HomeMy WebLinkAboutDERR-2024-006576Page 1 of L Utah Department of Environmental Quality 6000799
APST Equ Verification
Ownership of Tanks Location of Tanks
St. Gcorga City Power Bloomington Power
175 E 200 N West Bloomington Drive South
SAINT GEoRGe IUT Ia4nO sT GEOBGE lUr ls4zSO
Contact Name:#lEmail:
SPCC Plan?: Yes No lLas fire Marshal lnsp:ATG lnfo:
Complete tor each tank I
Capacily ot tank (gallons):/0t lo lok
Orientation of tank:Wl h.ol,-
-Bottom of tank in contact with (soil,
gravel, concrote, not touching):
canarok_ \
i4 r'ttba*rN--7
Substanco storod:)J- a"
Dat6 last usod/depth of producl:
Type of spill prevention device:{r--{
Type of Piping (Pressure or Sucton):fuzt-fit ut{r ,^t,1(<
Does pressure piping have LLD:Yes No $/Yes No (!.4/Yes No (9 Yes No NA Yes No NA Yes No NA
Spill buc*et is clean, intact, elc.:fV"y No Yes No Yes No Yes No Yes No Yes No
Type of overfill Prevenlion device:,40,,7
Overfill alarm (audible or visible) is properly locatod so delivery driver can hear or s6e it, and is clearly identified:Yes No ftA/
Pipe trans fl6x protoction method
(Sump, CP, lsolated, Booted):J,:1,#
Containmsnt sumps dry:Yes No W Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
Sump comments:
Stage 1 Vapor Flecovery:2pt Coax(l.lgnC zpt Coax ({o9l 2pt Coax (onr6 2pt Coax None 2pl Coax None 2pl Coax None
Prossure Vent Valve is on v6nts:Yes Ho ft(V Yes No ){\/Yes No 6l{Yss No NA Yes No NA Yes No NA
Secondary containment area
comments:
Complete tor eoch dlspenser
FIex protection method (UDC,
Calhodic Protecion, lsolal,od, Booted):
UDC sump dry;Yes No NA Yss No NA Yes No NA Yes No NA Yes No NA Yes No NA
Fire valve anchored, located below
grade, and wilhoul ball valve:
Yes NO NA Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA
ffi.."tt;
Additlonal dlsp€nser questlont
Flex prot€clion mothod (uDc,
Calhodic Protoction, lsolaied, 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 Y6s No NA Yes No NA
Commonts:
Additional Comments:
lnfo Sheet lo lnspection with any edits,
Page 2 of _-l-Utah Department of Environmental Quality
APST Facility Site PIat
NORTH
6000799
Show locations of all buildings, streets, tanks, piping, and dispenser islands. lndicate the product in each tank. Show locations of tank
manways and identify each: submersible pump (S), tank fill (F), ATG probe (A), interstitial probe (l), vapor recovery U), capped plug (C), other
(speclty;.
