE
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a 1e - -if Et.-1. f 't
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?.-r.-r ? If.-1tr. f.t
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74::{. r:rE
748. t:tE
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1tt:lE. '-i i
^
SEt'{SuR 'ruHHEL 5
EEI.i5'JR 5A
rJPEt{ EEI'iEt-lFt*lUL E I 1,qgrl
4: ir, PH
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LiEtisUR bf{
uPEt{ 5Et{5rrF:
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4: i a Fl'l
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i;EHEr-rE 7A
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4: i t, PI'l
5Et'{5rJE rjHfrt'it'{EL H
5Et'i5rrR BA
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4r ia Pl,l
ELtll,i rjfrFAt-: I TAHIjE* uF SAIIFLEE = 14= i
THt{t{: E
N I ESEL
'iB Ehy. 5E 4EE. E irie 1433. th 1447. r,Eri4 i 444. 71 i EEF, EEr_:h :37:l+. E._t ET 1 . 4 i
'iE 1E5. 9E E 14'i. EiS4ch.ulv-
)
Owner Name"i"1' '1"''<+ k fk. L a,, ",es t r*-FacilitY *"t"r, o-r fr sg=
Address t . .-. .^""'Z<( <Ak /2 I i 6lJ.-Street Addrcss-""^W rV t*=-+r
City- _ State. ZipCode'SLL ULQ )rvtt1 City State Zio Codceol i n <- l-l.1-\ ficru-s-c{
Area Code Phone Number County <2-' ie- 1-
Contact Person At UST Location Phone #L.s-,- ca--e J-za 'Tzzz-Cortificatlof Compliance on en
Nrrahar af trnkn .t fr^ilitv. 2-Trnk I fral ?TAe 3 Trnt a
Tank lictar{ an Cartificeta of Comnlienea -,6J Na 6) Na Na Na
-,.G? Na .G) Na Yar Nn No
lI nnr in rraa r{lfa l.cl rrcAd
lI aa+ in r..a ,{a^+lr af nrn;{rra+ ia rrnL lin iaahaal
Manlh rnr{ va+ lr^L { - t44O E - t <Qc-
Crnrcifw af tnnk lin aallanrl G.o-a Gon o
ua(z-)o-l );..r+
Mrtarirl ^f ^6^rl.rreli^n ^f frnL lctral FFIP rt^ I da9bcd+\tPct
^o'e&.vqt<c'4
Metariel of canrfrrre?ian of ninino lctaal FRP- arn I /R/Fl rz
Diaiaa rraa laraaor [a .. rdi^^ -r.r,ift,*ltS..e-a.t!<-r'.<-
Fmaraancv Generetor tenk llaak .let.ntinn r{afarradl
lnvaalaru llantral/Tlnlr Tiahtnarc Tactina
Arrlamttic Trnk Gattaina
-..nr:Ii!-i)EtfiMrnrret rrntr G*aina lti4ts1i#Hll
v'n^i M^nirorind llill'1'-!,I- )Ul
Groundwatar Monitorino
lnterstitirl Maniforina
St.ticti.rl lnv.nf6rv Elaannniliatinn lSlFll
Othar ennravad method lindineta nema of methn.ll
Automatic Lina Laak Deleclor
I ina Tiahtnacc Tartind
Vaoor Monitorino
Groundwater Monitorino
lntarstitiel Moniiorino
Statistical lnventorv R€concilietion tslRt
Other aoorovad method lindicata nama of methodl
I have inspectod tho above-named facility on fra t 7(, llaG, A:ootl*. _
lmon{, d.y. F, trt
lnspector's Signature:oate: Fl-.-zQr./l7k
Signature of Owner or Owner's Representative Present During
Distribution: White-DERR, Yellow-lnspsaor, Pink-Facility/Owner
+ii ];;!t;rirr r :.ll: lil,+ iiiiliiiilNtii;.{+iIsi:ililii,.,,,,,,i:,:i','
', :,
,, i.,,l::i:l]lfjl;llil..:l:iliillHili$i lil+ir:il
.l tt:::::iij,.i::.,::.,,::::::::::::::i:ii:::ii:::liiiil:lj:iiiliii*r-PlfrJrtl#X'+lirlf ,,i.HiJ
:ili
j:.r:rli:iii,iii: jiiiriiri,l+ii++i j jiLltfi
ifi fiHffiIffi il$
iiffi
LMI:ii::::::::::::iii:li:::::::::::::,r'i:i'r':'::,:::,1.i:]:irll
Tenk I Tank )Tcak a Tank 4
The UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
Yes Yes @ Yes
t"
Yes No
ls there a spill containment buckgt or another device that will prevent
release of product into the environment?
No @No Yes lo Yes lo
ls there an overfill prevention device installed on the tank? lf yes,
indicate the tyrElar-Cqvice: Ball ,loat (in vent line), Automatic shutoff
(in fill pipe), (Eglotn"r (specify)
@No @No Yes o Yes ,lo
For overlill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
No No Yes o Yes No
For overlill alarm only: ls the alarm clearly marked to indicate what js
meant when the alarm sounds? {,i ,,n k?i a< ,'- < A t lC). .
Yes No
{- *.lr*< o(
Yes No
^\/a.{,b-
Yes nl"Yes ho
r:rlli: . rih lrl!,r,!rri;:i:lt+iit:r.r::ri).rlli:lli:jl'i.:.i.+11.:iiiit::::1:::::!::::::!!::,.!!!!!:
$$..Hft
Tqnk I Tank 2 Tnnk 3 Tenk A
lndicate the type ol corrosion protection: Noncorrodible material (FRP),
Composite st€el (CS), lntemal lining (lL), lmpressed Current (lC),
Sacrificial Anode (SA), or Not protectod (NP). It FRP or CS do not
complete the remainder of thls section.
Tr*
{20 Tar*it?T.il rd*
{p/€(P UA UM
ll the UST is not protected, was the tanMine installed before May 7,
1985? lf yes, corrosion protection is not required until Dec. 22,
1998; do not complete the remainder o, this section.
Yes No Yes No Yes No Yes No
The results of the last two cathodic protection tests are available.
(within 6 months of installation and every 3 years thereatter).
Yes No Yes No Yes i ruo Yes No
Results of the most recent cathodic protection test.
Name of tester:
T6st
Td
volts
Td
volts | ,ort.
Tr
volts
Um
volts
UM
volis volts
U
volts
For impressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
60 days.)
Yes No Yes No Yes No Yes I ruo
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the retrofit was completed.
Comments:
lnspector's rrnn rurrr--* Dale: fi-..'Lr, lai L
UFGRADE..NOTIFIC ION
understand that the following marked items must be completed by
December 22, 1998 in order to meet the 1998 upgrade requirements: ! Spill prevention for tank(s)#
! Overfill prevention lor tank(s)#I Conosion protection for tank(s) #
! Corrosion protection for piping assoc. with lank(s) # _ ,/ *f,acility meets 1998 upgrade requirements.
Signatureolownerorowne/sRepresentativePresentDuringlnspecti
Pink-Facility/Owner
Distribution: White-DERR, yellow-lnspector, pink-Facility/Owner
ffiE.ffi,riffiffi ffiffi
El,.ilii:t:.an-$..qIiii ffirl*iiill+++i+
Manufacturer and name of monitoring system:
Date system installed:d* r1fio
lnterstitial space is monitored (Check one): ( ) Manually on a monthly basis (PfiAubmatically: continuously ( ) Automatically: on a monthly basis
System is capable ol detecting any release ol stored regulated substances lrom any portion of the primary tank or piping within
one month ol the release
@ No
Documentation of perlormance claims is available (third party certification),rG)No
lnstallation records are available on-site (manufacture/s checklist),@ No
Maintenance and calibration documents and records are available and indicate appropriate maintenance procedures for the
system have bssn implemented
@ No
lf observation wells are part ol release detection system, observation wells are clearly marked and
secured to avoid unauthorized access and tampering (answer lor each well) N g ,.-q lL5-
Yes No Yes No Yes No Yes No
tii,-\.i,i,,:,j:i iiiiitiiiti:i!:#ii
:l:::l:als(::I:rlliilirli:*i jtiitiiisiliiii iiliflcI.lFi$Jiii:,Tank 4
Tank is fitted with secondary containment and interstitial monitoring [e-mail] 6*o Yes No Yeq No
lndicate type ol secondary containment for tank (double-walled, intemal bladder, lined excavation, etc.)4,.)-,
Product lines are fitted with secondary containment and interstitial monitoring a{e?ruo 4e no YeS INo Yes No
lndicate type ol secondary containment for lines (double-walled, lined excavation, etc.)Au A-,
Documentationofmonthlyreadingsisavailableforthelast'l2monthsa.7-i llUf<;sCL<-Yes No YeS No Yes No Yes No
Monitoring box, if present, is operational (mark for each tank)7N 7@ No d6! t'to Yes No Ye No
lf monitored manually, equipment used to take readings is accessible and functional Yes No Yes No Yes No sNo
tf the tank is litted with an internal bladder: The bladder is compatible with substance stored and
will not deteriorate in lhe presence of that substance
Yes No Yes No Yesl No v/ s tto
Excavation is lined with an impervious artificial material (if yes, answer the following questions):
Secondary barrier is always above groundwater Yes No Yes No Yes No Yes No
lf the secondary barrier is not always above groundwater, secondary barrier and monitoring system are
designed lor use under such conditions
Yes No Yes No vef ruo Yes No
Secondary barrier is constructed from artificially-constructed material and will allow permeation at a rate
of no more than 1 0a cm per sec tor the regulated substance stored
Yes No Yes No Yer No Yr sNo
Secondary banier is compatible with the regulated substiances stored and will not deteriorate in
presence of that substance
Yes No Yes No Yer No Y€No
Secondary barrier is non-corrodible or protected from corrosion Yes No Yes No Y€;No ;No
Secondary barrier is situated outside the 25 year floodplain Yes No Yes No ;No sNo
Groundwater, soil moisture, and rainfall will not adversely atfect the liner's ability to collect and contain
regulated substances or the ability ol the selected release detection methods to operate effectively
Yes No Yes No Yes No rs No
comments: (^rre^k /-i-^*-ar^L ou dJ.-;l;Llc AJc: a/r/a-.na<c af L^l-C;lu'-
/^J.t n.r} +p Le ze..<e.+Lo' /.-i'Lo--it. E .-.)t &,: ?.t* iZ. n--n{l, .*i r.,5;l< - .-
lnsDecto/s siqnature: 4r^ - 2 t! )z' .' +Date:./Llt. Z9.lSciA-/rSignatureolownerorowne/sRepresentativePresentDUringlnspec
Distribution: White-DERR,
rflvtLta I otaE rllI ractmy tu No. Z-.>@2e1
the l@tlon of any r€ponod PID or FID .Efrrgs"
N
\
I
:L
/'
\,-(
Potenual Receptors' lndbate dlstance 0n feet) to the nearesx Residences Lco * commerc-lat bulldings ,." ,_
Underground vlilill* <p'- tot( Adive wator well n- Surlace walet t)zri Other
t 6-z (J ##'v ""j,ify r,{l Inspecied the abov+named tacitiry on ^,. u Tfadfr?#.-ef ,otu
lnspec{o/s Srgn run Dilne:@
--
'^
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 1,14840
Salt Lake Ciry, Utrh 841 144840
[phone] Voice
[phone] Fax
(801) 536-,t414 T.D.D.
A
Michael O. lravitt
Govcmor
Dianne R. Nielson, Ph.D.
Exeutive Diretor
Kent P. Gray
Diretor
TO: Steve Canning
State of Utah/General Services
1380 West North Temple
Salt Lake City, UT 84116
FACTLTTY r.D.#JgggnL
Date: 2ll5lq6
From: Gary Astin
RE: Underground Storage Tanks at UDOT #333. 500 North State St.. Salina. Utah; Facility ID# 2000209.
We acknowledge receipt of the following information:
l/) The following Release Detection documents:
Line tightness and leak detector tests. Veeder-Root TLS-250i manual and printouts.
l/) The following must still be submitted to close the compliance action:
Item #1- Overfill alarm- If an ATG overfill alarm is used as a tank's overfill prevention device, the alarm must
be clearly audible and/or visible to the delivery driver and must be clearly marked to indicate what it means when
the alarm sounds or lights up. If there is an outside bell or buzzer which activates when the ATG system alarm
activates, the belUbuzzer needs to be marked with a sign which says what it is and what it means when it goes
off. Please submit documentation to show the outside alarm is clearly marked and identified. (I plan to be in
the area around the 12th of March. I can stop by the facility to see if there is another type of overfill device in
place. If so, the wall alarm would not need to be identified.) Item #2- Interstitial Monitoring- If you use the
Veeder-Root TLS-250i for interstitial monitoring, it monitors the system continuously. The system does not
normally show any "results"; it just alarms if it detects anything. To document you are performing proper
intentitial monitoring, you need to show that the system is properly set up and functioning, and show that for each
month no alarms were noted, or if any were noted, that they were investigated and corrected. For this system,
you should have the following reports printed out and kept at the facility or available at the facility for inspection:
I) a Sensor Staus Repon for each month. This shows the status of each sensor at the time the report is printed.
Z)TankAlam History Report and Sensor Alarm History Reportto show the alarm history for each month. These
would not necessarily have to be printed each month if there are no alarms, but the information to show the status
for each month needs to be kept. 3) Sensor Alaim reports for any alarms which may occur, and documentation
of investigations of those alarms. 4) Sysrem Setup Parameters, Sewor Setup Parameters, and Tank Setup
Parameters reports. These should be done once and kept, and reprinted if any setup parameters arc changed.
These are the reports you sent in with the letter of 7118195. Please submit copies of the ,Seruor Status Report for
the current month and current copies of the Tank Alarm History Report and the Sensor Alarm History Report.
This will satisfy the current compliance action.
If you have any questions, please call me at [phone].rchowl.frm 01115r'96
Slef,e .;i',:5-l l1dtl-i
Michael O. Leavitt
Governor
Raylene G. Ireland
Execu!rr€ D,rector
David G. Fletcher
Director
Department of Administrative
Division of General Services
B-38 State Capitol Building
salt Lake city, utah 84114
(801) s38.3014
[phone] FAX
July 18, 1995
Mr. Gary Astin
State of Utan, Department Of Environmental Quality
Division of Environmental Response and Remediation
158 North 1950 West, 1st Floor
Sal-t Lake City, Utah 84L15
Dear Mr Astin:
In response to your letter dated 13 April 1995, concerni-ng Non-
compliance of UST's at the Loa UDOT Station #33L, the Salina UDOT
Station #333, and the Junction TIDOT Station #325.A copy of said
Ietter j-s attached for your convenience.
Your let.ter states "Based on what I saw at t.he salina and Loa
facilities, and on the inspection report for the ,funcLion facility,
these are the compliance issues which need t'o be addressed":
LOA UDOT STATION # 331, DEQ facility ID number 2000205
Item #1 The overfill alarm beII needs to have a sign. -.Response
Find at,tached. a copy of the Gilbarco Tank Monitor 3 systen starE-up
an6 Operating Instructions, this manual e:qtlains all- tank monitor
functions, including the overfill alarn be1I'
Item #2 It appears that the interstitial monitoring is functioning,
but the monitoring records were not on site...Responee - Find
attached a copy of the Tank MoniEor start-uP print out including a
tank inventory on ilr:ne 26, 1995.
IEem #3 you should hawe available all records to documenL proper
installation and setup of the AT/interstitial monitoring
system...Responee - Again find attached the Gilbarco Tank Monitor
3 System St,art-up and operating Instructione and a coPy of the
systan set-up print out.
^
SALINA UDOT STATION # 333 DEQ Facility ID number 2000209
A11 items are the same as Loa above.
JUNCTION UDOT # 326, DEQ Facility ID number 2000203
*I wrote previously about this facility and you sent copies of
several documents. There were no copies of the AT systemj-nstallation checklist or the system reports already mentioned...
Reeponse - Find att,ached copy of the Veeder-Root TLS-350 Tank
Monitor and AT Systen Set-up printout and a copy of the Veeder-Root
System Operating Instructions.
Hopefully this informat,ion is what is needed to maintain
compliance at this facility. If I can answer any questions
concerning this or any other facility owned and/or operated by
t.he Divisj.on of General Services / USf Program please call me at
(80L) s2]--2705.
Thank You
-
--J[_\tu/xx
St.even Lr. Ci
State of Utah, Department of
Division of General Services,
1380 West North Temple
SaIt Lake City, Utah 84116
Asrnj 18b
Administrative Services
UST Program
:
i DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIR
168 Nonh 1950 West lsr Floor. P.O. Box l4J8.lO
' Salr Lake Ciry. Urah 8.rl l.tJ8.l0
(801) 536J100 Voice
[phone] Fax
(80r) 536-+11.r T.D.D.
SE AND REMEDTATION
D # 2000203. ?000206. 2
Date: 4/L3 /95
From: Garv Astin
llichacl O. lraviu
Covcrnor
Dianne R. Nielson. Ph.D.
Erecurtvc DiMtor
Kent P. Cray
Dir€ror
/"f ,^ {
L'dtf,\AY\eA\\ ^ L,\.y: tl.<(lszzz*)
\
co
6Ar
,4r:7wy I.
State of Uta]n/FIeet Services
l-380 West North TempleSalc Lake Cirv, ur BAL1-G
RE: Non-compliance of underground storage tanks at UDOT facilities ar Loa (2000206). Salina (2000209). and
Junction (2000203), Utah;
I have recently been involved in compliance inspections for the USTs at the above facilities. From the inspections,
it appears that there are some compliance issues which need to be addressed, and also some informational issues.It has been somewhat difficult to conduct the inspections and follow up on compliance issues due to a lack of
information being available. At the Salina inspection, it was difficult to determine exacrly whar leak detection
methods were being performed. No actual monitoring records were available. The notification form for the
facility (a copy of the leak detection page is enclosed) indicates seven different merhods are in place on the tanks
and Ftve different methods are in place on ihe piping. From the information available on sire it ttre time of the
inspection. it was difficult to determine what is being done. I believe that rhe local (Central Utah Public Health
Dept.) inspectors in each case contacted the supervisor on site prior to the inspection. Would it be bener to have
them contact you betbre thev inspect so you can make the necessarv records available'l I believe I recall hearing
that you had told someone in our office that it would be best to contact you to arrange for the inspections rather
than contact the on-site supervisor. if so, the actual method or methods being used at each facilitv could be
determined beforehand.
Based on what I saw at the Salina and Loa facilities, and on the inspection report for the Junction faciiity, these
are the compliance issues which need to be addressed:
Loa. IIDOT#331, facility ID #2000206, inspection done 3122/95. The facility has a Gilbarco Tank Monitor 3
automatic tank -sause/interstitial monitoring system. l) The overFrll alarm bell needs ro have a sign or other
identification nearby to indicate rvhat it is and what it means if the alarm goes off. 2) It appears that the
interstitiai monitoring is functioning, but the monitoring records rvere nor on site. Since this ryrt.. continuouslv
monitors the interstitial space. there may not be a printed report thar is regulariy produced. You should. however.
have some recorded documentation that the svstem has been checked monthly, the sensors are functioning, and
that there have been no alarms noted. or that the cause of any alarms which occurred have been corrected. This
svstem appears to be verv close to the TLS-250i in design. If so. there should be some repons thar can be pnnred
to satisfy this requirement. The "sensor Status Report." "Tank Alarm History Report." and "sensor Alarm History
Repon" should all be run and saved to coverthe previous l2 months. and should be made avaiiable for inspection.I have enclosed copies of the pages from the TLS-250i operaring manual which discuss rhese repons and how rorun them. 3) You should have available all records to documenr proper installation and ,.rrp of the
ATG/interstitial monitoring svstem. and records of maintenance and calibration of the svsrem. Copies of rhe
manuthcturer's installation checklist. the "Tank Serup Parameters" and "system Setup paramerers" repons. and the
repons mentioned in #2 above should satisfy this requiremenr.
:'-:ec :n 'ec,,creo cacet
.r
done 3121195. The facility has a Veeder Root TLS-250i
ATG/inrcrstitiel monitoring system. #s l, 2, and 3 in the Loa section above all apply to Salina also.
Junction, LJDOT #326, facility ID #2000203, inspection done 12t23194. I wrote previously about this facility and
you sent copies of several documents. There werc no copies of the ATG system installation checkliss or the
system rePorts already mentioned. Bascd on the inspection report, I don't know if this faciliry uses interstitial
monitoring or autornatic tank gauging only. If it uses only ATG, we still need copies of the installation checklists
and the "Tank Setup Parameters" and "system Senrp Parameters"reports.
Please send these items to me at the address above as soon as possible. Give me a call at 536-4103 if you have
any questions.
.
(X/t3/9J 9:l3oar
:v6xO 2a50Ga EilE@6r89':sr.r rtJo.t rFdrdgl
- l.lotification for Underground Storage Tanks :;A7E ,JS= CNLY
)IraGGEEil
D NUMBEF / /.r-r) 2('td
SAIE =EaE:'.'=li/PE.3F NOiiFiCATICiJ
r -A.NEW FACIL /I 3. AI"IENDED - :. CLCSUFE
laie ir:erec rr:o Ccrcuier.
lata En:rv Cierx rnnrais rACAE
C.
_l
i
SFN BY-_- llo. ot tanKs al taclutv j )io. ot ccnltnualton s;ieets aiiacneo
TNSTRUCTIONS
3wner lvas Contaqeo to -tianrv Fesocnses. ccmrnerl[J6 2 2 1990
Please uoe or onnt tn tnK all ttems exceot 'slgnature' n seclton V. This torm
must be comDteteo for eacn locatton contatnrng unoer_orouno storagg tanks. lt
more tnan five (5) tanlG ar6 owneo at ihts toca$on. pnotocooy me iouowrng
sneeE. and staotg connnuauon sneets to tne rorn.
Noliilcrtion It nxlut.td by furfd ltw ror ltl und.rlfloun.t tantt thrtn.v. Erit ulao to rtoaa rlgtutatad tuonancar lrnca Januuy r. lgga, thst
anr rn th.9rqrn6 ta o, Hay t. l!1E5. or tnlr rnr Onougnt rnio ut .tt.' ll.y 6.
19€5. Th. lnronntuon rt(rt,.ttao t!,tqutnro DV S.cDon 9@:! ol tha g€ourc.
Cona.trnton em Rocovrry Acf. (RCRA). ilt ar?Ln6rxt.
-:e cnmalv gurDos€ ot ilrs notrnc:luon orootam rs to rocale atro ovatuata
-noe.-Ercuno tanxs rnat $or€ or nave storeo o€troteum or nazarEous Suoslances.
:: rs €roecteo lnal tne rntotma0on vou orov|oa wtrt o€ oatseo on reasona3ty
3vafiaoaa ,eccros. or rn tn6 aosenco ot sucn recoros. ycut xnowt€oqe, cetrel. ot
'ecot€clton.
Who Mun Notlry? Seclon 9002 ol RCRA. as arnonoeo. reout,es tn:tt. untess
eremole(l. ofne's ol utro€rgrouno tanxs tnat stora regutateo 3uosEnce! must
4OnfY Oeggnareo sEte or rocat agencl.:i or rna errstence ot lnerr tanxs. ownermeans-
at tn tne c:sa ol an undergrouno stcraqe ranx rn us€ on N6y366g7 g. 19u4. ot
orougm rnlo uso an6r fiat oato. anv o€lson wno owns an unoelgrourlo sloftlge
:anr( usac, ror mo stotagS, use. ot otso€n$ng ot reguEiloo suostalres. ano
5l tn tne c:lso ot any umorgrouno norage tanx tn use o€tora Novemo€l E.
'9tI4. Dut no rong€r rs us€ on ma oat6. any oe6on wno owneo su61 tanx
,mmeoradv o€lore tne ors@nfinuaoon o, tts use.
c) rl me Slate agcncr So rgourt€s. anv taofitv tnat nas uno€rcone anv cnancas': ?aortw rnrormaiton ol tanx system slarus.
wlr.rt Tanxt ara lnctuald? unoergTound storage tanx rs deineo as anv one
:: ccriotnanon oi lanxs mat ( 1 ) rs us€o to canlatn an aeJrnutalton ct -relq1"rao
:ucslancas.'ano t2l wnose lroturnc ltn(:uolng ennecleo unoeforouno ototno, rs
':o'. o. n:ore osn€atn me grouno. Some eramores are unoarorouno :an.s stbnnci. Gasoilne. !seo oil. croresot lu€r. and z inoustnal sovonts.oesllclces.
^eroroot}s or tumtgants.
Whi Trnxr Ara €tclu6od? fanks remoreo trom ne orouno are not slJotecl
:o nolncaron- Ctn€r tants erouoaxt trom noincatton ar€:
1. larm ot resnennal tanrs Ol I .l O0 Oatl6ns Or tess g;pacry useo rol Stonng
TOtot nJ8t tor noncornmerqat oqrEs,as:
z'.anls us€o tor Stonng naa0nq otl lol cansurnowa use on tne ortt?usesinffe storeo:
3. saoDc:anxs:
I, oroorne laolrtre3 lrriouotnq gatnenng ttnEsl reouurtoo umar na ttarurar Gas
t'D€xne Salew Act or t968. or rne Fa:aroous Lrouto Proetrna Salev Ad ot j979. cr
wtuCn rS an rnrasutte OrO€lne laonv regutat3O unoe( Slate €wS:
5. sunace rmmunom€.rrui. orui. ooncs- or racoons.
6. storm walor or wasle water caileciton systems:
7. flow.rnrouon orocess tanxs:
a. rroulo lr:los or lrssooaleo ganenng irnes ctrecly r€tateo Io oI cr cas
:rooucron ano gatnenng oo€fa0ons:
9. slorag€ tanrs smJateo rn an unoererouno area lsucn as a oaslmant. cera/.
-rn€wonilfiq, dnt. Snan. or runneil rt lne storage tanx rs siluate umn cr alove tne
Suna@ o, me fbor.
Whn 9ib:ttncaa Atl C€vmd? Tle nortrcallon reourrotrlnts alrotv to unoer
grouno $oraqe tanxs tnat comarn regurareo suosrincas. fhr3 rocrlJEta3 anv
slrutumce oenneo a3 na.zaExxJs rn sec:ton rOt tlrpt nc Comoroncngr[
Eluronmenal Flesoonso. Comoansaron ano t-dblu( ltlot r960 (CEFCiit. wrrn
ne erctoIo,r ol tlroso Suostarrl's ,eoulaleo a5 nalat@us waata urloar suotltle c c:l
FiCFA. tt aEo rncuoels oet lreurn. e.9.. cruoe ort or ari'i*racror tn!.aot wnrcn rs
rrouKl al starEai, conot0ons ot temcleratute ano ore3sura r60 @qoet'Eanrennert
arE 14.7 oourxr oor sou:ut rrct aosorutal. .- ".*, t l./X,wh.f. ro Norify? s€{'. _u;;::{ :
, ,u,c
-. .. -
'" cc
-.Jr.,
r,i ,..' L)1,-,. .rii
!C//17, o, ,
wh.n ro iloorv? r. awners cr u"".rn,.u",".11. iln*rjrl+Ont[ ::ar .a,,e
:een raxen ou o, oo*"lon "n.i ,.nu"* '
-'gz1- oriir',t','ftrs.ffrfl,d]-ut, n"r,*
':v Mav 6. l-q86. 2 Srners wno crno lncerorouno sioraoe tanr5/*{0 W afiet',tat r:v Mav 6. 1-q65. z. L\rne6 wno clno lncerorouno sioraoe tanrs',{tlo gr2 afier "ta'3. 1986. must nontv srnrn 30 oavs cr 3:norng ine lanxs rntc use. 3. ,li&6rare
:eourres nontc:ltron o! anv arenomenis lo ractxry seno rnrormaron ro SlaieQcenc;
irnra€otiuery.
ttrnaniG: Any ow,r.r wno rnowrngly ,8rli to notrly o, tuorntr ,alra
irrlo.r?Enon thrll ba ruortcl to I crvrl oan.tty nor io arqttt 3't0.000 tor aacn
lrnl ,or whrc,t nofirlceoon lt not gtvan or ror wntcn lttta rnlonnatron r!
t('olnrnad.
OWNEHSHIP CF iANK(S)
:w&.CEarS e@ ;!r&G,OtL a4nyr
LiD0T. Dir-i-ci"on or l'laintenance
-l5tr1 So.
L L(tNg b1119
ii-r:--Lliie
I S(r1l oo.5-l-69
ll. l-ccA;lcN cF :ANKis)
I Fa at l€ --. -ar *. -ra
:r&r(blEdsoCt ttre.
TInnT \l:':rr6n.n,'a (trtinn =---:t-56trPO ilorrrrer
500 \ort: \lain Street
Salina Utair 3lo5j
:.n :J:a ::@
Se vi e::
:la .rq@
5. r qaqrf E.16 C l!E..@€ E S2'a d oat6 -t&t6 aE r irE J: .i ::
: -00 if est
Sai
Larttuoe.)S ;- lS l;
:t@rr@ !aa@l
:rc€.
Uongrruoe l11 51 53 ,,1
IInnT ,lLi-D-t.el
XI.CEHTIFICATION OF CCMPI-IAI : (CCMPLETE FOH ALL NEW AND UPGHAT -D TANKS AT THIS LOCATION)
I, Tanx loentilieauon NumD€r ianx No. 1 ? " ianx No.
-
Tank No. Tank No.
-
A. lnsta{er cenifieo bv tanx ano
prprng manutacrurers
B. lnstabr cerfified or licenseo oy :ne
imglem€nrng agency
C. lnsallatron rnsoected by a
regmered engm€€r
0. lnstallaton insoxred ano
appfot 6d by implemonong agencY
E. ManutactJrels installaton cnecx-
lisils have b€€n complet€d
F. Another method allowed by State
ag6n6/. Please soe@.
2. Release Oetectron lManr al lhat aDoryt
A. Manual tank gaugrng
B. Tank tightness tssung
C. lnventOry controls
D. Automaric tanK gauging
E. vapo*omon"(pfu65
F. Groundurater monflonng
G. lnterstrtial monrtoring doubla warteo
tanl/piprng
H. lnterstrtial mon[oring[seconoary
contatnment
l. Automarlc line leak datec{ors
J. Line tigharess testing
K. other method atlowed by
lmptementng Agency. Please Soeciy.
3. Sorlland Overtill Protecton
A. Overiill device insalled
8. Soill device rnsalled
x
T
T
T
T
T
Y
T I
I
I
TANK
I
I
l,
-
I
I
;ANKxxxx-
*xxx
TANKxxxxExx_
rr
PIPING; TANK PIPING; TANK PIPING|
:-
lj
i
:l
tl--
,I
I
IExx
{
ft
I
i
*xt
l_
f
ti
t'
-n-T
information concam,ng rn$allation that is provrded
Posnron
best of my belief and kttovleoga.
