DERR-2024-006480

JON M. HT]NTSMAN, JR.
Govemor
GARYHERBERT
Lieulenant Goyernor
dDqffiil,e_'r
Gr,"\UState of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Execatiye Director
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
-To 1
ror*
$e a"r
February 20,2007
^l
c.F A
I
ERRU-O27-07
CERTIf,'IED MAIL
RETURN RECEIPT REOUESTEI)
Re:
Steve Canning
State Fuel Network
447 West 13800 South
Draper, Utah 84020
Notice of Non-compliance for underground Storage Tank violations
Magna Water Company, located at 8933 West 3500 South, Magna, Utah
Facility Identification No. 400 I 650
Dear Mr. Canning:
The Utah Underground Storage Tank Act regulates Underground Storage Tanks (USTs)
and imposes certain obligations on the owner or operator of a facility having USTs. The Act
specifically requires the owner or operator of a facility with USTs to miet the following
requirements:
. Register the USTs and file an UST Notification form. Pay annual registration feeso Demonstrate and maintain financial assurance meeting federal and state
requirements
o obtain and maintain a certificate of compliance for each tanko Meet specific technical and performance standards, including maintaining release
detection on the tank and piping, maintaining corrosion protection, and rnaintaining
spill and overfill protection
o Maintain adequate tank recordso Properly permanently close any UST not meeting these requirements
At the request of the Executive Secretary (UST), the Division of Environmental Response
and Remediation (DERR) performed a compliance review for the facility owned o. op".u[d by
State Fleet Network (you). This facility is located at 8933 West 3500 South, Magna, Utufr. Th;
designated Facility Identification No. is 4001650. This facility contains two UST(s).
168 North 1950 West'Po Box 144840. Salt Lake City, UT 841 14-4840. phone [phone]. fax (B0l) 359-8853
T.D.D. (80 I ) 5364414 . www. deq.utah. gov
dc.rc,'ru
Facility ID # 4001650
Page2
The compliance review indicates you have not satisfied the requirements. To achieve
compliance, you must do all of the following within sixty (60) days of the date of this letter:
Submit evidence that proper Automatic Tank Gauging (ATG) is performed on
USTs #l ard2by:
X Documenting that the ATG system performs a valid leak test at least once a
month. Since no valid test results are available for the past twelve month's,
this has demonstrated that the ATG system is not adequate. Submit
evidence that the system has been upgraded and is capable of producing
passing tests.
Documenting that the ATG system is properly installed and functioning
Submit a system setup report to demonstrate compliance.
Submit evidence that the cathodic protection system has been tested with in the
past three years.
The Act gives the Executive Secretary (UST) of the Utah Solid and Hazardous Waste
Control Board (Board) the power to enforce rules made by the Board by issuing Notices of
Agency Action and/or Orders. The Act, Utah Code Axn. $$ 19-6-407 and 19-6-40-8, also gives
the Executive Secretary (UST) the power to assess a civil penalty of $1,000.00 if an o*rl. o.
operator of an UST fails to register the tank, assess $1,000.00 for failure to pay fees within 60
days of due date, and assess interest on the unpaid balance. Other violations of the Act may result
in civil penalties of up to $10,000.00 per day. Failure to comply with the Utah UST Act and
regulations may result in revocation of your Certificate of Compliance under Utah Code Ann. $19-6-414.
This letter will advise you that your failure to comply with the requirements of the statutes
and rules may result in the issuance of a Notice of Agency Action and/or Order and the
assessment of a civil penalty.
Please contact sean Warner at (s01) 536-4163 should you have any questions
Sincerely,
Brad T Johnson, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
{
BTJ/SDWmkj
{
A-@ "*"r"4, o?P,, 35 r/a.?/
The Pump and Tank Equipment Gompany
195 WEST 3900 SOUTH . p.O. BOX 57307 . SALT |_AKE CtTy, UrAH 84157{307
TELEPHONE (801)26e2s45 .FAX (80r) 26140il.TOt1FBEE 1 (S00) 433-88s1
Invoice #:
Inv Date:
Cust P.O.#:
Pay Before:
Order #:
page *:
0172986
02/26/ 07
6529
03 /Ls / o7
0135488
1
Sold To: 0088943
STATE F'IIEI, NETWORK
AIIN: STEVE CAIINfNG
447 WEST 13800 SOUTH
DRAPER, UT 84020
801- 519 -7258
Ship To: MAGTVA WATER
MA6IA,-UTAH
ORTGINAIJ
WESTECHEGIUIPMENT @
stNcE 1971
*t;'-4€?",k
84 8590 - 521
33 0161 - 001
845390 -107
846400-000
846400-001
*331398-001
)L
1.00
1.00
2.00
1.00
L. 00
1.00
1 .00
1.00
1..00
1.00
2.00
1.00
1.00
1.00
1.00
1".00
iEI*S-3OOC 0 -2 Tank,,ril printer. .,
fn-Tank StaEic IJeak Det TLS-3OO
PROBE, 8 FT. MAG 1 PLUS AL
PROBE FIOAT KIT, GAS 4i
PROBE FIOAT KIT, 4tr DIESEL
STTEFAX MODEM KIT
TRADE IN ON USED EQUIPM
FREIGHT . TNBOI'}TD
Invoices To Credit.: O
1,446.25
L70.62
930.31
138.13
138 . L3
580.00
500.00
135.00 EA
1,446 .2s
L70.52
t,860.52
138.1,3
138.13
580.00
-500.00
135.00
ruEt
P0, #
SITE #{//
RTC'D BY DNE
APPR'D BY DAIE
Subtotal. . .
Tax.. .
Preight. . .
Please Pay lhls ADouD,t---->
3 ,968 .75
I
.00
3, 958.7s
/,AIolAcounts mt paid
efiec1 I if sel on
mnlh (24% PER YEAR) on past due a@nts. The tems and onditions *t oul m
by the manufacturer.
lNoice have the sme force and
within 24 hours ol the ()@r-Envircnmt l and inrcnto.y compliane is the hryq's responsibitity. Buytr m6t report ily
ance. Non @mpliam voHs all yananlies.
PLEASE PAY FROM THIS INVOICE.%.*,,E%o.o
ol8.
or $specled and local aufDdties aod to
t
Send BiIl To: State of Utah, Division of Fleet and Surplus Servi
Attention: Accounts Payable
!!afe Office Building, Room 4120, SaltLake City, Utah.E4l14801-538-3014 FAX: [phone]
PuncuASE ^ IDER
)
RX #: )C0OC(
(Accountlng Use)contract 056212 Bid NoAttached
Address:Qtv:State:Zip Code:
UST Section : Fuel Network 2
Mike Mead (801) 266-2s4s
FINET Vendor #:
Name: Westech Fuel Equipment Co,
clv:State:Zip Code:Low
org
Expense
Code
App.
Unit Part Number Qty DescrlpUon Unit Price Total
1,4c5.25
170.62
1, 850.52
138 .13
138.13
5S0.00
-800.00,
90. 00
On
9-
I
Date & Time/Eu^r\1,/t?^
EO Budset &Manaqer:Yes No
Capital Purchase Approval (Fixed Asset):
Yes No
l-AN Approval:
copyright @ 2000 by rhe starc of utah. All Rights Rcscrvcd. \po with formutas.doc l0Bl00
)
III.€:3OQO:0 ra Tarrtc -wl D:lrrtcr
rn-Tank gE,ac,1c Lcak DeE IT,S_3OO
PRoBE, r,{Ac-r., (L) AB\+ii"tt-
PRoBE ELoAr Kff, GAs 4"0
PROBE ETOAT .K1r, ,P51, 4N
SITEFAI( MoDEIT{ KIT
TRLDE IN ohl usED EQ[.rrpM
FREIGHf - IIIBoII}ID
T,t'aA€-l l, : QJQK^NI4- E,ta.8L\5\t€)
-TLS SOOC-
Tqaa
o
nsta a o
\ DER.ROOT MONITORING SYSTEMS
WARRANTY REGISTRATION AND CHECKOUT FORTtl (WRACO)
The wafiadv is not valid unless lhis reoist'ation form is comoleted and retumed to VeederRoot within '14 davs of instaltation.
You must attach Svslems Seluo lnformation Printout TaDe.
PLEASE COIIPLETE the INTRINSIC SAFEW CHECKLIST on back
I O.nor.s neOUneO Oltl, Fm wi[ be etumed if Alt .equlred data is mt c@pl6l6d,
FOLD
CONSOLE INFORMATION a
Form No 6tt8q9o -q2--Serial No ilazt cclllqo{aal
CUSTOMER INFORMATION a
Bu6inoss Celegory al instalbdon loerior;
r Oil C.mpany E 2 Gslore E
sTel6phon6 E 6 Truc{ng E
Unde.gound Slocs€ Tank E
zc.Itemment fi . Utlity EI
TRontalcar E aAirport E
[e-mail]1a.t E
I hav. ben lrain.d h the p{ofs oP€l.lis of his €qutrent YES _ NO _
Name LPRINTED):
Signature:Date:
Title:
INSTALLATION LOCATION a
Oil Brand #:
Company Name
eaarees tl,t A-rt al 1lW
Store Manager
Store Phone #
INSTALLED BY -tlz,(,| [r t4
Name
Address
City st ziP
Tech Name
Tedr Cerlification #
SUBMITTING DIS
I heroby cedify, all required data on this WRACO form has b6en
accuratoly completed in its entirety.
Distdbutor Nam6 . -</ q -(c
Name u Title
Address
City st zip
Date
NO 3L72t7
PROBE IDENTIFICATION lrr eeerrceor.el
PROBE NO,FORI\, NO. (i.6. 847390-107)PROBE SERIAL NO
1 \Kqk 716 ^ro1 l/rt)b?
2 ,,BVb3qt ta-7 Its{ -ltrcn
3
5
6
LINE LEAK IDENTIFICATION
E Chsck here if site has been upgraded with Lino Leak
FORM NO,
(i.e.8,4e.{80-001)
LINE LEAK
SERIA]. NUMBER
CHECK VALVE
SERIAL NUMAER
PIPE TYPE (SIEEL,
FIBERGLASS, ETC)
SECOT{DARY CONTAINIT|ENT VACUUI', SENSING (F appucaBrE) Print
sensor sedal numbeB fiom console "Oiag' SnEd Sensor Monu or record
serial numbers from sensor housings.
E Check here if site has been upgraded with vacuum sensing
1 21 31
2 12 u 32
3 13 23 33
14 24 u
5 15 25 35
6 l6 26
1 17
I 18
9 29 39
10 20 4o
IN-STATION DIAGNOSTI CS (lSD) 1rr mnr,rceauyECheck here if siio has been upgraded with ISO
Vapor Flou lletsI Sensor and Prcssure Sensor sedal numbers ONLY
I 12
2 8 13
3 9
15
5
6 Pressure Sensor SN:
FOLD
J r
STARTUP CONTRACTOR 0
I horcby cedify that this sysGm has been instatH in ac.ordance witr Ure
procedures sp6.il5€d in the published Ve€deFRool Site prep and tnstaladon
manual. I havo also l6ad all of ho warnings and I certiry lhat there are no
inuinsic salety violations due lo impropef installation of this syslem.
Contractor Name
Address
City st zip
Tech Name
Tech Certification #
(fall3t bo l.v.l 2Lrl csrtm.d io peftrtll.bnup6 .rd ISD cenm.d ft. tSD 3trrtup3)
TION OWNER TION
City st zip
Phone #irt o 9 QEL'tzq?
6th Ave. @ Burns Crossing
P.O. Box 1673
Alioona PA 16603
F COMPON
herc if sito has been upgraded to add TLS-RF
1
E Check
2 10
3
1
2
7 15 1
3 2
f_\ veeoeR-Roor Phone: (800) 87$3313
Fax (800) 234-s350
4
I
f --- -------
l,'
136
t,1.,
lr.138
1,.
l30
o
l,o
l,u
Iransmitter, Recelver, Repeater and TLS.RF serial nurnbers ONLy
t,
l1
t,,
112
Owne/s Namo <ffi< t lltAL
Address
SYSTET,I UNITS
U.B.
SYSTEIi1 ISNGI..HGEEhELISH .
fiIfi',#m[:,n,lniffi
IHGM UHTEF
: DISAELED: DISAELED: DISABLED: DISAELED
EYSTEI"I SETUP
APR 2, 2007 2.2t Pt1
TST NEEDED T"'FN
TST NEEDED I,.'RN
TST NEEDED I,JRN
TST NEEDED t^,RH
SHIFT TIME ISHIFT TI}1E 2SHIFT TIHE 3gH.:tFr TIME 4
Sfuffir suN
.?io0
Al.l
END DATE
gffi ,,h** 6 suN
2:O0 AH
EffiHd: volJ.hlEs
TE}IP CCf{PEfiEATION
Ygl.lF (DEG F ): 60.0
BI#H.SI"Hr orrssi-'-
ut-t$ce: soz
ffirffiil9*! DArA FoRMAT
EfrXEi8ilT sAVrr,rG rrME
STAFT DATE
Loqru pnrfirour
.. 'tilr
P-8FFrx
TANH
rtsRgtED'SECURITY
1
^
CO}MUNICATIONS SETUP
RS-ZAE SECURITY
coDE : xxxxxx-nrnl- rypr : TONE
ANst^tsnoN : t RING
NOUEM SETUP STRII{G :
DIAL TONE INTERVAL:
com-l eoAnp' i 2 (RS-232)
EAUO nnff : 1200
PARITY : ODDsropetr :lsToP
EAtn LeN?rH: ? DATA
RS-232 SECURITY
coDJ : xxxxxx
FORT SETTINGS:
cor.H BoARD i!-
EAUD RATE :
FAEITV. :
STOP BIT :
DATA LE]'[3TH:
t- (FXt'loD)
2400
ODD
I , sToP
?.DATA
32
AUTO TRANSMIT SETTI NGS :
AUTO LEAH ALARI'I LIMIT
DISABLED'
nuio HtcH uIATER LIMIT
DISAELED
Auio ovsnrILL LIMIT
DISABLED
AUTO LOl.l PRODUCT
DISABLED
ALITO THEFT LIMIT
DISABLED
Atro o*lvERY srARr
DISAELED
Aurro perlvExY END
DISABLEDIuro-rxrsnml. I NPUT oll
DISABLED
IuTci-uiirsnNAt. INPUr oFF
DISAELED
nuio-srHsoR FUEL ALARN
DISABLED
Iuro-sEtlson I,JATER ALARl"l
DISAELED
Auro ssreon our ALARM
DISBLED
RECEIVER SETUP:
NONE
AUTO DIAL TII"IE SETUP:
NONE
ES_23? EI..ID OF HEFJEAGE
DIEAELED
AUTO DIAL ALARI"I BETUP
.
i
l
CU-STOI,I ALARI,{S
DISAELED
,..
