HomeMy WebLinkAboutDERR-2024-006585Pagel ot L Utah Department of Environmental Quality 6001031
APST Verification
1305 E Washingilon Dam Bd 1305 E Washington Dam Rd
Capacity of tank (gallons):
Bottom of lank in conlact with (soil,
grav6l, concrata, not touching):
sn C,2.ao/
Date last used/depth of product:
Typ6 of spill prevention device:
Type of Piping (Pressure or Suclion):
Does pressure piping have LLD:
Spill buckot is clean, intact, elc.:
Type of ovorfill Prevention device:
Overfill alarm (audible or visible) is properly located so delivery drivor can hear or soe it, and is clearly identified:
Pipe trans flex prolection mothod
(Sump, CP, lsolated, Booted):
Surnp commonts:
Pressure Venl Valve is on vents:
Fl6x protoc{ion method (UDC,
Cathodic Protection, lsolated, Booled):
Fire valve anchored, located below
grade, and wilhoui ball vafu6:
Flex protoction mothod (UDC,
Cathodic Proteclion, lsolated, Booted):
Fire valve anchored, located below
Attach Tank lnfo Sheel lo lnspection with any edits.
Page2ol L Utah Department of Environmental Quality 6001031
APST Facility Site Plat
Show locations of all buildings, streets, tanks, piping, and dispenser islands. lndicate the product in each tank Show locations of tank
manw€ys and identify each: submersible pump (S), tank lill (O, ATG probe (A), interstitial probe (l), vapor recovery M, capped plug (C), other
(specity).
Comments:
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Underground Storage Tank lnspecr ,r'r:,'ification Form
Owner l,lame: Washington City
Owner Addreeo: 1305 E Washingtrcn Dam Rd
WASHINGTON, UT 84780
Operator A: No Data / No Data /
Faci:i.
Stree; '.
(.k
Facility lD: 6001031
A/a;tri.rgion Cily Public l-'Vorks
3C5 ii Washinglon Dam Rd
^JASI'INGTON,
UT 84780
'o -',(E , l.l J Da:a I
_ _ _9g"gEt":!l: tcomas@waslll$Eqlop _ _l,Ililsoo.t i tr :. )7_li: l,JlfolqDltp-l[VAlt Substance UI)C Plpe Flex Loe lnatall Date UDC lnst:ir lirrj Sat r-S i,rst Dlsp Flex CplD ,alrre fresent -
Te6t
1 - 18 GadDiesel No Booted Sl€el Flex t:t. \o
_:3!_ _G3ti":d _ y_ - igttsilFj'_ _ ':
" . *",L _rankrrvArilD:111 -sc"rurfrFtrt-r.ri'/y;- --nl-p"]r ; dryi-*lir'r!:--Slphon/Compart: No/No pW6tagel: plpeTl --+rq+1*rii:t'ro
Tank Status: currentty In us€ srp ner i ('Krt-, rr**
lnetalledGay'L*= 2[20DOOB 112000 I { .
Subttance Slored: Gasoline / Midgrade SpllilOve;ir i.: ,il.r..reJ ourd 3alchr,,:-:i / ./ No
Tadr llaterlal-llod: Asphalt Goatod or Bare Steel - Double-Walled FST FunC f ', . :': 'r r : /
ATG:/ Tark,, :r. i.:li..lilH/ilolJ-:
ATG Speo: / / ST': r: : Srlt BkTeet: OAngtzOZg
ATG Tert: i,verlill rest:
LTTTert: LLDTe.t: CF . ;!f. Cp pipeTest:
-r",*Eniir6'' zE- - - --et"Jlsrat tiJy*7 - -rrfirr. " ;,.<;i
Slphon/Compart: No/No Pwrstagel: PlpeTl - VWt {
Tank Stafus: Currontly ln Uso STP Flet i , fe{r Sl:el l:rex
lndalledCapA*: 2DOr2OOO l12O0O I I
Subetance Slored: Diesal / Oft-road Diesel Splllr0vefi' r; '\/€i orl.id Calchn .:ri r r No
Tank Materlal-Mod: Asphalt Coated or Bare Sleel - Double-Walled PST Fun
ATG: / Tank ,- ir I i{r!F / Nr. ., :
ATG Specs: / / S'l . ),ii i ilTest: 0610812023
ATG Test: ,.tver{irl Teat:
LTTTest: LLOTest: .. ( ri' TeBt:
41812024 Pag€ 1 or1
Utah Department of Environmental Quality - UST Release Detection
TANK OWNERSHIP
Name Washington City
Address 1305 E Washington Dam Rd
WASHINGTON, UT 84780
Contact Washington City
Phone
Email tcomas@washingtoncity.org
TANK LOCATION
Name Washington City Public Works
Address 1305 E Washington Dam Rd
WASHINGTON, UT 84780
A Operator None
Phone None
B Operator SAME
Phone SAME
Facility ID: 6001031 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
1 - 1/2 Gas/Diesel No Booted Steel Flex None None Yes No None None
2 - 3/4 Gas/Diesel No Booted Steel Flex None None Yes No None None
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 Feb. 20, 2008 / 12000 /
Substance
Stored Gasoline / Midgrade
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Double-Walled
ATG /
LTT Test None
LLD Test None
Pipe Material-
Mod Bare Steel / Double-Walled
Pipe type/STP
Cont Pressurized / No
STP Flex
Connectors Booted Steel Flex
LLD Model
Spill/Overfill/Sm
Delivery Aboveground Catchment / / No
PST Fund/Other
Type Yes / None
Tank/Pipe Rel
Det
TankTightness / 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 Feb. 20, 2008 / 12000 /
Substance
Stored Diesel / Off-road Diesel
Tank Material-
Mod
Asphalt Coated or Bare Steel-
Double-Walled
ATG /
LTT Test None
LLD Test None
Pipe Material-Mod Bare Steel / Double-Walled
Pipe type/STP Cont Pressurized / No
STP Flex Connectors Booted Steel Flex
LLD Model
Spill/Overfill/Sm
Delivery
Aboveground Catchment / /
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 1 of 3
FACILITY RESPONSES
Financial Responsibility
Financial responsibility method is ok?Yes
The above accurately represents the
facility's release detection records 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 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
DISPENSER RESPONSES
Dispenser 3/4
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
Dispenser 1/2
Fire valve is anchored properly?Yes
Does the line tightness test port on the
fire valve have the manufacturers plug
installed in it? (no ball valves)
Yes
Is the fire valve located properly below
grade?Yes
Is the fire valve's fuseable link intact?Yes
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
NON-COMPLIANCE ITEMS
All items are in compliance.
2024-04-24 Page 2 of 3
Prepared by fueloperator.com
Inspection Information
Inspector:Saathoff, Rick
Record Created:April 24, 2024, 2:21 p.m.
Inspection Date:April 24, 2024
2024-04-24 Page 3 of 3