DERR-2024-006438

Page 1 of|_Utah Department of Environmental Quality
APST Equipment Verification lnspection
90001 51
Ownership of Tanks Location of Tanks
THE BIG G ON 40 INC THE BIG G ON 40 INC
HC 63 BOX270070 45000 w HWY 40
FRUITLAND UT 84027 FRUITLAND UT
Contact Name:#/Email:
SPCC Plan?: Yes No Last Fire Marshal lnsp:ATG lnfo:
Gomplete for each tank.#(n tr-7 #q #
Capacity of tank (gallons):r<Ittlt AL
Orientation of tank:srNSA it*W\Sm,{tnlauotef
Bottom of tank in contact with (soil,
gravel, concrete, not touching)::nwx**->
Substance stored:J)ir:.<z-\Dirr-cP I P(n{Y\ttW1 AnlenArr
Date last used/depth of product:
Type of spill prevention device:CB-___-__
Type of Piping (Pressure or Suction):
Does pressure piping have LLD:Yes No Yes No Nt Yes No Yes No N'Yes No Yes No NA
Spill bucket is clean, intact, etc.)No No (a-.,No No No Yes No
Type of overfill Prevention device:
Overfill alarm (audible or visible) is properly located so delivery driver can hear or see it, and is clearly identified:Yes ruo A
Pipe trans flex proteclion method
(Sump, CP, lsolated, Booted):S{^rf'q .-2
Containment sumps dry:Yes No ND Yes No Yes No Yes No Yes No Yes No NA
Sump comments:
Stage 1 Vapor Recovery:2pl None 2pt \None 2pt )ttone 2pt None 2pt Coax None
Pressure Vent Valve is on vents:Yes No I !4)Yes No Yes (No NA No NA Yes No NA
Secondary containment area
comments:Nln
Gomplete for each dispenser #\L E3 4 #61 t n \##
Flex protection method (UDC,
Cathodic Protection, lsolated, Booted):\AB C
UDC sump dry:No NA No NA No NA No NA No NA Yes No NA
Fire valve anchored, located below
grade, and without ball valve
(9 ruo NA td ruo NA t9, No NA kl No NA t) *o NA Yes No NA
Comments:
Additional dispenser questions #tr ####
Flex protection method (UDC,
Cathodic Protection, lsolated, Booted)
UDC sump dry:Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Fire valve anchored, located below
grade, and no ball valve:
Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Comments:
Additional Comments:Financial Responsibility (State Use Only)
FR Method:_Method OK?Yes No by
Signatures
lnspected this facility on
Signature:TI
O/O Signature
Attach Tank lnfo Sheet to lnspection with any edits.
PisgemgrS 1*lO Diese-\ only
Page 2 "r 2 Utah Department of Environmental euality
APST Facility Site Plat
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Show locations of all buildings,
manways and identify each: su
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piping, and dispenser islands. lndicate the product in each tank. Show locations of tank
e pump (s), tank fill (F), ATG probe (A), interstitiat probe (t), vapor recovery g), capped ptug (c), other
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