IN-TANK SETUP
T I:DIESEL'
PRODTJCT CODE
THER},IAL COEFF
TANK DIAI.IETER
TANK PROFILE
IJLL VOL
rcH VOL
l,lCH VOL
NCH VOL
zl
:.000450: 95.00: 4PTS: 6016: 4840: 300'8z ll75
72
48
24
FOIOIOI
FLOAT SIZE:
t^IlTER UHRNI l'lc :
HIGH I^hTER LIHIT:
}lAX OR T.ABEL VOL
OVERFILL LIHIT
HIGH PRODI,JCT
DELIVERY LIMIT
LOtl PRODUCT :
LEAK ALAR!4 LIMIT:
SIJDDEN LOES LII'IIT:TANK.TILT :
PROBE OFFSET :
4.0 IN
2.5
3.0
601 6
9U4
54t 4
95t
571 5
t5%
902
I 500
99
200
1.00
0.00
SIPI-ION HANIFOLDED TANKS
TdJ NONE
LINE MANIFOLDED TANKS
Td: T{ONE
LEqK HIN PERIODIC:3W4
180.1
LEAK MIN ANNTJAL :vt
0
PERIODIC TEST TYPE
STANDARD
ANNUAL TEST,FAIL
ALARI,I DISAELED
PERIODIC TEST FAII.-- --At-nnn
EIIAELED
GROSS TEST FAIL
AIjRM DISABLED
ANN TEST AVERAGITG: oEE
ijHH iEsr AvERAGIIG: oFF
TANK TEST NOTIFY: OFF
TNK TST SIPFION EREAK:OFF
irEH,Yff'EIFE"
Iiilf E#ritEi
:2
: .000700: 96.00: 4PTS: 6016: 4840: g00B2 tt76
2.5
3.0
,,.' fHLh y8f
48.0 INCH VOLZ4.O I NCH VOL
FLOAT SIZE:
I^IATER I^JARNI NG :HIGH t^tATER finrri
ffif*Ff.i^fifi,Io'
HIGH PRODTJCT
DELIVERY LIMIT
4.0 IN.
501 5
90%
5414
95%
571 5
t5%
902
LOl., PRODTJCT :
if,_f.illp_'tT,ili,
PPOEE OFFSET :
I 500
99
200
2.00
0.00
?liT,Ir!*, r FOLDED rANKs
lllurn gflg, roLDED rANKs
LEAK HIN PERIODIC::1
LEAX MIN ANNUAL :
PERIODIC TEST TYEFANDARD
ANNIJAL TEST FAIL
ALARI"' DISAELED
PERIODIC TEST FAIL
ALARI.I ENABLED
GROSS TEST FAIL
ALARI.I DISABLED
fgH Iffit ayEfiffiiffi; 8FF
TANX TEST NOTIFY: OFF
TIIK TST SIPHPN BREAK:OFF
14I N
30%
804
o%
0
5ltl oo%
DELIVERYDELAY : sNII{
Fffip iHnrsttoln : l o. ooz
BE}J'F[T,BEhf;
OUTPUT RELAY SETUP
LEI]X TEST I.IETHOD
TEST I,JEEKLY : ALL TAI,I}i
: l2: l5 AM:0.20 GALzHR: 3 HOURS
TST EARLY STOP:DISABLED
LEAK TEST EEPORT FORI,IAT
EIIIHANCED
LI6UID SEI.{SOR SETUP
NONE
EXTERNAL INPUT SETUP
NONE
START TII'IE
TEST PATE
DURATION
:
l
l
i
I
l
I
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l
J
I
I
I
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'
.l"i-
i
I
.,A
rr Applied -'
tr^ EnvironmentalD Serv'ices, L.C.
?.O. Box 182
Roy, Utah 84067
(801) s40-92s8
i
Date Tested 5-31-2005Work Order l5E
Site Address:
MAGNA WATER.
8950 WEST 35OO SOUTH
MAGNA, UTAH
RESULTS OF CATIIODIC PROTECTION TESTS USING A
COPPER SULPHATE HALF-CELL
CONTAINMENTRA'L PASS ENVIRON CONTAINMENT
CONTAINMENTDSLPASSEI.wIRON CONTAINMENT
TK1
TK2
TK3
TK4
TK5
TK6
NACE Cathodic Protection
Tester # 557
Comments: STI-P3 TANKS WITH DW ENVIRON PIPING
DTESEL TPl -1.208 TPz-1.263 TP5 -1.009
R/IJL TP3 -r.247 T?4 -1.266 TP5 -1.102
ALL READINGS TAKEN IN WET GRAVEL
Tester
35OO SOUTH
.'\
WAT R TANKS
NORTH
)
)
3
5 STI-P3 TANKS
o
a
c
R T
M
SHOP
MAGNA WATER
8950 WEST
35OO SOUTH
MAGNA, UTo
o
DSL
R/UL2
1
4
t
r Complste items 1, 2 ,an d 3. Also complete
item 4 if Bestricted Delivery ls desiredr Print your name ana aOaieG on-ttre iverse
so that we can Eturn the card to you.! Attach this card to the back of th€ mailpi€ce,
or on the front il spaco permits.
C. Dat€ of Delivery
D. ls delivery address d €{rnt ftom ftsn 1?
It YES, enter delivery address b€]ow: E No
3. S€rvlco lype
Cl C€rtifi€d MEil tr Exgml all
E Rogister€d O R6tum R€c€lpt for M€rdrendlso
E lnsur€d Mail tr C.O.D.
4. Restrcted Delivery? €yr-a Fee,
?EEq 1IEE IUE5 D']3h 11,6?
1. Article Addressed to:
2. Anicb Number
fiahsbr non *Ntr€ l'ff,,t)
STEVE CANNING
STATE FUEL NETWORK
447 WEST .13800 SOUTH
DRAPER UT 84020
trl Ag€nr
E Addr€ss€€
o
SENDEB: COMP rs sEcrro^t COMPLETE THIS )N DELIVERY
PS Form 3811, February 2oM {co tbso sDw
E Yes
1540
B.
Domestic Return Receipt
uureoffi?,-I**.r;*ll
Et€
E
,t
'Sender: Please print your name, address, and ZIP+4 In th i@*.
Ss
,DEQ/DERR
tltra' {v{
P.0. Box 141840 I
seu uxgcfl, wElttq-{tl
AY N?J
fd
**ij ll,,l,,l,,l,,,ll,,,ll,l,,irl,ll,,l,,l,,lllr,,,l,,lll,",'l'll
JON M. HUNTSMAN, JR.
Governor
GARY HERBERT
Lieutenant Governor
F ILE COPI
State of Utah
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
ExeqttNe Direclor
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Direclor
ERRU-027-07
February 20,2007
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
Re
Steve Canning
State Fuel Network
447 West 13800 South
Draper, Utah 84020
Notice of Non-Compliance for Underground Storage Tank Violations
Magna Water Company, located at8933 West 3500 South, Magna, Utatr
Facility Identification No. 400 I 650
Dear Mr. Canning:
The Utah Underground Storage Tank Act regulates Underground Storage Tanks (USTs)
and imposes certain obligations on the owner or operator of a facility having USTs. The Act
specifically requires the owner or operator of a facility with USTs to meet the following
requirements:
Register the USTs and file an UST Notification form
Pay annual registration fees
Demonstrate and maintain financial assurance meeting federal and state
requirements
Obtain and maintain a Certificate of Compliance for each tank
Meet specific technical and perforrnance standards, including maintaining release
detection on the tank and piping, maintaining corrosion protection, and maintaining
spill and overfill protection
Maintain adequate tank records
Properly permanently close any UST not meeting these requirements
At the request of the Executive Seuetary (UST), the Division of Environmental Response
and Remediation (DERR) performed a compliance review for the facility owned or operated by
State Fleet Network (you). This facility is located at 8933 West 3500 South, Magna, Utah. The
designated Facility Identification No. is 4001650. This facility contains two UST(s).
168 North 1950 West. PO Box 144840. Salt [.ake City, UT 841 l4-4840. phone [phone]. fax [phone]
T.D.D. (801 ) 536441 4 . www.deq.utah. gov
a
o
a
o
a
a
o
v
Facility ID # 4001650
Page 2
The compliance review indicates you have not satisfied the requirements. To achieve
compliance, you must do all of the following within sixty (60) days of the date of this letter:
I Submit evidence that proper Automatic Tank Gauging (ATG) is performed on
USTs #l and2by:
a Documenting that the ATG system performs a valid leak test at least once a
month. Since no valid test results are available for the past twelve month's,
this has demonstrated that the ATG system is not adequate. Submit
evidence that the system has been upgraded and is capable of producing
passing tests.
b.Documenting that the ATG system is properly installed and functioning.
Submit a system setup report to demonstrate compliance.
2.Submit evidence that the cathodic protection system has been tested with in the
past three ye,us.
The Act gives the Executive Secretary (UST) of the Utah Solid and Hazardous Waste
Control Board (Board) the power to enforce rules made by the Board by issuing Notices of
Agency Action and/or Orders. The Act, Utah Code Ann.$$ 19-6-407 and l9-6-408, also gives
the Executive Secretary (UST) the power to assess a civil penalty of $1,000.00 if an owner or
operator of an UST fails to register the tank, assess $1,000.00 for failure to pay fees within 60
days of due date, and assess interest on the unpaid balance. Other violations of the Act may result
in civil penalties of up to $10,000.00 per day. Failure to comply with the Utah UST Act and
regulations may result in revocation of your Certificate of Compliance under Utah Code Ann. $
t9-6-414.
This letter will advise you that your failure to comply with the requirements of the statutes
and rules may result in the issuance of a Notice of Agency Action and/or Order and the
assessment of a civil penalty.
Please contact Sean Warner at [phone] should you have any questions
Sincerely
Brad T Johnson, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
BTJ/SDWmkj
lndicate below the corrosion
for the most recent cathodic
Utah UST Program
Release Detection on Checklist
protection methods in place for all UST system components. ldentifo each dispenser by pump number(s). Show readings
test.
North
)ao S
o
N
Comments
| 5e.^4 l.r tnzlf inspectedthisfacitityon 2-)- OZ
sisnature: fu /4t /7,v/O,ryutZl1
Name of owner/operator r-epresentative: 6o I Se gfe
s,sn^tur", Ft{^ Ql , , ,{t'
Facility lD 4atlbS,z
of
Ownership of Tanks of Tanks E DERR use onty
Owner Name |Lale Fue I tltc] u'ar k LocationName /l\aano Wbf (E-
Address naaress 69? z w. 3500 I
city S I -L State l,t -T zip &/ I 4 State UT zip E4 O41*civ 'l aan ?
Phonecontact S4elte (A rtn,\rta neContact lrO
each has four
Aank )GnI.2)Number of tanks at the facility: 2 Tank 3 Tank 4
12-7-*t -Tank lnstallation Date
-->'Capacity of Tank (in gallons)L"K
lndicate if tank is siphoned or compartmented. Show related tanks.
Substance Stored D,\e<.zl Ga5
Tank is in use.6] No 6€il No Yes No Yes No
lf not in use. oive date last used and deoth of oroduct in tank
Current year tank taqs are in place.dD No NoGA Yes No Yes No
Material of construction of tanks 5L)o 5
Material of construction of piping \
Pipino tvpe ztrzlgcrfz
Type of Spill Prevention device ' Rr.. be-l-
Spill containment bucket is intact, clean, and free of product, water, debris No No Yes No Yes No
Type of Overfill Prevention device 6Jn., L d.4
Overfill alarm (audible or visible) is properly located so delivery driver can hear or see it, and is clearly identified Yes No ((A)
Containment sumps are sealq4 free from water, product, etc.G}No N/A
The results of the last two cathodic protection tests are available (within six months of installation and every three years thereafter).ves 6-l N/A
Cathodic Protection Testing. Date of last test:Tester UT
lmpressed Current System is checked for proper operation at least every
60 days and the results ofthe last three checks are available.Yes *o @ Dates of last three checks:
Corr. Protect.
Method
Sacrificial
Anode
lmpressed Current
lnstant Off Depolarized
Tanks
1 54
2 s4
3
4
Lines
1 /V /lA
2 /1/ tYl
3
4
Tank
Flex
1
2 A/L
J
4
Disp
Flex
I NC
Distribution: White- DERR, Yellow- lnspfftor, Pink- Facility/Owner Ldcheck1205.doc
rnspeGU
)r additional tar ls on a seoarate orm.
lzL
ade
o
?
l
Facility lD Lloclli50
Pase 2 ot 2
Utah \,oT Program
Automatic Tank Ga n lnterstitial Monitori
Tank method used: t vl XC Shutdown Testing I I ATG Continuous Testing I I lnterstitial Monitorinq
Manufacturer, name and model of system:(
Circle Yes or No for each question. ln the last column, explain and identify by tank any exceptions to the answers given in the first column
IM Tvpe of Secondary Containment used Type of lM Documentation used:
ATG IM
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
kept for at least one year after work is completed.
Yes No
ATG IM
ATG console or other equipment used to take readings and perform tests is
adequate, accessible, and operational.Yes No
Yes NoATG IM
Documentation of valid testing or monitoring is available for the last 12
months. Show results in table below.
ATG Yes NoThe probe is located at the
center of the tank.
lf not in center, show tilt
factors from the setup report.
Tilt: #1 #2 #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.Yes NoATG Third Party Minimum Level
IM System is capable of detecting a release of regulated substances from any
portion of the primary tank/piping within one month of release Yes No
Show 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
hiqhest product level tested for each month.
1ts7 2taC 3t nL at oL 5l of,o 6l .oL Ttob Blo 1,9lc ttMol/r 101,,,6 't1to/-12to6
#1
#2
#
#
T DETECTION
Piping method(s) used. Pressurized piping must have an Automatic Line Leak one other lorm of leak detection.
Q/nutomatic Line Leak Detector. Type (Mechanical, Electronic, Other):
Manufacturer and model of each leak detector:
Date of last leak detector pedormance test 5 -!l - OL Results:
lndicatetypeoftest: SimulatedLeak,3gph,.2gph,.lgph(3,.2,.1-electronicLLDonly)
rester name: lLae l\n rlirt Cert. Number UT Old-l TestMethod Te T 9ool ,tt,nq l'
Tank 1 Tank 2 Tank 3 Tank 4
@e o @)E o MEO MEO
voQol le <->
la ss P o91
sL6).2 .1 sr- f).2 .r sL3.2.1 s1 3.2.1
*;:::::::
testing Date of last line tightness test:
Tester name:
l?as< lPqisl I I
Results
Cert. Number UT Test lVethod
tr Monthly monitoring. lndicate the
method used:
Show results of monthl
tr .2 GPH Monthly Testing
f] SIR
! lnterstitial Monitoring. Type of lM Documentation:
E GW Monitoring D Vapor Monitoring
or No Results for each monthmonitorilorfor the last 12 months.
lMoAr'r 1l 2t 3l 4l 5l 6t 7t BI o/10t 11t 12t
#
#
#
#
Distribution: White- DERR, Yellow-lnspstor Facility/Owner Ldatgim1205.doc
a-Lrn *tn i1- 'fff
I
I
PIPING LEAK DETECTION
! 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.
