HomeMy WebLinkAboutDERR-2024-006414A\
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DEPARTMENT OF ENVIRONMENTAL QUALITY
DryISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. Leavitt
Governor
Dianne R. Nielson, Ph.D.
Iixecutive Director
168 Nonh 1950 West
P.O. Box lzt4840
Salt Lake City. Utah 84114-4840
(801) 5364100
(801) 359-8853 Fax
(801) 5364414 T.D.D.
www.deq.state.ut.us Web
rILE COPIKent P. Gray
Diretor
ERRU-123-00
May 15,2000
Andy Callister
Premium Oil
2005 South 300 West
Salt Lake City, Utah 841 l5
RE:16)e,
y4d,, Sandy, Utah
Underground Storage Tanks (USTs)
Located at Premium/Phillips, 10585 South
Facility Identification No. 4001325
Dear Mr. Callister:
A review of the information you have submitted in the closure notice received on
May I l, 2000, for the above referenced USTs, indicates that no corrective action is required at the
site at this time. The information you have submitted indicates that any detectable petroleum
contamination at the site complies with state UST rules. Based upon these rules, there appears to
be no threat to human health or the environment.
Corrective action may be needed in the future if contamination is found that threatens human
health or the environment. Please contact Jason Wilde at (801) 536-4132, if you have any questions
regarding this matter.
Sincerely,
Secretary (UST)
Utah Solid and Waste Control Board
KPG/JTWhsp
ort
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E STORAGETAIVK PROGRAMT,NDERGROTJND
Adiusturent Fotzt
OWNER ThE
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(drdrorcur)
ADIT'STMENT REFUND RFbm 4e Nrfor
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State Use O
ate Processed b
ate Mailed to LH
amp les in LUST File #
amples to LUST Review_
UST Status
Fecility lD # 4001 32 5
Andrew Callister
ol (company name Phone # ( 801) \87 -\721; P remi um 0i I Co.
Z
Tank Owner P remium 0ll Co.Phone #(801 ) 487 -4j21
[ ] sole proprietorship [ ] partnership [X] corporation
Add 200 South 00 l^/e s c Sa lt Lake State-lJLah 84r1q
Facility Name P rem i umlPh i I I ips
Contact person Andrew Cal lister
Number of regulated tanks at the facility before closure: 3
Number of regulated tanks al the lacility q[gl closure:---!--
TANKS CLOSED
ENVIRONMENTAL R[$,OI,ISE & REMEDIATION
Phone #(801 ) 487 -L'7? 1
* lndicate lhe specific substance slorcd in each tank to be closed (regular, unleaded, desel, waste oil, etc.)
Premi um 0i I Co.
2005 South 300 VJest
B ryan Fu rtek Cert. # GS
Phone #t 801 t \87-4721
Exp. date_
Phone#( B0r) 5?2-6865Eve rq reen Environmental
1
AY I ,rnnn I231Tank #
3/ \/ 82 3/ \/823/ \/82Date lnstalled
12 ,000 l2 ,000r 2 ,000
1/v p Illll P I rrs lll I P remUn I eadedSubstance stored
12/29/9812/29/98 12/29/98
\/5/ 004/5/ 00 4/5/o0Date closed
Removed RemovedHow closed
(Removed/ln place)Removed
IIII
srilibtt-..