AE,PI. I EI) ENWAR.o)I\I}'1EDITAI, SEl} I CES ,
AEg SYSIB}T I I
PBBCISIOII TAttX, t LITE IEST REST'LI8 SUITIIARY
IIInvoice Addrcgs:
FLEET SERVICES
PO BOX 14II15
SALT LAKE, UTAII 84114
Datc: 1-20-95 Tinc Start:
Facility Phonel:
Contact:
Taak Location:
UTAH DOT *333
5OO NORTH STATE
SALINA, UTAII
1N
L.C-
PO BOX 182
ROY, UT 84057
( 801) 546-7s46
I{.O.1: 50024
I.D. Number:
Technician: SM
Tech.l : 90189 Vanl : 8502
08:00 End:09:00 CountY:
Groundwater DePth: Bluc Prints:
DateiTiue sYstem was fiIIcd:
Tank Fill/YentTank Capacity Product Tank Vapor Lines
1 R/UL N/T N/T
2 DSL NiT N/T
3
4
5
6
Product T:ee Of Vapor I-nches.-of - Et DP
Line - hecovery- llater/Tank TYPe
PASS TBN
PASS TBN
TaakMaterial
DWF
DWP
Additional Inforoation: PRODUCT LINBS TESTED AT 50 PSI FOR 15 MINUIBS
R/I'L -.OOO GPH DSL -.OOO GPH LINB IEAK DETECTORS FUNCTION PROPERLY
SITE LOG TIME
Set Up Equip: 08:00
Bled Product.Linee: N/A
Bled Vapor Lineg: NiA
Bled Vent lines: N/A
Bled Turbine: NiA
Bled Suction hrnp: N/A
Risers Installed: N/A
a ) This systeE and rethod reets or exceeds the criteria in USBPA 40CPR
part 280, NPPA 329-87 and all applicable stat,e and local codes.
b) Any failure listed above may require further action. check with
all reg;ulatory ageociea.
Copyright (e) 19E9 by AES, Inc.
Technician Licenee No. : U:t 0121
Certified Technician Signature :
H
Date : /ZC; ff
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1
VEEDER-ROOT
SYSTEM START-UP AND
OPERATI NG I NSTRUCTIONS
TLS-250I AND TLS-2501 Plus!
FOUR.TANK
INVENTORY
t
fH
l:
t TLS-2504 Four-Tank System
TLS-2504 Metric Four-Tank System
TLS-250| PIus! Four-Tank System
SYSTEMS
MONITOR
AND INTERSTITIAL
LEAK SENSOR
Manual Number 576013-578
-
tr
@
This manual contains start-up and operating instructions
for the lollowing systems:
794191-102 (without printer)
794191-122 (with printer)
7 9417 1 -202 (without printer)
794171 -222 (with printer)
794195-102 (without printer)
794195-122 (with printer)
i
--C*
System Start-Up and Operating Instructions
TIS-2SOi and TIS-2SOi \_ rs., Inventory Monitor and
SECTION 6 - LEAK DETECTION
THE TIS.25Oi WLL FLINCTION ACCURATELY II'ITH ONLY CERTAIN
APPRO\ED FLUIDS. see Section 4.M. of this manual for rhe list of approved
fluids.
.
A. Inventory Control
Good inventory control practices are the first line of defense against theproblems that can be caused by leaking underground tanks. TI-S-2b0i sy,rr"*.
can. through their inventory reports, provide the required information forstored products to help an operator accurately prepare inventory controlrecords. The American perroleum Instirute publication. -Recommended
Practice for Bulk Liquid stock conrrol at Retail ourlers,- provides guidance tooperators of underground tanks on the requirements for maintarning controlof inventories.
B. Leak Sensing
The TLS'250i leak Sensors moniror the annular space and piping sumps indouble'rvall tanks for the presence of liquid. up to eight iunro"r, mav beconnected to a single console.
The front-panel LEDs and audible alarm r,r'ill indicate a ..Sensor-out- condi-tion if a sensor fails or is disconnected.
\!hen a liquid or sensor-out condition is derected. an audible alarm and
flashing alarm-cause LED indicarors are rriggered. The flashing LEDs indicate
the type of alarm - liquid or sensor-out - and identi[. u'hich sensor in the
s!'stem has detected the condition.
A Sensor Alarm printout will occur (in sysr.ems equipped with the optiona.lprinter) shor.r'ing the sensor location. alarm type. and the date and time of theoccurrence.
The audible alarm can be reset immediately using the LEAK ALERT RESETbutton. However. rhe flashing LED Ararm cause indica,o., "nJ displayannunciators cannot be reset until the alarm condition has been correctedand the operating mode keyswirch turned to the ALARII RESETposirion anoback to NORIIAL.
If a secondar.l' condition exisrs after the eause of the primary indication hasbeen correcred. the alarm indicarors for thar condirircn will be trrgg"r"a.
L Alarm Causes.
Two tlpes of alarm causes can be detected by the sysrem.
uquid LeaI( - Liquid has been detecred by the sensor in the annurarspace or piprng sump. The ..Fuel L€ak" LED rvill flash.
Sensor out - The system has detected an open sensor circuit indicatrnga failed or disconnected sensor.
2. A.larm Indicator Rates.
The rare at rvhich the LEDs flash and the audible alarm beeps'aries
according ro the type of alarm. A liquid leak indicarion will cause therapid flash and beep. A sensor out indication ryill be slower.
3. Alarm Indication Priorities.
Alarm indicarions are priorirized b1- the TLS-250i according ro their
degree of se'eriry. If more than one alarm condition rs derected [y,a srnge
sensor. rhe more serious condition will supersede all others. The order ofalarm priority is: l) Liquid Leak. 2) Sensor Out.
If a seconda4'condition exisrs after the cause of the primary indicationhas been correcred. the alarm indicarors for that condiiion rvill betriggered.
36
Intersti(-,kak Sensor
--- SENSOF: ALAF:I'1
SENSOF] .:[A
rUEL DETEI::T
JUI'I 78, l'fiL
7 z LB F'F'l
t
{
(
^
TLS-25Oi and TI.S'2soi
Start - Up and Operatilg -Inslryctionslfo"i,# u"d tnterstitial Leak Sensor,SYstem
Plus! InventorY
NIhl
I SECTION ? - SYSTE}I REPORTS
A. G-eneral
TLS-]50iprrlridesprintedreportsoninr'entoq.statuSandbulkdelir'eries
,no.."n llelp speed shilt changes and aid in cietecttnq inr,entorl'losses.
TheTLSalsofeaturesreportsandindicatorsthataddextrasecuritl.to
1'our fueling oPeration.
The follorving is a brief description oi these reports'
B. RePort DescriPtions
l. Inventory Status RePort'
The lnventory Status Report can be printed b1'clepressing the PRINT
but.ton rvhiie the s)'stem is in the NORIIAL mode' The prinrout
fio.iaes complete information on all tanks and includes station
header. dare and time' tank number and pro<-iuct' gallon-s of fuel'
;il;!.. inches of fuel. inches ol rvaler' and temperature of fuel'
This report may also be printed automaticaill" three times a da1"
using the programmable Auto-Print Time feature'
2. Sensor Status RePort'
The Sensor Status Report can be printed rvhile the sy-stem is in the
\oRIlAL mode uy a"pi"..ing the FLNCTION button until the "A"
annunciator "pplu"^in the displal' and depressing the PRINT
burton.Thereportrvillshorr.thestatusofeachSensorinthesy.stem
and the external inPut'
3. Automatic Inventory Increase Report'
TheAutomat,iclnl'entor]'lncreaseReportisprintedrvithinone
minute l unless un ini=ntoty Increase Delal'Time has been entered -
see Section 1.1.) ;i tn" to'nptution of a bulk delivery to a tank'
Informationshoo'n-onthereportiS:Stationheader:tanknumberand
p.oOu., taUet: staiting and ending dates: times' r'olumes and rem-
peratures: and net inventory increase'
I}IPoRT.\YT:TheAutomariclnr,entoryIncreasefeaturemeasuresbeginntne
andendingvolumestocaiculatenetr.olumeincrease.ITDoEsNoT
COYPENSATE FOR FLEL DISPENSED DURING EITHEB TIIE
BL'I.K DELTVERY OR TIIE N!'ENTORY L\ICBEA^SE DEI'AY TI}TE'
ThelasrlnventoryIncreaseReportcanbereprintedbydepresstng
the PRINT button rvhile Ihe system is in the NORMAL mode and the
Delivery \'olume FLTI{CTION is selected'
Veed er --Flr:'r:'t
ii5 f,',1,,,,,16J q.v ['-rY geE t Dr
S i n,s b.,r Y r.:.'l- Ct1t'i7lt
(.:(13I A5 L-17(tt-t
I NVEI'.ITL]F:Y E:EI..,OE:.I
JUN 3, t',j'31
11:t-tt-i F'M
TANI':. I
F.F:EM I UM UNLEADED
47-71 riALS r-jF:O5S
A3:'4 rjALS NE'f
i:+.; I;ALS ULI-AI3E
+a . r:: I N|::HES ruEL- i, . ,i I N|::HES t^IATEI?
AL.2 DEI3F:EES F
TANI':. :
F:E-r3UL-AF: UNll-g6t-lEf)
:i t,iri rir\l-ii rlFlcSS
:(:),]I ISALS NET
f iitrl riALS ULLAT]E
Z= . iS l Nr::}"{ES FUEL--i,:- IN'::HES t^tATEF:
Ab. 1 DEI-JF:EES [:
SEl.lSOFr STATUS
SEI'ISOE: :A NOE:MI\L
SEI.ISOFI 4A FUEL
SEITISOF: 6A i\IOF:FIAL
SENSOE: BA NOF:HAL
EXTEF.ITIAL INF.. STATUS
OF,EN
rANF:. T
F.F:EI'lI UN UNLEADET)
I NVENTOFIy I Nlt-:E:EASE
JUn.l 18, t')',:)l
a. il tr,|rlU. !U7t-t':j r-jALLOt'tS FUEL
=8.7 DEI::F:EES f'
JUN 18, L'1',:3L
3: 3') F l'l
5685 T]ALLONS t'UEL
6(). .I DEIJE:EES F
127e NET INr::ti:EAsE
:17
H iB:Ert?*?i:iirtfi*1,""*i',ffi"ffi*tor and rntersi _rr r.eak sensor
{. Indicator Reporrs.
The TLS-250i sysrem has proqrammable indicaror limits thar canrvarn of sudden losses due to rheft. of a potential overfill during bulk
delivery. low fuel in'entory'. and a high E,arer condition in a tank. Inaddition. its leak sensors r'ill dete,-'t a fuel leak. *.arer leak or sensorout condition.
\vhen an indicator limit is exceeded or a reak sensor alarm istriggered. an au[omatic p.nrour occurs shor'ing the rype of indicatoror alarm. date and time.
a. Theft Indicator derecrs a rapid drop in inventory during the
shutdown mode.
b. overhll Indicator rvarns of a potenrial overspill during bulkdelivery b), a tank rruck.
c. Low Limit Indicator rvarns r'hen inventory-drops belorv preset rorrlimit amounts.
d. High ll'ater Indicator rr.arns when water
limit.level exceeds a preser
e. External Input On warns tha[ an external derice. such as a lineieak detector. has alarmed.
External Input off rvarns that an external device. such as a lineleak detector. has returned to its normal state.
Sensor Alarm shorvs rhe sensor number and rlpe of alarmcondition.
t
----THEFT ALrtrF:{'----
TAN},:: 1
F't;:gY11g* UNLEADED
JUfl ':0, L,1,it3:36 AM
--OVEF:FILL ALAFjM--
rAN},:: .:
FTEI3ULAF.: UNLEADED
JUN 21, 1,3,31
5: 38 F'l'l
--LOI"J LII'4IT ALAFTF1--
TA|!li. ::
F:EI3ULT\F: UNLEADED
JUN .:1 , !,9131.'i: 14 API
--HII3H I.JATEFJ ALAFII'I--
TAN}'I 6
PF:EHIUI'I UNLEADED
JUN !5, 19,3111:ii.l AM
EXT. IFIF.UT OT.I
JUN '!7, 1,1,)t
') z t-vf PM
EXT. INF'UT OFF --
JUN L7 , L'1'3 L'). (-t') F'n
--- SENSOF: ALAF:M :--
SENSOFT +A
FUEL DETET::T
JUN L6,7991
7: 18 FM
C
(
s.
38
-^
' S y stem Sta rt' Up and Operating,lns truc^tions
TIS-25Oi and TI5.25Oi PftcsJ Inventory Monitor and lnterstitial Leak Sensor
).l Tank Narm History RePort.
Th+ Tank Alarm History Report is an operational report thar includes
the last three occurrences of each type of indicator for each tank' The
,"poa, shos's the date and time of each occurrence lor each tank'
The Tank Alarm History Report is inclu<Jed in the Diagnostic mode for
securitl' reasons.
\iode
6. Sensor.\larm History RePort'
The Sensor Alarm History Report includes the dates and times of the
last three occurrences oi"u"tr t1'pe oisensor alarm for all sensors in
the s!'stem.
The Sensor Alarm Historl'Report is included in the
lor securitl' reasons.
Diagnostic
-
D
ALAF:M HISTOFIY F]EFOF:T
EXT. INF'UT ON
JUN 17 , L',)'.)L
'3 z t-t') F'l,1
JUN '.1, t',1',)L
4: ':'5 FM
JUN A, |',1')l
1(:): :5 AN
-- EXT. iNF'UT OFF
JUN t7, Lg',JI
'3: t-t'3 PM
JUN '3, L19L
4: i5 F'M
JUN 6, 19',)L
1r-t: !5 AI'1
LEAIT
JUN 4, L',l',1|
i: rlrlt AM
JUN I , 19',31
3: tltl AM
H I IJH IIATER
JUN 'r'5, tg')L
1 1: 1i4 AM
--_--OVEF:F ]LL
JUFI 'i'1 , L')')L
5:38 FM
---- Lot^l LIMIT -----
JUN ':'1 , LA'JL
'3: 14 Al'l
THEFT
JUN !r-)r l'!')L
3:36 AM
ALAF:I,I HISTOT':Y F:EF.OE:T
SEI.ISOF: I]:HANNEL TI
SENSOF;:
SENSOF: 4A
FUEI.- DETEI::T
JUtl lit, t'-i'r t
7 z LB F'l'l
5El.l5OFl "{A
OF'EN 5EI..]SOE:
l"1r\,/ l--;t-t , 1,3'l I
l1:.1)'AI'l
:19
lUl 9y*"g -Start-Up and Operating Instructions
ITI TIS'250i and TIS'25\-Yrs.'irrrentory Monitor and Intersn-.l Irak Sensor
7. S1'stem Serup Paramerers Report.
There are til'o reports showing setup parameters not related toindiridual tanks.
a.' The first report sho*'s all slstem setup paramerers exeept auro-
transmit paramerers. To print this reporr:
l. Turn Operaring \Iode ke1'su.itch to SETUP position.
2' Lsing the FLNCTION button. serect the funcrion code ror an'
s!.stem setup parameter shorr.n on the report.
3. Depress rhe PRINT button. All serup parameters sho*.n on the
report rvill be prinred.
tr::ALENDAF: rI:LOrI:1," :JUL 4, t,3,)L
8: 31 FN
LEA},:. DETEI:T S. :IT:
11:tjr-r F'M
LEAI'; DETEI::T 5 F:
6: r)r-r AH
AUTE F -]IIlT
8: t)ti AM
AUTO F.F]INT..2.+:tjr-r FM
AUTO PF:INT 3:1!: Ot) AN
SEI::UF] I TY I::0DE '(r rJ r-rrj rJ rj
FJELAY I::ONF IIJUF;ATION :
F]LY 1 F;LY .i.
LEAI:: RLt't YES YESHI hJATEFJ NO NOOVEF:FILL NO YESLO LIMIT NO NO
THEFT ALM YES NO
EXT. I NF,LJT NO NO
SEN TUEL YES YES
SEN OUT NO YES
EXTEFTNAL INFUT ALAFTH
D I SABLED
:EIS:Fi_ r::oNF I r3uPl rl ol
SENSOF: 1:,A
SENSOF: 4A
SENSOF: 64
SENSOFI 8A
(
(
l0
I System St"ft and operating Instructions NfTIS'25or and TIS-plooi Plus! Inventory Monitoiand Intlrstitial Leat< Sensor ht
'(
0" b. The second report sho*'s auto-rransmir parameters. To prinr this-l report:
l. Turn the Operaring llode ke.v*srvitch ro SETt'p posrion.
2. Using the FLD{CTION button. select the function code for anr.
auto-transmit parameter.
3. Depress the PRINT burron. AII auto-transmit setup paramerers
n'ill be printed.
8. Sensor Setup Parameters Report.
The Sensor Setup Parameters Reporr rer.eals the status of the u'ater
audible alarm and n'arer alarm delar. time for eacit sensor in the
s!'stem.
a. Turn the Operating -\Iode ke1,'srvirch to SETUP position.
b. Using the FLNCTION button. seiect funcrion code -A.
c. Depress the PRINT burton. The sensor serup paramerers for all
sensors in the system rvill be printed.
AUTO-TE:ANSI'IIT F.AE:M5:
HESSA13E
$F:ESEVD$
$WATFt*#:S
sovFL#+l$
$LOLV*#$
$THFT#*$
sDLST#*$
$DLND##$
$EXTNON$
SEXTOFF$
$FUEL#*$
60uT **$
$F.:ESEVD:T
$FIESEVDS
$FTESEVD$
TXl"l FrF'T
DIS DI5
DIS DiS
DIS DI S
DIS DI5DIS DISDIS DISDIS DIS
DIS DIS
DIS Di5DIS DISDIS D I5DIS DIS
DIS DiS
DIS DIS
AUTO.-F;EPEAT TIME:
6(:t MINUTES
TFTANSI''IIT DELAY TIME:5 SEI::ONDS
SENSOFT SETUF, F,AE:I'1S:
WATEE: AUDIBLE ALAF]M:
SENSOFT IA DISABLED
I'ATEE: ALM DELAY TIME
SENISOF: 1A t].5 HFIS
(
.ll
lYll System Start-Up and Opo-zting Instructions
fil TI.S'2SOi and TIS-25Oi\-asJ Inventory Monitor and Intersti\r/ I-eak Sensor
9. Tank Setup Paramerers Report.
Tank setup Paramerers Report includes all serup information related
to specific tanks. The report is prinred b1'tank and includes: producr
Label and Product Code: High \\'arer Limit: Or.erfill Limit: Lorr.\blume
Limit: Thefr Limit: Thermal Coefficienr: Deliverl' Report Dela1. Time:
Tank Capacities: Tank Diameter: Tank Tilt Adder: and }lanifolded
Tank Configuration.
To print the Tank Setup Paramerers report:
a. Turn Operating ltode kel.srvitch to SETUP position.
b. Depress the FL:I{CTION button to selecr anvtank serup paramerer
function code.
c. Depress the TAlriK burton to selecr the desired tank.
d. Depress the PRINT burton. All setup informarion for rhat tank *.ill
be prinred.
TANI,:. 1
F'F:EI'I IUM UNLEADED
FF:ODUt::T I:ODE 1
H I t3H I^JATEF: L I I'4I T:
4. (] INI]:HES NATEF:
OVEFIFILL LIMIT:':r5(:)(:) TjALLONS FUEL
LOW LII'IIT:
1(,()(:) TjALLONS FUEL
THEFT LIMIT:
-99 T3ALLONS FUEL
LEAlr. LIMIT:_:..-5 ISALLONS FUEL
THEFiMAL I]:OEFF:
-() . (j(:)(j6,-J t=L/ t:iL/ DE|S F
DELIVEF.:Y E:EFOFTT DLY:1 HiNUTES
TANI.; I::AF'AI:: J TY
1(:)ij(:!(:) rlALLOt{S FUEL(J ISALLONS FUEL{J IJALLOI\IS FUEL(l T]ALLONS FUELO TjALLONS FUEL
3/ + HEIISHT I::APAI::ITY(:) GALLONS FUELI) ISALLONS FUELtl) Ir-ALLONS FUEL(J IJALLONS FUEL() Ir=ALLONS FUEL
L /'Z HE I riHl' r::AFAr::i TY() I3AL.LONS FUEL(l TSALLONS FUEL() IJALLONS FUELt) ISALLONS FUEL(I EALLONS FUEL
I / 4 HE I IJHT I::AF.AI::I TY() IJALLONS FUEL(J IJALLONS FUELO EALLONS FUEL() IJALLONS FUELI) GALLONS FUEI-
TAN}.. D I AHETEF::.J6.O(l INr;:1-1E5
TANI,:: TILT ADDEF::(:).C)(:) IN|::HES
NANIFCILDED TANI'IS:
t
(
t2
Michael O. Leavitt
Govcrnor
Dianne R. Nielson. Ph.D.
ExEutivc Dirccior
Kent P. Cray
Di16tor
DEPARTMENT OF ENVIRONMENTAL QUALITY
DryISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
P.O. Box lzl4840
Salt Lake City, Utah 841l4-4840
[phone] Voice
[phone] Fax
(80r) 536-4414 T.D.D.
Date:
From:
Facility I.D.# 2OOO2O3. 2000206." M:zW
TO:(lorrc Cann i ncr
State of Utah/Fleet Services 4/L3/95
1?RO lirla<l- Norl-h Temole
eal r T,ake ei tv. IIT 84115 Garv Ast,in
RE: Non-compliance of underground storage tanks at
Junction (2000203), Utah;
I have recently been involved in compliance inspections for the USTs at the above facilities. From the inspections,
it appears thaithere are some complLnce issues which need to be addressed, and also some informational issues.
It has been somewhat difficult to conduct the rnspections and follow up on compliance issues due to a lack of
information being available. At the Salina inspection, it was difficult to determine exactly what leak detection
methods were being performed. No actual monitoring records were available. The notification form for the
facility (a copy of the leak detection page is enclosed) indicates seven different methods are in place on the tanks
and five different methods are in place on the piping. From the information available on site at the time of the
inspecrion, it was difficult to determine what is being done. I believe that the local (Central Utah Public Health
Oept.) inspectors in each case contacted the supervisor on site prior to the inspection. Would it be better to have
them contact you before they inspect so you can make the necessary records available? I believe I recall hearing
that you had iold someone in our office ihat it would be best to contact you to arange for the inspections rather
than contact the on-site supervisor. If so, the actual method or methods being used at each facility could be
determined beforehand.
Based on what I saw at the Salina and Loa facilities, and on the inspection report for the Junction facility, these
are the compliance issues which need to be addressed: 7r,v
Loa, UDOT #331, faciliry ID #2000206, inspection done ZryigS. The facility has a Gilbarco Tank Monitor 3
automaric tank gauge/intirstitial monitoring system. l) The overf,rll alarm bell needs to have a sign or other
identification nearb-y to indicate what it is and what it means if the alarm goes off. 2) It appears that the
interstitial monitoring is functioning, but the monitoring records were not on site. Since this system continuously
monitors the interstitial space, there may not be a printed repoft that is regularly produced. You should, however,
have some recorded documentation that the system has been checked monthly, the sensors are functioning, and
that there have been no alarms noted, or that the cause of any alarms which occurred have been conected. This
system appears to be very close to the TLS-250i in design. If so, there should be some reports that can be printed
to satisfythis requirement. The "Sensor Status Report," "Tank Alarm History Report," and "Sensor Alarm History
Report" shoutd all be run and saved to cover the previous l2 months, and should be made available for inspection.
I have enclosed copies of the pages from the TLS-250i operating manual which discuss these reports and how to
run rhem. 3) iou should have available all records to document proper installation and setup of the
ATG/interstitial monitoring system, and records of maintenance and calibration of the system. Copies of the
manufacturer's installation checklist, the "Tank Setup Parameters" and "system Setup Parameters" reports, and the
reports mentioned in #2 above should satisfy this requirement.
Pflnted on recycled Paper
an
?l
.bitity tO #2OOO2O9, inspection done3l26l95. The facility has a Veeder Root TLS-250i
IG/interstitial monitoring system. #'s 1,2, and 3 in the Loa section above all apply to Salina also.
Junction, UDOT #326,facility ID #2000203, inspection done 12123194. I wrote previously about this facility and
you sent copies of several documents. There were no copies of the ATG system installation checklists or the
system reports already mentioned. Based on the inspection report, I don't know if this facility uses interstitial
monitoring or automatic tank gauging only. If it uses only ATG, we still need copies of the installation checklists
and the "Tank Setup Parameters" and "System Setup Parameters"reports.
Please send these items to me at the address above as soon as possible. Give me a call at 536-4103 if you have
an, questions'
o4ttws tt2sun
^:ug |€ 203,<x,6a lsar €l'! *I9r
:ollr ralo-t rA.ili,{lgl
STATE USE ONLY
t{odttcrdd i. ,tqul.td by Frdcrd lrw lo? lll und.OEund t.ntt thlth.ya b-n u!.d to no.a raeuLtcd lubrtanc.. rincr liauuy t. 196a. thai
il?I!h.gryund.t o, U.y & 1986. or rhlr.r. brougil aaro u...n.r ltry 6,t!186. Th. in o,tn t*ra n.qu.e.d aa r.qul,.d W SrcOon gooll ol thc FcrorrcrConaorauoo and Racoy.ry Aa,t, (BCRA), er rrnonorO.
Ih8 Oomary gjoosa oi thls nomrcaton progrinn ts to toc:tre ano evauate
irrxre(gnouftt tanks tha $oro or navo stored o€rror€um o7 na:arEous Suostances.It rs ororcieo that ln6 mbfmaDon you Drouoe mll be baseo on roasonacty
avalaoao t€coros. or ln rn€ aOsenoB oi sucn rs@r6s. your xnowl€oEe, oetret. o,re@lEcuon.
Who llu.t Notlty? Secton 9002 o, RCRA. as aman6ed. ,e{lurres mat untes3
eremoleo. otxngrs ol unoarrgrou,td tanks rnal stor6 regulaleo suosEnoo! musl
norty oegqnateo srato or toca agqroe!] ot ln€ onstonce ol tnof tanks. ownerm€iUtS-
at tn fie casa o, an u,rdefground stoctge tanl( rn use on Novomoer g. .t g&a. o,
orougril mto use attor tra ctato, any person who owns an unoe(rrouno srorago
tank us€o ror me sroraEe, uso. or orsg€n$ng ol regulat€d suostancas. and
b) in the case o, any unoefgrouno storage tank In us€ Dolore N@emoor g.
I 9&4. btJt no longet ls us€ on na dal€. any p€rson wno owneo 3uch tant(
immeotaroty o€fore the dEcontlnuaoon ol tts use.
c) rt the stato agenql 30 roournos. any faqlity that has unoe€one any cnangas
ro taolity rnrormalon ot tanh system status.
wh|t Tsnlr Art lncludad? underground storag€ tank rs d€ftneo as any one
or comoftloon ot tanl(s mat ( t ) rs uls€o to contatn an a@Jmutatton ot -regutateo
suostancss.'and (2) whce votume (tndudnE @nne6ed unoerEround oromg, rsl07o or more Doneam lhe groum. Some eramotes are unoergrourxt ranrc $onnE:l. Gasohne. useo otl. or otesd lud. am Z inoustnat soMenrs. gesrEroes.
neroG(bs or fumqants,
What T.nkr Art Erclud.d? fanks remolred ,rom the ground are not suol€crlo nouhcatton. oth€r ranks erduo{xt rmm notficatton are:
t. tarm or resl(lental tanks ol r .100 Eailons o, tess caoaory usoO tor $onng
motor fud fol noncommefoal gJrDosSS:
Z lanks us€d lor $onng haaong otl tor consumguvo us€ on tho gre(f[ses
wnefo storB6:
3. segoc tanxs:
4. grp€line ,acilitre3 (induclrng gafi€nng tanes) regutared um.r fre ilarud Gas
Pigoxn€ Sarety Aa ol r 968. or mo Hazaroous tJourdpioexn. Serery Ad ot t929. or
$,fich ts an tnra$ale 9lgotme raottry regulaloo umrr state laws:
5. surtace tmgounonronut. grts. gonos. ot tagoons:
6. slorm water or waste water corteci'on sysiems:
7. tlow-tnrougn prooasr lanxs:
E. toutd raos or assoqaoo ganenng trnes otrocuy r€latoo lo ox or gas
,rfilucuon ano gamenng op€falons:
9. slorag€ tanks snuateo tn an unoerErcuno ar€a (such as a oaliement. cettar.,ntn€uorkt'tg. dntl. shatl. ot runnel| rl lne storage tanx ts sluate uDon ol aoove tn6
sunaoe ot lhe thor.
Whrt Subcfaarc.' Are Covcrud? The nortttcatton reoutr€mants aooty to unoer
grou,rd $oraEe tllnl(3 that @man regutareo suosrillc€s. This ndtE.3 any
suqmnor oeline6 a:t hazarbus rn sscrron tol u$lct rnc cornprene'tslve
ErMmn.flontal Resoonsc. Comoensaoon ano LdIEi$ lt+ot r9g0 (CERCul. wrrn
"., 0t 6.ol?o*lr. o
\,srj?
wh.n To ilortty? 1. cwners or unoergrouno ooftrler3olfrfurr1nar have
ceetr taken out ol oooraton afier January I. 197.1. but sntr'iif,fyeroi'{d)musr nolrw
Dv May 8. !986.2. Ofln€rs wno onng unoergrouno srorage uni96tErlia aner Mav
8. t986. must nonry wltiln 30 days ot onngtng tne tanxs rnro use. 3.-rf {rQBarereoures nonlrcatton o, any amonomenG to tachty s€no tnlormanon ro Srald€gencv
rmtn0(tlillOlY.
PGn ltiar: Any ounar who knowtngly lailt to notity o. lubmt! t.ltainlornraion rhtll ba tuulacf to r cryll pan.lty not to arord 3.!O.OOO ror aachttnlor riirrr noilrlc.don ia not Eavcn o? lor which ,rtt inlonuion at!uimiltcd.
Notification for Underground Storage Tanks
Strr^ecti|rELoe
DATE RECEiVEDTYPE OF NOTIFICATION
A. Date Entereo tnto Comourer
B. Data Entrv Cierk rn,mrs ifi00
C. Owner Was Contacteo to
sF_8'fwuwner YYas uontacleo lo t..1
ctanfy Resoonses. CommeJ[r0 2
- A. NEW FACILITY r B. AMENDED : C. CLOSURE
2 tto. of tanks al tacihty Z-rur
"
r .;r, "rfi n?"Ffri.-n *-
Please tyoe or prinr in ink all items except "signature" in sectron V. This formmust be clmpleted tor each location containing underground storage tanls. lf
more lhan five (5) tianks are owned at thrs locairon. pn6tocopy the f6rlorvrng
sheets. and $aple continuaton sheets to the form.
I. OWNERSHIP OF TANK(S)II. LOCATION OF TANK(S)
Otrr i.D rcmrars t8!u. Pda AgE q olk EnrrvtUDOT. Division of Maintenance r'saricc.r -tsEr^?a -
3^a r F9.e tsat 6 C tru a rm t slla i Oagrc 6,@6 aE E E.ffi ui .A :r.
'2 n tst. 65. 2.. t rW
Latrtude3g -57 2g N
.qhaCmaESOffi.Dreo
-500 North llain Street
" XI.CEHTIFICATION OF COMPLI, ,E (COMPLETE FOR ALL NEW AND UPGfu .D TANKS AT THIS LOCATION)
Tank ldennfication NumDer Tanx No. 1 Tank No. 2 Tank No. _ Tank No. _ : TankNo. _
1. lnstallation
A. lnstaller cenitied by tank and
prprng manufacrurers
B. lnstaller certilied or licensed by the
implementing agency
C. lnstallation inspected by a
registered enginaer
0. lnstallation insp€ctod anct
approtred by implememinE agency
E. UlanulactJrB,,s inshlatbn cfred<.
lisB have been cornpletetl
Another method allorired by State
agen6y. Please specrfy.