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owner Name STATE FUEL NETWORK Location 116ms MAGNA WATER CO./MAINTENANCE SHED
Address ATTN STEVE SALTZGIVER Address 8933 W 3500 S
6;ry SALT LAKE CITY StateUT 7ie 84114 city MAGNA State uT zip 84044
Contact sreve phone [phone]CANNING
at
Contact eo HANSEN
Tank lnstallation Date 12171'1987 12n11987
Capacity of Tank (in gallons)6000 6UUO
lndicate if tank is siphoned or compartmented. Show related tanks.
Substance Stored
uteset uasoilne
Frqt
Tank is in use.Currently in Use Currently in Use Yes No Yes No
lf not in use, qive date last used and depth of oroduct in tank.
Current year tank tags are in place.d"J No No Yes No Yes No
Material of construction of tanks Galvanic Cathodic Pro Galvanic Cathodic Pro
Material ot construction of piping El6wihl6 Ol..ri^El6wihl6 Ol.6ri^
Piping tvpe Pracer rrizad Dracc r rrizarl
Type of Spill Prevention device
Spill containment bucket is intact, clean, and free of product, water, debris ('f") No {4 No Yes No Yes No
Type ol Overfill Prevention device -Aqo ,l .90
Overf if alarm (audible or visible) is properly located so delivery driver can hear or see it, and is clearly identif ied.Yes No N/A
Containment sumps are sedqd, free from water, product, etc.G) r'ro N/A
The results of the last two cathodic protection tests are available (within six months of installation and every three vears thereafter).Yes No N/A
EqlhSdic Protection Testing. Date of last t""t W T UT
lmpressed Current System is checked lor proper operation at least every
6Q days and the results of the last three checks are available.Yes No N/A
lmpressed CurrentCorr. Protect.
Method
Sacrificial
Anode lnstant Off Depolarized
1 E*-l,Lcry
2 94 -1,.2-d 6
a
Tanks
4
1 /1/ilt
2 /t iA
J
Lines
4
1 TE
2 TC
3
Tank
Flex
4 .TL
Tc-
Disp.
Flex
lndicate below the corrosion protection methods in place for all UST system components. ldentify each dispenser by pump number(s). Show readings
for the most recent
Comments 7 -?
F-?l-o{ CP Tec 7
l'L
I I 9-^0this
Name of
Ldcheckl 205.doc
FacilitVID 4001.650Utah UST Program
Release Dete .on lnspeition Checklist Paqe of
Ownership of Tanks Use
Phone
Complete Ior each tanl(. ll the lacilitv has more than four tanks. comole is on a seDarate orm.
Z Z
fr|,.t*f4-ok
Dates of last three checks:
TANKLEAKDETECTION ATG
Tank method used: f IATG Shutdown Testinq t I ATG Continuous Testino I I lnterstitial Monitorino
Petrosonic lll
IM of
ATG IM
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
kept tor at least one Vear after work is completed.
NoG,r6t
ATG IM
ATG console or other equipment used to take readings and perform tests is
adequate, accessible, and operational.9 No
ATG IM
Documentation of valid testing or monitoring is available for the last 12
months. Show results in table below.No
ATG Yes NoThe probe is located at the
center of the tank.
lf not in center, show tilt
factors from the setup report.
Tilt: #1 #2 #3 #4
Yes NoATG
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.Third Party Minimum Level:
System is capable of detecting a release ol regulated substances lrom any
1l
IM
a 4l 5l 6l 7lMol/r 3/8t
Yes No
10t 't1l 1A9l
I 1/'T 9<q r'lt14 TCS T tn aa{ |#I t"s "l ltl,t ,Jl .o n#L ,lTtt T tt/{*9,e ?AA , eal
#
#
PIPING LEAK DETECTION ALD LTTtr Piping qualifies as Sate 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.
method(s) used. Pressurized piping must have an Automatic Line Leak Detector
Manufacturer and model of each leak detector:
Date of last leak detector performance t"rt $'7 l4fi"rult",
lndicate type ol test: Simulated Leak, 3 gph, .2 gph, .1 gph (3, .r, ,*"*"* LLD only)
Tester name: Cert. Number UT
Type (Mechanical, Electronic, Other)
s1 3.2.1
o(Automatic Line Leak Detector MEO MEO
.2 .1 sL3.2.1
t
Piping
Tank 3 Tank 4
Test Method:
3.2.1
other lorm of leak
Tank 1 Tank 2
EEO
f, t-ine tightness testing. Date of last line tightness test:
tr Same as above Tester name:Test Method T€Z
I
ZCert. Number UT
urs:l Y I 7 I
tr Monthly monitoring. lndicate the tr .2 GPH Monthly Testing tr lnterstitial Monitoring. Type of lM Documentation:
method used: tr slR tr GW Monitoring tr Vapor Monitoring
Show results of monthly monitorinq for pipins for the last 12 months. lndicate Pass, Fail, lnvalid, or No Results for each month.
Mol/r 1l 2l 3t 4t 5l b/8l 9l 101 11t 12t
#
#
#
#
COMMENTS
Dislribution: white- DERR, Yellow-lnspector, Pink- Facilitv/Omer Ldarqim'l205.doc
g
\lq
Utah"UST Program
Automatic Tank Ga- ,inq lnterstitial Monitori.
Facititv tD 4001650
PaEe of
Manufacturer, name and model ol system: PetroVend
Circle Yes or No {or each ouestion. ln the last column- exolain and icientifv bv tank anv exceDtions to the answers oiven in the first cohrmn
Tvoe of lltrl Documentation used:
Show 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
hiohest Droduct level tested lor each month.
Pot
App1ED..ryNyIRo.i{MENTL-snnvrcEs. LLU
/ I 6 fl
po Box {82 Roy, urAH 84067 teorl ino-s2bs--^-, -.
TEI 5OOO NON VOLUMETRIC.TEI4OOO VOLUMiTRiC.iEi U'LAGE. TEI LT3
These systems meet arr requir.ments set forth by usEpA 40 cFR and has r"..irao tt ira p""rtv certification.
PRECISION TANK & LINE TEST RESULTS SUMMARY
INVOICE ADDRESS:
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH U141.1,152
TANK LOCATION:
MAGNA WATER
8950 WEST 35OO SOUTH
MAGNA, UTAH
WORKORDER# 05158
DEOTD# 4001650
TECHNICIAN: Sirl
H #
STATFTECH# UT0121
GROUNDWATER DEPTH:
10'+
DATE:
5-31-2005
TITIE END:
12:00
TANK TANK PRODUCT TANK VENT PRODUCT LINE LEAK WATER IN PUMP
TYPE
TANK
MATERIAL
CAP ITY LINE TANK
1.
2.
3.
4.
5.
6.
6000
6000
R/UL
DSL
PASS
PASS
PASS
PASS
PASS
PASS
PASS
PASS
1t4'
1t4"
PRESS
PRESS
STI.P3
STI.P3
1.
2.
3.
PRODUCTLINESTESTEDAT 50 PSI FOR 15 MIN
LINE RATES TGPHI
R/UL -.000
DSL -.000
TEI SOOO NON VOLUMETRIC TANK TEST
ADDITIONAL INFORMATION:
LINE LEAK DETECTOR TYPE & SIMULATED LEAK RATE
Illl e MECHANTCAL E = ELECTRONTC #- (GpH) RATE
M
M
4.
5.
6.
4.
5.
6.
1.
2.
3.
TEST METHODS USED FOR THIS LOCATION
TEI .IOOO VOLUTiiETRIC TANK TEST TEI TANK ULLAGE TEST TEI LT3 LINE TEST
3
a
X x
industry.
AI lests perfomed to manufactureraccording andprotocol thewithin common ofpractioes lhe H owevet due to the ofvariableshtnessthtigesecanresultslestingbenotareTherewdttenexp19ssedorimplied.
CERTIFIED TECHN lc slG NATU RE:DATE: 5-31-2005
TIME START:
09:00
guarante6d.no wananti6s
,A
P.O. Box 182
Roy, Utah 84067
(801) s40-92ss
Work Order 05158 Date Tested 5-31-2005
RESULTS OF CATHODIC PROTECTION TESTS USING A
COPPER SULPHATE HALF-CELL
Site Address:
MAGNA WATER
8950 WEST 35OO SOUTH
MAGNA, UTAH
TKl
TK2
TK3
TK4
TK5
TK6
Comments: STI-P3 TANKS WITH DW ENVIRON pIpING
DTESEL Tpl -1.208 Tpz_1.263 Tps-1.009
R/UL Tp3 -t.247 T"4 _t.266 Tp5 _1.102
ALL READINGS TAKEN IN WET GRAVEL
NACE Cathodic Protection
Testerj_____,!fl
A F Applie--
E^ EnvironmentalD Services, L.C.
WUL PASS ENVIRON CONTAINMENT CONTAINMENT
DSL PASS ENIVIRON CONTAINMENT CONTAINMENT
Tester
3500 so TH
WAT R TANKS
/
)
NORTH
)
3
R/UL
STI-P3 TANKS
2
4
O
a
T
M
SHOP
MAGNA WATER
8950 WEST
3s00 sourH
MAGNA, UTo
o
c
R
DSL
400 r6r0
APPLIE- EIYVIRONMENTAL SL^IVICES, L.C.
PO BOX 182 ROy, UTAH 84067 [phone]
TEI 50 OO NON VOLUMET Rtc. TEl4000 vo LUMETRIC.TEIULLAGE. TEILT3
These systems meet all requirements set forth by USEPA 40 CFR and has received third party certification.
PRECISION TANK & LINE TEST RESULTS SUMMARY
INVOICE ADDRESS:
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CITY, UTAH U14'I-1152
toN;
MAGNAWATER
8950 WEST 35OO SOUTH
MAGNA, UTAH
WORKORDER# 05158
DEO tD# 4001650
TECHN SM
TECH #94027
STATETECH# UTO,I2,I
GROUNDWATER DEPTH:
10'+
TANK
DATE:
$31-2005
TIME
09:00
TANK TANK PRODUCT TANK VENT PRODUCT LINE LEAK WATER INLINE DETECTOR TANK
TIME END:
12:00
ACtry
PUMP
TYPE
TANK
MATERIAL
t.
2.
3.
4.
5.
6.
6000
6000
R/UL
DSL
PASS
PASS
PRESS
PRESS
PASS 114'
PASS 1t4"
RECEIVED
JUN - 6 2005
DEO
[0Il0lllllel]lal Res0ons? [ Remedlall0n
4.
5.
6.
1.
2.
3.
PRODUCT LTNES TESTED AT 50 psl FOR 1s UlI
LINE RATES (GPHI
R/UL -.000
DSL -.000
TEI6000 NON VOLUIIETRIC TANK TEST
ADDITIONAL INFORMATION:
LINE LEAK DETECTOR TYPE & SIMULATED LEAK RATE
M = MECHANICAL E= ELECTRONIa tr= (GPH) RATE
TEST METHODS USED FOR THIS LOCATION
TEI TANK ULLAGE TEST lEI LT3 LINE TEST
1.
2.
3.
4.
5.
6.
M
M
5
3
x
Yariables
testing
AI weretests toperformed manufacturer and nwithiaccording comm on theofprolocol,However ued theto ofpracticesindustry
rCSUthese canIts benot ranteed There noare ntiesWAITAlightness written orguaexpressed
CERTIFIED TECHNICIAN SIG NATURE:5-31-2005
PASS
PASS
PASS
PASS
sTr-P3
sTt-P3
TEI4OOO VOLUMETRIC TANK TEST tr tr
E E
x
the
implied.
pptied
Environmental
Services, L.C.
P.O. Box 182
Roy, Utah 84067
(801) s40-92s8
A EAr-lf D
Work Order 05158 Date Tested 5-31-2005
RESULTS OF CATHODIC PROTECTION TESTS USING A
COPPER SULPHATE HALF-CELL
Site Address:
MAGNA WATER
8950 WEST 3500 SOUTH
MAGNA, UTAH
RA]L PASS ENVIRON CONTAINMENT CONTAINMENT
DSL PASS E}.IVIRON CONTAINMENT CONTAINMENT
TK1
TK2
TK3
TK4
TK5
TK6
NACE Cathodic Protection
Tester # 557
Comments: STI-P3 TANKS WITH DW EI.{\/IRON PIPING
DIESEL TPl -1.208 Tp2 -1.263 Tp5 -1.009
R/UL TP3 -1.247 T?4 -1.266 TPs -1.102
ALL READINGS TAKEN IN WET GRAVEL
Tester
35OO SOUTH
WA R TANKS
NORTH )
)
5
3
R/UL
STI.P3 TANKS
4o
a
T
M
SHOP
MAGNA WATER
8950 WEST
35OO SOUTH
MAGNA, UTo
o
c
R
DSL
2
1
STATE FUEL NETWORK
PO BOX 141152
SALT LAKE CIW, UT 84141-1152
[phone]
Facility Name and Site Address:
MAGNAWATER
Date s.31-2005
8950 WEST 35OO SOUTH Facility lD#
MAGNA, UTAH
Purpose: Regular- Reinspec-tion- Complaints- Annual lnspection X
ACTION TAKEN
1-2
Storage tanks properly labeled
Fill caps and underground storage covers-good
Fuel filters on pumps
Oc{ane posted on pumps
Security seals intact
Dispenser Continuity Test
MOTOR FUEL PRODUCTS USED FOR INSPECTION
Regular-gallons UnleadedRegular..lo-gallons Unleaded Plus- gallons
Unleaded Premium_ gallons Diesel 6 gallons
Product was retumed to fuel storage tanks.
rull
EJ2
!q)
IE
oo
3
rUaoF
!,
0)
oab-
E
0)
a-,o'd'
E
XXPumps tested for calibration
XxWater tests/Fuel storage
X
x
x
x
X
x
IrIII
lnspection Remarks:
Steven B. Martin UT0121
Applied Environmental Services L.C.
