DERR-2024-006196

Page I of1 Utah Department of Environmental Quality
UST Release Detection lnspection
0100650
Owncrship of Tanks Locatlon of Tanks
MAVERIК INC MAVER K#612
185 SouTH sTATE STREET STE 300 1674 WEST,100 SOUTH
SALT LAXE ctn lur 34111 PERRY luT 184302
OP A,MAMuN RASHlo (301)910‐7062 oP B:MAMUN RASHID lteorl sro.zooz
Ven●test8 0n tanl data sheet
are curont and On f11●濯 δ No NA Si.gle wall€d Sprtt buckels Yes No`o
くコ蜃, No NA overrll oevicel O No NA
Line tighhoss(suct on 3yr):Yes No @ ce9 No NA
Yes No NA
Cathodic Proleclonl Yes No ⑩compl.te tor each aantc ●マ (1ハ r 3■dI q (tc
“
lo (3)Capacity or tank (ga[ont 2ヽ_Sc.●■S●..
Rc4ヽ い G.s こ
“
0:“争●D ie:doare rasr useord6p r oiroa;if
Type ot spitt prevention OeUd ヽヽ■ss 0ヽ 0｀3●、, sR 0‐SB¨¨にWal“spl:器 酬露|は:6uou ⑩ No NA 69 No NA @No NA @NoNA Yes No NA
SpШ bucket s c ean n●ct etc l O No ⑬ N。O No o冬 ´ノ No ◎ NoType ot ov6rnll Prcventon d;;;:
^は__AL`… |んじ咄 |I AL.颯
c鵜 2腎 ξ蹴 闇:耀
`l路
_. .-_","." -"",-, " !,uec y ocar€o so detve.y dnleren hedr or see r ard,q cte, vdo^r,ed O No NA
5._ヽ 。Sヽ …P Iヽ ぃ,Sに ぃP ■_Pcontaind6ni sumE;t く
“
百O No NA の No NA (D No NA ■の No NA C“蘭I No NAbump∞mmen`
′oax None に雪
"Gax None
Staoe 1 V'.6r ea.^"-^"困 ら COax None 12pt coax m 21t cOax dOnoVesNoNAYeSNoNAYes No NA Yes No NA●omplete,or each dispOnser り ″3′、
CathOdfttl蹄 杷識%脳 蹄:｀よヽこ
I 1t6 澤イ。
uOこ
“
0こ L.ocll I qD(k●(O No NA C No NA 69 No NA 69 No NA @, No NA @NoNiDw pipi.g have tumpeE in dac6:こ=P NO NA GJ lo u Go ro u (F Nii NA ③ No NArne vatve anciroreo roetea oeo*-g.Bde, and wiihout bal vatv€
Q NO 雨AヽV'ぐ堅委ジ No NA ④ No NA
|ゆ l NA
G, No NA
“
五υ No ｀ス
ommen(sl
P●`'Ser que3●onS ヽカ ″5/′`レ0こ ー
|`,ノ と
cah“ξ占浩蹴 響111lT:脳 蹄:伝Oc
:々/・2 14/21ん4
И Oこ ttOC kOこ
@9 No NA
O No NA d響 ヽ No NA O No NA ⑬ No NA てa゛ NO NADW pipins have rumDersii d,-C@ No NA
F′0C,S No NA o No NA O No NA ⑬ No NA @NoNA● ‐‐'‐ ,`メ えt●●●elow
orade and nO bal valver o No NA び No N¨@ No NA ぐattD No NA W No NA
op"."to' r."rnii!................................-
聖ndd Rospon“ЫLy●い雇use On"
《ヱ百> No
curent′0督 ●' N。
―
―――――――――‐‐―‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐_‐‐‐‐_‐‐________‐‐___‐■■__
on幼an emeroeney shut。
“
deVice?
こジNoこぅ
Y6s No (a)
Monthry checktist avartabl€ a ⑩ No
ヽ_上
と
Page 2 ol _L
1 2 9ph monthly test
l SIR
【
“
nters,a mon,・Olng
〔]CW m。■tOlng
Type oflM2-α Manual
l】VapOr mOnlolng
Tank and Piping Release Detection 0100650
Automatic Tank Gauging/lnterstitial Monitori
Tanks in.r.lled aft.r Octob.r'!,2008 must do tnteBttti.l Monnoring.
〔 〕ATC Shutdttn test I I ATG Conlinuous lest メl htersll●Monloing
il.6utrclur.r End Lod.l o, lystem:
`上「
R4 74S 15●
Circl6 Y6s or No lor 6ach question, ln lho last column explain and identifybytank anyexc6piionsto the answoB giv6n in the ti6t 6tumn
Tl?€ ol s€condary containmonl used:Typ€ ol lM d@m6nlation u*d: {D M.nual
Syslem is capabl€ ol delect ng a release oI r€gulat6d subsra.es lrom any
porlion of the prmary tanupiping wilhin on6 month ol re ease
ATG @n$b or olh€r equipmoni used ro rake Bad ngs and pe.lom tssts is
adoquate, accsssibt€, and opsrationa :
The llhk Es fill.d io at t66st th6 minimum t.vel rcqlirod to snsure a vatid teak
tesl, and tho lank sizs is within th6 albt|ed upp€r and tow€r siz€ timits:
Thit p鮨,Mh L●●●1●nt●●k““
訥●メi∝ATG Shn-1“tShow ...ulb ol monliorlng for ..ch t..nt lor th. l!.t 12 month6. l.dlcat. P..., F.ll, lnvalld, or No Ro.utii lor eactr month. For eTC Strutlorn trrt ,lhow th. high..t product t6v.t r..t.d lor.ach monrh.
Piping Leak
lndlqate lhe mothod usodi
css! zed pipng must have an Automati.and on€ other lom ol eak dolecton
Suclion piping musl b€ l€sted ev€ry 3 years or have monthty monitoring. tf sfe socl on, t6ak detection is d€t6tred
[,l] Lln. L6ar Dotoctor Tostlng Piping lnstaled arter October l.2003 must do lnterst tial Monltorlng
I I Lln.Ilghtn.r. To.llng
11なs
Ver 10′5′2018