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2. Release Oet€ction (Mark afl that apply,
A. Manual tank gauging
B. Tank tighhess testing
C. lnventory controts
tanh/papang
J. Line tighfrGs testing
K. Oher method allowed by
lmolementina Aacnarr Plaleo Qp.fi,
TANKxx
;PIPING i TANKxx;ixrixrL-lmiEiftratrirXr
.f,,,
H. lnterst,tial mondoring/secondary Xcontainment
l. Automatic line leak deteciors
0. Automatc tank gauging . )t
E. vam-o"no""4f,lp 5 " D +F. Groundrrater monitoring
PIPING
lJwEt4d
TANK IPIPINGi TANK PIPING
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TANK PIPING
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3. Spill and Overfill Protection
A. Overfill device installed
B. Spill device installed
I
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best ol my belief and knowle<tge.inlormation conceming installation thal is
Distribution: White-DERR, Y Pink-Facility/Owner
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Set 1 Tank 1 Tank 2 Tank 3 Tank 4
Automatic Flow Restrictor (if yes, indicate model in comments section below)itls vZS
Automatic Shut-off Device (il yes, indicate model in commonts section below)
Continuous Alarm System (if yes, indicate model in comments section below)U r-S ttz. S
Records ol last Line Leak Detector pedormance tost available on-sito .6J No /{@ No Yes No Yes No
Date of last Line Leak Detector performance test -Zo-€t{- 20- 9<
Result of last Line Loak Detector perlormancs test .6"r) r"it Rr.it Pass Fail Pass Fail
Set 2
Records of last Line Tightness Test available on-site rG) No t6> No Yes No Yes No
Date of last Line Tighlness Test I'co-Q (l-'2-o- c73
Result of lasl Line Tightness Test {p&>r^ir .GQ rat Pass Fail Pass Fail
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)It13 v,rs
Statistical lnventory Reconciliation [SlR] (il yes, use SIR checklist)
Other approved method (if yes, use other method checklist)
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Records of last Line Tightness Test available on-site Yes No Yes No Yes No Yes No
Date of last Line Tightness Test
Result of last Line Tightness Test Pass Fail Pass Fail Pass Fail Pass Fail
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation [SlR] (if yes, use SIR checklist)
Other approved method (if yes, use other method checklist)
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Operates at l6ss than atmospheric pressure Yes No Yes No Yes No Yes No
Slope of piping will allow ALL product to drain into tank when suction released Yes No Yes No Yes No Yes No
Has only ONE check valve, located directly under pump Yes No Yes No Yes No Yes No
All above information on suction piping is VERIFIABLE, use comments section Yes No Yes No Yes No Yes No
Comments:q /*-t-s
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lnspector's Signature:Oate:r*t^r Z-irt??(
Signature of Owner or Owne/s Representative Present During lnspection:
Distribution: White-DERR, Yellow-lnspector, pink-Facility/Owner
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Tank I Tank 2 Tnnk 3 Tank L
The UST system is filled by transfers of no mor€ than 25 gallons at one
time. lf yes, spill and overfill prevontion is not required.
Yes I ves (6)Yes No Yes No
ls there a spill containment bucket or another device that will prevent
release of product into the environment?@No @No Yes No Yes No
An overfill prevention device is installed on the tank. lf yes, indicate
the type of device in the space below.
No No Yes No Yes No
Ball floai valva lin vent linal
Arrtomatic Shrrtoff valva fin fill nina)
Overfill Alarm lr< f U<S
Oth6r Svstem (soecifv tvoe)
For overfill alarm only: ls the alarm located where it can b6 easily
seen and heard by the delivery driver?
@No @No Yes No Yes No
For overlill alarm onty: ls the alarm cleady marked to indicate what is
meant when the alarm sounds? 1gy.lb h L, ah*|" nr{,l-t"'@ yes ,t@ Yes No Yes No
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Tank I fank )Tank 3 Tank L
Tanks and/or lines are made of a noncorrodible material (such as
fiberglass) or are made of steel clad with a nonconodible material. ll .6# *"(€P No
f.r*
Yes No
Ter*
Yes No
yes, cathodic protection is not required.LlrE
61"9 No &) No
Llm
Yes No
Um
Yes No
Tanks and/or lines are made of unprotected bare steel and were
installed prior to May 7, 1985. lf yes, cathodic protection is required
on or by December 22, 1998.
Tar*
Yes No
Td
Yes No
Tenk
Yes No
Ta*
Yes No
Um
Yes No
Um
Yes No
LIm
Yes No
Um
Yes No
lndicate type of cathodic protection: lmpressed Cunent (lC) or
Sacrificial Anode (SA)
The results of the last two cathodic protection tosts are available.
(T€sts are required within six months of installation and every three
years thereafle0.
Yes No Yes No Yes No Yes No
Results (in volts) of most recent cathodic protection test.
Name of person who performed test:
Test Date:
T.r*
volts
Tar*
volts
Tar*
volts
Ta.*
volts
volts
UE
volts
Llm
volts
Um
volts
For impressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
Yes No Yes No Yes No Yes No
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lnspector's Signature:
Signature of Owner or Owne/s Representative present During
Distribution: White-DERR,Pink-Facility/Owner
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Manufacturerandnameof monitoring syste^, l)ee .Izl €a.r* T/ S -Z# i
Date system in"tal"a,
lnterstitial space is monitored (Check one): ( ) Manually on a monthly basis ilLlutomatically: continuously ( ) Automatically: on a monthly basis
System is capable of detecting any release of stored regulated substiances from any portion of the primary tank or piping within
one month of the release
No
Documentation of performance claims is available (third pafi certification)Yes ,<{O
lnstallation records are available on-site (manufacture/s checklist)804 Yes @
Maintenance and calibration documsnts and records are available and indicate appropriate maintenance procedures lor the
system have been implemented ( oe L - l-- ,
Yes No
lf observation wells are part of release detection system, observation wells are clearly marked and
secured to avoid unauthorized access and tampering (answer for each well) lla v,z ll < *
Yes No Yes No Yes No Yes No
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Tank is fitted with secondary containment and interstitial monitoring 6^.;@.o Yes No Yes No
lndicate type of secondary containment for tank (double-walled, intemal bladder, lined oxcavation, etc.)).-s -),)
Product lines are fitted with secondary containment and interstitial monitoring /.9No 6Qno Yes No Yes No
lndicate type of secondary containment for lines (double-walled, lined excavation, etc.),) r^l ),s
Documentation of monthly readings is available for the last 12 months v0q vesfiQ veG Yes No Yes No
Monitoring box, if present, is operational (mark for each tank)ffQ^to ;reA)to Yes No Yes No
lf monitored manually, equipment used to take readings is accessible and functional Yes No Yes No Yes No Yes No
lf the tank is fitted with an internal bladder: The bladder is compatible with substance stored and
will not deteriorate in the presence of that substance
Yes No Yes No Yes No Yes No
Excavation is lined with an impervious artificial material (if yes, answer the foltowing questions):
Secondary barrier is always above groundwater Yes No Yes No Yes No Yes No
lf the secondary barrier is not always above groundwater, secondary banier and monitoring system are
designed for use under such conditions
Yes No Yes No Yes No Yes No
Secondary barrier is constructed from artificially-constructed material and will allow permeation at a rate
of no more than 10'cm per sec for the regulated substance stored
Yes No Yes No Yes No Yes No
Secondary barrier is compatible with the regulated substances stored and will not deteriorate in
presence of that substance
Yes No Yes No Yes No Yes No
Secondary barrier is non-corrodible or protected from corrosion Yes No Yes No Yes No Yes No
Secondary barrier is situated outside the 25 year floodplain Yes No Yes No Yes No Yes No
Groundwater, soil moisture, and rainfall will not adversely affect the liner's ability to collect and contain
regulated substances or the ability of the selected release detection methods to operate effectively
Yes No Yes No Yes No Yes No
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Distribution: White-DERR,Pink-Facility/Owner
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Department of Administrative Services
Michael o *:;lil i Division or General Services. B-38 Srate Capitol Buitdingn,r,"l.:.Y:"1'S,,,:.?"1 sarr Lake city, utah 84114
David G ,,BT"*J .
[33]1333.?9]3 *,
April 21, 1-994
Department of AdministrativeDivision of General ServicesB-38 State Capitol B1dg.Salt Lake City, Utah 841_L4
./,1. ,.. : '-"iJ.; -
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Hessonsc e
Rc'ottd"Bii^ffi'
Department Of Environmental QualityDivision of Environmental Response and Remediation
158 North 1950 West, 1st FloorSalt. Lake City, Utah 84t1,5
Dear Mr Harris:
This letter and attached information is in response to your LeEterof Non-compliance of underground etorage tanks at the Salina UDOTstation # 333, located at 500 North state street, sal-ina, sevierCounty, Utah. DEQ ID # 2000209. A copy of said letter dated 4/07/94is attached for your information.
The following is this divisions response to each item l-isted inyour notice:
1) Submit evidence that proper Automatic Tank Gaugingperformed on UST's #f and #2 byta) Documenting that. the ATG system performs a leak testonce a month...A copy of the site inventory record,
ehutdown Mode for Tank Test ie attached.b) Documenting that the ATG system is properly instalred andfunctioning...A copy of the TLS-250i Operating instructions,Veeder-RooE Site Preparation and Installation fnstructionsand Resulte of US EPA Standard Evaluation VoluneEric TankTightnees Testing Method for the TLS-250i, which is inetalledaL the Salina IIDOT Station.
Hopefully this is what is needed to maintain compliance at theSalina UDOT Station # 333. If I can answer any quesLions concerning,this or any other facility owned and/or operJted by the Division ofGeneral Services / Fleet. Services, Tank Management please ca1I meat (801) s38-387'7.
Services
/ Fleet Services
(ATG) is
at least
showing
Thank You
teven L. C
Har i sA21
ffitmt* q)f, t}*mfu
DEeARTMENT oF ENvTRoNMENTAL epfiWrol:Ui,fl[
DrvrsroN oF ENvTRoNMENTAL nesgffiDrATroN
Michael O. Leavitt
Govemor
Dianne R. Nielson, Ph.D.
Ex€utivc Dir@ttr
Kent P. Gray
Dircct6
APR -8 9b
168 North 1950 West lst Floor
Salt Lake City, utah 84116
(801) 5364100
[phone] Fax
(801) 5364414 T.D.D.F"eil
,, . 1!$arlr!'. t'Jw .::t !r . ^'i'... -...{'tUtiu, ..,i l.ft ,rr q ' -/-'i,\_'i t1--.' ,.,,,"i1,.: R
i'a I 'lrr'r
,'ll ";':_. '
',^i'i:l:' '
APRIL 7,1994TO: UTAH DMSION OF GENERAL SERVICES
ATTN: DAVID FLETCI{ER
B-38 STATE CAPITOL BUILDING
SLC, UTAH 84114
Qlt^^ UD/T {SZZ
RE: Jrlon=compliance-of -underground-storage tanks at UDOT #3j3, Utah Facility I.D.#.2-O0OZA9- -
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (USD may revoke
a Certificate of Compliance if it is determined that a facility is not in substantial compliance with all state
and federal UST statutes, rules and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) performed a compliance review for the underground storage tanks at the above
facility. The compliance review, performed on 15 FEBRUARY 1994, indicates you have not satisfied
the requirements of the Act and are out of compliance. To achieve compliance you must do the following:
.{ Submit evidence that proper Automatic Tank Gauging (ATG) is performed on UST(s) #
!-Lbv: -(\-s zs;
.x, Documenting that the ATG system performs a leak test at least once a month.
,h. Documenting that the ATG system is properly installed and functioning.
Please return a copy of this speed memo with the above items to speed processing.
The above information must be submitted to this office by 7 JUNE 1994. If it is not received by the date
specified, we will commence the revocation process of your Certificate of Compliance. If you have
questions concerning this matter or need any assistance, please contact GARY. IIARRIS at
(8or) s36-4100. c++-
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^TLS.250i
OPERATI NG I NSTRUCTIONS
FOUR-TANK INVENTORY MONITORING and
INTERSTITIAL LEAK SENSING SYSTE]UI
AilD
EIGHT-TANK INVENTORY MONITORING, LEAK DETECTION
and INTERSTITIAL LEAK SENSING SYSTETil
Manual No. 576013-60l
KEYBOARD FUNCTIONS
INCREMENI - SETUP mode only
After cursor is set, depress INCREMENT button to advance
digit to desired number.
CURSOR - SETUP mode only
Depress button to move cursor (flashing digit) to digit to be
changed.
LEAK ALERT BESEI - Four-Tank System
NORMAL MODE - Depress once to shut-off and reset
audible alarm (will not shut off alarm LEDs). When audible
alarm is inactive, depress once to test LEDs and audible
alarm. SETUP MODE - When on the -A or -B setup codes,
depress to reset sensor configuration. DIAG MODE -Depress to set the TLS-250| system in Sensor Checkout
Mode.
LEAK ALERT FESEI - Eight-Tank System
NORMAL MODE - Depress once to shut-off and reset
audible alarm (will not shut off alarm LEDs) except when
displaying the Leak Rate function. When audible alarm is
inactive, depress once to test LEDs and audible alarm, except
when displaying the Leak Rate function. When Leak Rate
shown on display, depress twice to start leak detect test for all
tanks. Or, depress once, then select tank # and depress again
for single tank test. SETUP MODE - When on the -A or -B
setup codes, depress to reset sensor configuration. DIAG
MODE - Depress to set the TLS-250i system in Sensor
Checkout Mode.
E
PRINT
Set display to information to be printed using keyswitch,
FUNCTION, IArVK buttons. Depress PRINT button once for
printo.ut.
FUNCTION
Depress button to advance di
TANK
Depress button to advance di
f unction.
[PF' i"
ALARM CAUSE LED INDICATORS
ALARM CAUSE
LED INDICATORS
The TLS-250| has on its
f ront panel eleven Alarm
Cause LED lndicators
that will flash when an
alarm condition is detec-
ted. Three of the LEDs -Fuel Leak, Water Leak (not active in
this model) and Sensor Out -indicate the type of alarm
condition sensed. The other eight will show which sensor in
the system has detected the condition.
ln addition, an audible alarm will beep when any sensor alarm
condition is detected.
The audible alarm can be reset immediately using the Leak
Alert Reset button. However, the LED Alarm Causelndicators
cannot be reset until the alarm condition has been corrected
and the keyswitch ALARM RESET has been activated.
Two types of alarm
causes can be detected
by the system.
LIQUID LEAK - Liquid
has been detected by thesensorintheannular spaceor
piping sump.
SE TSOF OUT - The system has detected an open sensor
circuit indicating a failed or disconnected sensor.
ALARM LOCATIONS
Positions 1 - 8 indicate which sensor has detected an alarm
condition.
ALARM INOICATION RATES
The rate at which the LEDs f lash and the audible alarm beeps
varies according to the type of alarm. A fuel leak indication
causes a rapid f lash and beep, a sensor out indication will be
slower.
NOTICE
rF SYSTEM ALARMS, CALL ( ) _-FOR SERVTCE, CALL ( )
/NCREMENT \ I TUNCnON
cuRSoF \\ \ I ll rry-t--
/\
LEAK ALERT RESET I \ PRINT
ALARM CAUSE
FUEL LEAK OWATER LEAK OSENSOR OUTara3asa7
a2 a4 a6 t8
12003 Replaces l1778 PIITIEDVC6 ,{^ 91
OPERATING MOE IS
The Operating Mode keyswitch proriE6, access to the
various modes required to setup, operate and service the
TLS-250i.
ln the NORMAL mode all inventory and sensor status may be
viewed on the display and using the PRINT button, printed by
the optional printer. ln the SETUP mode, allsetup parameters
may be entered, ,'V*eO on the display and changed if
required. The DIAGNOSTIC mode reveals important in-
formation about the system which is helpful while servicing
the equipment.
Tuming the keyswitch to the ALARM RESET position will
reset the flashing display and alarm relays after an alarm
condition has been detected. The ALARM RESET position
will not reset the Alarm Cause LEDs currently aclivated by a
signal trom an lnterstltlal sensor.
The lollowing is a explanation of the inventory, setup and
diagnostic information accessible using the Operating Mode
keyswitch.
NORMAL
ALARM RESET
SETU P
DIAG.
('
KEYSWITCH POSITION
1{0Rt[AL SETUP 0tAGil0sflc
Format' Funcllon
HH:MM Time ol Oay
GGGGGG FUel Volume
GGGGGG TemPerature-
Compensated
Fuel Volume"'
GGGGGG Ullage
lll.00 Fuel Height
l.D. Water Height
FFFF.D FuelTemperature
GGGGGG Delivery Volume
t GGG.DD Leak Rate
NNN Sensor Status
"A" Sensors
NNN Sensor Status
"B" Sensors
Code tormal*
OA HH:MMOB MM-DOOC YYYY14 HH:MM
'lB HH:MM
1C 0.n
2A HH:MM28 HH:MM2C HH:MM3 l.D.3A GGGGGG38 GGGGGG3C GGGGGG
t 3AB GG.o
t 3BC SNNN.0
3ABC MM4 GGGGGGH GGGGGGHA GGGGGGHB GGGGGGHC GGGGGG4A GGGGGGE GGGGGGEA GGGGGGEB GGGGGGEC GGGGGG48 GGGGGGL GGGGGGLA GGGGGGL8 GGGGGGLC GGGGGG4C GGGGGGP GGGGGGPA GGGGGGPB GGGGGGPC GGGGGG5 lll.DD6 SII.DD7 nnnnnn8 CCC9 nnnnnn9A RRRRRB98 RRRRRR9Cn9AB MMMgBC SSSgAC -n
9ABC n
n
-A n HH.H
Function
Time o{ Day
Month and Day
Year
Shutdown Mode (Leak Oelect)
Start Timet.
Shutdown Mode (Leak Detect)
Stop Time"
Leak Report Typet
Auto Print Time #'l
Auto Print Time #2
Auto Print Time #3
High Water Alarm Limit
0verlill Alarm Limit
Low Level Alarm Limil
Thelt Alarm Limit
Leak Alarm Limit
Thermal Coellicient
lnventory lncrease Bept.Delay Time
1.00 Height Volume Capacity
0.95 Height Volume Capacity
0.90 Height Volume Capacity
0.85 Height Volume Capacity
0.80 Height Volume Capacity
0.75 Height Volume Capacity
0.70 Height Volume Capacity
0.65 Height Volume Capacity
0.60 Height Volume Capacity
0.55 Height Volume Capacity
0.50 Height Volume Capacity
0.45 Height Volume Capacity
0.40 Height Volume Capacity
0.35 Height Volume Capacity
0.30 Height Volume Capacity
0.25 Height Volume Capacity
0.20 Height Volume Capacily
0.15 Height Volume Capacity
0.10 Height Volume Capacity
0.05 Height Volume Capacity
Tank Diameter
Tank Tilt
Manifolded Tank Conliguration
Product Code and Producl Label
System Security Code
Relay #1 Conliguration
Relay #2 Configuration
Auto-Transmit Message ilode
Auto-Transmit Repeat Time
Auto-Transmit Delay Time
Temperature-Compensated Volume
Generator 0FF Mode and
Leak Report Enable
(Emergency Generator Velsions 0nly
External lnput Alarm Enable
Audible Water Alarm Disable/Senso
Type Selection and Water Alarm
Dplev Time - "A" Sensors
Code Format' Function
0 IIBRBR Product lD. Rev. Level1 XXXXXX Probe Serial Number2 XXX Probe Circuit Bd. Code3 XXX.XX Probe Length3A XXXX Probe Oate Code4 XXXX.XX 10tt Standard Capacitance Value
+ # of samplesXXXX 8tt Dry Calibration ConstantsXXXX 8tt Wet Calibration Constants
XXXX.XX Updated Dry VariablesA XXXX.XX Updated Wet Variables
No Display. Used lor Tank Alarm
History Reports
No Display. Used lor Sensor
Alarm History Reports.
XXXX.XX l0 Slow Capacitance Values + #
Use lilCBEttlElT button to
advance through Capacitance
and Calibration Values for
Functions 4-9.
Use lllGBEMEl{T button to advance through Capaci-
tance and Calibration Values lor Functions 4-9.
5
6
7
7I
8A
VEEDER.ROOTlIT
Envrronmenrar Prooucrs f:I
125 POWOER FOHEST OR STMSBUBY CT 060 0-2003 U S A [phone]
-B n HH.H Audible Water Alarm Disable/Senso
Type Selection and Water Alarm
Delay Time - "8" Sensors
-C nnnnnn Relay fl l Sensor Alarm Function
-AB nnnnnn Relay #2 Sensor Alarm Function
. Some lormals may differ for metric versions. ln all cases, G (Gallons) will be L (Liters), I (lnches) will be mm (Millimeters) and F (" Fahrenheit) will be C (" Celsius)
"shutdown Mode Four-Tank Systems only. Leak Detect Eight-Tank Systems only'
"'Optional inventory report feature selectable in Setup Mode.
t Eight-Tank only. I tt These numbers may vary up to 33 for 0.1 Capacitance Probe.
VEEDER-RO}
SITE PREPARATION AND
I NSTALLATION I NSTRUCTI ONS
Manual No. 576013-579
Four-Tank (Dlrect-Con nect) System
Technlcal Manual
14-213
leeued: 6,/9t
Supereedee: 6,/90
TLS-250I AND TLS-250I Plus,
INVENTORY MONITOR AND
INTERSTITIAL LEAK SENSOR
t.
VEEDER.ROOT
Environmental Products
ffiveroenmor
f,*
Site Preparation and InsL.ration
TLS-250i and TLS-250I Pltts! Tank
Manual
Level Sensing System
\./
ATTENTION INSTALLER:
READ THIS IMPOBTANT SAFETY
INFORMATION
BEFORE BEGINNING WORK
This product is to be installed and operated in the
highly combustible environment of a gasoline storage
tanlc It is essential that you carefully read and follow the
warnings and instructions in this manual to protect
yourself and others from serious i\iury, explosion, or
electrical shock.
For safety reasons, we have taken particular care in
the design of this product to limit the power in the wiring
to the fuel tanks and to keep that wiring physically se-
parated from anyotherwiring. It isyour responsibilityto
maintain the effectiveness of these safety features by
installing this product in accordance with the instruc-
tions and warnings which follow. Your failure to do so
could create danger to life and property.
Leaking underground tanks can create serious envi-
ronmental and health hazards. It isyour responsibilityto
install this product in accordance with the instructions
and warnings found in this manual.
Failure to install this product in accordance with the
instructions and warnings found in this manual will re-
sult in voiding of all warranties connected with this
product (see Section 8).
I NOTE: THE INSTALLER OF THIS PRODUCT
llii snoulD REMovE TIIE FRoNT pANEL KEyANDf pnnsBNT IT To AN AUTHoRIZED usER To pRE-
VENT MISUSE OF THE PRODUCT.
WABNINGS:
EXPLOSION COTJLD OCCTJB IF OTIIEBWIBES
SIIABE TL9260l OB TL$26O1 PIugIPBOBE AND
SENSOBWIBE @NDIJITS OBU/IBING IBOI'GIIS.
CONDTIITS AND WIBING TBOUGHS FBOM
PBOBES AND SENSOBS TO TIIE MONITOB
MUST NOT CONTAIN ANY OTIIEB WIBES.
IMPBOPEB SYSIEM OPEBATION COTJLD BE.
ST]LT IN INACCT'BAIE INVENTOBYCONTBOL
OB I'NDEIECTED POIENTIAL ENVIBONMEN.
TAL AND HEALTH HAZABDS IF PBOBE. AND
SENSOB.TO.MONITOB WIBE BTTNS EXCEED
1,000 FEET. BIINS OVEB 1,000 FEET ABE NOT
UL APPBOVED FOB TIIIS APPLICATION.
PBOBE. AND SENSOB.TO.MONITOB WIBES
MUST NOT EXCEED l,(X)O FEET.
EXPLOSION AND,/OB EQIIIPMENT DAMAGE
COIJLD OCCUB IF CONDTIITS DO NOTENIEB
TIIE MONITOB THBOUGH THEIB DESIGNAT.
ED PBEFOBMED KNOCKOUTS.
EXPLOSION COTJLD OCCI'B IF TIIE MONITOB
IS INSTAIIED IN A VOII\TII,E, COMBUSTI.
BLE OB EXPI.oSTVE (CLASIS I, DTVISION I OB
DTVISION II) ATMOSPIIEBE. DO NOT INSTALL
MONITOB IN A VOI.ATII.E, COMBUSTIBI.E OB
EXPLOSTVE ATMOSPHEBE.
IN INSTAIII\TION OF THIS PBODUCT, COM.
PLYWITII TIIE NATIONAL EI.ECTBICAL CODE;
FEDEBAI' STATE AND LOCAL CODES; AITID
OTHEB APPLICABLE SAFETY CODES.
TO AVOID EI.ECTBICAL SHOCK WIIICH COI]LD
KILLYOU, BE SUBEAC POWEBTOTHE MONI.
TOB IS OFF DT'BING INSTALI"ATION.
CABEFTJIIY BEAD THE INSTAIII\TION IN.
STBUCIIONS AT{D \ilABMNGS FOTJND IN THIS
MANUAL FAILUBE TO DO SO COT'LD BESLILT
IN TJNDETECIED POTENIIAL ENVIBONMEN.
TAL AND HEAI,TH IIAZABDS.
FAILTJBE TO COMPLYWITH TIIESE BEQTIIBE.
MENTS COT'LD BEST'LT IN DEAIU, SEBIOUS
PEBSONAL INJUBY, PBOPEBTY LOSS, OB
EQIIIPMENT DA]IIAGE AIYD T'NDEIECTED PG
TENTIAL ENVIBONMENTAL AND EEALTH
IIA'ZABDS.
UA I#HH,N oF coMPoNENr{i MAY IM-
- PelB INTBINSIC sArETY.
CIBCUITBY WITHIN TIIE PBOBE, SENSOB
AND CONSOI.E BABBIEB FOBM AN IhI'TBIN.
SICALLY SAFE, ENEBGY.LIMITED SYSIEM.
TEIS SYSTEM MAKES TIIE TI^s PBOBE A]\ID
SENSOB INTBINSICALLY SAFE FOB USE IN A
CI.ASIS I, GBOTIP D IIAZABDOUS LOCATION.
THE TLS260I AND TL9260[ PIUaIPBOBE AND
SENSOB WIBING IS IIVTBINSICALLY SAFE
ONLY WHEN CONNECTED TO VEEDEB.
BOOTS MONITOB FOBM NI'MBEB 794I.
tlt a
I o
TABLE OF CONTENTS
SECTION 1. INTRODUCTION
General
Product Description
Damage Claims
Return Shipping
SECTION 2. SITE PBEPARATION
Probe Riser Pipe Installation .
Sensor Riser Pipe Installation
Monitor l,ocation Selection
Inside Conduit Installation ........
Probe and Sensor Conduit Installation
Probe and Sensor Junction Box Installation
Manhole Installation
SECTION 3. MONITOB INSTALLATION
A. Probe and Sensor Wiring InstallationB. Power Wiring InstallationC. MountingD. Power Wiring ConnectionsE. Probe and Sensor Wiring ConnectionsF. Alarm Relay WiringG. External Input WiringH. EIA RS-232 InterfaceI. PeripheralEquipment Requirements
SECTION 4. CAPACITANCE PROBE
INSTALLATION
Tank Diameter Measurement
Riser Pipe Cap Preparation
Installation
SECTION 5. MAGNETOSTBICTIVE PBOBE
INSTALLATION
(For Uee with TI^S-2EOi Plusl only)
FloatAssemblies .........9TankDiameterMeasurement .... llRiserCapPreparation .... llInstallation ....... lZ
Site Preparatior. -nd Installetion Manual llf
TLS-250i end TLS-260i Ptns! Tank Level Sensing System ffl
SECTION 1. INTBODUCTION
A. GENEBAL
l. This manual contains site preparation and installation
procedures for the TLS-260i and TLS-250iPlzs/Inventory
Monitor and Interstitial Leak Sensor Four-Tank (Direct-
Connect) System, designed and manufactured by
Veeder-Root Company, 125 Powder Forest Drive,
Simsbury, CT 06070-2003. Telephone [phone].
2. When a vertical bar I appears aqiacent to text or illustra-
tions, information has been added or changed at the last
issue date.
B. PBODUCTDESCBIPTION.
1. Monitor Operating Temperature Range: 32oFto 119.F(0"C
to 45oC).
Monitor Storage Temperature Range: 15oF to 113.F (-10"C
to 45"C).
Probe Storage and Operating Temperature Range: lboF to
113'F (-10'C to 45'C).
2. The TLS-250i and TLS-250| Plus! Four-Tank System in-
corporate a Series 7842, U72, or 8473 Digital Sensing
Probe that mounts vertically in each fuel tank, Series 7g4B
Interstitial Leak Sensors installed in the tank annulus and
piping sump, a wall-mounted Monitor with or without
optional printer, LCD display and Alarm-Cause LED
indicators.
3. The probe electronics and monitor continuously measure
the capacitance of the probe, convert this information
into liquid level and volume, and display the results for the
selected tank.
4. The interstitial leak sensors monitor the interstice for the
presence of either hydrocarbons, which could indicate a
leak, or water.
C. DAMAGE CI.AIMS.
1. Thoroughly examine all components and units as soon asreceiv"4. The disital sensinf probe is a precision instru-
ment. Because internal damage eustained in transit mav
1161 fs vilible, carefully inspecf the exterior of the probe fo-r
dents. Disregard rattling sounds caused by wires and other
external parts in the probe. Examine the iirterstitial sensorfor sharp crimps, flate or breaks in the elements. If
damaged, w1rte q complete and detailed description of the
damage on the face of the freight bill. Have tire carrier,s
agent sign the description.
1
A.
B.
C.
D.
A.
B.
C.
D.
E.
F.
G.
2
2
3
4
4
5
5
5
5
5
6
6
6
6
I
7
I
8
8
A.
B.
C.
A.
B.
C.
D.
SECTION 6. INTERSTITIAL LEAK
SENSOB INSTALI,ATION
A. Riser Pipe Cap PreparationB. EquipmentPreparationC. Installation of Float Switch in Fiberglass TankD. Installation of Float Switch in Steel TankE. Secure Sensor Installation
SECTION 7. PIPING SUMP SENSOR
SWITCH INS-TALI,ATION
A. GeneralB. Installation
SECTION 8. WARRANTY CONDITIONS AND
LIMITATIONS OF LIABILITY
Limitations of Liability
Inspection
!-imitation of Remedy and Warranty . . .Limitation of Damages
Limitation of Actions
Collateral PromisesInterpretation . . .
NOTE: Insist that the carrier's agent verify the inspec-tion and sign the description.
l3
l3
l3
t4
T4
rli
t4
t4 2. ImmediatclV notifu the dllivering carrier of damage or loss.I'his notifrcation may be given either in person or bvtelephone. Written confirmahon must be maiied within 4"ghours. Railroade and motor carriers are underetandativreluctant to make adjustments for damaged -"r"t ""ai.i,unless inspectcd and reported promptly. *
3. Risk of loss, or damage to merchandise remains with thebuyer. It is the luyer's responsibility to file tcGim;lh ;i;;carrier involved.
4. Immediately a.dvi-se your Veeder-Root representative,distributor, or the factory so that we may asiist you.
D. RETURN SHIPPING. All shipments of Veeder-Rootproducts must be prepaid. If the probe is damaged, ""1u*-lt i"rne. onglnal .+i.pp_lrlC - container with shock absorbingmaterial provided. Veeder-Root will accept no liability foi
$gmgse caus"3 bv-rltploper-packing. Aaa"i"" itie ship-;J"itoVeeder-ll,oot Cgr_L_?5 Powder Forest Drive, p.O. Bbx 2008,Simsbury, CT 06070-2008.