Address 1 1 5 South 1 100 Eas t Sal t La ke
UNDERGROUND STOF-CE TANK PEBMANENT CLO ,F( (Revised 0U0tn97)
Closure Notice prepared at the request of the owner/operator (identiried below) by
Address 2005 South 3OO west City sal t Lake State-lll;h- Zip 8411q
FACILITY INFORMATION
Address 10585 South 700 Eas t Crty___Sen-dy-- State-Ulah Zip---..r&4qZI-
TANK REMOVER Name D. G. Bateman Cert.#TR -0059 Exp. date-:Bl {7'01
city_ Jj_E_!g!e_qlI_r__ Srate-!la!_ zip_!-!_Il__
SOIUGROUNDWATER SAMPLER Name
Capacity
Date last operated
State-Ulgh - Zip 84 I 02
CLOSUBE INFORMATION
[XI Fuel was emptied [X] Sludg]aas removed [X] Tank was cleaned
Tank was: [ ]Purged ftl lnerled. Method Used:15 lbs. of Dry
Location of Closure Records 2005 South 300 l,/es t
lce Per 1 ,000 Gallons
Location Name Phone #Date Amount
Tank(s)Atlas Steel 975-9669 4//oo
Product From Tank(s)Nat i ona I Tank 280-712tt 640 gal
Contaminated Water From Tank Cleaning 80 gal
SIudge oal
Contaminated Water From Excavation gal
Contaminated Soil
ls any contaminaled soil which was over-excavated still on-site?
-
Yes No X Not applicable
Was Free Product encountered during closure activities?
-
lI yes, please indicate thickness,
-lnches
SITE ASSESSMENT
Complete lhe Facility Site Plat (Closure Notice) and Sample lnlormation Table (Closure Notice) on pages 3 and 4 to show the
locations, depths, and olher inlormation on all soil/groundwater samples taken for closure. The samples must be consistently
identilied by sample lD # on the site plat, table, and lab analysis report.
[ ] Completed Facility Site Plat (Closure Notice) is attached.
The lollowing must be included (enter the distance, and direction (N,S,E,W) Irom the area ol contamination or, where applicable,
use OH ,or ovefiead, NP for nol present):
-I-water une -[-sewer Line -[- Natural cas
-
Storm Drain
-Telephone -
Eleclrical
-
Property Une
-
Buildings
I X] Completed Sample lnformation Table (Closure Notice) is attached.
I X] Certified lab analytical environmental sample results are attached.
I X] Unified Soil Classitication (USC) sample resulls are attached.
I X] Chain of Custody form is attached.
Samples were properly: [X ]Collected [X ] Labeled [X] Packaged [ ]Transported
I x] Samples were in sight of the person in custody al all times or in a secured locked place.
I certify under penatty ol law lhat the closure site assessment at this facility was conducted in accordance with R31 1 -
2t2 (eE,rts2m.s2 and 280.72) and R3'11-205 U.A.C., and that any additional samples rcquircd by R3l1-202 parts 280.52
and 280.72 and R311-20S2(aX1) were properly collected.
Signatur€ of Certified Groundwater/Soil Sampler -b.r^--L tlatLv-
Full name of Certffied Sampler Bryan Furtek Evergreen Envi ronmental oate 5- la-oo
lf contamination at the ,acility is confirmed, any person providing remedial assistance lor a lee must be a Certified UST
Consuftant. The Certiiied UST Consultant providing assistance is:
CERTIFIED UST CONSULTANT Name BRTAp FU,R-7-E,K Cert. # CC
Com EUERGREeil g:uutRat)EM'TAL s ERUTCES Phone #601
Exp. date_
t3e.-686.{
Address +)6€. 3euTPt lti ?Le, #egc c
2
1AL:r LA|G cfiY sta.F- QT zip 8+ ttt
For ln-Place Closure: tanks filled with
For Change.ln-Sewice: Substance lo be stored
DISPOSAL SITES USED:
Contact Name
Tank #
L/nL/no
N /a vd3
MACS CRAFT PARKING LOT (o
SS# 1
04-05-00-08
USC# 1
XSS#2
04-05-00-09
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SS#
SS#
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SS# 3
04-05-00-1 0
04-05-00-14
XSS#4
04-05-00-1 1
XSS#6
04-05-00-13
XSS#8
04-05-00-15
USC# 2
04-05-00-15
sewer
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6
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(
700 East
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Sr PLE INFORMATION TABLE (Closure N. -e)
Complete table lor all samples that were taken tor closure. Sample lD numbers on the table must be consistent with
the sample lD numbers given on the site plat and in the lab analysis report.