Received by:lnspected by
GAS STATION INSPECTION REPORT
4001650
n
State of Utah
Division of Environmental Response and Remediation
Underground Storage Tanks
Documentation of Cone spondenc e
Bnnch MQR: _
Archlve: _
lnitials/Date
PM:
*ctlon MGR:
Facilily lD 4001650 Proiect Manager Gary Harris
Facility Name MAGNA WATER COJMAINTENANCE SHED Date Issued Date Due
Enforcement Action Compliance Phone Call
Comments Steve Cannins contact Cf Tel r
5t23t2005 711t232
/u</
T7'o(C
6-
512312005 2:zl1:59 PM
\
Location trlams MAGNA WATER CO./MAINTENANCE SHEDOwner Name STATE FUEL NETWORK
Address 8933W 3500 SAddress ATTN STEVE SALTZGIVER
Citv MAGNA State UT Zip 84044Zip 84114City SALT LAKE CITY State UT
Phone
1 2
Contact ED HANSEN619-7232CANNING
atN
Contact srEVE
12/711987 14711987Tank lnstallation Date
6000 6000Capacity of Tank (in gallons)
lndicate if tank is siphoned or compartmented. Show related tanks.
GasolineSubstance Stored Diesel
Tank is in use.Cunently in Use
No
Currently in Use
No
lf not in date last used and in tank.
Current vear tank taos are in place.
of
Yes No Yes No
Gaffiic cathodic ProMaterial of construction of tanks GaVnic Cathodic Pro
Flexible Plastic Flexible PlasticMaterial of construction of piping
Pressurized qtPipinq type Pressurized
//)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 required.
Spill containment bucket is clean. drv. and lree of product, water, debris.Yes No Yes No Yes No
Type of Overfill Prevention device. Note on form if tank is filled by
transfers of less than 25 qallons. lf so, no overfill prevention is required.Asa A90
lf an overfill alarm is the primary overfill device: Alarm is located where it
Corrosion Protection method used on tanks
and alarm is clea marked,can be seen and Yes No Yes No Yes No Yes No
Corrosion Protection method used on pipinq // AA
Corrosion Protection method used on flex connectors. swinq ioints. etc.
-Tc
At tanks:TcAt dispensers:
Enclosed containment sumps are present at tanks and dispensers At tanks:NoGJ At No
*l (-o zI
Yes No
Yes NoThe results of the last two cathodic protection tests are available (within six
months of installation and every three vears thereafter).
areContainment free
Tank Tester UT Date volts volts volts volts
Piping Tester UT Date volts volts volts volts
volts volts volts voltsFlex Connectors/ Swing Joints
Tester
At tank
At dispenserUT Date volts volts volts volts
For lmpressed Current Systems: The results of the last three equipment
operation checks are available (required every 60 davs).Yes No
I on,F-2this facili
sisnature: J -rrl /* 4.
Name of owner/operator representative:
Signature
El Emergency generator tanks only;
tr USTs temporarily closed and empty; leak detection not required.
tr USTs temporarily closed, locked and secured.
COMMENTS C 'Tesr D"(
Distribuiion: White-Pink-Facility/Owner Ldch*k0804.doc
iD,'4001Utah-IIST Program
Release Detectr . lnspection Checklist
OwndfehiD of Tanks
)ffn,Somplete for each tank lf the facilitv ha$,mor.e thafl four tanks, csmp
,{"J {"J
I
Yes No
9A
Gathodic:Protection TeBtilro. Sll6wirtherfasults of th6'mastfgirsilt,:t$$t
andT
lilehodrcedfstanls:ATG LTTN4etfpd used f or pipirt:ALD
Itlaruf acturer, nane and nodel nunber of system PetroVend System3d party cert. available Yes NoPetrosonic lll
Cirde Y
Ail Fbcords on site bcunent thd the systemis proper! instdled, calibrated, and
naintained (systern and tanksetup reports, rmintenance records).
r"p No
ATG IM Dvice docwrBntation b available on-site (owner's nanral, etc.)&# No
Ail Quipnent rced toacquire dda, tate redings, performtest is adequde, accessible
and f tnctioral. lrcl. ATG corsole, dipstick, etc.No@
AI Dcunentalion of valid testing or nonitoring is availdle f tr the hst 12 nnnhs. Slnw
bsting or nmitorhg resuhs in grid below.NoJT/\
ATG the probe is locded atthe center d the tank. lf not, tle tift correction factorlor erch
bnk is show n on the tark setw report.
NoU
lhe tank w as f illed to at leastthe nhirrumlevel reqr.ired by the ranufacturer's
equipnent potocol to ensure a vald leaktest and the tanksize is w itlin the allowed
rpper and loar er size lirits.@*
IM Secordary barrier is pmperly placed ard corstructed, designed f or gw
consideratiors, has an acceptable perneation rale, is conpatide w ih the substance
stored is nm-conodiUe, and is nd in the 25-yr f loodplain (per site assessnnnt).
Yes No
C MTG
SIR
hventlry readings f or prodrct inprts ard w ithrawals are properly obtairBd ard
recorded. Fbadirgs are properly reconciled.Yes No
IC SIB Fbcords include he prqer runber oI water readirgs, ard w der readings are used to
adjust invertory balances as necessary.Yes No
C MI-G
SIR
An apropriate tank calbratim chart is rced and is arailSle f q revie\ /Yes No
C SIR Dspersers have current calbratim stickers or proper calibratbn dmunentation Yes No
IC SlR Dop ttbes are present and e,\tend to w lhin orB f od of the tank bottom Yes No
Show results of monitoring for each tank for tte last 12 months. lndicate pass, fail, no results, or inconclusive.
tt/loffr 6l04 7lo4 8l04 9to4 101o4 111O4 'tu04 'tl05 u05 3/05 4l05 5/05
#t ,l I .n
#')a-f il I
Uq es
#
#
Tank 1 Tank 2 Tank 3 Tank 4
Date ol last tigltness test f q tanks:9-4-aLl Test results r P
Nane and certlicatim nunber d tester:A-l
,-- a-rDate ol last test for P P
Nane and certlicatim nunber d tester:
.[7 a Test ]rtbthod
Autcrnatic Line Leak Detector tvpe and npdd /A /A
Date of last leakdetector perf ornancetest: g * q ^ A S-Test results P F
Safe Suction pping: Docunentdion is avail$le and verif iabb to show tlat piping operates at less than atnospheric
pressure, has only me cleck valve (under punp), and has proper slope of piping.
Yes M
Conrrenb
Fae of
Facility lD+ooroso
ATG
Tank and Line Tightness TEstirg, Line Led< Detector Testing:
Test ]rtbthod
owner Name UTAH STATE FLEET OPS/FUEL DtSPENS|NG Location Name MAGNA WATER CO./MAINTENANCE SHED
Address ATTN STEVE SALTZGIVER Address8933 W 3500 S
c SALT LAKE CIry StateUT 84114 MAGNA State UT Zi 84044
Contact STEVE CANNING phone [phone] Contact eo HANSEN Phone
Tank Number:1 2
Tank lnstallation Date fint1987 12n11987
of Tank
lndicate if tank is si
Diesel Gasoline
tn in Use in Use
and of in tank.
Current tank are tn 0
Material of construction of tanks
Material of construction of Flexible Plastic Flexible Plstic
P Pressurized Pressurized
Type of Spill Prevention on
of less than 25 tf no IS red UC,
containment bucket is clean and free of rod water debris Yes Yes No Yes No Yes No
Type of Overfill Prevention d on
ons. lf no overfill IS ired
lf an overfill alarm is the primary overfill
can be seen and heard and alarm Yes No Yes No Yes No Yes
Corrosion Protection method used on tanks
method used on
Corrosion Protection method conn ints etc.At
Enclosed containment sum at tanks and At tanks:L Yes No AI TL ES No
ent su are seal free from water etc.Yes No
lndlcate dates of cathodic
res the last two cathodic protection tests are available Yes Nomonths of installation and three
Tank Tester ('tt Date 6l ^az volts volts volts volts
Tester Date volts volts volts volts
Flex Connectors/ Swing Joints At tank volts volts volts volts
Tester Date At volts volts volts volts
For lmpressed Current results ol the last three equipment Yes Nochecks are available 60
rgency generator tanks only; leak detection defened
tr USTs temporarily closed and empty; leak detection not required
tr USTs temporarily closed, locked and secured.
COMMENTS
Site Drawin (North ,lt )
tl
facil 3^0 ron
S
rator name e
gl^
Distribution: White- DEBB, Yellow- lnspector, Pink- Facility/Owner Ldchsk07o3.d6
hb
5h
0 q0 0 /
tD 4001650Utah LlsT Program
Release Detectio.."l on Checklist
more ona
or
l/lethod used f or pipirg: ALDlr/etrod rsed f or tanks: ATG LTT
lvlaruf acturer, nane and npdel nunber of system petroVend System3d party cert. avdlable Yes l.,loPetrosonic lll
Cirdr s or ilb1 ,lumn, r dn and
Ail Fbcords on site docunent thd the systemis proper[ installed, calibrated, and
naintained (systern and tank setup reports, mdntenatce recorcb).Nlo
ATG IM Dvice docurrBnhtion b available on-site (owner's nanLnl, etc.)ve/ Nlo
Ail Quipnent tsed to acqUre dda, tale readings, perf orm test is adequde, accessible
and f urctional. lrcl. ATG console, dipstick, etc.Nlo
Ail bcunentalion of valid testing or nonitoring is avail$le f or the hst 12 npntrs. Slpw
testing or nmitorhg results in grid below.M
ATG The pobe is locded at the center d the hnk. lf not, the tilt correction factor f or each
tank is shown on the tank setrp report.
l.lo[9
ATG The tank w as lilled to at leastthe nhinumlevd reqr.ired by the nanulacturer's
equipnent protocol to ensure a vald leaktest and thetanksize is w itlin the allowed
lpper and loar er size linls.@*
IM Secondary barrier is proper[ placed ard corstruc{ed, designed f or gw
consi&ratims, has an acceptable perneation rate, is conpatiUe w itr the substance
stored is nm-conodiUe, and is nd in the 25-yr f loodplain (per site assessnent).
Yes Nlo
C MTG
SIH
hvenbry readings f or prodtrct inplts ard w itErawals are properly obtaired ard
recorded. Fbadirgs are properly reconciled.Yes t{o
PSlR Fbcods indude he proper runber of water readirgs, ard w der readings are used to
adjust invertory balances as necessary.Yes t{o
C MTG
SIR
An appropriate tank calbration chart is rced and is arail$le f or reviqar Yes t{o
CSR Dspersers have current calbratim stickers or proper cdibratbn daunBntation.Yes M
IC SlR Dop tl.bes are presentand extendto w lhin ore f od of tlB tankbottom Yes M
Shory results of monitoring for each tank for the last 12 months. lndicate pass, fiail, no results, or inconclusive
1t4o//r s/03 6/03 7103 8/03 9/03 1 0/03 1 1/03 1AO3 1lo4 a04 3104 4t04
f I Ar I 1
f,/tl I I 'q.t= -
#
#
7-LDate of last ess test for tanks Test results^03
Tank 2TI
Tank 3 Tank 4
Mne and certlicatim nunber d tester:5 f""L nar<7'4 U'T O I Zf restrvbthod
Date of last tightlqss test f or piphg 3'2\-03 Test results r {-'
Mne and certlication nunber d tester:Test ltlbthod
Auto[atic Line Leak Detector type and npdd 14 14
Date of last leak detector perf ornance test:3*zq-03 Test resuhs [)r_)
Safe Suction pping: Docunentdion is availdle and verif iabb to slrow tt'at piping operates at less than atnospheric
pressure, has only me check valve (under punp), and has proper slope of piping.
Yes M
7 -14*azConrrents
Pae of
;t column.
@
9,\
Yes
tt
Release ln cDetection
Utah UST Program
Ownership of Tanks
I
of Tanks
Owner Name U/"h llul D,a(Location Name a
Address Address 5
srate lf ,to fl4tl Acity {_L L a
contact 13, L J--.(<7 z t*zzl tPhone Phone
Gomplete for each tank. lf the facility has more than 4 ianks, "or[t"t" the information for additional tanks on a separate form.
Numberof tanks atlacilily /Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date t7--7-<7 ir--7-fl
Capacity of tank (in gallons)L /(-ZK
lndicate if tank is siphoned or compartmented. Show related tanks.\
Substance stored /);rtu I lt rt/L
Tank is in use (Yes / No). lf not in use, give date last used Y Y
lf not in use, depth of product in tank (in inches)
Answer the following for all tanks. Note any exceptions in the last cr
Cunent year tank tags are in place Y
Malerial of construction of tanks f/zc /
Material of construction ol piping y'/x /l^,1,'-
Piping type I rt r,/ u, .-
Type of Spill Prevention Device. Note if tank is filled by transfers of less
!h4n 25 gallons. lf so, no spill prevention is required.'ls./Type of Overtill Prevention Device. Note if tank is filled by transfers of
less than 25 gallons. lf so, no overfill prevention is required.Lla t'f
Yes No
in the last column
Corrosion Protection method used on tanks
an wherep
it markedIS
Corrosion Protection. Answer the lollowing for all tanks. Note
Corrosion Protection method used on piping ,/n
Corrosion Protection method used on flex connectors '21//4
Enclosed containment sumps at tanks (subpump) and dispensers (No.ves )
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Cathodic Protection Testing. Show the results ot the most recent test for each tank, line, or flex connector.
The results of the last two cathodic protection tests are available (within
6 months of installation and every 3 years thereafter).No@
rank rester Jf- - /h"-{;, o^*7-l?'O\* I .l7o^7f/f,,.,,,volis volts
Piping Tester Date volts volts volts volts
volts volts volts voltsFlex Connectors
Tester
Sub pump
Date Disoenser volts volis volts votts
For impressed current system: The results of the last three equipment
ppgration checks are available. (required every 60 days.)Yes No
Comments
Page il 6z
-o2
on
S
re
name:
Distribution: White-DERR, Yellow-lnspector rev0902
,oID
(A
#o t- n/,
r(name) f )-,-.'-l lJ,/
ID
Method used fortanks: A f &Method(s)usedrorpipins: AtO +L ff
/D dAr ced. available
to the
No(a 4Manufacturername and model number of 3'd
in theor No for each
6|el No,ATG,rtrV Records on site document that the system is properly installed, calibrated, and
maintained (system and tank setup reports, maintenance records).
;16510fiDrr',r Device documentation is available on-site (owner's manual, etc.).
..@ ruoIEquipment used to acquire data, take readings, perform test is adequate, accessible and
functional. lnclude ATG console, dipstick, etc.
v"s.6i\g Documentation of valid testing or monitoring is available for the last 12 months. Show
testino or monitorino results in orid below.
-GnTeh Tilt Factors: #1 #2 #3 #4lgThe 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 setup report.
@*ogThe tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test, and the tank size is within the allowed
upper and lower size limits.