A.
B.
C.
D.
E.
F.
G.
16
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l6
l6
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16
16
I
O AppENDrx^ iJBffirll,lEx+If* sHEEr . . . . . . . tZ
SECTION 2. SITE PBEPABATION
.tlr WABNING: IN INSTALLATION OF TIIIS PBODUCT,2.'I COIIPLY WITH THE NATIONAL ELECTBICALI copn; FEDERAT., srArE, AIIID LocAr, coDES;
AND OTIIEB APPLICABLE SAFETY CODES.
rlr WARNING: TO PBOTECTYOT BSELFAND OTIIEBSU'i rnou BErNc sTBUCK By vEHICLES DuRrNcI wonr, BLocK oFF yotrn woBK ABEA DTIBINc
INSTAII,ATION OR SEBVICE.
FAILTIRE TO COMPLY WITH IIIESE WABNINGS
COT]LD BEST'LT IN DEATH, SEBIOUS PEBSONAL
INJUBY, PBOPERTY LOSS, AND EQUIPMENT
DAMAGE.
A- PBOBE BISER PIPE INSTALLA'UON. (See Figure l,
"Capacitance Probe Installation Requirements" and Figure 2,
"Magnetostrictive Probe Installation Requirements")
IMPORTANT: For maximum height-to-volume accuracy, se-
lect the threaded hole closest to the middle of the tank
and install a 4-inch riser pipe (ANSI pipe, sch. 40).
Standard procedures for installing a fill pipe can be used.
Instructions are based on a 4-inch riser pipe, however, the
capacitance probes will also flt a S-inch riser.
1. If the tank is buried, excavate the portion of the tank that
contains the riser hole.
2. Remove the bung from the hole and install the riser pipe.
NOTE: The top of the riser pipe must be threaded to
accept a 4 x 8 NPT cap adaPtor ring.IIli
Site Preparation and lnstMtion Manual
TLS-250i &nd TL$250r Phts! Tank Level Sensing System
3. Install a standard adapter ring and riser cap on the riser
Pipe.
^--l NOTE: The cap should be a locking cap, "Evertite" or
llii equi ralent, with standard ring adafter. the cap must
f Uri drilled and tapped to receive cable grip. (see Section
4.B and Section 5.C).
Kits consisting of a 4-inch cap, adaptor ring, and plug for
the cap are available from Veeder-Root. For each probe
riser, order one Kit Number 3L202O-952.
B. SENSOB BISEB PIPE INSTALLATION. (See Figures 3
and 4 for dimensions and installation requirements.)
tt:! f.lOfp, If tank is at a tilt, install the sensor in the low
fl endofthetank.
1. Standard Procedures for installing a fill pipe can be used.
Instructions are based on a 2-inch riser pipe.
2. Ifthe tank is buried, excavate the portion that contains
the bungs available to accept a riser pipe.
3. Remove the plug from the hole. Then, install the riser pipe
in the hole. The top of the riser must either have a 2-inch-
14NPT pipe thread or accept a standard Schedule 40
2'- l4Ntrl adapter ring (as supplied in Veeder-Root Kit No.
312020-928). Ensure that there is enough clearance be-
tween the top of the riser and the manhole cover to allow
room for the 2-wire cable supplied with the sensor.
,r.! XOfn, Veeder-Root Riser Cap Kit No. 312020-928 can
fl Ue used with either threaded or unthreaded riser pipes'
4. Install a standard adapter ring and/or pipe cap on the
riser pipe.
In addition, make sure there will be enough clearance
between the top of the installed riser cap and manhole
cover to allow room for the two-wire probe cable to pro-
trude from the cap.
- - - I NOTE: Ii ttre ttrreaded adaptor ring is used, install with
[^ii prop"r adhesive (ie., TtsC cement). Use thread sealer,
f illoi" N)IrEsrvE;when installingine riser cap'
o,
I tr urtruuuorr -lr MANHoT F
I
I
coNcRETE sLaB r I
OR PACXTO EAFIH I 2 COFO GAIP SE^LS I
P€R NFPA 30 SUPPIIEOWIIH PROSE
Nola: lncrea*thisminimumdimeosaonalthetank
diamete. d@s not fratch the probe length.
(Erample: A 7'6" dia. bnk will 0E an 8'
prcb€ Theexlraprobeheightwillbelodged
in re fi*r pipe. whtch must be 6" longer
than lhe minimum in orclerto provide room.)
Figure2. Magnetostrictive Probe InstallationRequirements
(for TLS-205i Plusl systems onlY)
NETICF
caAtN
SE^L
seE
sHEm€4
Nolai lncrea*lhisminimumaliMsion itthetank
diareter dG not match the probe length.
(Erample: A 7 6" dia. bnk will u* an 8'
probe. The ext6 probe height will be lodged
in lhe ris pipe, which mst be 6" longer
than the minimum in ord€rto provide r@m.)
Figure 1. Capacitance Probe Installation Requirements.
a a'
Site Preparation and Installation Manual
TLS-250i and TLS-250I Phts! Tank Level Sensing System H
(o
C.
Figure 3. Sensor Dimensions and Installation Requirements
- Fiberglass Tank.
Figure 4. Sensor Dimensions and Installation Requirements
- Steel Tank.
.2E1 DrA.
4 PLACES
PROB€ WIRES
ONLY KNOCK-
OUTPATTERN
1/2' -44'
r.P.s.
FRONT KNOCKOUT
POWER INPUT 2.WIRE CONNECTION
120 V !c. g)/60 Hz FROM Up TO I PROBES
5 A @r (TOTAL t6 wtRES MAx.)
{KEEP SEPARATE FROM
PROAE WIRING}
t20 V ac
POWER INPUT ONLY
KNOCKOUT PATTERN
PROBE WIRES ONLY
KNOCKOUT PATTERN
FOR 3/4" - 1" t_P.S.FOR t/2',1 - 3/4" t.P.S
Figure 5. Monitor Dimensions and Installation
Requirements
MONITOB LOCATION SELECTION.
WABNING: IMPROPER SYSTEM OPEBATION
COTJLD BESTJLT IN INACCT'RAIE INVENI'OBY CON.TBOL OB TJNDETECIED POTENTIAL ENVIBON.
MENTAL ND HEALTII IIAZABDS IF PBOBE- AND
SENSOB-TO-MONITOB WIBE BI,NS EXCEED 1,000
FEET. BTJNS OVER I,OOO FEET ARE NOT T'L AP.
PROVED FOB THIS APPLICATION. PBOBE. AND
SENSOB.TO.MONITOB WIRE MUST NOT EXCEED
1,OOO FEET.
WARNING: EXPLOSION COULD OCCIJB IF THE
MONITOB IS INSTALLED IN A VOI"ATILE, COM-
BUSTIBLE OB EXPLOSIVE (CII\SS I, DryISION I
OB DIVISION II) ATMOSPHERE. DO NOT INSTALL
MONITOB IN A VOII\TILE, COMBUSTIBLE OB EX-
PLOSTVE ATMOSPHEBE.
FAILTJRE TO COMPLY WITII THESE \ilABNINGScoul,D BESITLT IN DEATII, SERIOUS PEBSONAL
INJURY, PBOPEBTY LOSS, AND EQUIPMENT
DAMAGE.
tlt
tl
Select a mounting location on the inside wall of an en-
closed building. Be sure the monitor will be protected from
severe vibration, extremes in temperature and humidity,
rain, and other conditions which could harm the equip-
ment. In addition, consider the ease of routing inter-
connection conduit and power conduit when selecting a
Iocation for mounting the monitor.
3
,C,
Nl Site Preparation and InslEilation Manual
El TLS-250i and TLS_21OL plus! Tank Level sensing system
INSTDE CONDI.IIT INSTALI,ATION.
Install rigid metal conduit or raceway for monitor poYqr
iio* it Jpower panel to the monitor location' Conduit
.rit ufign *ith the designated qow.er knockout, as shown
in Figur6 5. Power wiring must be installed in a separate
conduit from probe wiring.
Instalt a wiring trough as shown in Figure 6.
Run rigid metal conduit for probe and sensor wiring from
ii'," .3"it"i to the wiring tiough, as shown in Figure 5'
Conduit must enter the monitor uhereknockouts a'repro'
;AA *; other conduit entry is permitted' Always keep
pioL" .nA "ensor
wires in a separate conduit or trough
from all other wiring.
WARNING: EXPLOSION COLILD OCCUR IF OTHER
WIBES SIIARE TI^S-250i OR TIS-250i Plus.r PROBE
AND SENSOR WIRE CONDUITS OR WTRING
TBOUGHS. CONDUITS AND WIRING TROUGHS
FBOM PROBES AND SENSORS TO THE MONITOR
MUST NOT CONTAIN ANY OTHER WIRES.
WARNING: EXPLOSTON AND,/OR EQIIPMENT DAM-
AGE COTJLD OCCUR IFCONDTIITSDO NOTENTEB
TTTN UONTTOR THROUGH THEIR DESIGNATED
PBEFORMED KNOCKOUTS.
FAILURE TO COMPLY WITH THESE WABNINGS
COI'LD RESI.]LT IN DEATH, SERIOUS PERSONAL
TNJURY, PBOPERTY LOSS, AND EQUIPMENT
DAMAGE.
D.
l.
4. Wiring between the probes, sensors and the monitor is
desigied such that el-ectrical powertothe p-robe and sen-
.or iires is limited so that there is insufficient energ/
present to ignite the fuel. To maintain this safety feature,
probe and sensor rvires must be installed in separate cort-
buits from all other wiring. Never run these wires in the
same conduit or wiring trough as power wires.
E. PROBE AND SENSOB CONDI'IIT INSTALI"ATION.
l.dr$lr,u;m:,l,lxlt ]P*t'' PruslFour'rank svs- t O
rt WARNING: PEOBE- AND SENSOB-TO-MONITORUZ wrnn MUsrNorExcEED l,000FEET. IMPBoPER( svsrnM opERATIoN coulD BESLTLT IN INACCU-
RATE INVENTOBY CONTBOL OB UNDETECTED
POTENTIAL ENVIRONMENTAL AND HEALTH HA.
ZARDS IF PROBE. AND SENSOR.TO-MONITOB
WIRE RI]NS EXCEED I,OOO FEET. RI.]NS OVER
I,OOO FEET ABE NOT I.JL APPROVED FOB THIS
APPLICATION.l. Dig trenches as necessaryto install conduit from the mon--
ito"r to each probe and sensor location' Probe and sensor
wiring musf enter the monitor through the knockouts
focat8a at the right-hand side or bottom of the monitor
case, (See Figure 5.)
2. Lay l/2 inch rigid metal conduit from each probe and- .",i.ot Junction-box to a junction box or wiring trough
located inside the building.
I NOTE: Wiring from separate TLS probes and TLS sensors
llSi rnuv be run in the same conduits or troughs providing they
f are powered bY the same monitor'
rrr WARNING: EXPLOSION COLILD OCCUB IF OTHER
u7 wlnes SHABE TI^$250i oR TIs-250i Phts! PRoBE
f AND sENSoR wIBE coNDUITS oB wIBING
inoucHs. coNDUITS AND wTRING TBoUGHS
rNOU PBOBES AND SENSORS TO TIIE MONITOB
MUST NOT CONTAIN ANY OTHEB WIBES.
Lay a single 3/4 inch rigid metal conduit from the junction
box or wlring trough to the TLS monitor location'
The conduit can enter the manhole through the bottom or
the side, but the end ofthe conduit should be high enough
to reduce the chance ofwater covering thejunction box
during heavy rain.
Run I /2 inch rigid metal conduit between breaker box and
TLS monitor location.
2.
3.
tVt
tlt
o
4.
ffird ,nr {[r * dMto
, fn *-o'rs "ro *.e,"c cotc',"" "s
Figure 6. TLS-250i and TLS-250i Ptus!Four-Tank System Wiring Installation Diagram
4
,^|
Site Preparatior. *nd Installation Manual
TLS-250i and TLS-250i Plus! Tank Level Sensing System H
F. PROBE AND SENSOR JUNCTION BOX INSTAL.
|) LATION. (See Figures I and 2.) Install a weatherproof
U electrical junction -box with gasketed cover on the end of each
conduit run at the probe and sensor locations. Gasketing or
sealing compound must be used at each entry to the junction
box to ensure a waterproof junction. The interior of the
junction box must be a minimum of l6 cubic inches. [Jse one
of the following approved units or equivalent:
Manufacturer: Appleton Electric Co.
l70l W. Wellington Av.
Chicago, IL 60657
Phone: [phone]
Description Parl No.oty
Junction Box
Cover. Junction Box
Gasket. Junction Box
J BDX.75
JBK.B
JB-GK.V
1
1
1
Manufacturer: Crouse-Hinds Co.
Syracuse, NY 13221
Phone: [phone]OOO
Oescriplion Parl No-Qtv.
Junction Box
Cover, Junction Box
Gasket. Junction Box
GBFX-139
GRF.1O
GASK.643
1
1
1
B. POWER WIRE INSTALI"ATION. Pull four (4) color-
coded wires for line, neutral, barrier ground (must be #12
AWG or larger) and chassis ground between power panel and
TLS Monitor.
CAUTION: DO NOT CONNECT POWER SUPPLY WIRES
TO A LIVE CIRCUIT UNTIL ALL OTHER PROBE AND
MONITOR WIRING IS COMPLETE.
C. MOUNTING. (See Figure 5 for dimensions and mount-
ing requirements.)
l. Locate and mark mounting points (4) at the location
selected in 2.C. 1. (See Figure 5, "Monitor Dimensions and
Installation Requirements".) BE SURE TO CONSIDER THE
WEIGHT OF THE TLS MONITOR AND THE MOUNTING
SURFACE MATERIAL WHEN SELECTING A MOUNTING
FASTENER.
5.
If the fastening device requires an insert in the mounting
surface, drill the appropriate holes and install the inserts.
Loosen the four slot-head screws on the right and left
edges of the front panel and swing the panels open.
Locate the hinged intrinsically-safe barrier cover, remove
the two scre\l,s and open the cover. (See Figure 7.)
Mount the monitor through the four mounting holes in the
back of the monitor case.
Connect power and probe/sensor conduits in appropriate
knockouts.
-E__F
4.
G. MANHOLE INSTALT.A,TION.
ll'l NOTE: Ensure that there is a sufficient amount of
f| gravel under the manhole for proper drainage.
Install a l4-inch minimum diameter approved manhole at
each probe and sensor location. Offset the probe or sensor
riser pipes in the manholes for ease of junction box instal-
lation and wiring. Leave enough space between thejunction
box and the manhole Iiner so that the junction box can be
rernoved if necessary.
SECTION 3. MONITOR INSTALLATION
A. PROBE AND SENSOR WIRING INSTALLATION. Pull
two conductors of color-coded, THWN stranded copper wire
between the monitor and each probe and sensor location
(Since up to four probes and eight sensors will be wired
through the single probe wiring conduit, be sure to use a
different color-code for each connection). The wires must
be of a type designed for use in the presence ofgasoline and
oil, and must be between AWG l8 and AWG 14. The conduit
must be properly sealed in accordance with the National
Electrical Code (NFI'A 70) and the Automotive and Marine
Service Station Code (NFPA 30A) since they pass from a
Class I, Division I or Division II area into a non-hazardous
area.
1,! NOTE: Label or color code all held w'iring to ensure
f| polarity.
I MPORTANT: IT IS CRITICAL THAT YOU IDENTIFY AND
MAINTAIN THE REI,ATIONSHIP OF INTERSTITIAL
AND PIPING SUMP SENSORS TO THEIR POSI.
TIONS ON THE TERMINAL STRIP IN THE CON-
SOLE DURING THE WIRING PROCEDURE. FAIL.
URE TO DO SO COULD RESULT IN IMPROPER
IDENTIFICATION OF A LEAK LOCATION! YOU
MUST MAINTAIN A VARIFIABLE REI.ATIONSHIP
BETWEEN THE SENSOBS AND PROBES IN TANKS
AND THEIR CONNECTIONS ON THE WIRING
STRIP. APPENDIX A PBOVIDES A FORM TO RE.
COED DATA TO HELP YOU IDENTIFY THE WIRING
SCHEME.
'c
Figure 7. IJarrier Cover
)
D.
tn
Site Preparation and Inslir{ation Manual
TLS-250i and TLS-2iOi Plus! Tank Level Sensing System
POWER WIRING CONNECTIONS.
WARNING: IN INSTALT,ATION OFTHIS PRODUCT'
COMPLY WITH THE NATIONAL ELECTRICAL
CODE; FEDERAL, STATE' AND LOCAL CODES;
AND ANY OTHEB APPLICABLE SAFETY CODES. IN
ADDITION, TAKE NECESSARY PBECAT]TIONS DT]B.
ING INSTALLATION, SERVICE AND REPAIR TO
PREVENT PERSONAL INJUBY, PROPERTY LOSS
AND EQI.IPMENT DAMAGE.
.th WARNING: TURN OFF POWER TO THE SYSTEM9,/l snpoRE opENING THE FRoNT pANELS Tof av61p sHocK FRoM THE powEn slrppI,y. rN
ADDITION, POWER TO THE SYSTEM MUST BE
TURNED OFF BEFOBE OPENTNG OB SECURTNG
THE BARBIER COVER. IF HIGH VOLTAGE IS SHORT-
ED ACROSS ANY BABRIER PROBE TERMINAL,
EXPLOSTON OR FIRE COTJLD RESTJLT.
Power Supply Rating:
Input power: (Ll, N, G); 120 VAC, 50/60h2, l00W Max.
Output power: Alarm relay contacts, resistive load -I l5 VAC,2A Max. or,24O VAC,2A Max. or, 24VDC,2A
Max.
L Connect with # l2 AWG (or larger) conductor the Barrier
Ground (Terminal 5 on the power supply wiring strip) to
the earth ground bus on the power panel being used to
supply AC line voltage to the TLS-250i or TLS-250| PLus!
monitor.
---l NOTE: If connecting to a subpanel, be sure there is anllii au.tt Ground connection between the subpanel andf tfre ."in po*u, panel in accordance with the National
Electrical Code.
2. Connect the power wires to terminals Ll and N on the line
filter located in the monitor.
3. Connect a chassis ground wire between the power panel
Earth Ground and the middle terminal of the line filter
(Chassis Ground). This ground connection does NOT
provide adequate ground protection for the barrier mo-
dule. The instructions contained in Paragtaph I must be
followed regerdless ofwhat other ground connections
are installed.
4. Connect the power supply wires in the power panel to a
separate dedicated breaker.
5. Check to be sure that the electrical resistance between
Barrier Ground (Terminal 5) and a known good Earth
Ground is less than I ohm.
E. PROBE AND SENSOR WIRING CONNECTIONS.
l. Connect the two color-coded wires from each probe and
sensor to the appropriate terminals on the barrier. (See
Figure 8, "Probe and Sensor Barrier Strip.")
2. Close barrier cover and tighten screws.
F. ALARM RELAY WIRING. The TLS-250i and TLS-250I
P1zs./ have two programmable alarm relays. Terminals ( I, 2, 3
and 4) are provided on the power supply strip to connect
these relays to external alarm systems or devices. (See Figure
9, "External Alarm and External Input Wiring Diagram.")
Arry or all of the TLS-250i or TLS-250i Plus! alarm indicators
carr be programmed to trigger one or both alarm relays. (See
TLS-250i and TLS-250i PJaslOperating Manual, "Alarm Relay
Con figu ration," for programming instructions. )
I. To utilize Alarm Relay # l, connect the external device to n
terminals I and 2 on the power supply strip iaccordance
rvith Figure 9, "External Alarm and External Input Wiring
Diagram," and with instructions furnished with external
device.
6
]|,,",o*
*I..n.oo
.J
]],,.,",
!
. l ttnto^
t I ', *.on.l
-' I., *.o*
-J
tI..n.,ro
-l
Figure 8. Probe and Sensor Barrier Strip
2. To utilize Alarm Relay #1, connect the external device to
terminals 3 and 4 on the power supply strip in accordance
with Figure 9, "External Alarm and External Input Wiring
Diagram," and with instructions furnished rvith external
device-
DO NOTCONNECTAI.ARM RET.AYSTOA DEVICE THAT
DRAWS MORE TTIAN 2A!
NOTE: Output power: Alarm relay contact, resistive
load - I l5 VAC, 2,A' max.; or 240 VAC, 2A max.; or 24
VDC, 2A max.
IVARNING: AI.ARM RELAYS CANNOT BE USED
FOR FLOW CONTEOL. AI,ARM RET.AYS PROVIDE
ONLY A MOMENTABY CLOSI.IRE AND CANNOT
ACTUATE FLOW CONTROL DEVICES SUCH AS
VALVES AND PUMP MOTOB REI,AYS.
G. EXTERNAL INPUT lryIRING. The TLS-250i and TLS-
25Oi Plus!can accept a dry-contact switch closure input from
an external device such as a line leak monitor or monitoring
well.
I. Connect a shielded cable consisting of two l8 AWG con-
ductors between terminals 2 and 3 on the TB- I of the main
board and the customer-supplied dry contact switch (see
Figure 9).
iul
"l
t1l
,s I
,r l-ll'l
10l
--,1
I
7
6
5
4
3
2
,l
IIji
w
2. Ground the cable shield to terminal 3 on the TB-1 of the
main board.
Site Freparar- -.r and Installation Menu&l
TIS-250i and TLS-250I Plw! Tank Level Sensing System H
o
Figure 9. External Alarm and External Input
Wiring Diagram
H. EIA BS-232INTEBFACE. The EIA RS-232 interface is
designed to connect to modems for transmission of data over
telephone lines. It can be used for direct local attachment of
terminals if the run is no more than 50 feet. In practice, cable
runs longer than 50 feet have performed satisfactorily; how-
ever, since the RS-232 specification requires operation up to
50 feet, direct connect cable runs greater than 50 feet are not
warranteed for proper operation.
.th IVARNING: RS-232 CABLE BIrNS LONGERTIIAN 60'Yl Co[,LD BESIJLT IN DATA ERRoBS oB CoMPo.T NENT DAMAGE oB BoTII.
I. PEBIPHERAL EQTIIPMENT REQTIIBEMENTS. Any
peripheral equipment connected to the RS-232 serial port
must meet the following criteria:
l. Peripheral equipment must be UL listed.
2. The equipment must have an EIA standard RS-232C or
RS-232D communications protocol.
3. The equipment must NOT be installed over a hazardous
area.
SECTION 4. CAPACITANCE PROBE
INSTALI"ATION
...1 NOTE: Series 7842 "Cap 0" Digital Sensing Probe may
!tl| be used with the standard TLS-250i systems or ther TLS-250i PJuslsystem. The series 8472"Cap 1", Digital
Sensing Probe may only be used with the TLS-250i Plzsl
system.
.IIt IVABNING: TO PBOTECT YOIJBSEI,F AND OTHEBS
fu{ rnou BEING sTBUCK By vEHrcLEs DTJBTNG. WOBK, BLOCK OFF YOTIB WOBK ABEA DTJBING
INSTALI.A'TION AIYD SEBVICE.
.Ih IVARNING: TO AVOID ELECTBICAL SHOCK
fu! wtttctt corJLD KrLL you, BE st BE AC powERI TO THE TLS MONITOB IS OFF DUBING
INSTALI"ATION.
A. TANK DIAMETEB MEAST]BEMENT.
Perform the following procedure to ensure that probes are
installed in the proper tanks (see Figure 10, -Iank Diameter
Measurement"). Inaccurate readings will result if probes are
not the correct length for the given tank diameter.
1. Measure the distance from the bottom ofthe tank to the
top of the probe riser pipe (a).
2. Measure the distance from the bottom ofthe probe riser
pipe to the top of the probe riser pipe (b).
3. Subtract (b) from (a) to determine the correct tank di-
ameter (c).
Figure 10. Tank Diameter Measurement.
4. Make sure the probe length (Dimension "A", Figure ll,
'Capacitance Probe Dimensions" is correct for the tank
diameter.
t'di
NOTE: The cable shield should be grounded ONLY at
terminal 3 on the TB-1 of the main board - NOTAT
THE SUITCH END!
RECEIVE
TRANSMIT
AUX. RECEIVE
PRINT
COMMON
+r2 v-Dc
2.5 mA MAX.
ALARM RELAY I
ALARM RELAY 2
Figure I l. Capacitance Probe Dimensions.
Site Preparation and ro"thlltion Manual
TI,S-26fi and TLS'26Oi Phts! Tank Level Sensing System
\,
! n. BISEBPIPECAPPBEPABATToN.
r8 N.P.T.
+.062
1.625
Figure 12. Probe Riser Cap Modification.
C. INSTALI.ATION.
Install each probe as follows (see Figure 13, "Capacitance
Probe Installation Requirements").
rt WARNING: TOAVOIDELECTBICALSHOCKWHICHIZ coul,D KILLyou, BE suRE AC PowERTo rHE? moNtton Is oFF DLIRING rNsrALr"arIoN.
l. Turn OFF power to the TLS-250i or TLS-250i Plzsl
system.
CAUTION: DO NOT INSTALL THE PROBE IF ANY
LIQUID OTHER THAN THE PRODUCT TO BE DIS.
PENSED IS IN THE TANK. FAILURE TO COMPLY CAN
RESULT IN EQUIPMENT DAMAGE, INACCURATE
INVENTORY CONTROL, OR UNDETECTED POTEN.
TIAL ENVIRONMENTAL AND HEALTH HAZARDS.
The riser pipe cap must have a %'tapped ho-le for na'ssagg 9!
proUe *ire". Capkits with pre-drilled holes^for a standard 4'
iiser pipe are available from Veeder-Root. Order Kit Number
3l2O2O-952, one for each Probe.
If a kit has not been ordered, perform the following:
rIT WARNING: DO NOT PEBFOBM DBILLING AND
97t rltpptNc pBocEDuBEs rN A HAzABDous ABEA.f pp111,1NG AND TAPPTNG cAN cAUsE SPARKS
AND IGNITE VOI"ATII,E FTIMES AND LIQTIIDS
FOT.IND IN A CI"ASS I, GBOI]P D IIAZABDOUS LO-
CATION. FAILT'BE TO COMPLY COT]LD BESTJLT IN
DEATII, SEBIOUS PEBSONAL INJT]BT PBOPEBTY
LOSS AND EQTIIPMENT DAMAGE.
1. Use a standard 4'tank locking cap, "Evertite" or equiva-
lent, with standard ring adaPtor.
2. Drill and tap the cap for a il/e x l8 NPT cord grip thread (see
Figure 12,'Probe Riser Cap Modification").
3. Install awater-tight cable bushing in the 3A'threaded hole
in the top ofthe cap. Use an appropriate thread sealant to
ensure water-tightness. Also install a water-tight cable
bushing in the probe junction box in a similar manner'
Figure 13. Capacitance Probe Installation Requirements'
2. Make sure any liquid other than the product to be
dispensed has been pumped out of the tank.
CAUTION: CAPACITANCE PROBES CONTAIN A
GLASS CYLINDER WHICH CAN BE BROKEN IF THE
PROBES ARE DROPPED OR STRUCK DURING HAN.
DLING AND INSTALLATION. IN ADDITION, ALL
PROBES ARE SENSITIVE MEASURING DEVTCES AND
SHOULD BE HANDLED CAREFULLY AT ALL TIMES.
CAUTION: HANDLE PROBESCAREFULLY! STRIKING
OR DROPPING PROBE WILLRESULT IN LOSSOFCAL-
IBRATION AND COULD CAUSE PERMANENT
DAMAGE.
3. Be sure there is no sludge in the bottom of the tank'
Sludge can clog the water-entry hole near the bottom ofa
capacitance probe, resulting in inaccurate water height
readings from the Probe.
4. Attach the probe cable connector to the mating plug on
the top of the probe. Be sure the connector is attached
securely by hand tightening the locking ring.
5. Hook the open end link of the strain relief chain to the
attachment point provided on the probe cable. Crimp the
link closed to prevent accidental detachment.
6. Carefully lower probe into the riser pipe until it gently
touches the bottom.
7.Feed the two-wire probe cabte (furnished with each
probe) up through the cap bushing and in through the
junction -box bushing. Leave enough slack in the cable
between the cap and junction box to allow the cap to
easily reach the riser pipe. In addition,leave enough slack
under the riser cap to permit connection to the probe and
to allow the probe to rest on the bottom ofthe tank'
I tt' xrtruuu ore IMANrc(E Itl
cNeEYE s^B I I
@PAC([O t^Ali I Z CGOCCTpS:ets I
4q NrpA & supplt€O ura mO6E
Jurclr@ @x uTn
r!6 CUBC rrcH
s4c
arsEB orMErsroil$oulo6E a ro-
IHE rcIiOM Of s*ouLa 4
cAPACTTANCI
Pf,OBE
Noia: lrccethis minimum dimensioo il lhe tank
diafiEter d@3 not maich lhe probe length'
tf{molG: A 7 6' dia lank wrll u9 an 8'
;rcbe. Ths €xtra grobe heighl wi I I b€ lodged
;o the rier pipe. whrch musl b€ 6" longer
thanlheminimum in ord€rto provider@m )
O
^Site Preparatirrn and Installation Manual
TLS-250i and TLS-250i Plus/ Tank Level Sensing System
lltht
8. Using wiring nuts, connect the wires from the probe cable
to the probe field wires in the junction box (see Figure 14,
'T\.vo-Wire Probe Field Wiring Diagram"). Be sure to ob-
serve proper polarity between the probe and monitor
wiring during installation.
llil NorE: sEAL wrRE NUT coNNECTToNS AT THrs
f TIME USING epoxysealant, furnished with each probe.
WEATHERPROOF
JUNCTION BOX(I PER PROBE)
Figure 14. TWo-Wire Probe Field Wiring Diagram.
9. Tighten the cable bushing nuts on the probe riser cap andjunction box to ensure a water-tight seal at the probe
cable entry.
10. Secure the riser locking cap to the top ofthe riser pipe. A
padlock may be installed for added security.
329394{03 Ballast Ring D1
used with: ethanol, jet fuel, kerosene,
dieeel #2, methanol, M85
The following liquids do not use a water float, as water is
not measurable in the liquid: ethylene glycol (antifreeze),
wastewater, windshield washer fluid, waste oil.
3. To inetall ballaat ring on the water float:
a. Press in the three tabe on the water float mounting tube
above the water float, and elide the water float over the
top of the tube. See Figures 15 and 16.
Figure 15. Water Float.
SECTION 5. MAGNETOSTRICTIVE PBOBE
INSTALI"ATION (for use with
TLS-250i Plw! only)
.III WARNING: TO PBOTECTYOTJBSELFAND OTHEBS
V/I FRoM BEING sTRUCK BY VEHICLEs DTJBINGI WORK, BLOCK OFF YOUB WOBK AREA DT]RING
INSTALI.ATION AND SERVICE.
.llt WARNING: TO AVOID ELECTRICAL SHOCK
fi wtttclu coul,D KILL you, BE suBE AC pownn-I TO THE TLS MONTTOB IS OFF DURING
INSTALII\TION.
CAUTION: FLOATS MUST BE AT BOT,IOM OF PROBE
SHAFT BEFORE STANDING THE PROBE UPRIGHT.