1 Soil (SS), Goundwater (GW), ot Unified Soil Classification (USC).
2 Flllal depth (in ,Eet) below grade al which samples were taken.
3 Contaminant compound(s) analyzed lor eact! samde [fPH, BTEXN, O&G, etc)'
I nppropriate anafylis meittods for contaminant compound(s) in each sa,nPle (8015 mod', 8020' 413'1' etc)'
State Certified Laboratory used: Utility Testing Laboratory
State-Uleh zip---:gll Lli5lL62 I40 Wes t Lou ise Ave.Sa
Analysis method(s)4CompoundssSubstanc€
stored in
tank
Sample
typet
Sample #/Lab lD
TPH F, BTFXN Sorss r 80 218SS12 f t.3 Gaso I iness#r 04-05-00-0
lr)ss#2 04-05-00-0
4 ft.)ss#3 o4-05-oo-1
ss#4 04-05-00-r
SS#5 04-05-00:l
]ss#6 04-05-00-r
+;s#7 04-05-00- r
);s#8 04-05-00- r
12 lt.is#9 04-05-00- 1
12 f t.8 US C
4 ft.5,sc#2 04-05-00-
II
Address
Contact person Phone # ( 801 )485-8941
please explain any unusual or extenualing circumstances encountered during the site assessment or closure:
I certify under penalty ot law that I am the Owner of the tank(s) described above and that I am familiar with the
inlormition on Uris lorm and that it is true, accurate and complete and further, that the Procedures described herein
were followed during tank closure.
Signatute of UST Owner
Full name ol Owner Premium 0il Co. by Andrew Ca l'l i ster
Retum completed Closure Notice form, Facility Site Plat and Sample lnlormation Table, Soil/Groundwater sample lab analysis
resutts, USd sample results, and Chain of Custody form within 9O days ol UST Closure to:
state of Utah Deot. ol Environmental Qualiw
Oivision of gnvironmental Response and Remediation UST Section
P.O. Box 144840
168 North 1950 West
salt Lake city, utah 84114-4840
4
Depth2
,sc#l 04-05-00-
oate S/t<:fzo<.o
The site plat must be drawn to an scale. lt must show actual substances stored in tanks, and
other relevant infomation. Tank and sample identification numbers must be consistent wilh the inlormalion given on p. 1 and 4 ol the
cbsure notice
Facility tD#Drawn Date
1I Scale: 1'=Feet
NOBTH
Sire Plal Uust lndic.te Actual Locations Or:
/ Cunent & forfiEr tanks, pifrng & dispenseG
/ Excavations. GW nronitodng wells & soil sto@iles
/ Localion & depth ol all samples taken
/ Eluildirgs, ferc€s, & p.operty boundades
/ Utility conduits (sewers, gas, water, stodh
drains, elecldcal etc,)
.,, Depth to gro{.lndn€ler (il encountered)
3
x = Sarnple locations (Ss+, ws+, USc*)
l = Monitoring Wells (t{W{,)
o : Soil boring (SB-f), or Geoprcbe Bodng (GP4)
O = Water Wells (dornestic, livestock, etc.)
Slope ot Surlace Topographj,: (N, Nw, W sW s. sE, E, NE)
land Use At Sile: _Residenthl _Commercbl _ lndustnal
Sunounding bnd: _Resi(bntia! - Commercid - lrEustrial
40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84165-0621
(801) 485-8941
Fax: (801) 484-9211
A t-ltility Testin€ Laboratory
April 20,2000
Premium OilCompany
2005 South 300 West
Salt Lake City, Utah 841 15
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 80218 second column confirmation not confirmed.
TOTAL PETROTEUM HYDROCARBONS (TPH) . GASOLINE & DIESET
EPA SW846 METHOD 80158
CASOLINE (TVPH) USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: 10 mg/Kg (ppm) SOIL
Test No.
04-05-00-08
Date Analyzed:
1 3 Apr 2000 TVPH
05 Apr 2000 TEPH
Dilution Factor Used = 1.0
Test No.