Comments:
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f ,f | + r,e{tn ,ltr"t f// olouo ?r,*a"l
) 4 r p,rt 1 . oL z a,n r*,u 4--zT
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.t,a.r.JC b."nh;nd
Underground Storage Tank lnspection Venification Form
Owner Name: St. Goorge City Power
Owner Addrces: 175 E 200 N
SAINT GEORGE, UT 84770
Operator A: No Data / No Data /
_ _ _c!gE:r:lt: urao.numelp:-srygs_
Facility lD: 6000799
Faclllty Name: Blooming(on Power
Street Addreas: Wesl Bloomington Drivo South
ST GEOHGE, UT 84790
Opr,l at c r B: No t ata i No Data /
UTll Coordinat* x/Y: 26E115 I 41027e4
r",* rorlrt r* T n - - - - Ec-h$r5-t"i-r.i;fi.Ir
Slphon/Compart: No / No PWStagel:
Tank Status: Cunently ln Use
lnstalled/Cap/Loc: 1 /1/1 998 / 1 0000 /
Substance Stored: Diesel / Olf-road Diosel
Tank Materlal-Mod: Asphalt Coatod or Bare Steel - Non6
ATG: i
ATG Specs: / /
ATG Test:
LTT Test:LLD Test:
Plpe Mata'irl-lttlod: Bare St66l - Nono
Plpe TypetTD Crni: Pre:surized I No
STP Flex Connectors:
I L r.l ],ftlde;:
Splllloverliifsm deliv: > 15 gal. Spill Bucket / / No
PST FundlOthcr T;pe: Yes /
TanldPlpe Rel Oet: TT'l7lC / LTf / NONE
STP $rmp Test:
CP Tank lest:
Tank lIVAlt lD: 2 I 2 EGen/ASTlStat No / Yes / Plpe llaterlal-Modr Bar6 Stsel - None
Slphon/Compan: No/No PWStagel: PlpeType.49TPC.rnt: Prrssurized/No
Trnk Strtr.r!: Cunently ln Use STP Flex C:rr'r:N{org:
lnetalled/Cep/l-oc: 1/1/1998/10000 I t.ltl 6rodet:
Subdancetilored: Diesel /Olf-road Diesel Splll/loverlilltt r"trit,: > tSgal. Spill Bucket/ /No
Tank ilaterlal-llod: Asphalt Goated or Bar6 Sl,eel - None PSiT Fundl0t''': ,r 1\,fre: Yes I
ATG: / TanlnPipe Fel flet: ITTTIC i LTT / NONE
ATG Specr: / / STP g,rn,;',,'**: Splll BkTert: 0611312023
AfG Te*: Overllll Teet:
LTT Teot: LLD Test: CP Tank Tesr: CP Plpe Test:
Plpe Ml;,' ai-i,lor:;: Bar,r Sleel - None
PIpe TyFer:i'i p (l )ri:: Pressurized / No
STP Flex Cc,rrr.x;1:,rrr:
! ,_ D rdOrJt,r:
Splll/Overlllittin iprii': > 15gal. Spill Bucket/ /No
FST Fund/FrL^"r'?e: Yes /
TanldPil(, qelllri: frl1lc /'LTT / NONE
Splll Bk Ted: 06113t2O23
Overllll Test:
CP Plpe Tect:
Splll Bk Test: 0611312023
Overlill Tert:
CP Pipe Teet:
Tank lIVAlt lD: 3 /3 EGedASTlStat No lYes /
Slphon/Compart: No / No PWStagel:
Tank Status: Currenlly ln Use
lnetalled/Cay'Loc: 1/1/1998 / 1 0000 I
Subsiance Stored: Diesel / Off-road Diesel
Tank llaterlal-Mod: Asphall Coated or Bare Sleel - None
ATG: /
ATG Specs: / /
ATG Tert:
LTT TeBt:LLD Test:
STlr .ii,nri!.ii,f ,:
Ci) ' a:'.ri .15,.:
41812024 Page 1 ot 1
Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name St. George City Power
Address 175 E 200 N
SAINT GEORGE, UT 84770
Contact St. George City Power
Phone
Email brad.burner@sgcity.org
TANK LOCATION
Name Bloomington Power
Address West Bloomington Drive South
ST GEORGE, UT 84790
A Operator None
Phone None
B Operator SAME
Phone SAME
Facility ID: 6000799 Inspection Date: 04/24/2024
DISPENSER DETAILS
DISP
ID/ALT
ID
SUBSTANCE UDC PIPE FLEX LOC
INSTALL
DATE
UDC
INSTALL
DATE
FIRE
VALVE
SAT
PRESENT
UDC
TEST
DISP
FLEX
CP
TEST
TANK DETAILS
Tank ID/Alt ID 1 / 1
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 1998 / 10000 /
Substance
Stored Diesel / Off-road Diesel
Tank Material-
Mod
Asphalt Coated or Bare Steel-
None
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Bare Steel / None
Pipe type/STP Cont Pressurized / No
STP Flex Connectors
LLD Model
Spill/Overfill/Sm
Delivery > 15 gal. Spill Bucket / / No
PST Fund/Other Type Yes / None
Tank/Pipe Rel Det TankTightness
PipeLineTightness
CP Tank Test None
CP Pipe Test None
Tank ID/Alt ID 2 / 2
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 1998 / 10000 /