SIGNIFICANT FUEL AND WATER FLOAT DAMAGE
WILL OCCUR IF FLOATS ARE ALLOWED TO FALL
PREELY DOWN PROBE SHAFT.
A. FLOATASSEMBLIES
1. Remove the probe, fuel float and water float from the pack-
ing material. Place the probe on its eide.
2. lVater Float Ballast Ringe:
Ballaet rings muet be added to the water float of magneto-
etrictive probes to ensure proper float action. The ring type
varies with the fluid being meaeured. Float ballaet rings
are available for the following liquids:
329394-001 Ballast Ring Gl
used with: aviation gas, regular unleaded
gasoline, premium unleaded
gasoline, leaded gasoline, gasohol
329394{02 Ballast Ring Ll
ueed with: motor oil, toluene, xylene,
fuel oil il4, gear oil 90W,
hydraulic oil, tranemission fluid,
turbine oil
Figure 16. Water Float Disassembles and Ballast Ring.
b. Slide the product ballaet ring over the top of the water
float mounting tube.
...1 NOTE: The ballast ring must be placed over the watertlii:f il",::il?',lH#il'l:,1;lH'*t's',xtT[:''
c. Slide the water float over the top of the water float
mounting tube and press until the tabe enap to secure
the water float. See Figure 12.
31;l NOffr To modify the water float assembly for liquids!f where water meaeurement is not possible:
a. Press in the three locking tabs on the water float
mounting tube and elide the water float up off of the
tube. See Figures 15 and 16.
b. Only the water float mounting tube will be used inplace of the water float aesembly for the products
where water measurement is not possible (See Figure
20).
WATER FLOAT
MOUNTING TUBE
LOCKING
,TABS
BALLAST
RING r(oRoER\
SEPARATELY) -
Site Preparation and InstEllation
TLS-250i and TLS-21Oi Plus! Tank
Manual
Level Sensing SYstem
WATER
FLOAT
WATER FLOAT
MOUNTING
TUBE
BALLAST
RING
Probe Assembly for Products Requiring
Water Measurement
Figure 19
Figure 17. Water Float Assembly.
4. Turn the black plastic boot at the bottom of the probe shaft
lz'4 turn, and firmly pull from the probe' (See Figure 18,
"Removal of Boot from Probe Shaft.")
5. Gently slide the fuel float onto the probe shaft, magnet-side
up. Th" float should move freely on the probe shaft' (See
Figu.e 19, "Probe Assembly for Products Requiring Water
MLsurement," or Figure 20, "Probe Assembly for Products
not Requiring Water Measurement'")
NOTE: The luel ['lotrt tti ust lre placed magnet side u p ttr
effectivety measure luel. 'l'he magnet is lot'ated in rhe
narrow cylindrit'al etttl of the fuel float The uider ta-
pered etrd is th<'bottotn ol tht'fltlirt.
Figure 20. Probe Assembly for Products
not Requiring Water Measurement'
6. Gently slide the water float or the water float mounting-
tube onto the probe shaft, magnet-end first, ballast-end
last. The float oi tube should move freely on the probe shaft'
(Refer to l'igures 19 and 20.)
IIJi
t]E STIItE TO SLIDI.]'I'IIE MAGNE'I'F]ND OF..IHi] FLOA]
ON FIRST!
CAUTION: INSTALl.'lH!l F l,OAl'S MAGNEl''SIDI'l [.P
IF'IHI.]\' ARF] INS'I\I-I,t.]I) INC()RRF](Il'LY. IN(-0R.
ItEC'f FI IF]L HI.]IGII'f .\NI) WATF]Ii HEIGTI'T RI']ADI\C}S
\\'ILL ITESI.'I,'I.
CAIITION: WHEN sLll)lNGTHE FLOAT ONTO THE
I'ROI]F] SHAF"|, I}E C.{ITEI.'[II, NOT TO I}IIF]AK AN\' OF
.I'HE MAGNE'I' RI'TL]\1'IoN F-INGERS. T}IIS (]OL-Lt)
RESIJL'| IN IMI'IIOPEIi MOVEME\T OF'I}IE F'LOAT
AND INACCT]RATE READI NGS.
?. Replace the boot, and turn until the boot's bosses snapinto
the probe detents. (Refer to Figure 19 or 20')
8. Gentty slide the floats to the bottorn of the prtlbe shaft'
CAUTION: WITEN SLIDING'lHFl I"LOAT ONTO THE
PROt]E STIAFT, BE CAREFT]L NOT TO I]REAK ANY OF
THE MAGNET RETENTION I"INGEIIS. 'IHIS COULD
RESI'L'I IN IMI'ROPER MO\'EMENT OF THE FLOAT
AND INACCLiRATE READINGS.
CAUTION: FLOATS \{L'ST llE AT IIO'I"I'OM OF PRO}IE
SHAFI' uOFORFI STA.T"DING THE I'ROUE IIPRIGHT'
SIGNIFICANT FUEL AND WA'TER FLOAT DAMAGE
WILL OCCL]R IF FLOATS ARE ALI,OWED TO FALL
FREELY DOWN PROBE SHAF"I
Figure 18. Removal of Boot from Probe Shaft'
10
e
ll
^Site Preparau-rr &nd Installation Manual
TI^S-250i and TLS-260i PtuslTank Level Sensing System H
B. TANK DIAMETER MEASTJBEMENT.
Perform the following procedure to ensure that probes are
installed in the proper tanks (see Figure 21,.,Iank Diameter
Measurement"). Inaccurate readings will result if probes are
not the correct length for the given tank diameter.
l. Measure the distance from the bottom ofthe tank to the
top ofthe probe riser pipe (a).
2. Measure the distance from the bottom of the probe riser
pipe to the top of the probe riser pipe (b).
3. Subtract b from a to determine the correct tank diameter
(c).
PROEE RISER PIPE
Figure 21. Tank Diameter Measurement.
4. Make sure the probe length (Figure Z2,"Magnetostrictive
Probe Dimensions') is correct for the tank diameter.
C. BISERPIPECAPPBEPARATION.
The riser pipe cap must have a 3/8" tapped hole for passageof probe wires (see Figure 28, "probe Riser Cap Mbdific;-tion"). Cap kits with pre-drilled holes for a standard 4" riserpipe are available from Veeder-Root. Order Kit Number
3l2O2O-952, one for each probe.
Figure 23. Probe Biser Cap Modification.
If a kit has not been ordered, perform the following:
.l[ TVARNING: DO NOTPEBFOBMDBILLING, FILING,
rA GRINDING AI\ID TAPPING PBOCEDT'BES IN A IIA.I ZABDOUS ABEA. DBII-I-ING, FILING, GBINDING
AND TAPPING CAN CAUSE SPABKS AND IGNIIE
VoLATTLE FImES AND LIQUIDS FOUND IN A
oLASS I, cBotrp D IIAZABDOUS LOCATION. FAIL
UBE TO COMPLY COI'LD BESI.ILT IN DEATH,
SERIOUS PEBSONAL INJUBE PBOPEBTY LOSS
AND EQTIIPMEI\I'T DAMAGE.
l. Use a standard 4'tank locking cap, "Evertite" or equiva-
lent, with standard ring adaptor (without lugs).
2. Check for lugs on the ring adaptor. Ifpresent, these lugs
will interfere with the float installation and the adaptor
ring must be replaced or modified (see Figure 24, "Ring
Adaptor Modification"). To modiS the ring, first remove it
from the HAZARDOUS are4 then file or grind offthe lugs.
Once the floats fit, install adaptor on riser pipe.
Drill and tap the cap for a B/8 x l8 NpT cord grip thread
(see Figure 2g "Probe Riser Cap Modification").
Install a water-tight cable bushing in the B/g, threaded
hole in the top of the cap. Use an appropriate threadsealant to ensure water-tightness. Also initatt a water_tight cable bushing in the probe junction box in a similar
manner.
Figure 24. Ring Adaptor Modification.
A = LENGTH OF PHOBE
(Tank l.D.)
4' (1.22 ml
5' (1.52 m)
5'.4" (1.62 m)
6' (1.83 m)
2.0 m7' (2.13 m)
7',6" (2.28 ml
8' (2.44 m)
2.5 m
9' (2.74 ml
3.0 m10' (3.05 m)
10'6" (s.20 m)
1 l' (3.35 m)
3.5 m
Figure 22. Magnetostrictive Probe Dimensions.
v
Site Preparation and Installation Manual
TLS-250i and TLS-2ioDi Plus! Tank Level Sensing System
D. INSTALI"ATION.
Install each probe as follows (see F igure 25, "Magnetostrictive
Probe Installation Requirements'):
Figure 25. Magnetostrictive Probe Installation
Requirements.
WARNING: TO AVOID ELECTRICAL SHOCK
WHICH COI]LD KILL YOU, BE SI.JBE AC POWEB TO
TIIE MONITOB IS OFF DTJRING INSTALI.A.TION.
1. Turn OFF Power to the TLS system'
Make sure any liquid other than the product to be
dispensed has been pumped out ofthe tank'
Be sure there is no sludge in the bottom of the tank'
Studge can interfere with proper operation of the water
float.
CAUTION: HANDLE PROBES CAREFULLY! STRIKING
oi onopptNc PRoBE wtLL RESULT IN Loss oF cAL-
TSREITON AND COULD CAUSE PERMANENT
DAMAGE.
Attach the probe cable connector to the mating plug on
ln" top of tire probe' Be sure the connector is attached
"""r'rt"ly by hand tiShtening the locking ring on the probe
cable connector.
6.
Hook the open end link of the strain relief chain to the
attachmeni point provided on the probe cable' Crimp the
Iink closed to prevent accidental detachment'
Place floats at bottom of probe before standing the probe
on end.
SPEC
MAGNgTOSTEICTIVEt Pao6E
Not€: lncrea$ this minimum dimension if the tank
diameier d@s not malch lhe probe length'
ieiamole I 7 6" dr! Enk will ue an 8
;;obe. The extra pro* heighl will m bdged
;n lre rr*r orE. whrch must be 6'longer
than the mrnimum rn or@r lo prdr(b r@m')
CAUTION: HANDLE PBOBES CAREFULLY! STRIK.
ING OR DROPPING PROBE WILL RESULT IN LOSS
OT CELTENETION AND COULD CAUSE PERMANENT
DAMAGE.
CAUTION: DO NOT ALLOW PROBE TO FREEFALL
ENOUON SHARPLY IMPACT THE BOTTOM OF THE
TN,NX. SHOCKTO THE PROBE FOOTWILL RESULT IN
SE!'ERE PROBE DAMAGE.
Carefully lower probe into the riser pipe until the boot
rests on the bottom ofthe tank.
7.
8.Feed the two-wire probe cable (furnished with each
pr.U"l up through the cap bushing- an-d i1 through the
iunction Uox UuJtring. Leave enough slack in the cable
tetween the cap and junction box to allow the cap to
"."ifyt"*t the iiser pipe. In addition, leave enough slack
under the riser cap to pLrmit connection to the probe and
to allow the probe to rest on the bottom of the tank'
Using wiring nuts, connect the wires from the probe cable
to it Z ptoUJfield wires in the junction box Q9e Figure 26'
fVo-Wi." Probe Field Wiring Installation Diagram")' Be
sure to to observe proper polarity between the probe and
monitor wiring auling installation' The conduit must be
properly seale-d in accordance with the National Electri-
"a boAe (NFPA 70) and the Automotive and Marine
Service Station Code (NFPA 30A) since they pass from a
Ctass t, Division I or Division II area into a non-hazardous
area.
9.
t2
2.
WEATHERPROOF
JUNCTION BOX
(1 PER PROEE)
TO
MONITOB
Figure 26. Ttvo-Wire Probe Field Wiring Installation
Diagram.
:i3.j
fl
,.}
q
IIJi
NOTE: SEAL WIRE NUT CONNECTIONS AT THIS
TIME USING epoxysealant, furnished with each probe'
I 0. Tighten the cable bushing nuts on the probe riser cap and
juiction box to ensure i water-tight seal at the probe
cable entry.
I l. Secure the riser tocking cap to the top of the riser pipe' A
padlock may be installed for added security'
4.
t2
^Site Preparatior. and Installation Manual Nf
TLS-250i and TLS-260I Phts! Tank Level Sensing System El
C.
SECTION 6. INTERSTITIAL LIQTIID
SENSOB INSTALI,ATIONA- BISER PIPE CAP PBEPABATION. The riser pipe cap
must have a l/2'-14 NPT tapped hole for pzrssage of sensor
wires. Kits with pre-drilled caps are available from Veeder-
Root. Order Kit No. 312020-928, one for each sensor.
qi I"?T' Kit No' 3t2020'e28 is ror a standard 2-inch
B. EQUPMENTPREPARATION.
...1 NOTE: The wires between the monitor and each inter-lll? stitial sensor switch location must be of a type designedlf for use in the presence of gasoline and oil, and must be
between AWG 14 and AWG 18. The conduit must be
properly sealed in accordance with the National Elec-
trical Code (NF PA 70) and the Automorive and Marine
Service Station Code (NFpA B0A) since they pass from
a Class I, Division I or Division II area into a nonha-
zardous area.
.lll WARNING: TO AVOID ELECTBICAL SHOCK
vll wIJtcIil coULD KrLL yOU, BE SURE AC POWEB TOI THE MONITOR IS OFF DTIRING INSTALI,ATION.
l. Turn OFF power to the TLS-2b0i or TLS-2b0i plzslsystem.
2. Make sure no liquid is present in the annular space.
,,,t NOTE, Do not install the sensor if any liquid is present
$| Xi"rff "nnular space. Failure to comily will Iead to an
INSTALI.ATION OT FLOAT SWITCH IN FIBERGI,ASS
TANK.
To ensure the sensor will reach the bottom ofthe annular
space, the splice between the leader cable and the sensor
must be I foot from the bottom of the riser pipe (refer to
Figure 3). First measure the sensor riser pipe from the
bottom ofthe pipe to the top. Subtract I foot from the riserpipe measurement, then measure that distance up the
leader cable from its connection to the sensor; mark the
leader cable. The leader cable will be secured in the cordgrip at the point that is marked.
CAI.ITION: DO NOT USE A KNIFE OR OTHER SHARP
OBJECT TO MARK THE LEADER CABLE. MARK THE
DISTANCE WITH A MARKER, TAPE, OR A TWIST TIE.
fIOTE: To ensure proper operation of the float switch,
it is important that you order and install the correctly
sized sensor in your fiberglass tank. This ensures the
float switch will rest as close as possible to the bottomofthe tank annulus. Refer to Figure B.
2. Feed the sensor into the riser pipe until the sensor reaches
the top cavityofthe tank and rests at the beginningofthe
annulus, as shown in Figure 2?.
NOTE: The sensor's float is designed with a bend tocontrol direction of installation in your tank annulus.
Red dots are painted on the top ofthe switch and 4 feet
up rences during installation. When installing the sen-
sor, the sensor, as position refethe switch will first
appear to be upside-down, with the dot on the switch
facing the bottom (see Figure 27). "fhe switch will rest
right-side-up at the bottom ofthe tank (see Figure 2g),with the reference dots facing in toward the tank.
NOTE: PULL-COBD INSTALLATION METHOD. To en-
sure proper installation ofthe sensor using a pull-cord,
the reference marking 4 feet up the sensor should facetoward the pull-cord. An eyelet has been provided atthe end of the sensor switch for pull-cord installation
(see Figure 27).
POSITION
REFERENCE
DOT (RED)
4 FEET FROM
SENSOR SWITCH
PULL
CORD
PULL-CORD
EYELET
POSITION
REFERENCE
DOT (RED)
Figure 27. Sensor Switch Position at Top of Tank Annulus
Annulus
Before continuing, veriff correct switch positioning by
connecting an ohm meter to the two-wire cable of theinterstitial sensor. The ohm meter should read 0 ohms(continuity) at this point. If the meter reads l00k ohms,the float switch is in the wrong position and must be
reinstalled correctly.
If the switch reads 0 ohms, continue to feed the switch into
the annular space, until the switch reaches the bottom of
the tank (the splice between the sensor and leader cable
should be I foot from the bottom ofthe riser pipe).
Verify the switch is in the correct position by connecting
the ohm meter to the two-wire cable. The ohm meter wi.ll
read 100k ohm if the sensor is properly installed.
o,
a
IIJi
rrf,
IIdi
3.
4.
5.
POSITION
REFERENCE
DOT (RED)
PULL-CORD
EYELET
Figure 28. Sensor Switch Position at Bottom of Tank
l3
lf Site Preparation and Instalh#oo Manual
fil TIS-250i and TLS-26OL Pltts! Tank Level Sensing System
D. INSTALI,ATION OF FLOAT SWITCH IN STEEL TANK.
l. To be sure the sensor will reach the bottom of the annular
space, first measure the sensor riser pipe from the bottom
of the pipe to the top. Then measure the same distance up
the leader cable from its connection to the sensing ele-
ment and mark the leader cable.
CAUTION: DO NOT USE A KNIFE OR OTHER SHARP
OBJECT TO MARK THE LEADER CABLE. MARK THE
DISTANCE WITH A MARKER, TAPE, OR A TWIST TIE.
2. Lower the float switch assembly into the riser pipe until
the float switch touches the bottom of the tank. Refer to
Figure 4.
3. Keeping the cable taught, secure the sensor assembly in
place by attaching the griP cord.
...1 NOTE: The float switch assembly should not hang by
lliil the cable, but should rest lightly on the bottom of the!r sanft supporced by the cable.
E. SECI]RE SENSOB INSTALI,ATION.
l. Secure the riser cap to the riser pipe.
2. Tighten the cable bushing nuts on the riser cap andjunc-
tion box to ensure a water-tight seal at the cable entry.
3. Using wire nuts, connect the two-wire sensor cable to the
field wires in the sensor junction box. Be sure to observe
color codes for proper polarity hookup to the TLS moni-
tor. (Refer to Figure 29, '"TLS-250i and TLS-2501 Plus!
Four-Tank (Direct-Connect) Systems Sensor Wiring Instal-
lation Diagram.")
(Direct-Connect) System Sensor
Wiring Installation Diagram
NOTE: DO NOT SEAL WIRE NLIT CONNECTIONS
AT THIS TIME. Epoxy sealant, furnished with each
sensor, should only be installed after warranty check-
out by an authorized Veeder-Root TLS/ILS distributor.
SECTION 7. PIPING STJMP SENSOB
S\MITCH INSTALI,ATION
The sump sensor switch comes with the following hardware
necessary to mount it within the piping sump:
I - PVC Mounting Sleeve
I - Aluminum 90o Mounting Bracket
I - Cord GriP
2 - #6'20 (0.312'long) Sheet Metal Screws
A. GENERAL. The sump sensor switch can be mounted in
either of two ways:
- on the sensor junction box using the mountin$ bracket
and sleeve supplied (Figure 30) or,
- by cementing the PVC mounting sleeve directly to the side
of a fiberglass containment sump (Figure 3l).
Before you install the sump sensor switch, there are several
important requirements to consider.
l. The sump sensor switch must be positioned as close to the
containment sump outer wall as possible.
2. The sump sensor switch must be mounted as far away
from the submersible pump as possible to minimize the
risk of fuel contacting and contaminating the sensor while
the pump is being serviced.
3. The sump sensor switch must be mounted in a true verti
cal position to ensure proper operation ofthe float switch
contained inside.
There must be at least one inch of clearance between the
bottom of the mounting sleeve and the base of the sump.
The sump sensor switch, when installed, must rest on the
base of the sump.
Make sure no liquid exists in the piping sump.
To mount the sump sensor switch using the mounting
bracket (Figure 30):
Attach the mounting bracket to the mounting sleeve
using the two #6-2O 0.312" long screws furnished.
NOTE: Screw holes drilled in the mounting sleeve are
closer to one end than the other. Check the distance
from the top of the junction box to the bottom of the
sump to determine which way you will mount the
bracket. You must leave some space between the bot-
tom of the mounting sleeve and the base of the sump.
B. INSTALI"ATION.
.rh WARNING: TO AVOID ELECTRICAL SHOCK
9,/l wlttctt cot LD KrLL You, BE suBE AC PowEB Toff trrB MoNIToR Is oFF DT RING INSTALLATIoN.
1. Turn OFF power to the TLS-250i or TLS-250i Ptzslsystem.
-rh CAUTION: DO NOT INSTALL THE SUMP SENSOR
III swTTCH IF THERE IS ANY LIQUID IN THE PIPING* suvrp. FAILURE To coMpl.y cAN RESULT IN
EQUIPMENT DAMAGE OR UNDETECTED POTENTIAL
ENVIRONMENTAL AND HEALTH HAZARDS.
ll
4.
5.
.,I
P 2.
3.
IIJi
WEATHERPROOF
JUNCTION BOX
(1 PER PROBE)
1/2" RtGtD
CONDUIT
Figure 29. TLS-250i and TLS-250i Plzs.r Four-Tank
)4
^
b. Remove one of the plugs from the top of the junction
box.
c. Position the mounting bracket on top of the junction
box aligning the hole in the bracket with the threaded
hole in the box.
d. Install and slightly tighten the cord grip to hold the
mounting bracket in position. Turn the bracket so the
mounting sleeve is as close to the outer sump wall as
possible and fully tighten the cord grip.
e. If necessary, carefully bend the mounting bracket so
that the mounting sleeve is in a true vertical position.
Using a level, check the mounting sleeve to conhrm that
it is vertical.
f. Carefully slide the sump sensor switch into the
mounting sleeve until it rests on the sump base.
g. Feed the leader cable through cord grip on thejunction
box.
h. Tighten the cord grip nut to ensure a water-tight seal at
the cable entry.
i. Using wire nuts, connect the two-wire cable to the field
wires in the sensor junction box. Be sure to observe
color codes to maintain proper polarity hookup with
the TLS monitor. Refer to Figure 6,'TLS-250i and TLS-
25Oi Plus! Four-Tank System Wiring Installation
Diagram."
...1 NOTE: DO NOT SEAL WIBE NUT CONNECTION
[!|r mrn EPoxY AT THIS TIMEI Epoxy sealant fur-r nished with each sump sensor switch should be
installed only after warranty checkout by an autho-
rized Veeder-TLS distributor.
4. To mount the sump sensor switch by cementing the PVC
mounting sleeve to the sump wall (fiberglass sumps only)
(Figure 31):
a. Select a position for the mounting sleeve in the sump as
far away from the submersible pump as possible.
NOTE: The mounting sleeve must be mounted far
enough into the sump to allow the sump sensor switch,
when installed, to rest on the base of the sump and be
mounted at least one inch up from the base.
b. Mark a line on the sump wall indicating the top of the
mounting sleeve.
c. Apply cement approved for use with PVC and the sump
wall material generously in a line running the complete
length ofthe sleeve.
d. Using a level, position the sleeve vertically at the mark
indicated on the sump wall and press it firmly to the
side of the sump. BE SUBE THE SLEEVE IS
VEBTICAL.
e. Hold the sleeve in position until the cement has
hardened.
f. Install and connect the sump sensor switch following
instructions in Section 7.B.3.f. through 7.8.3.i.
Site Preparation &nd Installation Manual
TLS-260i end TLS-260i PlnslTank Level Sensing System H
o
LEADER CABLE
SUMP
WALL
JUNCTION BOX
Figure 30. Tlpical Bracket Mounting
Figure 31. Mounting Sleeve Cemented to Sump Wall
IIJi
15
Site Preparation and l\gtatlation Manual
TLS-250i and TLS-2IoOL Ptrts! Tank Level Sensing System
SECTION 8. WARBANTY CONDITIONS AND
LIMITATIONS OF LIABILITY
A. LIMITATIONS OF LIABILITY. We warrant that this
product will be free from defects in material and workman-
ship for a period of one ( I ) year from the date of installation
or fifteen ( l5) months from date of invoice, whichever occurs
hrst. During the warranty period, we or our representative
will repair or replacd the product, if determined by us to be
defective, at the location where the product is in use and at
no charge to the purchaser.
We shall not be responsible for any expenses incurred by the
user.
This warranty applies only when the product is installed in
accordance lvith Veeder-Root's specifications, and a War-
ranW Beglistration and Checkout Form has been filed with
Veeder-Root by an authorized Veeder-Root Distributor. This
warranty will not apply to any product which has been sub-
jected to misuse, negligence, or accident; or misapplied; or
used in violation of product manuals, instructions or warn-
ings; or modified or repaired by unauthorized persons; or
improperly installed.
B. INSPECTION. You shall inspect the product promptly
after receipt and shall notify us at our Simsbury office in
writing of any claims, including claims of breach of warranty,
within thirty days after you discover or should have dis-
covered the facts upon which the claim is based. Your failure
to give written notice of a claim within the time period shall
be deemed to be a waiver of such claim.
C. LIMITATIONOFREMEDYANDWARRANTY. Thepro-
visions of Paragraph A are our sole obligation and exclude all /
other remedies or warranties, ex press or implied, including \1'arran-
ties of MERCHANTABILITY and FITNESS FOR A PARTI-
CULAR PURPOSE, whether or not purposes or specifications
are described herein. We further disclaim any responsibility
whatsoever to you or to any other person for injury to person
or damage to or loss of property or value caused by any
product which has been subjected to misuse, negligence, or
iccident; or misapplied; or used in violation o[ product man-
uals, instructions or warnings; or modified or repaired by
unauthorized persons; or improperly installed.
D. LIMITATIONSOF DAMAGES. Under no circumstances
shall we be liable for any incidental, consequential or special
damages, losses or expenses arising from this contract or its
perfoimance or in connection with the use of, or inability to
use, this product for any purpose whatsoever.
E. LIMITATION OF ACTIONS. No action regardless of
form arising out of this contract may be commenced more
than one year after the cause of action has accrued, except
an action for nonpaYment.
F. COLLATEBAL PROMISES. There are no representa-
tions, warranties, or conditions express or implied, stat utory
or otherwise except those herein contained, and no agree-
ments or waivers collateral hereto shall be binding on either
party unless in writing and signed by you and accepted by us
at our Simsbury office.
G. INTEBPRETATION. Rights and liabilities arising out of
any contract rvith us shall be determined under the Uniform
Commercial Code as enacted in Connecticut.
Warranty revised March 21, 1991
0
VEEDER.ROOT
Environmental Products
125 Powder Forest Drave, Post Office Box 2003, Simsbury, CT 06070-2003 TEL: [phone]OO, FAX: [phone]
AUSTRALIA: Cheltenham. Victona .
576013-579 l1963Replaces
BRAZIL Sao Paulo . CANADA Elobicoke '
l 1668
FBANCE: Rungis . SCOTLANO: Dundee ' $EST GERMANY: Neuhausen/Filder
KC5 ':1.'i" el
I'l
I
I
I
I
F3-
APPENDIX A- SYSTE M WIRI. IDE NTIFICATION SIIEET
oi
.i
t
I
I
I
,
I
I
I
I
I
,
FOUR.TANK
Sensor
Channel
AI
Monltor
Sensor Locatlon
At Tank Sensor Fleld Wlre
Color Code
Or
Number Code
Probe
Channel
AT
Monltor
Probe Fleld Wlre
Color Code
Or
Number Code
Example: Tank 1 Wall
Tank 1 Sump
1
+
1
+GND
2 +GNDGND
3 +
2
+GND
4 +
GNDGND
5 +
3
+GND
6 +
GNDGND
7 +
4
+GND
8 +
GNDGND
EIGHT.TANK
Sengor
Ghannel
At
ESA Module
Sensor Locatlon
At Tank Sensor Fleld Wlre
Color Code
Or
Number Code
Probe
Ghannel
AI
ESA Module
Probe Fleld lVlre
Color Code
Or
Number Code
Erample: Tank 1 Wall
Tank 1 Sump
1A +
1
+GND
1B +
GNDGND
2A +
2
+GND
28 +
GNDGND
3A +
3
+GND
3B +
GNDGND
4A +
4
+GND
48 +
GNDGND
5A +
5
+GND
5B +
GNDGND
6A +
b
+GND
6B +
GNDGND
7A +
7
+GND
7B +GNDGND
8A +
8
+GND
8B +
GNDGND
,
o
UEEDEB.ROOT
Environmental Products
125 Powder Forost D,ive, Post Oflice Box AnO3, Slmabury, CT 0@7G200t TEL: [phone](Xl, FAX: (?03) 65r-2750
AUSTBALTA: ChdE$.ln, rractori! . BRAZIL: Sao Prulo . CANAOA: Etoblcot . FnANCE: RumL . SCOTIINO: Dund.. . WEST GEBUANY: t{.uhru!.o/Filder
57601&579 ll0&3 Replaces 11668 rcoffisr
HI
TE
VEEDER-ROOT
CHNICAL MANUAL ADDENDUM
Addendum P/N 57@73-789 pfOdUCt T5-40,450i Eight-Tank Sptem Operating----
Date October 11 t99t Reference Manual p/N s760134y2ts83
This addendum sheet is issued to describe the special characteristics of the product mentioned above.
Special features or alterations in the Standard Specifications are as follows:
Add attached repors as an appendix to the manuals listed above.
Alterations to the reference installation instruction manual should be made as follows:
Add as an appendix the following Results of U.S. EPA Standard Evaluation for:
o Volumetric Tank Tightness Testing Method for Series M72 and 8423 Digitat Sensing probes.
. Automatic Tank Gaugng Sptem for Series 7842,8472 and 8473 Digital Sensing probes.
VEEDER.ROOT
Environmental Products
125 Powder Forest Drive, Post office Box 2003, simsbury, cT 06070-2003 TEL: [phone], FAX: [phone]
AUSTRALIA: cheltenham, victoria ' BRAZIL: sao Paulo ' CANADA: Etobicoke . FBANCET Rungis . scorLANo: oundee . wEsr GERMANY: Neuhausen/Fitder
Form No. 11924/Job No.12075
Printea in U-SA
1
Results of U.S. EPA Standard Evaluation
Volumetric Tank Tightness Testing Method
This form tells whether the tq3k tightness testing method described below complies with the
perfgrmance requiremetrts of the federal underground storage tank regulatiou-The evaluation was
991duqeg by_the lg{nlneulmanufacnuer or a consultant to the manufacnuer accorrting to the
U.S. EPA's "Standard Test Procedure for Evaluating Leak Detection Methods: Volumefoc Tank
Tiqltu3ss Testing Methods.'The futl evaluation report also inctudes a form describing the method
and a fglp 5rrmmarizing the teSt data-
T*e 9lrmjF Hiog this leak detection s)6tep should keep this form on EIe to prove compliance
with the federal regulations. Ta* owuers should check riith State and local aleacies to irrk" s*.this fsg6 satisfies their requirenetrts.
Method Descrlption
Name nitorinq S
Version
Vendor
ci tance )
Veeder-Root
125 Powder Forest Drive Box 2003
This method, which dedares a tank to be leaking when the measured leak rate exceeds the
threshold of o.9z t
-gallon
per hour, has a proOaOitity of talse alarms tp(FA)l of l_g-. 10 %.
The conesponding probability of detection tP(D)l of a 0.10 gallon per hour leak is 99 yo.
Therefore, this method EIdoes f]does not meet the tederal performance standardsesta!,.slgd lythe U.S. Environmental Protection Agency (0.10 jatton per hour at p(D) of 95%and P(FA) of 57d.
06070-2003 (203) 6sL-2700
Evaluatlon Results
Test Condlfions Durlng Evaluaflon
The evaluation testing was conducted in a 10,000 -gallon Elsteel nnOergtass tank
that was 96 inches in diameter and 324 inches long.