Yes No
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, and is not in the 25-yr flood plain (per site assessment).
IM
Yes NoIC SIR
MTG
lnventory readings lor product inputs and withdrawals are properly obtained and
recorded. Readings are properly reconciled
Yes NoIC SIR Records include the proper number of water readings, and water readings are used to
adiust inventory balances as necessary.
Yes NoIC SIR
MTG
An appropriate tank calibration chart is used and is available for review,
Yes NoIC SIR Dispensers have current calibration stickers or proper calibration docurylentation.
Yes NoIC SIR Droo tubes are oresent and extend to within one foot of the tank bottom.
Show results of monitoring for each tank for the last 12 months. lndicate Pass, Fail, No Results, lnvalid (ATG) or lnconclusive (SlR).
'%.t/oz /%i-,7/az Vrt %oZz .%z fuz .aMol/r
n /42 r)I I r //#I h '-rfllll/rt'l" I I r P /#7 /h/ ---V ft^I#
favo J lvca (ct
#
Tank 1 Tank2 Tank 3Tank and Line Tightness Testing, Line Leak Detector Testing
Test resultshtness test for tanks
CrzC
*ozhtness test for
P
I
T Its
-/7- oz.
UTI
Date of last
Name and
UT /.L Test Method:Name and certification number of Q
A) E/ s
Dave./a s a
@E vsV^/*bs{
M E S M E SAutomatic Line Leak Detectors. lndicate type and
model number for each leak detector.
/PDate of last leak detector performance test:Z-17-oz Test results
Yes NoSafe Suction piping: Documentation is available and verifiable to show that piping operales at less than atmospheric pressure,
has onlv one check valve (under pump), and has proper slope of piping.
Comments
4zPaoe
Distribution: White-DERR, Yellow-lnspector,Ldall.wpd rev0302
Utah UST Program
Tank and Piping Leak Detection
lnL Z/r>z-n-/v.k
Tank 4
Release
\ utatr UST P rogram .-J Af ,,0 2002
c tf
Ownership of Tanks Location of Tanks
ownerName l)hl, ft*. V{zcf Olf LocationName /4aoAA hl^t. /o
Address Aov tcl /l-f>/.o Address o
-rL L..st*e ff ,,091// l-City State UT ,,o 8lo4lcity /vlo a Aa
more than 4 tanks, complete information for additional tanks on separate form,
nia '72Phone Location Contact
Complete for each tank. If
Contact
Numberoftanksatfacility: 7-Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date tL- 7-17 1L-747
Capacity of tank (in gallons)B/(6/(
Substance slored O,'. rl,/)tr*L(6)
Tank is in use (Y) or, if not in use, give date last used r V
lf not in use, depth of product in tank (in inches)I
Answer the following for all tanks, Note any exceptions in the last co
Current year tank tags are in place
Material of construction of tanks (steel, FRP, composite, etc.)rh.o/
Material of construction of piping (steel, FRP, flex plastic, etc.)ffiFla
Piping type (pressure, safe/US suction, gravity, etc.)(rr-rtr.-,
Type of Spill Prevention Device (<5 gal, >5 gal, cont. sump, etc.) Note if
filled by transfers of less than 25 qallons. lf so, no spill required.<fsof
Type of Overfill Prevention Device (shutoff, ball float, alarm, etc.) Note
if filled by transfers of less than 25 qallons. lf so, no overfill required.,L;f-4
For overfill alarm: Alarm is located where it can be seen and heard, and
alarm is clearly marked Yes No
Corrosion Protection. Answer the lollowing for all tanks, Note any exceptions in the last column.
Method used on tanks (NM, CS, lL, lC, SA, NP)JfA
Method used on piping (NM, CS, lC, SA, NP)///q
Method used on tlex connectors (8, CS, NC, CP, NM, NP, N/A)Lf,
Enclosed containment sumps at tanks (subpump) and dispensers des\ uo
Cathodic Protection Testing Complete lor each lank.
The results ol the last two cathodic protection tests are available (within
6 months of installation and every 3 years thereafter).Noa"'6r
rank rester 9/r-on /h-J> oateS-/?-O2 -l-tl )?-t.!/{
Piping Tester Date
volts volts volts voltsElex Connectors
Tester
Sub pump
Date Dispenser
volts volts volts volts
For impressed current system: The results of the last three equipment
operation checks are available. (required every 60 davs.)Yes No
Comments
\
Page I 612-
-othe above-named on
-alnre
nature of Owner or Owner's du
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner Ldcheck.revo701
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Detection
z(
P
?
ATfr Methodusedfor pipins: ALO T- + LTfMethod used lor tanks:
cert. available3',d
and to
Manufacturer name and model number ol
Circle Yes or No for
Ail Records on site document that the system is properly installed, calibrated, and
maintained (system and tank setup reports, maintenance records).No@
ATG IM Device documentation is available on-site (owner's manual, etc.),,16) tto
AI Equipment used to acquire data, take readings, perform test is adequate, accessible and
functional. lncl. ATG console, dipstick, etc.@*"
Ail Documentation of valid testing or monitoring is available for the last 12 months. Show
testinq or monitorino results in orid below.Yes No
ATG The probe is located at the center of the tank. ll not, the tilt correction factor for each
tank is shown on the tank setup report.@uo
ATG The tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test and the tank size is within the allowed
upper and lower size limits.
Yes No
IM Secondary barrier is properly placed and constructed, designed for gw considerations,
has an acceptable permeation rate, is compatible with the substance stored, is non-
corrodible, and is not in the 25-yr floodplain (per site assessment).
Yes No
IC MTG
SIR
lnventory readings for product inputs and withdrawals are properly obtained and
recorded. Readinqs are properly reconciled.Yes No
IC SIR Records include the proper number of water readings, and water readings are used to
adiust inventory balances as necessary.Yes No
IC MTG
SIR
An appropriate tank calibration chart is used and is available for review.Yes No
IC SIR Dispensers have current calibration stickers or proper calibration documentation.Yes No
IC SIR Droo tubes are Dresent and extend to within one foot of the tank bottom.Yes No
Show results of monitoring for each tank for the last 12 months, lndicate pass, fail, no results, or inconclusive.
uoxrffi,,/21 //at ?1zt t/el '2r D/ot 7A /7at t)/.ot q4 )/az-%/
#l fill nl,?r'?2sa P p P /,l P /
&nt#u W P P r P /t?
#
and Line Tank 1 Tank 2 Tank 3 Tank 4
3-n- DLDate of last tiqhtness test for tanks:Test results://
In ,?TR!,Vr€E or/=< ?
Date of last tightness test for piping: 3 -/? - A 2-Test results:P
51.--, ^/V? -^/,>7EE lJ-Name and certification number ol tester:Test Method:
Date of last leak detector performance test:?-/?-oL Test results:
I
P r
J
Safe Suction piping: Documentation is available and verifiable to show that piping operates at less than atmospheric pressure,
has only one check valve (under pump), has proper slope of pipinq.
Yes No
Comments
p^o"%tZ
bution: Wh Yellow-lnspector, Pink-Facility/Owner
ID
In the last tank
p /
#
Name and certification number of tester:
r
t
350o SOUTH
g
TANKS
(NORTH
a
)olt
D{5
D
iIr
?-l
o-i
\
f,
!
D{
DSL
3
I
2
4
aa
G
R T
Itl
SHOP
FYUL
tr
oo
o
tr
oo
MAGNA WATER
8950 WEST
35OO SOUTH
MAGNA, UT
STI.P3 TANKS
I
I
fr-1
Michael O. Leavitt
Co"cnor
lJranne R Nielson. Ph D
Stare of ii tah
Errcutr"t Dtrccfur
DEPARTMENT OF ENVIRONMENTAL QU ALITY
DIVISlON OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 Wesl
P O Box 1t14840
Salt Lake Ciry. Llmh 841 l4-4840
(801) 5l(r-4 l(X) Voice
[phone] Fax
ftrOI) 5.16-44r4 T D.t)
Kcnt P Cirar
Dtrrct,rr
Apnl 1,2002
'fo Farr-Russell Croup
P.O. Box 651250
Salt Lake City, UT 84165
Attn: Jim DeSanti
l{E: Non-compliance ol underground storage tanks at Russell's Ice Cream, 2575 S. 300 W., Salt Lake City, Utah;
Facility LD. #4001654
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke a Certitlcate
oI Compliance if it is determined that a facility is not in substantial compliance with all state and federal US'f statutes.
rules and regulations.
Ar the request of the Executive Secretary (UST), the Division of Environmental Response and Remediation (DERRt
performed a compliance review lor the underground storage tanks at the above facility. The compliance revieu.
perf ormed on March 6,2002, indicates you have not satisfied the requirements of the Act and are out ot'compliancc.
To achieve compliance you must do the following:
l. Submit a copy of a current precision line tightness test for the product lines associated with tank fl.
2. Submit a copy of a current annual test for proper operation of the automatic line leak detectors on
the pressurized product lines associated with tank #1.
3. Submit documentation to show that the impressed current cathodic protection system is inspected
lbr proper operation every 60 days.
Please rerurn a copy of this speed memo with the above items to speed processing. The above information rnust be
submirted ro this office by June 1,2002. If it is not received by the date specified, we wrllcommence the revocation
processof yourCertificateof Compliance. Ilyouhavequestionsconcerningthismatterorneedanyassistance.please
conracr David wilson at (801) -536-4100.
\ utah usr Prog ram
Release c
Ownership of Tanks
I€-Owner Name R-I ss.c t -f L. /,
Address n- o. Bav lrtzf 6
Location Contact
additional tanks on separate form.
5
<ii ZComplete for each tank. ll facility has more than 4 tanks,complete
Phone
State
Phone
State UT
Number of tanks at facility: I Tank 1 Tank 2 Tank 3 Tank 4 \
7- t-tLTank lnstallation Date
Capacity of tank (in gallons)LK
Substance stored D,'r.r l
Tank is in use (Y) or, if not in use, give date last used Y
lf not in use, depth of product in tank (in inches)
Answer the following lor all tanks. Note any exceptions in the last column.
Current year tank tags are in place
Material of construction of tanks (steel, FRP, composite, etc.)57r< I
Material of construction of piping (steel, FRP, flex plastic, etc.)gtrc I
Piping type (pressure, safe/US suction, gravity, etc.)/) r, t ,,.t, -Type of Spill Prevention Device (<5 gal, >5 gal, cont. sump, etc.) Note if
filled by transfers of less than 25 gallons. lf so, no spill required.f s^/
Type of Overfill Prevention Device (shutoff, ball float, alarm, etc.) Note
il filled by transfers of less than 25 qallons. lf so, no overfill required.)A./Lof, C
For overfill alarm: Alarm is located where it can be seen and heard, and
alarm is clearly marked Yes No
last column.any
L
Answer allfor
Method used on tanks (NM, CS, lL, lC, SA, NP)
Corrosion
Method used on piping (NM, CS, lC, SA, NP)TL
Method used on flex connectors (8, CS, NC, CP, NM, NP, N/A).{/1
Enclosed conlainment sumps at tanks (subpump) and dispensers Yes @
/ TZ.f -,--.A(n Yes @
for each tank-
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Testing
are
6 months of installation and 3
Tank Tester ,>1. /-1.- ^ oare ./-lg-&)'-re ,T^r/.n/ -,.A
tlPiping Tester Date
t< t1u - 1.o/e (c.rn ^f v-
volts volts volts voltsFlex Connectors
Tester
Sub pump
Date Dispenser
volts volts volts volts
Comments
Yesuired eve
resultscurrent system:
checks are available.
the last three equipment
60
Pasel o(Z
othat I the above-namedIaa on .ln^o?_-I Dale
of Owner or Owner's d
Distribution: White-DEBR, Yellow-lnspector, Pink-Facility/Owner Ldcheck.wpd rev0701
t
ID
Location of Tanks I
Location Name ''c T.oL---^
Utah UST Program
Leak
\Method used for
3',d cert.Manufacturer,name and model
Method used lor tanks
rst column.ln
/t/A@Records on site document that the sybtem is properly installed, calibrated, and
maintained (svstem and tank setup reports, maintenance records).Yes No
Yes No /ryfATG IM Device documentation is available on-site (owner's manual, etc.)
@*o P[orl,'.-- fJ-'--,fr:.)Equipment used to acquire data, take readings, perform test is adequate, accessible and
functional. lncl. ATG console, dipstick, etc.
@,"/VA,Att)Documentation of valid testing or monitoring is available for the last 12 months. Show
testino or monitorino results in orid below.
Yes NoATGThe probe is located at the center of the tank. lf not, the tilt conection lactor for each
tank is shown on the tank setup report.
Yes No
ATG The tank was filled to at least the minimum level required by the manulacturer's
equipment protocol to ensure a valid leak test and the tank size is within the allowed
upper and lower size limits.
Yes No
IM Secondary barrier is properly placed and constructed, designed for gw considerations,
has an acceptable permeation rate, is compatible with the substance stored, is non-
corrodible, and is not in the 25-yr floodplain (per site assessment).
Yes Nolnventory readings for product inputs and withdrawals are properly obtained and
recorded. Readinqs are proDerlv reconciled.
IC MTG
stR
Yes NoIC SIR Records include the proper number of water readings, and water readings are used to
adiust inventory balances as necessary.
Yes NoIC MTG
SIR
An appropriate tank calibration chart is used and is available for review.
Yes NoDispensers have current calibration stickers or proper calibration documentation.IC SIR
Yes No t )IC SIR Drop tubes are present and extend to within one foot of the tank bottom.
Show results of monitoring for each tank fol the last 12 months.t/aa =1oz'/ct 7/ot /o/o'a(1/e/V/ot 5/ot {ot 7/o/Mol/r
-\fana,*t-"J-,,./#I
#
#
#
Tank 4Tank 1 tanKz Tank 3
Test results:Date ol last tiqhtness test lor tanks:
Test Method:Name and certification number ol tester:
PL/^ + -ao Test results:Date of last tiqhtness test for pipinq:
Name and certitication number of tester: ftoL..f ln/rr.r-m%7 l-nn)LTest Method:
PDate of last leak detector performance test:{ -y<o
(.y' Ta. td*
Y/- Test results:
NoYesSale Suction piping: Documentation is available and verifiable to show that piping operates at less than atmospheric pressure,
has onlv one check valve (under pump), has proper slope ol piping
he
Comments -t i /o.'.-(.o-*-
eaoe Lot ?-
Dislribution: Wh Ldall rev0201.wpd
r-a
ID
No each
I
/ot
Tank and Line Tightness Testing, Line Leak Detector Testing:
lf
/20 //U/
t
/
)
\
h
(
AL/ ?o
6zt
.rrltV Za...
c.-."t pto
rl
\7
Underground Storage Tank lnspection Verification Form
RUSSELLS ICE CREAM
PO BOX 651250
SALT LAKE CITY UT 84165
Owner Name:
Owner Address:
Facility Name:
Street Address:
Facility lD: 4001654
RUSSELL'S ICE CREAM
2575 S 300 W
LAKE CITY UT 84115
UTM Coordinales 424,174.26
Last lnspection Date:
Comments:
4,507,345.72
41512000
Hand Held GPS with Base Station
Correclions
ln LD compliance: NO ln Operation Compliance: NO
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modificationsl:
Pipe Material:
Pipe Modificationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
Spill/Overf ill Description
Tank C P MeULast TesVResult:
Last Line CP TesUResult:
Tank Release Detection:
Last TTT/Method/Passed ? :
SIR Vendor
ATG Vendor/Model
Pipe Release Detection:
Date ALDT/Type/Passed?