Substance
Stored Diesel / Off-road Diesel
Tank Material-
Mod
Asphalt Coated or Bare Steel-
None
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Bare Steel / None
Pipe type/STP Cont Pressurized / No
STP Flex Connectors
LLD Model
Spill/Overfill/Sm
Delivery > 15 gal. Spill Bucket / / No
PST Fund/Other Type Yes / None
Tank/Pipe Rel Det TankTightness
PipeLineTightness
CP Tank Test None
CP Pipe Test None
2024-04-24 Page 1 of 4
Tank ID/Alt ID 3 / 3
E-Gen/AST No / Yes
Siphon/Compart No / No
Tank Status Currently In Use
Installed/Cap/Loc Jan. 1, 1998 / 10000 /
Substance
Stored Diesel / Off-road Diesel
Tank Material-
Mod
Asphalt Coated or Bare Steel-
None
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Bare Steel / None
Pipe type/STP Cont Pressurized / No
STP Flex Connectors
LLD Model
Spill/Overfill/Sm
Delivery > 15 gal. Spill Bucket / / No
PST Fund/Other Type Yes / None
Tank/Pipe Rel Det TankTightness
PipeLineTightness
CP Tank Test None
CP Pipe Test None
INSPECTION COMMENTS
None
2024-04-24 Page 2 of 4
FACILITY RESPONSES
The above accurately represents the
facility's release detection records Yes
Financial Responsibility
Financial responsibility method is ok?Yes
TANK RESPONSES
Tank 1 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
Tank 2 Spill/Overfill
Tank has a spill prevention device?Yes
Are you able to visually inspect the spill
containment bucket(s) for functionality?
(i.e. are the buckets clean enough to
see cracks, etc?)
Yes
Is the spill containment bucket intact?Yes
Is the spill containment bucket(s) able
to contain a spill? (i.e. is there water,
product, debris, etc in the spill bucket
to prevent it from containing a spill?)
Yes
Tank 2 Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Tank 3 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
Tank 1 Spill/Overfill
Tank has a spill prevention device?Yes
Are you able to visually inspect the spill
containment bucket(s) for functionality?
(i.e. are the buckets clean enough to
see cracks, etc?)
Yes
Is the spill containment bucket intact?Yes
Is the spill containment bucket(s) able
to contain a spill? (i.e. is there water,
product, debris, etc in the spill bucket
to prevent it from containing a spill?)
Yes
Tank 1 Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
Tank 2 Pressure Piping Leak Detection
Does the pressurized piping system
have a valid annual line tightness test
or valid monthly monitoring?
Yes
Tank 3 Spill/Overfill
Tank has a spill prevention device?Yes
Are you able to visually inspect the spill
containment bucket(s) for functionality?
(i.e. are the buckets clean enough to
see cracks, etc?)
Yes
Is the spill containment bucket intact?Yes
Is the spill containment bucket(s) able
to contain a spill? (i.e. is there water,
product, debris, etc in the spill bucket
to prevent it from containing a spill?)
Yes
Tank 3 Spill/Overfill
Does the spill bucket have a valid 3-
year test, valid monthly monitoring for
DW buckets, or the tank is exempt?
Yes
DISPENSER RESPONSES
2024-04-24 Page 3 of 4
Prepared by fueloperator.com
MONTHLY LEAK DETECTION MONITORING
Apr '23 May '23 Jun '23 Jul '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Tank 1 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Tank 2 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Tank 3 Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
Line Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl Not Appl
NON-COMPLIANCE ITEMS
All items are in compliance.
Inspection Information
Inspector:Saathoff, Rick
Record Created:April 24, 2024, 9:40 a.m.
Inspection Date:April 24, 2024
2024-04-24 Page 4 of 4