The tests were conducted with the tank 95 percent full.
The temperature difference between product added to fill the tank and product
already in the tank ranged from - 11. 39 oF to 7. 07 op,
with a standard deviation of 5.71 oF.
The product used in the evaluation was diesel
Volumetric TTT Method - Besults Form Page 1 of 2
Volumetric TTT Method TLS-zs0zTLs_zsotrns-ssoysrc;en 8472 Digital Sensing T@ ltoring Systems
a
a
a
o
a
Limitations on the Results
The performance estimates above are only valid when:
o The method has not been substantially changed.
o The vendor's instructions for using the method are followed.
. The tank is no larger than 15.000 gallons.
I iquid level .
system as an
o .,flT#,T,flUtHJ?t#*di',AE lliit',tJa.:,itlL',Bi,fli
".lE,,Jau&
is,f,B-,r"K rur r .
is at least 8.25 hours.
The temperature of the added product does not differ more than8.57 degrees.Fahrenheit from that already in the tank.
The waiting time between the end of "topping off," if any, and the start of
the test data collection is at least hours.
The total data collection time for the test is at least Z hours.
Large vapor pockets are identified and removed (for methods that overfillthe tank).
This methoO E can flcannot be used if the ground-water level is above
the bottom of the tank.
other limitations specifted by the vendor or determined during testing:
This svstem operates in conjunction with an ATG svstem. If the groundwater level
is above the bottom of the tank, a non-tight tank is detected by means of
continuous mo l in the bqttom of the tank by an ATG System.
Sa
ability to detect leaks. lt does not test the equipment lor satety hazards.
Certification ol Results
I certify that the volumetric tank tightness testing method was operated according to the
vendor's instructions. I also certify that the evaluation was performed according to the
standard EPA test procedure for volumetric tank tightness testing methods and that the results
presented above are those obtained during the evaluation.
MIDWEST RESEARCH INSTITUTE
Kansas City, M0 64110
[phone]
The tank contains a product identified on thg method description form.
rhe tank is at reast e5 * percent,r,,.
.ll!rH:i::
H:t;,lt?.l'ffi,i'l?..il'
srgnature
Aori I 25. 1991
Volumetric TTT Method - Results Form Page 2 ot 2
1
Results of U.S. EPA Standard Evaluation
Volumetric Tank Tightness Testing Method
This form tells whether tbe tank dgbtness testiug method described below complies with the
performance requirenenr of the federal underground storage ta* reguladon-The evaluatiou was
Pldrrg"q by the equip_roe',luasufacturer or a cousultant to the manrfaslsl'gi sccoirling to the
U.S. EPA'S 'StasdardTest Procedure for Evaluating I€ak Dercction Methods: Volumefo,cTagk
Tightuless Testing Methods.'Tbe fuIl evaluation reporr also iududes a form descr&iug the method
and a foro srnnarizins thc test data
TaEk gueeF qtrg this leak d:tection systeErsbould keep this foro, ou EIe to prore co6pliange
with the federal regulatious. TaDk owueni should checkwith State and local ageucies to make sure
this form sa8Ees their requirenetrts.
Method
Name
Description
TLS-250/TLS-250i/TLS350 UST Monitorino Svstems
Version 8473 Diqital Sensins Probe (l.lagnetostrictive)
Vendor Veeder Root
Simsbur 05070- 2003 651-2700
Evaluaton Besutts
This method, wftictt declares a tank to be leaking when the measured leak rate exceeds the
threshold of 0.069 _gallon per hour, has a probability of false alarms PFA)] of ' t.o %.
The conesponding probability of detection [P(D)] of a 0.10 gallon per hour leak is 99 Yo.
Therefore, this methoO EJdoes n does not meet the tederal performance standards
established by the U.S. Environmental Protection Agencry (0.10 gallon per hour at P(D) of 957"
and P(FA) of s7d.
Test Condltlons Durlng Evaluatlon
The evaluation testing was conducted in a 10,000 galton Elsteet flnbergtass tank
that was 96 inches in diamaer and 324 incfies long.
The tests were conducted with the tank 95 percentfull.
The temperature difference between product added to fillthe tank and product
already in the tank ranged from - 11. 39 oF to 7.07 op,
with a standard deviation of 5.71 oF.
The product used in the evaluation was
Volumetric TTT Method - Results Form
di esel
Page 1 of 2
v
Volumetric TTT Method TLS-250/TLS-250i /TLS-350 UST Moni tori ng Systems
Version 8473 Digital Sensing Probe (Magnetostrictive)
Umitations on the Results
The performance estimates above are only valid when:
. The method has not been substantially changed.
o The vendor's instructions for using the method are followed.
. The tank is no larger than 15.000 gallons.
. The tank contains a product identified o" Fr"n!rfi.t?tod???t$?[.b{$.* below the. The tank is at least 95* percent full. Associated testing (at MRI ) of the
ATG demonstrated that the method is valid when the tank is 50-95% full.o The waiting time after adding any substantial amount of product to the tank
is at least a-?s hours.
o The temperature of the added product does not ditfer more than8.57 degrees Fahrenheit from that already in the tank.
o The waiting time between the end of "topping off," if any, and the start of
the test data collection is at least NA hours.
o The total data collection time for the test is at teast hours.
. l-arge vapor pockets are identifted and removed (for methods that overfiltthe tank).
o This methoo E can n cannot be used if the ground-water level is above
the bottom of the tank.See other limitations below.*
o other limitations specified by the vendor or determined during testing:
1 iquid level .
system as an
I evel
conti nuous
abillty to detect leaks. lt does not test the equipment for salety hazards.
Certilication ol Results
I certify that the volumetric tank tightness testing method was operated according to the
vendor's instructions. I also certify that the evaluation was performed according to tne
standard EPA test procedure for volumetric tank tightness testing methods and that the resutts
presented above are those obtained during the evaluation.
Kansas City, Missouri 64110
[phone]
MIDWEST RESEARCH INSTITUTE
Volumetric TTT Method - Resutts Form
an ATG system. If the oroundwater
is above the bottom of the tank, a non-tight tank is detected by means of
Dr. J.D. FIora. Jr./Mr. G. Joe Hennon
Page 2 ot 2
^
Results of U.S. EPA Standard Evaluation
Automatic Tank Gauging System (ATGS)
This form tells whether the automatic tank gauging systen (ATGS) described below complies with
the performance requirements of the federal undeiground storage tank regulation- The evaluation
was conducted by the equipmeut manufacturer or a consultant to the manufacnrrer accordiug to
the U.S. EPA's'rstandaid Test Procedure for Evaluating I-eak Detectios Methods: AutomaEc
Tank Gaugrng Systems." The full evaluation report also includes a form describing the method aud
a form summarizing the test data
Tank owners using this lgak detectiou systep should keep this form ou frle to Prove compliance
witb tbe federal regulations. Tark owuCrs should checkririth State and local agencies to make sure
this fss6 satisfies their requirements.
ATGS Description
Name TLS - 250/TLS - 250ilTLS - 350 UST Monitoring Systems
7842 Digital Sensing Probe (Capacitance)Version number
Vendor Vopdon -Pnnt
125 powder Forest Drive, P.0. Box 2003
Simsbury CT 06070-2003 [phone]
(c'ty)(state)(zp)Fhone)
Evaluatlon Results
This ATGS, which declares a tank to be leaking when the measured leak rate exceeds the
threshold ef 0.10 gallon per hour, has a probabilrty of f,alse alarms IP(FA)] of L Yo.
The conesponding probability of detection tP(D)l of a 0.20 gallon per hour leak is 99 V".
The minimum water level (threshold) in the tank that the ATGS can detest is 1.40 inches.
The minimum change in water level that can be detected by the ATGS is 0.040 inches
(provided that the water level is above the threshold).
Therefore, this ATGS Eldoes fldoes not meet the lederal performance standards
established by the U.S. Environmenlal Protec.tion Agency (0.20 gallon per hour at P(D) of 957o
and P(FA) ol 5Vo1, and this ATGS Eldoes E Ooes-not hbet tne teOerat performarici
standard of measuring water in the bottom of the tank to the nearest 1/8 inch.
inches in diameter and 3?4 inches long.
The temperature ditference between product added to fillthe tank and product already in the
tank ranged from -8. 4 op 1s 6. 1 oF, with a standard deviation of 5.6 0F.
The tests were conducted with the tank product levels "/ofull.
Test Conditions During Evaluation
The evaluation testing was conducted in a
The product used in the evaluation was
ATGS - Results Form
10,000 gallon Elsteel Enbergtass tank that
di esel
and
Page t of2
Name of ATGS TLS-Version nce )
Umitations on the Results
Thejerformance estimates above are only valid when:o The method has not been substantially changed-
. The vendor's instructions for installing and operating the ATGS are followed.
o The tank contains a product identified on the method description form.
o The tank is no larger than 15.000 gallons.
o The tank is at least 50 percent fult.
. The waiting time after adding any substantial amount of product
to the tank is hours.
o The temperature of the added product does not differ more than8.4 degrees Fahrenheit from that already in the tank.
o The total data collection time for the test is at least 5 hours.. other limitations specified by the vendor or determined during testing:
abiltty to deteqt leaks. lt does not test the equipment for safety hazards.
Certillcatlon ot ResuG
f .t"ttity that the ATGS was installed and operated according to the vendor,s instructions andu1at the resuits presented on this form arethose ooaineo d-rrirg trt;;A;ition. iiGo ;",riiythat the evatuation was performed according to oni of ne iol6;ilg;
E stanOarO EPA test procedure for ATGS
fJaftemative EPA test procedure for ATGS
Midwest Research Institute
Kansas City, Missouri 641f0
(816) 7s3-7600
ATGS - Results Form Page 2 ot 2
Results of U.S. EPA Standard Evaluation
Automatic Tank Gauging System (ATGS)
This form tells whether the autonatic tank gauging qysten (ATGS) described below complies with
the performance requirenetrts of the federal undeiground storage tank regulation- The evaluatiou
was couducted by the equipmeut manufacturer or a consultatrt to the manrifacnuer sssqldins 1s
the U.S. EPA's "srandaid Test Procedure for Evaluating Irak Detection Methods: Automafic
Tank Gauging Systemq." The full evaluation report also-includes a form describiug the method and
a form surnmarizing the test data
TaDk owners using this leak detectiou syste6 should keep this form ou frle to Prove compliance
with the federal rigutations. Tank ownirs should checkriltU State and local aleucies to i,ake sure
this f9s6 satisfies their requiremeuts.
ATGS Descriptlon
Name TLS-250/TLS-250i/TLS-350 UST Monitoring Systems
VerSiOn number 84-^ Digita'l Sensing Probe (Canacitance)
Vendor Veeder- Root
125 Powder Forest Drive, P.0. Box 2003
(street address)
203) 551-2
Evaluation Results
This ATGS, which declares a tank to be leaking when the measured leak rate exceeds the
threshofd of o. tzo gallon per hour, has a probabilty of false alarms tP(FA)l ot 0.2 7o.
The conesponding probability of detestion [P(D)] of a 0.20 gallon per hour leak is 99 o/o.
The minimum water level (threshold) in the tank that the ATGS can detect is t. SZ inches.
The minimum change in water levelthat can be detected by the ATGS is 0.027 inches
(provided that the water level is above the threshold).
Therefore, this ATGS E does E does not meet the federal performance standards
established by the U.S. Environmental Protec$on Agency (0.20 gallon per hour at P(D) of 95%
anO FtfO ot'sUo1, and this ATGS E]does E Ooes not hbet the tederat performance
standdrd bf measuring water in the bottom of the tank to the nearesl 1/8 inch.
Test Conditions During Evaluation
Theevaluationtestingwasconductedina 10.000 gallon Esteel Enbergtasstankthat
*as 96 inches in diameter and 324 inches long.
The temperature difference between product added to fillthe tank and product already in the
tank ranged trom -8. 4 op 1s 6. 1 oF, with a standard deviation of 5. 6 oF.
The tests were conducted with the tank product levels and 95 % tull.
The product used in the evaluation was
ATGS - Results Form
d'iesel
Page 1 of 2
\-\-,
Svstems
ital Sensi Probe (Ca ci tance
Name of ATGS
Version 8472 Di
Limttations on the Results
The performance e$imates above are only valid when:. The method has not been substantially changed.
o The vendor's instructions for installing and operating the ATGS are followed.
. The tank cortains a product identified on the method description form.
. The tank is no larger than 1.5,000 gallons.
o The tank is at least 50 percent full.
o The waiting time after adding any substantiat amount of product
to the tank is 8.3 hours.
o The temperature of the added product does not differ more than
8- 4 degrees Fahrenheit from that already in the tank.
o The total data collection time for the test is at teast 2 hours.
o other limitations specffied by the vendor or determined during testing:
> Safety dlsclaimer: Thls test procedure only addresses the lssue of the ATG system,s
ablllty to detect leaks. lt does not test the equlpment lor satety ha-ards.
Certltlcatlon of Results
!.ce.tity that trte ATGS was installed and operated according to the vendor's instructions and
thal the results presented on this form are those obtained d-uring the evaluation. t also certify
that the evaluation was perbrmed according to one of the foflofring:
E stanOard EPA test procedure br ATGS
E anemaive EPA test procedure br ATGS
Midwest Research Institute
Kansas City, Missouri 64110
ATGS - Results Form
(crty, state, zp)
Page 2 ot 2
1
Results of U.S. EPA Standard Evaluation
Automatic Tank Gauging System (ATGS)
This form tells whether the automatic tank gauging systen (ATGS) described below complies with
the performance requirements of the federal underground storage tank regulatiou- The evaluation
was conducted bv thb eouipmeut manufacrurer or a consultant to the manufacturer ssssldins gs
the U.S. EPA's'rstandaid Test Procedure for Evaluating Irak Detectioo Methods: Automafic
Tank Gaugiug Systems." The full evaluation report also-iscludes a form describing the method aod
a form surnmarizing the test data.
Tank owDers using this leak detection systeq should keep this form on EIe to Prove compliance
with the federal r5gulations. Tank ownirs should check ririth State and local alencies to foake sure
this form satisfies their requirements.
ATGS Descriptlon
Name TLS-250,
Version number , 8473 Dioital Sensing Probe (Mgonetostrictive)
Vendor Veeder- Root
125 Powder Forest Drive,
Evaluatlon Results
This ATGS, which declares a tank to be leaking when the measured leak rate exc€eds the
threshold dt o. ogs gallon per hour, has a probabilty of false alarms tP(FA)l of < 0. 1 7".
The conesponding probability of detection tP(D)l of a 0.20 gallon per hour leak is 99 Y"-
The minimum water level (threshold) in the tank that the ATGS can detect is t. aZ inches.
The minimum change in water tevelthat can be detected by the ATGS isO.024 inches
(provided that the water level is above the threshold).
Therefore, this ATGS E does fJdoes not meet the lederat performance standards
established by the U.S. Environment3l Protec$on Agenry (0.20 gallon per hour at P(D) of 95%
and p(FA) otiV"1, and this ATGS LIJ does lJ does not meet the lederal performance
standdrd bf measuring water in the bottom of the tank to the nearest 1/8 inch.
Test Conditions During Evaluatlon
The evaluation testing was conducted in a 10,000 gallon E steet E Rbergtass tank that
was 96 inches in diameter and 324 inches long.
The temperature ditference between product added to fillthe tank and product already in the
tankrangedtrom -8.4 opls 6.1 oF,withastandarddeviationof 5.6 oF.
The tests were conducted with the tank product levels 50 and 95 "/ofu\:.
The product used in the evaluation was
ATGS - Results Form
Box 2003
TLS- 250/TLS- 250i /TLS- 350 Moni tori
di e sel
Page t of z
\-
Name of ATGS TLS-250/TLS250i/TLS-350 UST Moni tolilg_.SJs'!ems
Version Raz: nt gt tat Sensi ostri cti ve.l-
Limttations on the Results
The performance estimates above are only valid when:. The method has not been substantially changed.
o The vendor's instructions for installing and operating the ATGS are fotlowed.
o The tank contains a product identified on the method description form.
. The tank is no larger than 15,000 gallons.
o The tank is at least 50 percent full.
o The waiting time after adding any substantial amount of product
to the tank is 8.3 hours.
o The temperature of the added product does not differ more than8.4 degrees Fahrenheit from that already in the tank.
o The total data collection time for the test is at least 2 hours.
o other limitations specified by the vendor or determined during testing:
ablllty to detest leals. lt does not test the equlpment lor saferty hazartls.
CertlllcaUon ol Results
!.c"ttity that the ATGS was installed and operated according to the vendor's instructions andthal the results presented on this form ara those obtained o-*ing the eviluation. I also certifythat the evaluation was performed according to one of the foilofrng:
E stanOard EPA test procedure for ATGS
D anemaive EPA test procedure for ATGS
Midwest Research Institute
Kansas City, Missouri 64110
(crty, state, zp)
[phone]
G. Joe Hennon/J.0. Flora, Jr.
ATGS - Results Form
(pnone numDer)
Page 2 ot 2
TtS- 2 50i Four-Tank System Statement of Compliance
with Federal EPA RegUlation 40 CFR Part 280
The Veeder-Root TLS-250i Four-Tank System Tank Level Sensor, when properly installed, complies
with the technical standards for inventory control in Section 280.43 of U.S. E.P.A. Regulation +O-Cf,n
Part 280. The TLS-250i Four-Tank System is capable of measuring the level of product over the full
range of each tank's height to within 0.1 inches.
The above performance claims were determined in the following manner:
I ) Testing over a five-year period in each of two test facilities located at the Veeder-Root Engineering buildingin Hartford, CT. First is an outdoor inst,rumented underground tank test facility consilting of 5ne 6,005gallon fiberglass tank and one 5,000 gallon steel tank with the capability of automatic, aroind-the-ciock
testing. Second is an instrumented test tank located inside in which the product level can be controlled to0.001 inch and the product temperature can be varied over the range of 20"F to l20"F and maintained towithin 0.01"F.
2) Testing over a four-year period in a commercial service station located in Hartford, CT, containing fourunderground tanks and purchased by Veeder-Root for the sole purpose of testing TLS systems. "
3) Engineering analysis of numerous inventory records obtained lrorn hundreds of customer-owned
underground tanks. On a regular basis, Veeder-Root engineers obtain data via direct phone lines andmailed-in printouts from a large number of the more than 30,000 tanks in which the TLS was installed at. thetime of this statement. The data are regularly analyzed to monitor the long term perforrnance of the TLS
system.
Summaries of results of the above testing are available at Veeder-Root Clornpany in Simsbur-y, Connecticut.
The TLS-250i, when properly installed, complies with the technical standards for interstitial
monitoring for tanks and piping in Sections 280.43(g),28O.44(a) r+,hen used with the Veeder-Root
sump sensor switch, and 280.44(c) of U.S. E.P.A. Regulatioh 40 CFR Part 280. The TLS-2b0i, when
used in the interstitial space of a double-walled underground storage tank, can detect a release
through the inner wall in any portion of the tank that routinely contains product. The TLS-2b0i, when
used in the interstitial space of double-walled piping, can detect a release from any portion of the
underground piping that routinely contains regulated substances.
The above performance claims were determined in the following marlnel':
I ) Qualification t'esting performed by the Technical Services and Quality Assurance groups of the Tracetek
Product Group of Raychem Corporation in Menlo Park, California. 'l'his testing involiecl eitensive exposureof interstitial sensors to all the materials specified to be sensed under conditions of varying quuntitiur,
varying concentrations, varying temperatures and varying lengths of time under laboratoiy conaitions.
2) LaboratorytestingofinterstitialsensorsbytheVeeder-RootCompanyEngineeringDepartmentandeuality
Assurance Department to verify compliance with Federal regulations. *
3) Field testing at numerous service stations under actual operating conditions by Veeder-Root Company.
Summaries of results of the above testing are available at Veeder-Root Company in Sirnsbur-y, Connecticut.
VEEDER.ROOT
Environmental Products
125 POWDER F0RESI DB. Srtr,tSAUny Cr OOOzO OOS US n rZOSt 6512700
PRINTED
l'r.t I rN ilQ
iSuer* q:t iliah 2Cc0zc1
i
Michael O. kavin
Govcrnu
Danne R. Nielson, Ph.D.
Erccutivc Dircctq
Kent P. Gray
DiEcla
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTALRESPONSE AND REMEDIATION
168 North 1950 West lst Floor
Sdt Lakc City, Utah 84il6
(801) 5364100
(E0l) 359-8E53 Fax
(Eol) 5364414 T.D.D.
APRIL 7,1994
TO:UTAH DIVISION OF GENERAL SERVICES
ATTN: DAVID FLETCTIER
B.38 STATE CAPITOL BUILDING
SLC, UTAH 84114
RE: Non-compliance of underground storage tanks at UDOT #333. Utah Facility I.D.#_2C/|/|i2Og-
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke
a Certificate of Compliance if it is determined that a facility is not in substantial compliance withall state
and federal UST statutes, rules and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) performed a compliance review for the underground storage tanks at the above
facility. The compliance review, performed on 15 FEBRUARY 1994. indicates you have not satisfied
the requirements of the Act and are out of compliance. To achieve compliance you must do the following:
1. Submit evidence that proper Automatic Tank Gauging (ATG) is performed on UST(s) #
LLby:
a. Documenting that the ATG system performs a leak test at least once a month.b- Documenting that the ATG system is properly installed and functioning.
Please return a copy of this speed memo with the above items to speed processing.
The above information must be submitted to this office by 7 JUNE 1994. If it is not rcceived by the date
specified, we will commence the revocation process of your Certificate of Compliance. If you have
questions concerning this matter or need any assistance, please contact GARY HARRIS at
(801) 5364100.
Printed on recycled pap€r
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Leak Detection lnspection Checklist
I. Ownership of Tank(s)ll. Location of Tank(s
(ll::mc u Sccdon t, chcck hcru
Feclllty Xrm. o. Co.np.ny Stt ldF.clltty-Xrm. or Comprny Snr tarnliffifrir rppttebtott0oT # 332
/1--h €/*9e nl . ; t" +e' -" '--'-
\zt?'/
,'l:".^ ,tLzl C,,,\^u--
Numbor ol T.na(. rt Thlr l-ocadoa: !
-'-' <.tl L-Lt LiE' vl--.L, f ii;q
Contrcl Pcrton At UST Loc.don Phoncr 7ZT-ZZL
Ill. Tank lnformation Pleesa compreb erl inrormaoon ror aach tanx. r, t ris tacrhty nE moffiIi.ple8s. 9nobcopy{tris pag6 and comots,ts tro infurmalon'lor all additonal tankr.
Tank Oressmly in tJs€
' lf no?. date last us€d
lf empried. verify 1' or l6ss ot product in tank
Month ano Year Tank lnstalled (E-€stimate or K-knownt
Matenal of Consnrrion (E-e$imale or K-knownl
Caoacry of Tank (in gallons) (E-€$imate or K-knownt
Substance Stored (E-e$imate or K-knownl
lV. A- Release Detgction For Tanks Check thc mteasc d€tocdon m€trocl(s) usod tbr orch tBnk or N/A It nqlr rDquirsd;
Mantal Tank Gauging (only flr ranlc undsr 1.000 gal.l
lranu?l Tank Gauging and Tank Tightn€ss T€sting
(onry for 6nks und6r 4000 gal.l
Tank Tgmn€ss Tsting and lnvernory Conrol
othef aoproved mdtod (write in name o( methodl
lV. B. Release Detection For Piping ch€ckrfi.r€rcrs.dsroctonmsfioct(slr.rcadrorpiping.
Check One Type ot Piplrp for each Tank
Automatic Une t-eak DEtectors, and
(check one of th6 following)
lV. C. Corrosion and Spill/Overfill Protection
Conosion proraction installd linaicate aalFl - y'1
Spill/Overfill protection insta,l€cl (indicalo ctatel _
V. Site lnformation
General srt8 observations and comments (vrcinrty obs€rvations. ground wetsr levol, etc.)
5-'Gc<- *-k .o-,n.| *^k- unL.o*.,-l- o.1 /---
i.r*4-rc i-/'e ^- /a-* ,'a4o-*^-l-te<*^f e Lt-i a <'cl C^//4tc1f. 4)uri aa 5, t-<tt)hz"( (alt- -
csrtify that I have inspectecr the abore nsrn€d facitity on frb /13fi!31,-h]iJz: 7o/*
$
\...
(N
L0 \"
a
B
r0q
Leak Detection for Piping
Iy rfirVt,'<E t v r' t "'-, a <-i1j-,, i,
h lrtob
PfgsSufizgd Piping Ametpd mustDosol€[e-mail]abof lsstt6stltthistaqttyhasmorotian4
tanks. pl€sss ohotocopy this pago 8rd complats the inlormaton for ajl additicnal orping.
Contrnuous Alarm System
Annual Line Tighfress Tssing I -, lZo
lf Vapor Monitoring. doqJmentation of mornnty
monrtonrq rs available
lf lrnersrtral Monibnng. documenlarlon ot monrhly
monalonng is availabls
lf Grour6-Watsr Monnoring. docurn€firatron ol momnly
rnonrtorir€ is available
gth€r AFrpror€d Msfiod (sp€crty in comm€nts s€dronl
S u cti o n P i p i n q,,, ' t.rolcaig dslB ol m6t r@flt tgsrt
Ljne Tiglnns T6thg (required evry 3 years.)
S€condary Containment with I nterniti al M on rtonng
Other AoorEn/ed M€thocl (sp€crfy in comments sectionl
No Leak Detecton Requlred
(must answer ye3 io all of the lollowlng questlons)
Operates at 16 trtan atmosph6nc prssurg
HaS only one cfieck valve. which is lcca:ed direoly
under pump
SloO€ ol piping allows product lo drarn back into lank
wh€n suclion r€lgas€ct
All abov€ inbrrnation on suctron prping rs veflfiable
On rne back of lhis sheet. pleas€ skstch thB sile. notlrE all plping runs. tanks (lrcluding size & subsances $orBdl
ancl localioo of wells and their distance from lanks and piping.
comm€n.=: -A.z ,4Tr- l".s 4z ('-r'-.f,i,Lr, + l"rlJ-hz 1,nlt|<-^(i,
,/,..*r-u<.- ?1 c /-?SL -.ru)z ,,tr-,'n4--r-, )-, o-,- /zj J- -,.s^i It c,rz ,-,'-,,^Ja..l
ta-,L Q.4ntL /-1 ,/,- rL"r' a:-,,e..,tn- *-sr"a*,t.srz-/{-'4,k,.^',-'t.\''"
P 4, Ilo.-''.n/ ,hr.ne col/ *.t ,n-r{ t rz.< rr.-,.r^.^J 'L, ,,,' ,^Prl /nl-lls
t^)t-s .t'<u(/aiA<'A! /-t-t V-*r"> v4. < rtol rruni t././e l:t r7,r..; -7. rh< la'.'L- zi"4-at+''j)
r b-l /) 0-n<\<- corsrytharrhav€rnsp€crscrtheabcnonam6dtacrtrtyonEtllc',t?7."!..=rZ: :1it-
ltffiay'Fr'tn
1-"-gr. y ,l--'z'o.4--"- ^..^ frl /{ 'a4'/
v, ( <e r1u r i^rf.. /-.r\ UL' /z - L9 ,
u'
,'.tf '
lernk.\ ,,4 4et€-conL'l"S 5-'fl (-ctrsf '
^ 1,nal/ a*o-^l- o{ {^tf f*^k' /'n *t-'
by /hau c- k ula f /4 a'-7/a 7tz 5"
i//(5ru.? T7'z- a') L) a'{
2. -^/*)..J 5--/ lna's
/o*{o ^ , fzi ; '4. /' u"
44rP f''<i rslt7?r
s 7o lt "1'tA
*{, lf ^o rf^- I
-------7 N\,,)4^-
sq
g7o{ ro3i'{u,a ,t,$i::;
u'i,"'1;\
tt
\
'':::-\)a
kw
o
/
L^0' I
11 )J-.-'-
;1
)
^
Facrlrty lD *. Z- DC't" 7 c'' 7
Manulactrrer. narne and rnodel number o{ q/$Pm:
0 *
Please answer yes or no for each question
Oevics documemation is available at sil8 (e.9., mandacturer's brochures. ownars manuall.y€6l
^
no
Device can m€asurs h€ighrt o{ product lo near€st one+ighh of an inch.ves [_21 nol
Documentation shows that water in bonom ol tank is checked monthly to nearest ono-€rghth
of an inch.
yesl +noI
Device will d€clare a l€ak on the basis of invernory r€corrcilialion rt discrepancy exce€ds 17"
of flo$/-through, plrJs 130 gallors on a rnornhly basis.
ve6l"7-noI
Documemation is availabte thal lhB ATG was rn le$ rnoc,g a minimum of once a rnonth.yes
I nol \z-
Checked for presenca of gauge tn tanks.yes I .".nol
Checked for presence o( monnoring box and evrderrc€ that devics is working
(i.e.. device is equipped wilh roll o( paper br results docum€ntationl.
yas I ts-nol
Owner/operator has documernation on file verifying methocl me€ts minimum p€rformancg
sanoards of .20 gpn with prooability ot det€dion ol 95o/" and prcbability ol tals€ alarm of 57"
for ar-nomatic tank gaugir€ (€.9.. results she€6 under EPA's 'Stanclard Test Procedures for
Evalualing L€ak Oetsdion Metrhods').
Yesl >,<not
Checked docLtm€fitation flat system was rnsall€d. calibral€d, and rnaimain€d according to
manufacturers i rstnraiors.
yes
I
nol
Maintenancs recorcls ar€ available upon request.yes I nol x
Moniloring and tGtlng records are available lor lh€ past 12 rnontts.y€s nole+
+-
sia nail rc : . ;<+224.-2- *i+. 4/-R-
Tccfi'ZC.\
Sta&e 0f &ltah
Department of Administrative Services
3120 Stale Office Building
Salt Lake City, Utah 841 14
801-538-3010
MEMORANDUM
To: Bill Moore
From: David G. Fletcher
Date: August 7, L99t
Re: Facility 2000209 arrd20[fl210 Certification
The Division of Fuel Dispensing requests that Certificates of Compliance be reissued for
facilities with ID 2W209 and2h0210located at the DOT maintenance yards in Salina and
Mt Pteasant be reissued. Our understanding is that these certificates were sent directly to
the facility, but our contact with these facilities indicates that they have not received the ,o b-
certificates for some reason. Because the tanks are very low on fuel, we request that the U -6
certificates be reissued as expediently as possible. V u/
If you have any questions, please call me at 538-3553.
Lf
^-ra-n(cc: Bryan lilhitaker, DERR
Daniel Hsiao, UDOT
Noman H. Bangerter
Govemor
A]ice Shearer
Executive Director
At
Year Cl I
FACILITY ID. A(T".,.'
'^.(?
PStr PROCESSING CHECKLIStr
Unacceptable
NotAcceptable Applicable
Non-Marketer Discount
Previous
W4.::.:
Pollution
rile
Included
Incidence
(l fii i-,)-2-t: FI R f'>r:'- atu','=-q( cu.r" _/&lx L/
TTT
- Verify tank/1inesvs registered
- Documentation ok?
- Rate ok?
l-/Y/N
Y/N
Y/N
l;b"lqo"/-7
Fund Paid
FY 9]-
Fees Paid
FY 88?
FY 89?
FY 90?
FY 9L?
v-
IJ
Y/N
Compliance
Cornpliance outstanding?