2 2 E-Gen: No
Currently in Use Manifold: No
7rV1986 6,000
lrtpressed Current Cathodic Proteclion
None
Galvanized StBl
Cathodically Prolected
Date LTT/Method/
PSTFund: Y
Pressurized Perm RD Datet 12122119
Diesel
5 gal. Spill Bucket Automatic shutoff
Yes OVERDUE -0.64
oVERDUE -0 e76
Ground Water Monit
NOT REO'D Search' Yes
ALD Ground Water Mon
OVERDUE
OVERDUE Yes
No OtherType:
I
Tuesday, March 05, 2002 Page 1 of 1
State of Utan fuel ru
Date : tO /2,5/o I
TO: tJc-^'\)-*
.DACJ I Db Rq, u6T
From : Steven L. Canning, UST Program Specialist
State of Utah, Depadment of Administrative Services
Division of Fleet Operations, State Fuel Network
447 West 13800 South, Draper, Utah 84020
P.O. Box 141152 Salt Lake City, Utah U141-1152
Office [phone] I Fax [phone]
RECEIVED
ocT 2 6 2001
DEO
Efirlonm00ttl RcseoN0 E Rlmt0ltlh0
Dear
The foltowing is in response to your questions conceming the vrl'Lt'-I'u''--''""*
",t-,,,..ti.1 (o OCI Ci ft- 4CO ( to €O ,
i&lA
".\ lxl\t 1
l.
Than
i>-^:<-
I
-
a*A
Michael O. Leavitt
Govemor
Dianne R. Nielson, Ph.D.
Executive Director
Kent P. Gray
Director
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 144840
salt Lake ciry, utah 84114-4840
(801) s364100 Voice
[phone] Fax
(801) s364414 T.D.D.
TO:
Date September 10,2001
RECEIVED
ocT 2 6 2001
DEO
Emlronmontal Brsponr S Rflno0d0ll
UTAH STATE FLEET OPS/FUEL DISPENSING
ATTN: STEVE CANNING
4I2O STATE OFFICE BLDG
SALT LAKE CITY, UTAH 84114
RE Non-compliance of underground storage tanks at Magna Water Co., 8933 W. 3500 S., Magna, Utah;
Facility I .D. #4001650
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 with all state and federal
UST statutes, rules and regulations.
Atthe request ofthe Executive Secretary (UST), the Division ofEnvironmental Response and Remediation (DERR)
performed a compliance review for the underground storage tanks at the above facility. The compliance review,
performed on September 10, 2001 associated with your speed memo received on August 2212001, indicates you
stillhave 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 USTs #l & 2 by:
,.Y, Documenting that the ATG system is functioning properly and performs and recordstl' a valid leak test at least once a month.
, h ./,, Documenting that the tank is filled to the minimum level required by the
"Y,manufacturer'sequipmentprotocoltoensureavalidtest@
>507o full and a test duration of 4 hours). About half of the ATG tests received on
August 22,2001were invalid. Submit validATG testsfor September and October 2001.
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 November 1, 2001. 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 maffer or need any
assistance, please contact David Wilson at [phone].
6p|
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TEST FI]5:,ET}
\
l ICHAEL O. LEAVITT
GOVERNOR
R. NIELSON. PH D
EXECUTIVE DIRECTOR
KENT P CRAY
DIRTCTOR
DE PARTMENT OF ENVIRONMENTAL Q!'ALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 NORTH 1950 WEST
P O BOX 144840
SALT LAKI CITY, UTAH 84114-4840
[phone] VOICE
(80r) 359-8853 FAX
(B0l) 536-4414 T.D D.
Date September 10. 2001
TO L]TAH .S'|ATE FLEET OPS/FUEL DISPENSING
ATTN; STEVE CANNING
4I20 STATE OFFICE BLDG
SALT LAKE CITY, UTAH 84I14
Non-compliance of underground storage tanks at Magna Water Co., 8933 W. 3500 S., Magna, Utah;
Facility I .D. #4001650
The Utah tJnderground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke a
Certifrcate 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)
perfonned a compliance review for the underground storage tanks at the above facility. The compliance review,
perfornred on September 10,2001 associated with your speed memo received on August 22,2001, indicates
you s/i// have not satrsfied the requirements of the Act and are out of compliance. To achieve compliance you must
do the following:
Subnrit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #l & 2by:
a. Documenting that the ATG system is functioning properly and performs and
records a valid leak test at least once a month.
b. Documenting that the tank is filled to the minimum level required by the
nranufacturer's equipment protocol to ensure a valid test (Petrosonic III requires
>507o full and a test duration of 4 hours). About half of the ATG tests received on
August 22,2001were invalid. Submit valid ATG tests for September and October
2001.
Please return a copy of this speed memo with the above items to speed proce ssing. The above information must be
subr.r.rittecl to this office by November 1, 2001. If it is not receivcd by' thc date specified, we will commence the
revocation process of 1'our Clertificate of Compliance. If you havc clLlesl.ions e oncerrring this matter or need any
assistancc. pleasc contilct David Wilson at [phone].
\
RE:
a
Oate : B 20 e/
To;\\)jt -''-^-
OCQ /DCK"r\
From : Steven L. Canning, UST Program Specialist
State of Utah, Deparlment of Administrative Services
Division of Fleet Operations, State Fuel Network
447 West 13800 South, Draper, Utah 84020
P.O. Box 141152 Salt Lake City, Utah U141-1152
Office [phone] I Fax [phone]
Dear D/-rq-
The following is in response to your questions conceming the
h emo
RECEIVED
AuG 2 2 2o0l
EN[onmental
-BFR' t 88mo{lrtlon
Y-.4q Uj-,CaGl ro *4ootbso
)I (-Fs 1--t t&n-^rD
o/z?/>co t
l"a: -=_- '-
?t\ A T.. ru-t
Tha
Michael O. Leavitt
Govemor
Dianne R. Nielson, Ph.D.
Exccutive Director
Kent P. Gray
Director
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
I 68 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 841144840
(801) 5364100 Voice
[phone] Fax
(801) 5364414 T.D.D.
Date IUIry 5,1999
TO:UTAH STATE FLEET OPS/FUEL DISPENSING
ATTN: STEVE CANNING
447 W 13800 S
DRAPER, UTAH 84020
RE:Non-compliance of underground storage tanks at Magna Water Co., 8933 W. 3500 S., Magna, Utah;
Facility I .D. #4001650
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary OST) 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 ofthe 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 May 24,2001, indicates you have not satisfied the requirements ofthe Act and are out of compliance.
To achieve compliance you must do the following:
Submit documentation to show that you have had a qualified cathodic proteciion tester test
your cathodic protection system within the last three years.
Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #l & 2
I)ocumenting that the ATG system is functioning properly and performs and records
a valid leak test at least once a month.
Documenting that the tank is filled to the minimum level required by the
manufacturer's equipment protocol to ensure a valid test (Petrosonic ITI requires
>50"h full and a test duration of 4 hours). Submit valid ATG tests for Juneo July, ond
August 2001.
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 August 4,2001. 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
bv:,Y
X
e1r Io tassistance, please contact David Wilson at [phone].
4o v4
X
{
n
AppnedA-E s EnM
Scrviccs, LC.
PJ).8c lt,
Brt Utl Wl
fltrlil&rF,r
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5t,f,4 II..I PF:UT]UCT LEIJEL.
bt. 1 F EIJEF:HIJE FUEL TEI{FEF:HTUEE'
'J" 1 JI.J LIHTEFI LEIJEL.
Er-{r:' r.IE$q5I-ItEEr"lEr-{-r
5:5? Fll'1 1'191q .TUL f,rZfififi
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5'-1,f,4 ii'{ PE:r:rirUr:T LEtrEL.
€.t" 1 F FILiEF:ftr3E ET'lFERHTUF:E.
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t*Et1 ft-rE
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tjr" t:1E F TEr'1PE !-:fiHt1|Jt,
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THHE
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EiI" i] Il.i FFji:rtlur:T
i.3,5 F I:II,IEFJHGiE FUEL TEI{FEFJHTUFJE
8,1 II..i LIHTEE LEI.IEL'
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FI:IF: EI.B HfiUF;s
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'id,r.r EL r..rlilul'if LEFT Ii.l Tllf'llr:.
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!Ei.i GL r.rr:rlul,lE LEFT IH THHr,:.
f5,fi'3 Iil FRr-JtrUr::T LET.JEL'
58.,-] F HIJEEI.IIJE FI-IEL TEI'IF'E6'g]I-IFTE'
rJ. 1 Ii'{ lrlllTEF: LEr.rEL.
t-Etf F-:: FlF:l-rE
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IJ.Bf, F TEI{FEFJHTURE L:HHI'{IJE.
FIJE E. TJ] HUUFT5
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. f, GL T..IET CTIERETTEI' TFHFi UTTLUI'IE.
llEFlSuF:Eti Tr:rtiil lJr:rlur'lE.
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5! 5:{
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LEUEL.
FUEL TEFIPERFITUF:E.
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iIEHSLTREF TFtt.fi,: tJtrLUI.lE.
?381. €'
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4IJ":4 IH FF:[T:UI:;T LEIJEL,
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i . r:, i i"l lj.ll:lTEFj ;EtjEL.
L_EF+F":: i;:'I=-TE
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E. fif, F TEt,lf EFjijTUFjE t:HHt.irjE.
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1' n iti l.'lHTfF: LEr.lEL'
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:i?8,.6. 61 t.lrlLUI'lE LEFT It'.1 THHI'I.
5!.15 II..I FFJUIIUI:T LELJEL.
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FrlF: ,q r t3 HtrUF:s
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t--EffF.:: PEE: I rJfi
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f,l'-15.? GL trtrlut'lE LEFT it.l THHtr:'
45.h5 Ii"l PF:l:rtlur-T LEL,TEL.
54.I:I F fiI.IEF]fiIJE FI]EL TEI.IPEFJFITUEE,
i,t' Ii.l lilfiTEF: LEr..rEL,
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f,1,15.E r3L r.rr_rlllriE LEFT It'.1 TfiHl':"
"15.i,5 It'l PFlrJtiUr:'T LEr',rEL,
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H I.IIHTEFI LEI,IEL.
LEF:IFi F-:l'qTE
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rjr. u? F TEI1FEE:11TUF;E r-:HHt..lGE.
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1;8, It'l titHTEE' LEUEL,
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t::HHt.ltjE.
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1.6 It'.1 l.qlf;TEFi LEIJEL.
t-EF{Fi FiFl-tr-E
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f,g.5t:1 It'i FF't:rt)l-lt:t 1gt,lEl.
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1,f, It.l l.,ittrTEFi LEl,rEL,
L_E$aF.:: F-:$-i-f E
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GL IJI:ILUI,IE LEFT Ii.] THI'IPi:.
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iH Ltt:{TEE: LEIJEL.
,t^tE! r.1Et=r5t-lEEr.lEt-{-r
5:59 Fll'i t'iEti JHt'l f,r?Etfi1
GL tlET f,IRF:Er-:TE[i T]1t'{l'i LIOLUI'lE'
rjl GFlrl:il i'lEt1::uF:Eii THtlt: ul:lLUt'1E.
GL trr:tLUI'1E LEFT 1f'{ Tlli'{li"
iH FFjr:rttur::T LEIJEL.
F F{I.JEF;IIGE FUEL TEI'iFERHTUEE.
It.l |.,JRTEFj LEl.rEL.
E
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T395.1 GL I-IET I-L1E:FIEI]TETT TffHIT IJULUI'IE'
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4r3. 1.1 It{ FF:0DUI-:T LET.JEL.
52.4 F HUEEI1IJE FUEL TEI'1FEHF{TUHE.
1.6 It.l IIHTEF: LEtrEL.
t-EtrIti- Fq$a-rE
_i:r.Ei.: I:L,'H[UR I.IET L:UE:E:E[TE[' LEffI.,i RHTE'
-I3.Lt4 F TEI'IFEFJHTI.IF:E I:HHf'{GE'
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r! i 1- F'i:"-'li:':,
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5-rI=|r;:-r r'-IEFl=lJF;:Er'1Er-{-i-
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5r,"4: ii..t FF:{li}ur::T LEl.rEL.
F,:" f, F HI.IEPOU. FUEL TEI'IFEFjIiTUEE,
i. {' it{ LIFTEE LEtrEL.
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-I3.1i F TEI{PEEIITURE I:HHI.]GE,
FI:IF: EI.El HIUFJs
THFJESHTILI' = ET.26B I3L,'HIIUF:
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1:{,*.f, lt.i PFr[trUt:T LEIJEL.
6Er.E F fittf5,OUa FUEL TEI'IFEF:ETUEE.
1"F, II..I I,]HTEE LEUEL.
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i r. f f Hr...rtrF:HL1L i- Llf-L I E l'lf E h.H I l-lHt '1,r-i it..l i,lHTEFr LEttEl.
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i'-;34.! EL r..ri:rllll'1E LEFT it.l THt.ji:.
bi.77 11.i p'5:;rtrl-lil:T LEl,lEL,
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TEST Ffi55EIi
5-i-t:{F:.T F.IE$15LIF:ET.IE
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1
I
DE PARTMENT OF ENVI RONMENTAL QIALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 NORTH 1950 WEST
P.O. BOX 144840
SALT LAKE CIry, UTAH 84774-4840
[phone] VOrCE
(801) 359-88s3 FAX
(801) s36-4414 T.D.D.
MICHAEL O. LEAVITT
GOVIRNOR
INNE R NIELSON, PH.D.
EXECUTIVE DIRTCTOR
KENT P. GRAY
DIRTCTOR
Date May 5, 1999
TO:UTAH STATE FLEET OPS/FI.IEL DISPENSING
ATTN: STEVE CANNING
447 W 13800 S
DRAPER, UTAH 84114
RE:Non-compliance of underground storage tanks at Magna Water Co., 8933 W. 3500 S., Magna, Utah;
Facility I.D. #4001650
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary OST) 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 May 24,2001, indicates you have not satisfied the requirements of the Act and are out of compliance.