- Leak detection required?
- Notification up to date &
_ Application?
vtx) '/
eru v'
compretez dtN +ffieeSSED BY
Date Qualified
Revj-ew completed and certificate issued
SUPPORT \CE \CHECKLI ST . PST
Iby
Faciliry Name
Project Manager
Memorandum of project Manager Recommendation
^
rlDof
/t-Facility lD &oO,?O ?
Leak ID &ffR
tr LUST Site Closure
I alo* to join pST Fund
tr Dis-Allow to join pST Fund
Evidence used for this determination follows the PST application processing protocol,
and includes:
Project Manager Signature
1
Facility Name
Project Manager
Memorandum of Project Manager Recommendation
Facility ID
Irak ID
?uo?oJ
lnB
tr LUST Site Closure
tr Allow to join PST Fund
M Dis-Allow to join PST Fund
Evidence used for this determination follows the PST application processing protocol,
and includes:
Orna4Project Manager Signature

PETROLEUM STORAGE TANK FUND APPLICATION
FACILIry INFORMATION:LOCATION OF TANKS:
Owner Name:Faciiity Name: U-pof .frn . 3SsStreet A.ddressl
Counry.
Phone:
Contacr
TYPE OF OWNER:
6oc> /Vc. SThftr
Caoacity E-. *-=.- I rrsvFr .-- t' 'u\v \r'\
t\r
vevrlqr reE (,7t t"Lr.rE Dl€-eV
TANK TIGHTNESS TEST ...-.".--: ^..,
,'
]
l.1Marketer.crnon.marketerwithann,uarrnonthlythroUgnputgreatert@
!d Non-marketer with annual monthly throughput ieis iriin io,oto sjiironi 6r,rus1Girvi.
DESCRIPTION OF UNDERGROUND STORAGE TANKS:
Tank # I
-
^Yvtt
All Unoerglgung.ql.oJage Tanks (U
All registration fANK Fees have 6een'paid. - r
COMPLIANCE WITH UST REGULATTONS:
CERTIFICATE OF REGISTRATION
X,l.*llicanr currenty in. comptiance *itni\zl Yes i I No -- lf "No" please describe item(s) of non-compliance:
PREVIOUS POLLUTION INCTDENT(S
|ayq you ever had a porlution incioent at voi I Yes -- lf "Yes" please provide LUST (Gaxing Un'derground Storage Tank) lnformation:
X No -- lf "No" please attach a letter stating that under customary business inventorypractice standards you are not Eware of any release tiom lny iinxlsy ai this facility.
PST FUND FEES
i4 Full payment for every.tank at thii I Quarterly payment(s)-for every tank at thiJticii,tv are inctudad ffith thii ipptication.
I certify under penalty of law that the above representations made by me are true and correct.
Applicant's signature :Date signed:
'z -l ?- 7)
\,
PETROLEUM STORAGE TANK
\-'l
FUND CHECKLIST'
1. CERTIFICATE OF REGISTRATTON:
All Underoround Slorage
Registrati6n Tanx reeinave oJ* parcj - r-s6ali9e9 : $zs^rn klyr, 1990/1991 = $45itanklyr
2. COMPLIAN€E WITH UST REGULATIONS:
[] l am in complian
[ ] Tanks installed belore 1965 or unknown: releare ctetection by Dec. 1989.
I I Tanks installed 196$'1988: release deteaion to be completed by my comptiance date.
U Release detection completed upon installation.
[ ] I am in compliance with all other Federal, State, and Local UST regulations.
ILITY MONTHLY THROUGHPUT:il l am a marketer, or t
:han 10.000 gattons;
I I SZSO payment/tank Fiscar year (Jury 1, 1990 - June 30, 1991).
[ | Quarterly payments @ $62.50/tank (Due the 1st day of Jul, oct, Jan, and Apr).
I I I am a non-marketer with annual FFrl-rU- monthly throughp_u_t !e9s tlan 10,ooo gallons.[ ] I have completed the APPLlcAiioffiR I'ioN:illihxerrns DtscouNr form.
I I $tzs payment/tank: Fiscaryear (July 1, r99o - June 30, r991).[] ouarterly payments @ $31.25/tank (Due the lst day of Jul, oct, Jan, and Apr).
.. ACTIONS REQUIRED AFTER TEST:
tllyTrys.p.ass the t.nx
"noI am suommtng the results of the tanx tigntness test and a coov of the fielrt rcnnrt
All tanks do not meet-the requirements set by rule regarding tank tightness testing.I have contacted the state uSr otrice ffi;il;il;;i;ridence of a ptan for review.
5. PREVIOUS POLLUTION INCTDENTS:
il1!.y. qompteted th" pn
unoer customary business inventory practice iunoaios, I am a*ire of iny release from thetank.
6' INDEPENDENT FINANCI@E freep r"c"tO" "t v
for the first $2S,O00/release:
I Sell lnsurance [ ] Guarantee
I Risk retention group I t Letter ot Credit
[ ] Commercial lnsurance [ ] Surety Bond
I I Oher:
I I have obtained independent third-party financial assurance by my compliance date.I I will obtain independent third-pani nnincrar ilLffiatbt ,i cJ#,priance date.
'See explanations under "Hop do I get started?,
PREVIOUS POLLUTION INCIDENTS
Uosr ^^;*(J
B
I have had the following releases of petroleum (detailed below; also mention any action
you took to clean up the release).
signature of owner/operator
Failure to report previous releases could void ]rour coverase under the Petroleum Storage
Tank Fund.
F*urr n * &ooo Lo1
=r/
f
To:Mr. Deruds Downs
Executive Secretary
Utah Solid & Hazardous Wastes Comminee
Dear Mr. Downs:
As required by paragraph 26-L4e404 of the Underground Storage Tank Act, I have
performed a tank and line tightness test on each underground storage tank at my facility,
and based on this test, there has not bem a release of petroleum. Additionally, based
on "customary business inventory practices standards", I am not aware of any release of
petroleum from my tanls.
I I'
I
T-tni,. HLtd11:trr itm)
ilopv'r- ignt Lea.l:'l=t-e=t :on'i'7=t'r:ms.
Tan!,: test i ng =v=t em vEt-5 i ort -i. i ?.
*1
1?.86. i?87. LgSE
r-e 1 ea.sed {r= i ?:',/ 37I
I
ze=t rLtn
c-i
.r.4 x
I
I
I
I
I
I
I
I
I
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l
I
I
otrera.i-ot-' s cGrnfnents :
Tan[,: TeEt ,-.Sate ir time .-16/?tti?t:f 1::33:15
,Iompanv narne Sheer'Strltctltre
Tantr ID - UDOT Diesel
Ta.ni: i-=catisn - 5(lC) North l'lain Sal ina, Utah (UDOT 'JaragB +f,f,f,)
F.rodr_tc+_ rn ta.nk 1+" Die=eI
Cir=t,=rler contact Nei 1 Blosch
Phone nutrnbet' (An1) 4ae'-57f,tj
5t r-eei_./ buti 1di ng acidrEss - 13(:t +ia=.t . f,t)-=.tl Soutth
Citv. state. = iFr etc SaIt Lai':e City' Utah 841i5
f,urstorner F. O # N,/A -,'Tan[; canacity (ga1lonsi ?t:ti'-tt-tz
Tani.: dierlet-er (inrhes) - ?t't/
Fi 11 diarneter ( inches) - 4
Fi11 '.-o tanl': toP iinches) - jl
Obgerved AF I f,?. (l(l
Observed ternperat-ure (F) - f5'i:i,(:]
Cor- rerted AF I !{i91 . (l{l
Coef of eiiFans i c-1n ( F ) Dr ii - (i ' 1:)(:i(-)478?
Are ia.nl:5 inter-ccnnected - n
All valves cls='ed Y
I= veni- re=trict-ed n
E+-=e1 or fibergi*'== t-a'ni' +
App rc:t i inste aqe - new
Vapor retrcvel'y sYst-'am - =t-age i I -
Watet- ta.bie ( if l:'nowl-ri - :(:'
i nc he= of watar t n t ani': (i /-
Surct icn. IgrbII-e or- f.'i'= -r''tmp ,(.!-
tdeather a.nd t-'=rnperatutre - :-L'!nnv ii-J
Test condutcted br- F'a'f-rrcl': Ei1=r'lorf-h +()(:t5?
Test wit-nessed b,Y none
Commenf-s
-Fe-t Re-r-r I' ts
produtct elevation 1n t-a.ni': iin rnches) - 11(-)'()(:l
tesit r-Lrn on i-t6/?t-t/it-r a.t L4: t-t5:55'
The leveI data for r-hrs ana. lyEls. starts at 14t l:igi f,5 and en'j-= at 15r L?:
The ternperat-rrre Oata For this a.na1v=i= Etart= at 14: "1: f,l =nd en{= at
The voltage change ior a c-:. Iibratic:n volr-rme r:f 5() mL wa's t-"'-\qZ voit-=
Direct readinge tal:.err :i.t t-he
shgw an autditor Probe riiai.tile
t-his tg a Qro35 i=veI '-ii::il-r'i3
=n,fD,::t.nt= nf the =elect-edof i-r. ()44 mV r n 7i-i m i nuttes
cf ?4 ml_ 1 n 7(-) m i nurt e=
anaLvsis trerraC
aln,l t h -=E:':]n':r=
afti l5 =ei:c,r'i:l=
Tal: 1rr! ail l-_he rni:=:-mer';j.a-.e cla'i= tn-i-tr r:ansrriet-S. l:iOn by EPr+Erriii-t! =
iBa=-. l--qLt-at-e a=qr-===,ier. ;--,i: ':.2'i? I nn i-imr Clve= :tn ;iLdrr-lt- r]l"L'lll'!r '-=-'ii:':' 'r
of -t-i. t-ttjB volt-=.r irc:itt- -
ThUrs. lne A.*O== prrdutC: ';'--iiLtmE: L= drC'DpInq fl r'rrl-i't-tct-tr'
i\,J: ii7 .
_ i;,r;: .:Oet-ffCfgnt u:f aiiL:AnSi'--1n* ':ile =;'i':':l ilf :--Er-rioerA:Lr'i'E L=
deci-=a.=e i.-;;1;;"-"+- n.i iril,/hr ,
lr-rbti-=rct i ng tne compltted t'ernperai-utt-e voir-tme
ft-odut=t vslt-trrre change Yields a'LenrDer-a'tt-tt-e
r=1-
;1(v=tr^ trorrplies with N.F,F.A. *f,39 criteria (+/- (J.
t,_/ System does not trcarnDIy t^rith N, F. F'. A. *f,3? crit-eria
/-/ PiPing leah indicated
/-/ Tanh leail indicated
i / Test inconclutsrve:
.; -i Ar r ot- VaPor traP r ndicat'ed
i'-/ TemPerature i nstabi l itY
i -i i mP roPer i nst-a I l at i on
:est ,:onducted by Fatricil E1L=r+or-f-h +t(:)(:15?i siqnatutt'e:
tsst witnessed by ntrnei slgnatt-ti'el
,:na.nLrE iram t-he 'Jt-tr==
corre=ted va1,-tme cha.nge
(13 EFH}
<+/- iJ. i:!5 EF'H)
W
I
I
Camments:
I
I
I
I
I
I
I
I
t
I
tqBb. 1997.1?88
r-e i ease d (:rS/.:j./ B-r-
llat-aqe #f,f,f,)
841 15
I
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Tani. Frrr_rri itor itirir
_inn.vr-1qht Leai: Def_ectrnn S.y=tems.Tanl.,: test i nq _;f s+upffr ver-s i cn ?. 1i:'
te=t r-Lrn *1
oDerator's cornments:
Tanl,: ?t L:. ne Te=t ,/Da.te iqr t rme - t_tb/?t_r/q() 1a: ltj: !7Company nar"ne - Sheer Strurctr_tr-eTa.n[,: iD UDOT UnleadedTant: Loca.t i on - I{:}(i N, l,l.r i n_ Sa 1 i na. Utah ( UDr_rTFrodt-rct in ta.nl,: Unleaded-Cu=toiner- contsct Nei 1 Eloscn
F'hane nLlrnber (B(i1) 4o5_S7f,r-rStreet/bLrilding a.trdre5s 1BO r+est fi(:i::rj Solri,_hCit-.f. state. 31trr etc Ealt Lal:e CitV, Uta.hCurst omer F,. CI + N,/ATant: canacity (gal tonE) 6,.-ti-ii-t/Teni: Cranreter- ( i nches) ?(l /-Fiil di.:.rneter- (iriches) 4FilI t-s tank t_cp (inches) - -r4Ct,=erved AF,i AB.2(:,
Cb=.=rved temperat_lu-e iF) 7f . (:Ii)
Corr-ect=C AFI - li,7?.t_tt:iCsef of e:.:pa.nsion (F) or- 0 i:). i:)(jr:,7(:l(l(jAre tanl:s i nter-cannect.ed nAll valves cLased yIs vent r-estr rcted - nSteei or- fiberglcl.Ss tanl: -a1,,Htrtrroi: i rnate aqe newVapor- recDverv .=y=.tEm =taqe i I!+Ja.t=r table i if I:: nDf^,n) - :(:iInche= cif wat_er tn t_.:.nl: {:}
Sttc t t c,n. Tr-rr o r i-re 1.;;- l.la purnp (t
i4ear- her aiil-t_=,r,r:er-atr_tre w r ndy ZATe=t ronductei by Fatricl: Ellswsrth +iij(:!5?Ta=-. t^ritneE,=ed lV l.ler I Elc,gchComrri*nts
-I-e-t ]eer=r-tLt-
Fr-sdr-tci- elevatron tn tani:: (rn inches) _ 114.r_rr:i
test- r'-rn nn Dai?t_t/?t-t a.t 1,=:4.1 : "7.The Level daf-a For this analvEi= Etar-i--s .rt i7:r-tg::,7 and end=- at 1!; i_:-:; l.i.Tha" temtreratr-rr= data For thi= ana. lys1s Etsrt= et t7:13:37 ;.nd entr= a.f_ 1E; riE:55
The voltaee chanee for- a cal i bre.t ion ',,olurrne rtf 5() mL wag (j. (:)74 vrir=
i'ir-ect readin4s t*q!'.en at the endE,r-rrnl--= r,f :h= =eiected an;i1\/sr::, E;=i-j,ri,rl=iiltlr"r '3'n aLlcl itL-lf- DI'-oL'e rnan?e af (:i.1f,= mir' 1!-r r-t:, ili rii-r.t-e= aind :,.a
=EC,=rr -,J=:n1= r= a qrn== i=r'i=i:nFfi!," af ?i. mL in Er:) rrin,-rtes and rrE EECcln:=
la'l: rnq a'11 t-ha inr-Erni+:rJl;its ria.t.r into cirniildere.;10n by E,er.ior-m:Ln!
=-
: - -.,--
=:'':: :?:":.:ri-=?I-E-;::riln r:'i 1?"'€iI uin r-:m= GrvE= in ;r-rcJit;; o.=u*"i,==..-\_:. * ; ) v,trL.t-=1,|-.tcl,_l:._.
ItsrL.ts. thg (JI-n=F n,--.,..lrrrt ,...,r.'l rrm,-r i.- {!--.E- - _._
| - :n:rl=+-=* !i-!-\,;.rr,rr,= --i 4.''.1' iliL-'jf'r- ,;1
I .or-rE\,=:rnq :n= =nri:DLrLet'1:eintrEretui=- i,=i.Ltnle ril=-1fl{E frorl +-hE flt-D=='
,-OOr,aa toi,-,*= -nanae Yl-::s + i.enrtrF-€.titt-e ;Oi't-ect'e'j vtlt-trne chanq=
|
:+ Lb7 rrii.-ii-:surr rr-@-.
'r/
a l4 Svst=rn trofntrlieE wrth N.F.F.A. +if,"+ criterrE' ('+i'i:)'(J5 EF'H)
I f i Sy=tem ,Joes net cL.1rliplv with li-F-P-ii' *f,"9 crrtet-ia l+l- (:)'(:r5 GF'Hi:
| /-/ PrPinq L*ai'. indicai'ed I
i !' Tant': leal': i ndica.t-ELl
I i / r*=r- inconclrtsive:
I t'_ ,r Air or- \iapurr- f-ra.tr indicEt-ed
I ,j ,i Temr'et-etutre in='ta'rilitv-
l r-, ii.'rprr--ner- in='t=r.lietr':n
--est condtrcf-ad bv F'+.tt-i=i,: E1 lsr+':ri-h #(lt-)5?i 5itrnat-ttr-e:
I t-est r.ritness='J hv' i'.ler I 3i'3schl -=i'!nat-itra:
I iomrnent-=:
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TNDUSTRIAL HEALTH INCORPORATED
640 EAST WILMINGTON AVENUE
SALT I.AKE CITY, UTAH 84106
[phone]
Scp ,J, Ar^n
o-".n S
BI.ISICSS
Hn'Er'D, rsl) 4t,L - 5730
Liegrffiixr &Srlt"{.
Ande0rEckvale, Oo F.;rrabUeCrekVaVq 0 t
fu rnp Make: Submersible/Suction:S,h rurs. I L
r.tunberdEli+erserst I
Was Tank Ardtof l..ltilzed to Confirm Status ot Check Valve? L(->l.s
PressuredLipr.* VJ PE'
Time , Pressure
Difference s/
r, iL
2. 1:a5
Totat Difference, h
RESULTS: I
TotalCharBeinirches ( [
= Raile Vrllnn Wa
) x 60nin
(nin)
)x 2005-ml*Time (
inch hour
Alklwable =95 mUhour
38
Line Test lnlonnation
1-30-90
(.025 gals.) - Suciion
(.Ot g"lr.i - Disctnrge ---
Tester, Cert. No.
JDare: Jlrt^t"' Zo /? ? 0
I
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uDoT rf-3, )
BT.T'^ESSAD'RESS' r*o ,*r+ *:o s^nt< .st ,+ gr,f *!:*yJ,
Hs'Er'D, (-gol) q-Gb- 5?3o
Liregrmficdixl D,c,st { L,^a-
INDUSTRIAL HEALTH INCORPOBATED
640 EAST WILMINGTON AVENUE
SALT I.AKE CITY, UTAH 84106
[phone]
ArdeCtpckval€r J.Ertradde Check Vafve: - lI
tunrp Make: submersible/&rc{ion: So bn^ts ,Lh- " ? t ?trcO "LNlnberd Otperses.
Was Tark Ardtof utiEzed to Confirm Status ol Check Vapef DO
Press.Iredlrprr* *S aS r
Time Pressure
'fS nt,e 17s
RESULTS:
Total Cterpe in irrJres (.t z5 )
=Rde(n'thr) (af 61{
Allourable = 95 mUhour
- 38 mt/trour
x2065-d*Time ( )xinch (nin)
(.025 gals.) - Suction
(.01 gals.) - Dsclnrge -
l, t,
Total Ditference: /6
$0 nin
hourx *t,r7bs /,v-
Une Test lnlonnation
1-30-90
@6q
Tester, Cert. No.
Facility ID No.
i}{SPECTTON
-i nspector
I nspector
OvJne r,
l.Jame:
Street:aCrty:Lt
Tank Location
Name:
Street:city:
Phone:
Phone
zLp
Longitude
Cert. #
CE,YED D"t" 1;^)a-7A
f 'r,-,-4E'u''n T"r,"ffi11'*"'* rn'on" "'' "S{l/?fl-
Stei
County
Latitude
f.lame:
Company:
Certifie oundwate
llame:
Company:
Type of Closure
Substance stored
Tank Information
Original #Tank
No.
Age of Tank
Capacity
Type: FRP, Stee1,
Composite
Substance
Date Last Used
Date . Closed
How Closed?
Enptied?
Sludge Removed?
Cleaned?
for Change-in-service
Temporary Permanent
cert.# 63 -AO){
f] anu.,qe-rn-service
,--:\ ^\ ,,^\ved Ta,*ksi 3 ) -New Tanks ;2 ,\ : currenl f \ffi_Y-:
IJ Purged or Inerted?
Facility rD N". )00o e)cl
@
New or Upgraded:
Is Corrosion protection System maintained?.
rs the Leak Detection system sti]1 being monitored?. .
Greater than 3 months:
Are Vent Lines Open?
Are Lines, Pumps and Manways Capped and Secured?
Over L2 months:
Has a Site Assessment been done?
Has the O/O applied for an extentj-on?
If Yes, Expiration Date:
Has the tank been upgraded to new corrosion and LeakDetection standards?. . .
Permanent Closure or Chanqe-In-Service
General:
Does O/O have an approved Closure plan?
Has the Fire Department been Notified of Closure?.......,/.
Has Fire Department given approval to Close in place?. . \. .
Has Fire Department been notified for change-in-service...
were Product Lines: Removed t-/ secured/capped in place
Site Assessment:
Were Soil and Ground Water samples taken?
,r/'u
t{hat Methodology !/as used for Sample },naIysis?801s nodi.f ied L 413. L t/ other
Were Unified Soil Classification Sauples raken? ....(..
Name of- State Certified Lab
Name
Street
State
Samp
tl/
-
Was the Excavation scannedIf Yes, What were theGain or Span setting,
,y
>ao o)01
tsacilrty rD No. @
r*ith a PID or FID meter?Readings, Make of Meter,and Calibration Specs.
Are there Any signs that indicate eontamj-nation to soil-or Ground water? ...lV.O.t.flFE//W .......1
Was Bureau of Solid & Hazardous Waste Notified ofContamination?
Was Bureau of Air euality Notified ofif emissi-on from the conlaminant is to
Was Bureau of Water potlution Control
Contaminated
take p)-ace?
Notified of
Soil
_,/_
t/
LGround Water Contamination?
Contractors:
Staxe L4 f zLp
Place where Tank was . Disposed:
Name Jr L NStreet
State
Name of fndividuaL who removed Product:
Companycity sATjM
Phone 5a ? -7>?2
Name of Individual who Cleaned Tank:
\? " ,rRL- )< DqVELVP EffcompanyStreet ^i +.,
state vruJ
Place where piping wa$ Disposed:
\?!? companyStreetDtfeeE /^i +.,
state v4LJ
_zlp
P1ace where
Name CompanyStreet
State
Companycity
Phone
Place
Name
Street
State
Phone
where was D
I/E L Company
,city
Phone
:*"
was Disposed:
ZlD
4
PIace
Name
Street
State
Pl-ace
Name
ontarn
zip
where Contaminated Water was
Facility rD y16. *ru#toao 4la
were D j-sposed:
Companycity
Disposed:
Company
Cityztp Phone
is different than indicated on the Closure pIan, please
Street
State
If any of the aboveexplain why:
where
5
Phone q z
DEPARTI!,IENT OF HEALTH
DIVISION OF ENVIRONI,{ENTAL HEALTH
Bureau oi So d & i-]azarcous Wasle
288 Norlh 1 460 Wesl P O Box 1 6690
Sall Lake C,tv. l.llah 8.11 16 0690
,801 r q38 61 -C
.;--(' a't a1 -) C -)
I
:.,,rman H. l]angerter
, ;, ^.. I r)r
5Llzann(. i )iin()o\'. \l t).. \1 I'.H
:l\!, lIt\o l)lr, r r()r
a..irrclir i,.{lkema
I rrr,v.r,'r
MAY 5 19900-
Daniel Hsiao
Utah Department of Transportation
450L South 2700 West
Salt Lake City, Utah 84124
Re: Closure Plan for Underground Storage Tanks located at 500 North State Street,
Salina, Utah
Facility Identification No. 2000209.
Dear Mr. Hsiao:
The closure plan, received by the Bureau of Solid and Hazardous Waste, on March 30,
1990 for the above referenced facility has been approved as proposed. Local heaith and fire
departments must be notified 72 hovs beforqilosure Uegini. Closure of underground
storage tanks referred to in the closure plan may commence after notifying these agEncies.
Enclosed is a copy of the Closure Notice form which must be received by the Executive
Secretary before the closed tanks may be removed from the fee billing list. Please fill out
all the requested information on the Closure Notice form and submit the form after all the
sample analysis data and other information is available.
Any deviation from an approved closure plan must be reported to the Bureau of Solid and
Hazardous Waste immediately. If you have any questibns, please contact Paul Zahn at
538-6170.
Executive Secretary
Utah Solid and Hazardous Wastes Committee
Enclosure
c: Central Utah District Health Department
Bgg"r Foisy, D.E.H. District Engineer
Salina City Fire Departnent
DP.D/PZ/ds
BSHWTTNK-CLOZ/43
EGKHoFF, wATsoN & PR^roR
ENGINEERING
- LL2L East 390O South, C-10O'- SALT LAKE CITY, UTAH 84T24
,ilrtJ*-q 8ry1p-0u4o
wE ARE SENDTNG you ffmacneo E Under separate cover via
TO
LETTE .I OF TRANSNflITTAL
the following items:
tr ShoP drawings
tr CoPy of letter
tr Prints
E Change order
n Hans tr Samples -. tr Specifications
* Ta rn L rlo*tt >, P[o*t
THESE ARE TRANSMITTED as checked below:
fi ro, approval
fl For Your use
I As requested
n Approved as submitted
tr Approved as noted
E Returned for corrections
tr For review and comment n
tr FOR BIDS DUE 19- tr PRINTS RETURNED AFTER LOAN TO US
ArrENrroN AgT ,5r'2*ti(801) 26r-0090
REMARKS
",rn
o, hra Nir)al'
pnoarfi2t+j F7tn, our la otllt t, crctosufaa tr. not t3 aotad, kindtyt not,ty us 't onc''
BSHW-0863-2-3
IN ORDER TO EXPEDITE THE REVIEW /
OF YOUR CLOSURE PLAN. PLEASE FILL /
IN ALL BLANKS COMPLETELY. THIS /
CLOSURE PLAN SUPERSEDES PRIOR VERSIONS /
UNDERGR0UND ST0RAGE TANK CLOSURE PLAN (rev. ll/89)
STATE USE ONLY
Date Received
Revj ewer/Date Revj ewed
Rev'i ewer Recommendat i
EHM Review/Date
Closure Plan prepared by Karen Nichols of EWP Enqineerjnq Tel # [phone]
Address ll2l East 3900 South. C-100 SLC. UT Zip 84124
SITE INFORMATION
0wner Name UDOT Address 4501 South 2700 West
Salt Lake Citv. Utah Zip 84119 Te1 # 965-4116
Site Name SaIina UDOT Maint Sta #333 Address 500 No. State St. Salina. Utah
Zip 84554 (Contact Person) Lamy Crane Tel #$01]rSZ9-7ZZT
Tank Location Identification Number (found on bilfing forms,7 digit #) 2000209
Number of tanks at this site 3 Number of tanks at this site,to be closed 3
TANK INFORMATION
Tank #:
Age of Tank
Capaci ty 3K Gal
Subs. Stored Gasol i ne
Date last used Active
4K Gal 500 Gal
Diesel Waste Oil
Act'i ve Act i ve
SITE PLAT ATTACHED Located on the p1 at shoul d be bui 1 d'i ngs, tanks, 1 i nes,
dispensers, underground util'ities, proposed sampl ing Iocations, sampl ing
depths, substance stored in tanks and other important features.
CL0SURE N0TICE F0RM This must be filled out and returned to the Bureau when
cl osure 'is compl eted.
t 727
ID
' 542-/N4, LrdH
No. A,D.of /4AhvT jTA. orawn By
SITE PLAT
4-/ul.Oate: ?-6-?a
-
W-
H.
5oo elt.?
g'or
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U.O.o,f TPA|LER
fueaET
CJNE
@43rE aEL
TAAIK
s47
s*g
uNtG oFaAvnfio^l
1r*y'
qe* e
.(- fQap 744141t19
,b+/
?'&uower74l €
TANKgasrw./ozo
5r* z
2'Et-otlaaf'7uloF
774NK
gotsrw/fuzo
%#7(u,r.c)
,r* /
5' aglzvl! exatto: 9lRFE
( p,r*/sob
5-4-* <
(u.a.c.)
4,' *b
2t ElrtduTTul'- cF 771^lK
?ra.r
( u.oc.)
//,t2-'-t-b-'-'
/'/
5@ Not77/ ,T+TE ,7.
t/.2.a.f n4//vr477* 77?
Building, etc. out'lines
Tank & Line outlines
Potentiometri c Surf ace
Creeks, Rivers
Monitoring l.lells
Sample Locations
Eore Hole (BH-#)
Water Wells (domestic,
-t-t-t- = felephone:
0rains;
(Mh,-#. uw-#, PZ-#)
(ss-#. HS-#, vs-#' As-#)
-P-P-P- =-d-d-d- =
Q=
l=
!=
E=
Power:
F rench
I ivestock. etc. )
-g-g-g- = Gas;Lines: -s-s-s- = Sewer:
-w-w-w- =l.Jater:
BSH!{-7 767U-8
. IANC XANDTEB Name Lynn Sorenson Certificate # TH-0083
Address 1040 N0rth 300 West Spanish Fork, Utah Zi p 84660
S0IL/GR0UND SAMPLER Name Richard t.liedeman E}{P Enqineerinq
Certificate # (after 12/31/89) GS-0039 Address 1l2l East 3900 South
Suite C-100. Salt Lake Citv. Utah Zip 84724
DISPOSAL INFORMATION
Tank(s) w'ill be disposed at: Facil ity A & J Ueldinq
Address 665 West 100 South. Salina. Utah Contact Jim Schade
Tel. # (801)s29-3991
Product lines will either be X removed or _ secured in place and capped.
Vent lines will either be X removed or _ secured open.
Piping to be disposed at: Facility A & J t,leldinq
Address 665 West 100 South. Salina. Utah Contact Jim Schade
Te1. # [80])529-3991
Tank will be emptied by.(company) and
cleaned by Tri -K Devel ooment (company)
The tank will be either purged or rendered inert by the following method:
Triole Rinsed - Total of 150 lbs. drv ice for 3 tanks
If tanks are to be closed in-place, has approval been obtained from the Fire
Dept. _yes _no.
THE FOLLOWING INFORMATION MUST BE FILLED OUT COMPLETELY
If found, contaminated soils are to be djsposed at the following facility:
Salina Citv Landfill address 600 E. Main St. Salina. Utah
contact Scott Holt tel. # [phone]
If found contaminated water js to be disposed at the following facility:
Tri-K Develooment address American Fork. Utah
contact Cal Kesl ar tel . # [phone]
Residual sludges are to be disposed at the following fac'ility:
Tri-K Development address American Fork. Utah
contact Cal Kesl ar tel . # [phone]
IF CONTAMINATED SOILS ARE TO BE AERATED, CONTACT BUREAU OF AIR QUALITY FOR ANY
NECESSARY PERMITS AT 538-6108.
IF CoNTAMINATED GRoUNDIIATER IS FoUND, CoNTACT BUREAU OF ITATER POLLUTION CoNTROL
FOR ANY NECESSARY PERMITS AT 538-6146.
Sevjer County Health
C0NTACT L0CAL HEALTH DISTRICT Name of Dist. Richfield. Utah Date 2-21-90
Contact Roqer Folsy Title Di stri ct Eng'ineer Tel # [phone]
CONTACT L0CAL FIRE DEPT. Name of Dept. Salina Fire Dept(votunteer)Date 2-20-90
Contact Jim Maxwell Title Fire Chief Tel # [phone]
Bus# 529-7613
SITE ASSESSMENT
A site assessment must be performed on all tanks to be closed. At a minimum,
protocol found in R450-205 UAC should be followed during closure assessment.
Groundwater sample lab analysis to be used: X 8015, (modified), X EPA 413.1
other 602
Soil sample, lab analysis to be used: x 8015, (modified), x EpA 413.1
other 8020
State Certified Laboratory to be used: American West Analvtical Laboratories
Address 463 west 3600 south. Salt Lake citv. utah Zip 94t07
Tel # [phone] Contact Steve Getz
CONTAMINATION INFORMATION
In the event that contamination is detected or susoected you must report a
release to the Executive Secretary, SoIid and Hazardous Wastes Committee at
801-538-6170. If contamjnation is suspected or detected a qual ified
environmental consultant should assist you in your remediation. In the event
contamination is found the environmental consultant will be:
Company Eckhoff. llatson and preator Enqineering
address l12l East 3900 South. e-100.City Salt Lake Citv
State Utah zip 84124 tet. # (8Ot) 261-0090
ID tt ?-ecxl)o'i'F \ Lompllance #^lspense Date
?
4.
InspecEor [rUlr",ov<
Closed Out
INITIAL INSPECTION & COMPLIANCE SUMMARY FORM
Tank 0wner _Ind. _dba _ Corp. _Other Oate(acqu'ired/Inc. )
NAME J i)o'T-
l. lz t4-s<
')
i
izffi
STREET
CITY COUNTY/STATE 7TP
CONTACT
_Ind. _dba _Corp.
*& 333
PHONE
0ther Date(acqui redlInc. )
FACILITY NO.
TITLE
Tank Ooerator
BUSINESS NAIi{E
STREET
CIT
CONTACT IITLE
V IOLATION/
COMPL IANCE
W17/ss
0\ 7{'
?n / t trso / P4 Llf - to 12/61
DAT'E
Action Date
I t-<-'z-<
Act i on
l^ tf -'
Suspense Date
[2 -u-*4
Pena I ty
I ST CONTACT
2NI) CONTACT
3RD CONTACT
4TH CONTACT
N0v
ORt)ER
FILE
EPA REFERRAL
N0v
ORDER
CLOSE OUT
$
$
$
$
$
$FINAL ASSESSHENT
Prooerty 0wner Ind.dba
NAl.lE
Corp.0ther
v
Oate(acqui red/Inc.)_
STREET
CITY STATE ztP ACQU I RE0
In Compliance?
# ( Y/t{)TANK #
STATUS
AGE
UAPACITY
MATER IAL
INTERNAL
EXTERNAL
PIPING
SUBSTANCE
LAST USEO
CLOSURE
CERTI FICATIOI{
RELEASE OET.
[)ATE t)UE
SPILL/OVERFI LL
RELEASE DATE
Financial Resoonsibi 1 itv
METHOO
INSURER
POLI CY EFFECTIVE [)ATE
CO}I]iIENTS:
it^l-7 548U
L,J
, DEPARTMENT OF HEALTH. DMSION OF ENVIRONMENTAL HEALTH
Norman H. Bangerter 1
GNrnoi
suane Dandoy, M.D., M.P.H. Bureau of solid & Haza'dous waste
Exfrum Dimbr 2gg Nonh t 460 Wesl. p.O. gox 16690
Kennerh L A.tkema satt Lake ctiy, utah 841 16-0690
Dremr (801 ) 538-6170
BSHW-7666U-l
Nov 0 4 l9E6
Carl Johnson
utah Department of Transportation, District 0fficeP.0. 8ox 700Richfield, Utah B47Ot
RE: Underground Storage Tank Fee Assessment
Dear Mr. Johnson:
I havc cncloscd photo copies of the.bills you reguested and encJosed newnotification forms for your-to update your files.
Last fiscal years billings show remittance shortages of $25 to $t00 for eachof these facilili:t: ouilng your updater, vo, must document reasons for theseshortages in order to make inl-inunges in the fee assessment.
If the tanks being considered berong to .the Highway patror, indicate by:facilitv, the number, age; iipi.ity, ano iruriin.e stored in the tanks so theproper billing adjustments can be transferred to that office.
If the tanks being considered were properly taken out of service or'c'losed,, indicati:
- Iu.jlity & Facitity r0 No.- Iulk d9€,-capacityl subitance stored- Date of closure- How c'rosed ( removar or f i r red with inert sol id)- Condition of tank on c.losure- Condition of soils on closure (contamination?)- Disposal of tank, if removed
II.;::ll3l'i;riil1 u .ow or the rocar Fire or Hearth ,epartments
Il:n;":ifiIir3i;H ffl;,ffiio,H:I.r;,,:l:l:. bi I ring for the same faci rity,
^t
In all cases, an anended form is reguired jn addition to the regulreddocumentation for each. tlith the adove do-cumentation and amenddents, weshould be able to get the problems sorted out and the files in order.
If you have any guestions, please call tllilliam iloore at (g0l) 53g-6170.
Si ncerely,
lrlJ-r_ qc)
ilark T. El I i s, EHil
Underground Storage Tank Section
Bureau of Solid & Hazardous l{aste
llTE/ffilds
a\
!
,TRANSPORTATION COMMISSION
SAMUEL J TAYLOR
CHAIRMAN
WAYNE S. Wtt\iTEHS
VICE CHAIRMAN
B. LAVAUN COX
TODTJ G, WESTON
JAMES G. LARKIN
ELVA H. ANDERSON
SECRETARY
i
EUGENE H. FINDLAY, CPA
DIRECTOR
GENE STURZENEGGER, P.E
4SS/STANT DIRECTOR
STERLING C. DAVIS, P.E.
Disttict Dircctot
If you
UTAH DEPARTMENT OF TRANSFORTATION
708 SOUTH IOO WEST
RICHFIELD, UTAH 8470I
November 15,1988
Mark T. E1lis
Bureau of Solid & Hazardous Waste UST
288 North 1460 West, P.O. Box i6690
Salt Lake Ciry, Urah 84116-0690
RE: Underground Storage Tank Fee Assessment
Dear Mr. E1lis,
In response co your ietter of i'{ovember 4, i988. f. have reinventorieci thefacilities within our department. Enclosed are the amended notificationof each of our facilities where storage tanks contain regulated substances.
Last fiscal year billings remittance shortages at various facilities,reflect those tanks used for stori-ng heating oil. We have corrected theinvoices for FY 89 to reflect the same.
r have transfered the documentation of tanks belonging to the HighwayPatrol to their office. Also, r instructed theu to send an amended
nlfifila+inn t^ \,^!rr ^€€i^^ -^ ^rn^^' Iri11i-ac ^^.r'lJ La a^-+ r^ +L.^i?ri i i!= , JU pi UpUi Uiiiiii$,U vvu-g vU JUii! Lij e..v4tagency. They have two tanks currently in use, one is located in Kanecounty at the Port of Entry. The other tank is located at the uDor
maintenance yard in Salina, both tanks are used to store gasoline.
r hope this information will assist you in updating your fiIes.
have any questionsr please give me a call at 896-BZ4L.
"it:W"
Carl Johnson
Safety Coordinet{rr
Enclosures
State of Utah
UTAH DEPARTMENT OF TRANSPORTATION
4501 South 2700 Wesl
Salt Lake Crty. Utah 841 1 9-5998
(801 )-965-4000
llenrporttdon Conrnlsllon
Samuel J. Taylor
('hairman
Walne S. Winters
. \'ice Chairme
R. Lavaun Cox
Todd G. Weston
James G. Larkin
Elva H. Anderson
Secrelar\.
Governor
Eugene H. nndlay. C.P.A.
Exe( uurc I)rr(tor
Gene Sturzenegger. P.E.
Assisunt f)ircctor
May 8, 1989
Brent Bnadford, Director
Erecutive Secretary
Wah Solid Fhzardous lt{astes Committee
288 t{orth 1450 l{est
Salt Lake City, Utah 84116-0690
RE: Underground Storage Tank Fee Assessments
Dear Mr. Bradford:
Thank you for your letter dated April 20, 1989. V{e appreciate the
information you provided.
My understanding is that UDOT has not changed any UST status since December
22, L988. It is obvious that a different number of UDOTfs USTs have been
recorded between UDOT and the Department of l-lealth prior to that date.
Fbwever, it is a good time for us to update the records now.
We would like to work with Mr. WiLliam Moore to update the records at your
most convenient time. If you have any questions, please contact me at 965-4618.
Sincerely,
0*r"t //ut*
Daniel Hsiao, P.E.
Division of Maintenance
cc: E.H. Findlay, CPA, Director
Department of Transportation
GeraLd Barrett, P.E.
Engineer for Maintenance
RECEIVES
MAY 101989
,, *.Y,'ils?frol ii,:1i.15 " ''
an equal opportunity employer
1
DEPARTMENT OF HEALTH
DMSION OF ENVIRONMENTAL HEALTH
Bureau ot Sohd & Hazardous Waste
288 Norrh 1 460 Wesr, P O Box I 6690
salt Lake crty. uiah 841 1 6-0690
(801 ) 538-6r 70
documentat'ion consists of :
A signed affidavit from the company authority.or individualowner/operator, or;
A signed affidavit and copies of comp'leted work orders from thecontracting company who removed the tanks, oFi
A report from a witnessing local Fire or Health Oepartment, or;
A report from a witnessing State Health Department personnel.
,
\-orman H. Bangerter
Co\ernot
Suanne Dandoy. M.D. M.P.H.
ExPcuuve I)ire.br
Kenneth L. A]kema
Dir(mr
Proper
t.
2.
BSHW-g1 80U-1
AP,1 2 0 i989
Eugene H. Findlay, CPA
Executi ve 0i rector
Utah State Department of Transportatjon
450'r s. 2700 W.
Sa I t Lake Ci ty, UT 84.| '19-5998
Re: Underground Storage Tank Fee Assessments
[)ear Mr. Findlay:
You have notified the Bureau of Solid and Hazardous Haste of the original
number of underground storage tanks billed as regulated tanks on al'l your Utahfacilities. You have subsequently submitted a printout not'ifying this officethat substantially fewer regulated tanks exist at many of your Utah faciljties.
fhe Attorney General's off ice has informed us that you are 'liable for a'lltanks you originally notified on up unti.l the time that you sufficient)y
document the reasons why each tank you have deleted from your newnotifications should be considered exempt or closed. This must be done on a
tank by tank basis because each tank is separately reg'istered and accountedfor from the time it was installed until it is properly disposed or given
exempt status.
Proper closure-cons'ists of removal of the tank from the ground or, if approvedby your loca'l fire department, filling the tank with an inert solid (i.e.
cement or sand). Please refer to 40 CFR, Part 280 Subpart G (attached) and
R450 204 UCA.
3.
4.
4/a
Included in the documentation(s) must be the following:
'l . 0wner name, address, and phone number.2. Facj I ity )ocation ( Faci I ity I0 No. )3. Tank Identification (Name and Address, Tank Age and Capac'ity, Materialthe tank is made of, and Substance previously stored).4. 0ate of Closure (l'lonth, t)aV, year).
5. Approved method of closure and how completed.6. Condition of Tank when removed (i.e. clean, rusted,'if it has holes
and hole size in nrn).7. Site Assessment including soil contamination, groundwater conditions,presence of tree product, etc.8. contractor(s) name, address, phone number, and certificate
number.9. Where the tank was 0isposed (if removed).
4!_!uqh, Vou must-pay all fees assessed during fiscal year'1988. Fiscal year.l989 fees may stilI be adjusted depending on the documentatjon you submitaccounting for the difference in the number of tanks.
The fees assessed on the NOTICE 0F VIOLATION #8902644 have already beenadjusted since 0istrict 2 has cooperated and supplied that documeitation on
most of their facilities. A review of information supp'lied by the otherdistricts did not sufficiently document the djfferences in the number oftanks, only that they now had fewer tanks.
If you have questions on a specific facility and what documentation js
required for a specific situation, please contact t,li'lliam Hoore at (80t)
538-6r 70.
Sincerel
Executive Secretary
Utah Solid and Hazardous Wastes Committee
c: Suzanne Oandoy, 0irector, Department of Health
Ken Alkema, 0irector, Environmental Health
BCB/W4/ds
----- /
, ,< ,/(-.)*,2/.r
Bradf ord, r0i rector
\orman H. BanSerter
G()vernor
Eugene H. Findlar'. C.P A.
Ex({ uuve Dlrector
(lent SrurzenegSer. P E.
{ssrsunl Diasaor
cc: Howard Richardson,
Daniel Hsi.ao, w/o
Gerald Barrett, P.E.
Engineer for Maintenance
ftanrportrtlon Counlrelon
Samuel J. Taylor
Charman
wayne S. winters
lice Charman
Rl kuaun co*
Todd G. W+'ston
Janes G. Larkin
Yr^:, "*-y'-/bi"
t,ra
"rt /.
f' '',
_ a.-,
w/o attacl'ment
attacfments
State of lltah
UTAH DEPARTMENT OF TRANSPORTATION
4501 South 2700 West
salt Lake cily. urah 841 1 9-5998
(801 )-965-4000
Sincerely,
/reZ--*
March V, 1989
Ms. Suzanne Dandoy, M.D., M.P.H.
Executive Director
288 North 1450 West
SaIt Lake City, Utah 84115
Dear Suzanne:
Re: Underground Storage Tank (UST) Fees
As you know, the UDOT has sent a request for
corrected statements of the fees. The request was dated
February L4, L989. Please see tl-e attacl'ment.
March 1, L989, I received a 'rNotice of Vlolationrr fox
not paying the fees.
l{ould you please send me the corrected statements,
and I wiII pay tle fee as soon as I receive them.
The Division of Maintenance will handle all the UST
items for the UDOT. Mr. Danie} Hsiao, P.E., is tfe person
to contact concerning any questions you might have. Mr.
Hsiaots phone nurnber Ls 965-4678.
I am looking forward to l'rearing from you.
Attaclment
EqT:-Mj''*'.T:ri:r
MAR ? rc89
CF:ICE OFE":. -ECT'J
UT^,r u.-, ). -ri,-,].,i_ ,.1
MAR ] 4 1989
Utah Depi. of Health
Bureau of Sclid & Haz:r.;,,.is ur'a:1.,an equal opportunrty employer
htw+
\ormanH.1Hfr:
="'"""'.:11:i';f:::
'Pn. Srurzencfs;::rE;
^
State of Utah
UTAH DEPARTMENT OF IRAI{SPORTATION
4501 South 2700 Wesl
Salt Lake Crty. Ulah 841 I 9-5998(8on-eos.4oot) February 14, 1989
Ms. Suzanne Dandoy, M.D., M.p.H.
Executive Director
288 tbrth 1460 west
SaIt Lake City, Utah 84115
t)
Vy''o14zal--
Dear [1*,#doy:
Re: Underground Storage Tank (UST) Fees
Tlnnk you for the UST registration fee staterents. Iwill send the dues as soon as tle statements have been
corrected.
I have noticed some mistakes have been made in tfEstaterents. Our Departnent has I00 less USTs than the
Health Departrnentrs staterents inoicEF
Current UST inventory is attacled for your
information, ard the Departnent of FEa1thts staterents are
attacled as we]-[. Please revise tlue statements so we can
send tlB correct amount.
The Division on Maintenance will handle aI1 tfe UST
related items. If you need additionaL informauion please
contact Mr. GeraId Barrett, P.E., Engineer for Maintenanceat (80I) 965-4LL6.
If possible, a |tsunmarized statementrt for eachhighway district would certainly be helpful. The
Maintenance Division can lelp to identify each district bythe station nunber.
TfrryctdcCou5c
Samuel J. Taytor
(:ham.n
Wayne S. Winters
vi.. ClEma
' R. Lavaun Cox
Todd G. \lesron
.James G. brtin
Elva H. Anoerson
i,arelm'
Sincerely,
//
t' /-%j--,/"
.,/e.n. Findray, cpA./ Direetor
Howard Richardson w/o attachents
Gerald, Barrett w/o attaclments
Gary LLndLeY wlo attacffients
Daniel Hsiao w/o attaclrnents:1 eouar oooonunrrv employer
Page No.
cL/13/89
Nearest
Station City
a
SALT LAKE
SALT LAITE
SALT LAKE
SALT LAKE
SALT LAIiE
CLINTON
CLINTON
OGDEN
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BRIGHA}I
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PARK VALLEI
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IT'ELLSVILLE
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RANDOLPH
RANDOLPH
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OGDEN
LOGAN STI}I}1IT
LOGAN SLII'I}IIT
SARDINE SL'}I}IIT
SARDfI\iE SLIIIIIIT
TOOELE
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UDOT Underground Storage Tank
attachment
page 1 of 5
revi sed L/L3189
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Page No.
0t/13/89
\earest
Station Citv
GRANTSVILLE
GRANTSVILLE
TOOELE
TOOELE
WEST VALLEY
SALT LAKE
SALT LAKE
CENTERVILLE
CENTERVILLE
I^JEST JORDAN
I{EST JORDAN
IiEST JORDAN
WEST JORD.{N
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Si\LT LAI(E
SALT LAKE
SALT LAKE
SALT LAKE
SNYDERVILLE
SNYDERVILLE
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I{ANSHIP
I{ANSHIP
I.JANSHIP
IiA}IAS
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SALT LAKE
RICHFIELD
RICHFIELD
RICHFIELD
RICHFIELD
RICHFIELD
RICHFIELD
GLENDALE
GLENDALE
GLEl{DALE
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TROPIC
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attachment
page 2 of 5
revi sed ll13l89
gaso I i ne
diesel
diesel
gasol ine
dieseldiesel
gasol ine
diese I
gasol ine
diese I
gasol ine
dies el
gasol ine
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kerosene
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gasol inegasol ine
used oil
di esel
gasol ine
gasol ine
gasol ine
diesel
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UDOT Linderground Storage Tank
Tank Tank Internal External SubstanceAge -Yaterial Protection Protection S tored
222
222
223
223
221
225
225
226
226
231.cl
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235
235
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238
238
238
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300
300
300
300
300
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322
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Page No.
0t/13/89
Nearest
Station Ci ty
LIDOT L-nderground Storage Tank
attachment
page 3 of 5revised L/L3/89
Tank Tank Internal External SubstanceAge llaterial Protection ProtecLion Stored
321
321
324
325
325
325
326
326
326
327
327
328
328
328
331
331
331
331
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GUNNISON
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BLANDING
MONTICELLO
YONTICELLO
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MOAB
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LASAL
THOMPSON
THOMPSON
THOMPSON
GREEN RIVER
GREEN RIVER
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pain ted
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gasol ine
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used oil
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gasol ine
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used oiI
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gasol ine
diesel
di esel
diesel
gasol ine
gasol ine
diesel
gasol ine
diesel
gasol ine
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gasol ine
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2
28
28
22
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23
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13
13
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28
28
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1
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13
13
15
UDOT Underground Storage Tank
attachment
page 4 of 5revised L/L3/89
Tank Tank Internal External SubstanceAge )laterial Protection Protection Stored
Page No.
oL/t3l89
)iearest
Station City
133
133
433
133
433
134
134
135
435
500
500
500
500
500
500
500
52L
52L
522
522
523
523
521
521
525
525
526
326
527
527
527
531
531
532
532
532
533
533
534
534
534
535
535
535
536
536
536
621
HUNTINGTON
HUNTING?ON
EIUERY
EMERY
EMERY
WELLLINGTON
WELLINGTON
COLTON
COLTON
CEDAR
CEDAR
CEDAR
CEDAR
CEDAR
CEDAR
CEDAR
ST. GEORGE
ST. GEORGE
HURRICANE
HURRICANE
BERYL JCT
BERYL JCT
CEDAR
CEDAR
CEDAR
CEDAR
PAROWAN
PAROK'AN
BEAVER
BEAVER
BEAVER
}IILFORD
}IILFORD
COVE FORK
COVE FORK
COVE FORK
GARRISON
GARRISON
FILL}IORE
FILLMORE
FILL}IORE
HINCKLEY
HINCKLEY
HINCKLEY
SCIPIO
SCIPIO
SCIPIO
EUREKA
2,
J
1i
17
14
14
2l
27
J4
32
10
JZ
i
1
1
10
10
25
25
19
19
12
t2
16
16
oo
23
10
20
20
1
1
10
22
22
20
20
30
30
8
2
2
30i
31
31
25
plastic
plas tic
steel
s teel
steel
s teel
s teel
s teel
steel
s teel
s teel
s teel
s teel
plastic
plas tic
plas t ic
steel
s teel
s teel
s teel
s teel
steel
steel
s teel
s teel
s teel
steel
s teel
s teel
stee]
s teel
plas tic
plastic
s teel
steel
s teel
steeL
s teel
s teel
steel
s teel
plastic
plas t ic
s teel
steel
s teel
s teel
s teel
I ining
I ining
none
none
none
none
none
none
none
unknown
unknown
unknown
unknown
1 i ning
I ining
1 ining
unknown
unknown
unknown
unknown
unknown
unknown
unknown
unknown
unknown
unknown
unknown
unhnown
unknown
unknown
unknown
I ining
I ining
unknown
unknown
unhnown
unknown
unknown
unknown
unknown
unknown
l ining
l ining
unknown
unknown
unknown
unknown
I ining
coated
coated
painted
painted
painted
painted
painted
painted
painted
painted
painted
painted
painted
coated
coated
coated
painted
painted
painted
painted
unknown
unknown
painted
painted
unknown
unknown
unknown
unknown
painted
painted
painted
coated
coated
painted
painted
painted
unknown
unknown
painted
painted
painted
unknown
unknown
painted
painted
painted
painted
painted
gasol- ine
diesel
gasoline
gasol ine
di esel
gasol ine
di esel
gasol ine
diesel
gesoline
gasol ine
gaso I ine
di esel
gasol ine
di esel
used oiI
gasol ine
diesel
gasol ine
diesel
diesel
gasol ine
gasol ine
diesel
di esel
gasol ine
di esel
gaso I ine
diesel
gasol ine
diesel
gasol ine
diesel
diesel
gasol ine
used oiI
gasol irre
diesel
gasol ine
used oi1
d iesel
gasol ine
di ese 1
used oil
di esel
gasol ine
empty
gasol ine
a a\
UDOT Underground Storage Tank
attachment
page 5 of 5
revised LlL3l89
Tank Tank Internal ExternaL SubsLanceAge llaterial Protection Protection Stored
Page No.
07/13/89
NearestStation City
621
622
622
623
623
s24
624
628
628
631
631
632
632
633
633
635
635
636
636
637
637
637
637
641
641
Total of
EUREKA
NEPHI
i{EPHI
LEHI
LEHI
SANTAQUIN
SANTAQUIN
LEVAN
LEVAN
HEBER
HEBER
HEBER
HEBER
TABIONA
TABIONA
ROOSEVELT
ROOSEVELT
UANTLA
}TANILA
VERNAL
VERNAL
GREENDALE
GREENDALE
OREI-I
OREM
217 Tanks
steel
steel
steel
steel
s teel
s teel
steel
steel
steel
steel
s teel
s teel
steel
s teel
s teel
plas tic
s teelplastic
steel
steel
steel
s teel
steel
plas tic
plast ic
I inine
Iining
lining
I ining
I ining
I ining
1 ining
lining
1 ining
I ining
I ining
I ining
I ining
L ining
I ining
I ining
lining
none
1 ining
1 ining
I ining
I ining
1 ining
none
none
painted
painted
painted
cathodic
cathodicpainted
painted
painted
painted
painted
painted
painted
painted
painted
painted
coated
painted
coated
painted
painted
painted
painted
painted
coated
coated
diesel
gasol ine
diesel
gasol ine
dieselgasol ine
diesel
gasol ine
diesel
gasol ine
diesel
gasol ine
diesel
gasol ine
diesel
gasol ine
diesel
gasol ine
dieselgasoline
diesel
gasol ine
diesel
gasol ine
di esel
JCT
JCT
25
24
24
15
1
30
30
30
30
25
,R
2L
2t
i6
16
7
I
10
10
23
23
23
23
3
3
Ownership of Tanks
Piping is protected from corrosion?
Flex connectors at the dispensers are
protected from corrosion?
Impressed current system is checked for
proper operation at least every 60 days
and the results of the last three checks are
available?
Have you updated the database with the
current Cathodic Protection test?
The database has been verified and
updated?
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?)
Tanks have an overfill device or are exempt
from this requirement?
If an overfill alarm is being used is it
properly located so the delivery driver can
hear or see it, and is clearly identified?
The database has been verified and
updated?
Do all of the pressurized piping systems
have a valid annual line leak detector test?
If using monthly monitoring, have you
entered the results in the table below?
U.S. suction piping has a valid line
tightness test every 3 years?
I nspector:
Record Created by:
Time Record Created:
lnspection Date:
LD Substantial:
Oper Substantial:
Comments
SEANWARNER
swarner
412112011 2:10:58 PM
4121t2011
"{l'e
T LAKE CIry
Facility ID #: 2000209
Corrosion Protection
lB4 1 14
[e-mail] (43s) s29-7222
NG
Inspection Date
Detail:
412112017
Tanks
|Y*- lAil
*
lG- Fil -
lM Fil-
INA Fn -
Tanks
|Y;- 1n"r-r
rc-hil-
rc-hil*
ffiLc
*
lAil -
Tanksilc- F--
ffi' lAr
*
IAr
*
Tanks
Tanks are protected from corrosion?
Flex connectors at the tank subpumps are
protected from corrosion?
Containment sumps are sealed, free from
water, product, etc?
The results of the last two cathodic
protection tests are available (within six
months of installation and every three
years thereafter)?
i i^nollow Up on Corrosion Protection
Spill/Oveffi!! Detail:
Tanks have a Spill Prevention device or
are exempt from this requirement?
Are you able to visually inspect the spill
containment bucket(s) for functionality?
(i.e. are the buckets clean enough to see
cracks, etc?)
Is the spill containment bucket(s) intact?
If the spill containment bucket(s) is not
intact, does it have a potential to release
product to the environment?
i] fottow Up on Spill/Overfill
Piping LD Detail:
Do all of the pressurized piping systems
have a line leak detector?
Do all of the pressurized piping systems
have a valid annual line tightness test or
valid monthly monitoring?
Piping is U.S. suction?
The database has been verified and
updated?
[ ] follow Up on Piping Leak Detection
Financial Responsibility
The database has been verified and
updated?
Financial Responsibilty Method is ok?
rc.
IY"t
lG-lAil -
rc-ffi-
lG- lAil
*
trtAil-
lAil
*
rehil*Piping qualifies as Safe Suction. (Documentation is available and verifiable to show that piping operates at less than
atmospheric pressure, has only one check valve (under pump), and has proper slope of piping. If all these criteria
are met, no leak detection is required on the piping.)
il'"r-
Detail:
IY*-
fra-
Location of Tanks
Contact'ISTEVE
Phone l(801) 619'7232
lY"*;**- IAil -ilY*- F *
INA IAil
*
Tanks
lG;-fffi
Tanks
L-l Follow Up on Financial Responsibility
Page 1 oi 4
Facility ID #:2000209 Inspbction DLt 4l21t20t,l U
lTank LD-ATG/IM Detail :
rAfG/lM - Leak Detection Method Used?
I
IM - Type of Secondary Containment Used?
I
rIM - Type of Documentation Used?
l
IIM - System is capable of detecting a release of regulated substances from
jany portion of the primary tank/piping within one month of release?
I
IATG/IM - Records on site document that the system is properly installed,
icalibrated, operated, and maintained (system and tank setup reporb,
I
maintenance records)? Written documentation of calibration, maintenance,
land repair is kept for at least one year after work is completed?
IATG/IM - ATG console or other equipment used to take readings and perform
]tests is adequate, accessible, and operational?
I
iATG/IM - Documentation of valid testing or monitoring is available for the last
i12 months? Show results in table below.
I
IATG - The probe is located at the center of the tank? If not in the center,
ishow tilt factors from the setup report.
Tanks
f;r
*
ti,-
I
i
l.
i
lnfC - ffre tank was filled to at least the minimum level required to ensure a
lvalid leak test, and the tank size is within the allowed upper and lower size
llimits?
l
ithe database has been verified and updated?
L Ffq!- ypjl,."It{ detection
f,A-ffi;-
|fiffi'-
lffi/A-
{-/^ *
ilY.*;-
lY"'-
xffi-
W
f,Y"*;-
tr
I
Page 2 ot 4
,\
10/10,, 11110 I 1217A 01/rli
Facility ID #: 2OOO209
,^
Inspectr-on Da. ' 4l2ll20ll
it.,dirffiffiilillvro -06ti0l- 0tt10i.- 08nn: 0e7i0l.'-lr
02111i i 03i 11
PiNA:rp nrnlP:NA.Ij!|,r!_NA P NA ryB!!A,1.!!A,| !!AIP,ryA:: I l!l;!!-NA
Show results of monitoring for the ]ast 12 months. Pass(p), Fail(f), Inconclusive(i) or l{o results(nr).
(Tank Results in first box, line results in second)
*llii gstro, oel10 L0/10,..1V1.0j', !?tri ojit_l
ll"*t
12
Show results of monitoring for the last 12 months. Pass(p), Fail(f), Inconclusive(i) or No results(nr),
(Tank Resutts in first box, line results in second)
Page 3 of 4
Inspection Dr ,4l2tlzotl \JFacility ID #: 20OO2O9
l
lTank Status:
I
i Date lnstalled/Capacityi Loc:
iTank Material:
I
iTank Modifications:
iPipe Material:
lPipe Modifications:
lPipe Flex Connectors:
JPipe Type:
isubstance Stored:
I
j Spill/Overf ill Description
lTank C P MeVLast Test/Passed?
lLast Line CP TesUPassed?:
iTank Release Detection:
i Last TTT/Method/Passed?:
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDTffype/Passed?
Date LTT/Method/ Passed?
PSTFund: Yes Other:
Tank Status:
Pipe Modifications:
Pipe Flex Conneclors:
Type:
Stored
Description
ank C P MeVLast TesVPassed?
Line CP Test/Passed?:
ank Release Detection:
TTT/MethodiPassed?:
lR Vendor
TG Vendor/Model
Vol./Max. Cap.:
x. Monthly Thruput
Release Detection:
ALDTffype/Passed?
LTTiMethod/ Passed?
TFund: Yes Other:
i E-Gen: No
Currently ln Use Manifold: No
5/2411990 6,000 North
Fiberglass Reinlorced Plastic
Double-Walled
Fiberglass Reinforced Plastic
Double'Walled
Booted Steel Flex
Pressurize Perm BD by: 512312000
Gasoline Begular
5 gal. Spill Bucke Ball float valve
YES
ATG
51412010 TEI 5000 Yes
Veeder Boot TLS-300 CSLD N
'10% old 5% new 45K
227,559
1. LTT
3t 1t241 1
3i 1 i2011
No
2. ALD
Yes
TEI Model LT Yes
OtherTvoe:
2 E-Gen: No
Currently ln Use Manifold: No
512411990 8,000 South
Fiberglass Reinlorced Plastic
Double-Walled
Fiberglass Reinforced Plastic
Double-Walled
Booted Steel Flex
Pressurize Perm RD by: 512312000
Diesel 85 Biodiesel
5 gal. Spill Bucke Ball float valve
YES
ATG
51412010 TEI 5000 Yes
Veeder Root TLS-300 CSLD N
10% old 57. new 45K
227,559
1. LTT 2. ALD
3!1,2011 Yes
3!1i2A11 TEI Model LT Yes
No OtherType:
'l
I
Date lnstalled/Capacity/Loc:
lTank Material:
lTank Modifications:
I
lPipe Material:
I
I
_l
Page 4 ot 4