To achieve compliance you must do the following:
Submit documentation to show that you have had a qualified cathodic protection tester test
your cathodic protection system within the last three years.
Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #l & 2
by:
a. Documenting that the ATG system is functioning properly and performs and records
a valid leak test at least once a month.
b. Documenting that the tank is filled to the minimum level required by the
manufacturer's equipment protocol to ensure a valid test (Petrosonic III requires
>50Vo full and a test duration of 4 hours). Submit valid ATG tests for June, July, and
August 2001.
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 August 4,2001. 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].
1
.,
Owner Name ULI flol- /Ll Dts/ E,/ O.it Location Name /l*,re Ua17./
Address 4L/ 7 U /4/bo s Address 7
/)ro.a rCity State (n zioiellY City /?aana state ur zipqcrlD//
I
Contact f/.r^ Grar>, Phone ( )Location Contact boz J^-f?-Phone ( ),
Complete for each tank. lf facility'has more than 4 tanks, complete in'
Number of tanks attacilily: /n I
Tank 1
formdtion fcr additic
Tank 2 Tank 3 Tank 4
Tank lnstallation Date tz/87 ) u97/"/1'6/<Capacity of tank (in gallons)
Substance stored fl,2r,1 u//L
Tank is in use (Y) or, if not in use, give date last used Y V
lf not in use, depth of product in tank (in inches)I
Ansuer the following for all tanks. Note any exceptions in the last cc
Current year tank tags are in place
i$mtrIit-,,., ,,,.
Y
-9/o. IMaterial of construction of tanks (steel, FRP, composite, etc.)
Material of construction ol piping (steel, FRP, flex plastic, etc.)frr,* d*y'.'.-
Piping type (pressure, safe/US suction, gravity, etc.)fr, uo,.,
Type of Spill Prevention Device (<5 gal, >5 gal, cont. sump, etc.) Note if
filled bv transfers of less than 25 qallons. lf so, no spill required..fs1/
Type of Overfill Prevention Device (shutoff, ball float, alarm, etc.) Note
if filled by transfers of less than 25 gallons. lf so, no overfill required.J4.f,4p-
For overfill alarm: Alarm is located where it can be seen and heard, and
alarm is clearly marked , , , ,
Gorrosion Protection. Answer the following for all tanks. i,lote any e
No
24
Method used on piping (NM, CS, lC, SA, NP),/h
Method used on flex connectors (8, CS, NC, CP, NM, NP, N/A)a,
Enclosed containment sumps at tanks (subpump) and dispensers No<\"9
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Cathodic Protection Testing Complete for each tank.
6 months of installation and every 3 years thereafte0. I
:' : . .t:
' . .. .,,, 1
Yes f-To\\S---
DateTank Tester
Piping Tester Date
Sub volts Sub
volts
Sub
volts Sub volis
DateFlex Tester voltsDisp.voltsOisp.voltsDisp.voltsDisp.
For impressed current system: The results of the last three equipment
operation checks are available. (required every 60 days.)Yes No
Comments
Page 1 of Z-
4the above-namedII on
-o
of Owner or Owner's
,S
du
White-DERR, Yellow-lnspector, Pink-Facility/Owner Ldchecklist rev0201 .wpd
1 1
\ Utah UST Program
Release Detection Inspection Checklist
t{
ID
Location of TanksOwnership of Tanks
@.
Method used on tanks (NM, CS, lL, lC, SA, NP)
Method used LIMethod used for tanks:
number of
Ail
3',d cert.
@t"to
name and
Records on site document that the system is properly installed, calibrated, and
maintained and tank maintenance
Gs2x.ATG IM r'sDevice documentation is avai on-site etc.
r.-Yes) Noused to acquire data, take readings, perform test is adequate, accessible anda
functional. lncl. ATG console,
Equipment
etc.
Ail GoDocumentation of valid testing or monitoring is available for the last 12 months. Show
testino or monitorinq results in orid helow
Ail
fv"Dur"o orhATGThe probe is located at the center ol the tank. ll not, the tilt correction lactor for each
tank was filled to at least the minimum level required by the manufacturer's
pment protocol to ensure a valid leak test and the tank size is within the allowed
size limits.r and
equi
rt.is shown on the tank
ATG
Yes NoSecondary barrier is properly placed and constructed, designed for gw considerations,
has an acceptable permeation rate, is compatible with the substance stored, is non-
corrodible. and is not in the 25-yr floodplain (per site assessment).
IM
Yes Noreadings for product inputs and withdrawals are properly obtained andlnventory
reconciled.recorded. Readings are
IC MTG
SIR
Yes NoRecords include the proper number ol water readings, and water readings are
adiust inventory balances as necessarv.
used toIC SIR
Yes NoAnappropriatetankcalibrationchartisusedandisavailableforreview.IC MTG
SIR
YeS NOIC SIR Dispensers have Drooer calibration documentation.cl r rrent calibration stickers or
D
nofai
6
extend to within one loot of the tank bottom
for each tank the last 12 orlndicate
tubes are
of
IC SIR
Moffr
Show
Yes No
Z 6a 7<fu-+.b2 -f4u,0 [.*-#l
,b 7{uzeaz@c-,f nltflha,t,#/,
#
#
4
P
€TestName
(
lEf-s
/z^ / 1- z%ofor tanks
ol tester:
last
certitication t.o,.n /hr-
-LName and certification number of tester: )TL''< n fl
test forDate ol last
Test Method:
F
r
12Z- t / -zooo u ,4
Test
Tr=/)r /,| -rra Test results:Date of last leak detector Pe test:Z-
?1.
NoYes
(.-<4a
d
thanless pressureattoverifiablethatshowatmosphericavailabletsandoperatespipingDocumentationSuctionSafepiping:
otI
//-_ fr,
I
White-nspector Ldall rev0201
Utah UST Program
Tank and Piping Leak Detection
to theor
)
""@
=#/
Tank 2 Tank 3Tank 1Tank and Line Tightness Testing, Line Leak Detector Testing:
,
APPLIED W SER.VICES, L.C.po aox r82 Roy, uTAlr i40c7 F0t! 5{5-75{s
T.E.l, SYSTEH,I{f,0, T.E.t LT3, TfJ. rrU.,AcE
PRECISION TANK & LINE TEST RESULTS SUMMARY
INVOEEADORESS:
FIEETI{AMGEI'EM'
4 I N STATE OFFIC€ IX,JT,DhIG
sALrwG crY. !{r H s4i 14
TAtr{(LOGA'NOil:
[TAmlAWAIERI4{TIIOflI
MOT^EST3SMSOUI}I
HAGI' tT lr
mH( oRoERt 00{m
11gg ggg3 t4:00 GROTiDWATERDEPTH: lO+
TAITIK TAIfi PR(XX.ICT TAiI( FI.LVENT PBTX}I'CT LNELEAI( WAIERN PlF TA$(HATEHAL
I
2
3
I
5
6
Effi
PROTXJCT LT'EB TESTED AT
LIIE RATES (GPHI
RU--.m
DSL-.m
PASS
osl- :'- PASS PASS ,
S PsI FoR lI llltfrlEs
TII|3
'YATEI
A,II IETI'OO NETS OB
Plss 0.r PRESS
1I uaEpA {. cfn PAf,f zD,
AXO LmAt CffIEA-
SD?3'
sTr-Pi,
I
2
3
I
5
6
ADDITKIIIIAL hEORHATlOl,l:
XTPA
'U'.'7,
ATII A-L
CERTIFIED TECHNrc[Af, SIGXANME:DATE: 12-14-2000
DATE: t2.I*NilI TIESTART: I&fiI
IE S'ISIEI FI.LE ORTOPFED:
TFCIIIICIAN: Sll
TECHT9{p7 VA},rtS(E
STATETEGH' UTOI2I"-)
'
,
APPLIED
El{VIROilME]ITALs SERV|CES, L.C.
,t
E P.(). Box {82
noyi, lICr ge674lt2
Itlr) 5{5-r{66
T.E.I. ULIAGE TEST DATA SHEET
Site: MAGI,IAWATER Il c:12-1+?0m
MAGM,UTATI wro*00,+m
I ccrli8, ftd Ole Soye uf,lg|G hstl IE'e conrXr#d on thir ddc nccordru to t l" Gqdpmcrt
m fr{firfft proccfiffGr md md trlG rBnrtr.t f.bd tch my xnmledge fiue rnd correct
Sig,r*lre SMe Lic- ,h UT O.l21
The j651 ffi cofcdion tirc pcriod lrnrt bc m llt mirute- Ihc Ett pf,.srfd OtrE lEfil h C.fz GPtl rr
idcntfied by i ndle rigd rdh of I to 2 .t I v.curlm of I Pri.
R .[-1261 2.4
ffi
1333
End
l3:34 PASS
DSL 2.0 13:50 135r PASS
EgSOYIJEST 35M SOUTH
m07
[*TE I SVIrE]rI +TA(A{A RN.'IT'^'S I B E}HEE-r
rdcrl) E(a+ea
Tfr|{K lSf0nmTr0ilrProduct r R/tI-Grpeelty r 6oo0
PRODI E f . IIFORttRTIOlrt rDlrnrtrn (ln. ) IPtoduct Lrvrl (ln. ) !.8prel?lc Bnrvlty ICorf..of Exprntlon rtlrtm: on,.Trnk (ln. ) IStrr.t lng . Tup. "- (F) IRtr6lut lon .(Brl lonr) r]lrrd,-Pnrriur.r (FBI I IDrltr:. Trnp. (F/)ln. ) r
.;.:!::li._ t,
CffiUTER RIfl.YBIB REB|LTBT
Lrvrt Rrtr (BpH) r
TL-p." Rltl,(BPHI' r
Flrul Fll,lo {ePH, )
Urt
,
Drtrr IE/I4/OOThrr t0rt.lr4t
9S
70" ebovr trnk bottor.
o.73e
o. 0006976
On ebovr trnk bottor.
53.401
o. oEa6Gtl:3 Prt trnk,btrttot .,
-O. gO!)B
-O. O116
-o. o3g
III"IIII'
-e tOt4
. . ','?.t I ',, -
13 r 79.OBrlr.r 0739
'l
T
E
H
P
L
E
u
E
L
0 60 g0
Time-minutes
|.I -- h E i-ra a.r
-
l- E lI x rr t5 tI .* .I .s _ OE .o an -5 ht m ra br la _ x E n E a0
30 120 t50
fr lI
- -
as ru E X Il at il -a a6 l- E
- -a -
E Xa ffi .- r r
- -
.. ,I E i- E r _ .- r ..
,
1-
ta
-TE T EIVE}TEI'I 4OCD{D FlhIfII-VEl r E; EIHEE-I-
wo* raED4era
TANK IilFORiIRTI0NItrroduct r DSLCrprelty r 5rOOO
PROUJCT IIfORliQTIONrDlrnrtrn (ln. ) IPrcduct Lrvrl (ln. ) rBplctfle Bnrvlty IEorf.. ol Exprnrlon. Illetrn on Trnk ( ln. ) IBti?itlhg Trnp. (F) IRuolutlon (Brllont) rHmd Pnmrunr (pBI) IDrltr Trnp. (F/Hn.) r
. r:.i.;.",.*
ct}ipt TER r AiI:[.YS I I REEI t_TB r''i*ilo*d .,rii..,
Ltvrl Retr (BPH)
Trnp. RItr (BPtt)
Flnrl'YBrtr (BPH)..
Detrr le/f4/OOTlnrr lOr44l14
9E60[ rbovr trnk bottom.
o. BiSt
o. aoo.i73g
O[ rbovr trnk bottor.
58.699
o. Bet76e
t3 r 66.6Brlr.r 3993
l.a
-G.l
trnh bottor
-;
a'l
. t l.ir.i;j. .
O.,Q9O&r,-t*.r -.
-O.oQ9gtwry,rr-ll,t--rr
o."frfl""
:
T
E
H
P
L
E
U
E
L
0 60 90
Time-minutes
.. {t & r. an x E m .t r ...E E IE m tr
rfr.{saiEaffim.c..ErhEaanxaframro*mt.'t
FI
30 120 150
Applied
E Environmentll
E Services, L.C.
P.O. Eor 182
Roy,, thh a{Ca7
{rorr 5.&7$45
AES FACILITY INSPECTION/AUDIT FORM
Tertllte:12-1+mFrclitv:
TIAGiIAWATER
BSS0UEST 3500 SOT TH
MAGiIA, UTA}I
Hort*0042{t
SE&te
lt-Ml Pia6€lL
$Sr0.Ado.,
:ffiI
' mCo{er1
Fa Cap:
Fiil Cap Scd:
Drop Tube:
Vrft Corer:- VIR Seal:
rrIR Dry Brea*:
Sr.rh Purrp:
Stt Rmp Corer:
Orcrfl:
a!'
Ss:
s
S.
:i
N.
S
s
s
TYB
ffiiffi l*lfsm HLrlr{fin ,rFA,Uh Cilct iH{rE0c
fFfh SAge I \Ahtle, Cmct 9-Slc!.n
.FlTpe: C
PrndJot [Ine Tlpa: Eltll,
TI|I Srhg Joht Tl,pG: _F/g _
Diep Stg Jom Typ.: _F/C
llnbrr of
Disp. ltoses
Ri.r-: I _L
TAJL:
sm-:
IXlsGI:l.-I
Sffius
It}-Itol Pftsari
9S0tEoaory
tH'rralra60r,
knpaolValvc: S
VErflcCch.rr.Vair": IUA
Fd Spli| Coraaiment: S
DispemerGor*a&urerf: S
Sut Punp Corta&rncr*: S
Slaqc I
FBElc0
Al. A3816l
ryEbDType: E
Conrrprls:
Conolmcc Dt*rI: lli*t itemr thd rccd irurxdirte dailioo.l NOTE
A
CERTIFICATE OF PRECISION LEAK TEST
APPLIED EHVIRONMEHTAL 8ERVICE3, L.C. HAs TESTED AI{D
CERTIFIE8 THE FOLLOTMNG:
MAG N A WAT ER, S95O T4IES7 35OO SAUT H, M AG N A, UT AH
TANK
CAPACITY
PRODUCT
TYPE
R/UL
TANK
PASS
PASS
FILLATENT
LIHES
P4ss
PASS,
PRODUCT LIHE LEAKLINES DETECTOF
I 60 00 PASS P c
2
3
4
5
I
a0 00 D L
00420
Crrtl?lcdlon Nuunber
St.v.n B.uT 0121
AFPLlED ENVIRONMENTAL SERVICES L.C.
P.O. BOX't&t
ROY, UT 8408?{182
(8O,r
'
54O.754A Rraommlnd.d$lcrtm.uon
aIJ
,
)
)
tfrr
_EASS_ PASS
12n 4-2000
0dr
,1a
UTAH DEPARTMENT OF ADMINI5TRATIVE SERVICES
DTVISIOIII OF GENERAL SERVICES
FLEET SEBVICES.FUEL DISPENSING
1380 $.regt North Templc
s.L.c., uT84116
(8011521-?705
GAS STATION IIUSPECTIOIU BEPOET
f,lomo Esr t.D.# ?ootlto---- Dare /z-/4-00
AAAtaoo . Eoro a' fca.o f . -.--*W tilton,
County
-
fZ
-
ZIP
-
Purpcse: Reguter l/ Beinspecdon
-
Cornphints
Nutinapactiondue 1 l'K drya
E'0,aJa,
=!td
Acrion Taken:
Stoiage tanks f,rape,ly labeled
Fltl capr and undarground stotlge covae{cad cendlgcn
Fuel filtcrr on pumps
Octanc p6Ed on pumps
Sccurtty seals lnust
IU}OTOB FUEL PRODUCTS USED FOR nISPECTION
'tlb
abo
l--
oIl
E
=z
rc,ortr
CI'
aoa
B[,(,o
oE
Raguter- gallons Unleaded Ragular
Unleadad Premlum gallcnE
Pficdugt',t'ar ratffiad to fuel etcia6e tanke.
gallone Unleadsd Pius
-_galions
Dlosat f---at---utilr(,arD
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Dear
The following is in response to your questions concerning ,
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From : Steven L. Caming , UST program Specialist/Safetv OfficerState of Utah / D-epartment of Administrative Services
9j:^'ign ofFteet dperations / Fuet N;;;;;k" "- ",".
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Salt Lake Ciry, Utah 8il 14
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DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. lra"itt
Govetnor
Dianne R. Nielson, Ph D.
Ex@utive Dire:tor
Kent P. G:ay
Dire,:tor
168 North 1950 West
P.O. Box ltl4840
Salt t ake City, Utah 841 14-4840
[phone] Voice
[phone] Fax
(801) s36-4414 r.D.D.
Date May 5,1999
TO:UTITH STATE FLEET OPS/FUEL DISPENSING
ATI'N: STEVE CANNING
4120 STATE OFFICE BLDG
SALT LAKE CITY, UTAH 84114
RE:Non-compliance of underground storage tanks at Magna Water Co., 8933 W. 3500 S., Magna, Utah;
Facility I .D. #4001650
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke a
Certificate o l 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 requerit 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 April 29r 1999, indicates you have not satisfied the requirements of the Act and are out of compliance.
To achieve compliance you must do the following:
ir
,,Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #l & 2
by:
a. Documenting that the ATG system is functioning properly and performs and records
a valid leak test at least once a month.
b. Documenting that the tank is filled to the minimum level required by the
nranufacturer's equipment protocol to ensure a valid test (Petrosonic III requires
>50Vo full and a test duration of 4 hours). Submit valid ATG tests for @y Jy{ana
t/ty tggg.
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 July l5r 1999 . 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 Wilson at [phone].
I Submit documentation to show that you have had a qualified cathodic protection tester test
your cathodic protection system within the last three years.
-\
A r.r Applied
11 - EnvironmentalE Senrices, L.C.
P.O. Eor lE2
Ron Utrh 8{of7
G0r) 5{G79f6
Eorhffia
Site Addrerr:
LI]IGNA WATER
8950 WEST 3500 SOITTE
L{AGNA UT.,IE
(ln(?n Dete Tstd 10-20-9?
RESULTS OF CATHODIC PROTECTION TESTS USING
A COPPER SIJLPI{ATE IIALF-CELL
fi(1
II( 2
II( 3
TI( 4
TK5
IK6
IFCI Crftodic Protrs{ion
Tgtrr# 88{ll
A PA,SS MEANS A READING OX'-.850 mv OR BETTERWAS MEASIIRSD
FROM THE TOLLOWING EQUIPMENT:
Comnantr: TOTAL CONTAINMENT glPING, WITE STI-HI TANKS
Horer At Hors At
R/t]L PASS N/A N/A
--uDp,gEPt=#=+
DSL PASS N/A N/A N/A
Tutr Signrturu
N/A
^
Michael O. Iravitt
Govcmor
Dianne R. Nielson, Ph.D.
Exeutive l)irrctor
Kent P. Grav
l)ir*tor
DEPARTMENT OF ENVIRONMENTAL QUALTTY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 west
P.O. Box 12t4840
Salt I.lke City, Utah 84114-4840
[phone] voice
[phone] Fax
(80r) 536-,1414 T.D.D.
Date May 5, 1999
TO:UTAH STATE FLEET OPS/FUEL DISPENSING
AITN: STEVE CANNING
4120 STATE OFFICE BLDG
SALT LAKE CITY, UTAH 84114
RE:N,on-compliance of underground storage tanks at Magna Water Co., 8933 W. 3500 S., Magna, Utah;
Facility I.D. #4001650
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 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 April 29r1999, indicates you have not satisfied the requirements of the Act and are out of compliance.
To achieve compliance you must do the following:
Submit documentation to show that you have had a qualified cathodic protection tester test
your cathodic protection system within the last three years.
Submit evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #l &2
by:
a. Documenting that the ATG system is functioning properly and performs and records
a valid leak test at least once a month.
b. Documenting that the tank is filled to the minimum level required by the
manufacturer's equipment protocol to ensure a valid test (Petrosonic III requires
>50Vo full and a test duration of 4 hours). Submit valid ATG tests for May, June, and
July 1999.
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 July 15, 1999. If it is not received by the date specified, we will commence the revocation
process of yourCertificate of Compliance.If you have questions concerningthis matterorneed any assistance, please
contact David Wilson at [phone].
I
)
^
PROGRAM D
!. Ownership of Tank(s)It. Locationof Tank(s) <'// lJ
for each tank. ll lacility has more than 4 tanks, complete information for additional tanks on separate form.
'LCArea Code
lll. Tank lnformation
City
At
c
a
3
l,r,/o
Owner Name
Address
Certificate
Street Address
State Zip Code
Facility Name
Phone Number County
Certificate of Compliance on site?Location
State ,) 7 Zip0ode City
Number of tanks at facility: L Tank 1 Tank 2 Tank 3 Tank 4
Current year tag i:i displayed @No @No Yes No Yes No
Tank presently in use @ruo <"Yi!f 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 t L/97 t 2/97
Capacity of tank (in gallons)/-, ooo L:DAO
Substance stored n). )U,t/t
Material of construction of tank (steel, FRP, etc.)91.. /ty'.- /
Material of construction of piping (steel, FRP, etc.)il^'l l" fi#{ a'?nA
Piping type (pressure, suction, gravity, etc.)p741!cr-/r., t...-
lV. Release Detection For Tanks lndicate the method(s) used for each tank. Complete the appropriate checklist for each method used.
Emergency Generalor tank (leak detection defened)
Method used (enter method used and complete appropriate form)4 ra-4 re-
V. Release Detection For PIping lndicate method(s) used and complete appropriate tank checktists where applicable.
Method used (complete separate form where applicable)LrT<==4LD
Automatic Line Leak Detector type and model T"/l..iXsxlA l/o.n.L"r
Date of last Leak Detector performance test to^/g-?y /o'-/r-7N
Test result (pass/lail)?e ss PA ,rt
Date ol last Line Tightness Tesl /o^ /(-78 /<) ^/f -7y
Test result (pasVfail)Ptss /A..
Name and company of certified tester Cert. No. UTO.
No leak detection n:quired (must answer'yes" to all questions below)
Operates at less than atmospheric pressure Yes No
Slope of piping allows ALL product to drain into tank when suc.tion 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
certify lhat I have inspected the above-named facility on
yod, tm)
t/,
I
?
f/- zz-
Yes No
Signature of Owner or Owner's Representative Present During
lnspecto1,s
Distribution: White-DERR,, Pink-Facility/Owner
Release Detection Checklist
GRAM
tank. Use as 4Please
Tank 1 Tank 2 Tank 3 Tank 4
The UST system is lilled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.Yes Yes @ Yes No Yes No
'%/Cvs,l No No/
q/
Sce,.Dls there a spill conta nment device that will prevent release of product into
the environment? lrdicate type: Spill bucket <5 gal., Spill bucket >5 gal.,
Containment sump €rt tank fill.
Yes No Yes No
rTes\ Nots4-4./o sluli
(sl) *orl-,
Yes Nols there an over
Ball float (in venr
(specify)
ention device installed on the tank? lndicate type
.-r), Automatic shutoff (in till pipe), Alarm, or Other
Yes No
Yes No Yes No Yes No Yes NoFor overlill alarm only: ls the alarm located where it can be easily seen
and heard by the delivery driver?
Yes No Yes No Yes No Yes NoFor overlill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
Tank 1 Tank 2 Tank 3 Tank 4
-,,L -{-y{
Tank Tank
//n 2717
Piping Piping
lndicate the type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrificial Anode
(SA). or Not protected (NP).rL TL Sub-Pump Sub-Pump
fY Dispens9,rTC_Dispenser Disp€nser
lndicate the type of conosion protection on Flex connectors and/or Swing
joints: Booted (B), Total containment (TC), Not in contact with soil or
water (NC), Cathodically protected (CP), Non-metallic (NM) and Not
Protected (NP)
It tank or piping has been
upgraded, indicate date upgrades
were performed:
Tank lining
Tank cathodic protection
Piping cathodic protection
Yes No Yes NoYes@_Yes @The results of the last two cathodic protection tests are available. (within
6 months of installation and every 3 years thereafter).
-/,? | vons */'2 ) ""n"volts voltsPo{.oh^i,'4 4 (.-oarc E- /E93Tank. Tester
volts voltsvoltsvoltsPiping.Tester- - Date
Sub'Pump
volts
Sub-Pump
volts
Sub-Pump
volts
Sub-Pump
volts
Disponser
volts
Disp€nser
volts
Dispenser
volts
Disp€ns€r
voltsDate
-
Flex. T
Yes No Yes No Yes NoYes NoFor impressed current system: The results ol the last three equipment
operation checks are available. (Equip. check required eyety qq !qy!l
ls^Comments
?-
Sionature oi Owner or Owner's Representalve Pleeeq!
lnspector's Signature
Distribulion: White-DEBR,
Overfill and Corrosion Protection
Facility lD xo. (OO/dfr
Checklist
CATI-IODIC PROTECTION TESTS Record results o, the most recent cathodic protection test.Record the lowest reading tor each lank/pipinglflex set.
UTAH UST PROGRAM Facility
,oManufacturer, name and model number of e
Please circle Yes or No for each question for each tank
ll tanks on
Tank 3 Tank 4Tank 1 Tank 2
Yes No(7"I\ no r {ii) ro Yes NoDevice documentation is available on-site (e.9., owner's manual).
@No Nog Yes No Yes NoRecords on site document that the system was properly installed and callbrated
(system and tank setup report).
@n"Yes No Yee No@noSystem is maintained ln accordance wlth manufacturer's lnstructlons (records are
available on site).
NoYes
Tltr:
@NoTlllzO -@.uoTilll. 6
NoYes
Tilr:
The probe 13 located at the center ol the tank. ll no, indlcate tilt correctlon factor from
Yes No Yes Noz(e-uo @ ttoto the nearest 1/8 otDevlce can measute
@-n"@no Yee No Yes NoDevice monltors the in-tank llquld levels over the full range ol the tank's Internal
Y€s No@xoNo&Yes NoA monitorlng box ls present and there le evldence thet the devlce is worklng (i.s.' the
device is roll of for
Yes No@eYes<Ntr\Yes NoDocumentation is avallable demonstratlng that the Automatic Tank Gauge performed
a valid a month for the
3-77?-7Y
it
-Yl'es\r N6
=r-*-
Yes No Yes No(@.m-Z ArThe tank was lllled to at least the mlnimum level requlred by the manufacturer'a
to ensure a
@no Yes No Yes No@"oThe tank capaclty ls wlthln the uPper and lower size llmits requircd by the
valld leak test
Yes Cf,D Yes No Yes Noves diHave any of the leak test reports Indlcated a falled test? Il ye3, speclfy In the spacs
and what have b6en taken
Documentation ol perlormance claims lor the automatlc leak test featuro i3 avallable
and shows the ablllty to dotect teaks of 0.2 gph wlth 95% or greater probablllty of
lndlcate month(s) of invalld or mlsslng test:
No Yes No Yes No
and$o/o ot alarm
lndicate month(s) of any failed test:
//-2p /6-?-7s
t^74 "- 2s^7,/o- 2s-78
-?t
*fz
l-
/-
3-2e ?-2Y
I q -E8T.
-2
-?72--?
/ - 7?"-?N
Signature of Owner or Owner's Representatlve Present During lnspection
!nspector's
Z-
L.ra .r 8/,- 7.
Dlstrlbutlon : Whlte-DERR, Yellow-lnspector'R.vllod A8L9!l
ro
Automatic Tank
the tank setuD reoort.
heioht
lf no, for whlch months was a valld tost not performed? (speclly months and year, use
@,
t4uJ lbSo
FACILITY ID#
FACILTTY NAME
FACILITYADDRESS
Check Only One
PETROLET]M STORAGE TANK
FINANCIAL RESPONSIBILITY DECLARATION
Complete one formfor each facility
Retum completed form by May 1,1997
- 4001630/2UST
Magna Water ConservancY Dist- 2711 South 8600 west
- Magna, Salt Lake CountY, Utah
ts I choose to continue to participate in the PST Trust Fund.
O Submit this Financial Responsibility Declaration form by May 1,1997.
O Submit the Fiscal Year 1998 Facility Throughput Declaration (blue forrr) by May 1,1997.
O All tanks including aboveground storage tanks (ASTs) located at this facility may be required
to participate in the PST Trust Fund.
O Indicate number of ASTs, if any, located at this facility
tr I choose another Financiat Assurance Responsibility Mechanism(s)
O Submit this Financial Responsibility Declaratiou form by May 1,1997.
O By June 15, 1997, submit acceptable financial assurance documents and $1000 processing fee
per mechanism (Use the exact format required by federal regulation,40 CFR Part 280,
Subpart H.).
O Indicate your Company's " Fiscal Yeat''ending date
stgsel.' L . C^*.'.,."\.n-\
S\*\"- o$ ,-A.^t^ I Flee,+ Sectrrte5
osr Rcanrvw Spe.Uti.\ (soVz>21ob
Print name of owner/operator or Title Phone
/l*r,htn^t"--[T- 1Signature
* SEND NO PAYMENT AT THIS TIME *