04-05-00-08
SOIL SAMPLE
ss-1
SOIL SAMPLE
ss-1
MBTEXN
SW.846 METHOD 802'IB
USINC PURGE & TRAP METHOD 5O3OB
REPORTINC LIMIT: s pilKe (ppb)SOIL
Test Results ms/Ks (oom)
< 10 mg/Kg Casoline
< 10 mglKg Diesel
Test Results pg/Kg (ppb)
< 5 pglKg MIBE
< 5 pglKg Benzene
< 5 pg/Kg Toluene
< 5 pglKg Ethylbenzene
< 15 pglKg Xylenes, Total
< 5 UglKg Naphthalene
Date Analyzed
1 3 Apr 2000
Dilution Factor Used = 1.0
UTILITY TESTINC LABORATORY
V''-ft
Tina May
Qual ity Assurance Manager
I 40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84165-0621
(801) 485-8941
Fax: (801) 484-9211
A Utility Testing Laboratory
April 20, 2000
Premium OilCompany
2005 South 300 West
Salt Lake City, Utah 841 15
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 80218 second column confirmation not confirmed
TOTAL PETROLEUM HYDROCARBONS (TPH) . GASOLINE & DIESET
EPA SWB46 METHOD 80158
CASOLINE (TVPH) USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: 10 mg/Kg (ppm) SOIL
Test No.
04-05-00-09
Date Analyzed:
1 3 Apr 2000 TVPH
05 Apr 2000 TEPH
Dilution Factor Used = 1.0
Test No.
04-0s-00-09
MBTEXN
SW-846 METHOD BO2l B
USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: s HdKS (ppb)SOIL
Test Results mg/Kg (ppm)
< 10 mg/Kg Gasoline
< '10 mg/Kg Diesel
Test Results uelKe (opb)
< 5 pglKg MIBE
< 5 pglKg Benzene
< 5 pglKg Toluene
< 5 pg/Kg Ethylbenzene
< 15 pglKg Xylenes, Total
< 5 t,/Kg Naphthalene
SOIL SAMPLE
ss-2
SOIL SAMPLE
SS-2
Date Analyzed:
1 3 Apr 2000
Dilution Factor Used = 1.0
UTlLITY TESTI NC LABORATORY
T.-ru\
Tina May
Quality Assurance Manager
40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84165-0621
(801) 48s-894r
Fax: (801) 484-9211
A Utility Testing Laboratory
April 20, 2000
Premium OilCompany
2005 South 300 West
Salt Lake City, Utah 84.t15
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 80218 second column confirmation not confirmed
TOTAT PETROLEUM HYDROCARBONS (TPH) . GASOTINE & DIESEL
EPA SW846 METHOD 80158
GASOLINE (TVPH) USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT:10 mglKg (ppm) SOtt
Test No.
04-05-00-10
Date Analyzed:
13 Apr 2000 TVPH
06 Apr 2000 TEPH
Dilution Factor Used = 1.0
Test No.
04-0s-00-1 0
MBTEXN
SW-846 METHOD 80218
USING PURGE & TRAP METHOD 5O3OB
REPORTINC LIMIT:5 p/KS (ppb)SOIL
Test Results mg/Kg (ppm)
< '10 mg/Kg Casoline
< 10 mg/Kg Diesel
Test Results FglKg (ppb)
< 5 pg/Kg MIBE
< 5 pglKg Benzene
< 5 pglKg Toluene
< 5 pglKg Ethylbenzene
< 15 pg/Kg Xylenes, Total
< 5 pglKg Naphthalene
SOIL SAMPLE
SS-3
SOIL SAMPLE
ss-3
Date Analyzed
1 3 Apr 2000
Dilution Factor Used = 1.0
UTILITY TESTING LABORATORY
6-n\
Tina May
Quality Assurance Manager
40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84'.t65-0621
(801) 48s-8941
Fax: (801) 484-9211
A tltility Testing Laboratory
April 20, 2000
Premium Oil Company
2005 South 300 West
Salt Lake City, Utah 841 15
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected: O5 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 80218 second column confirmation not confirmed.
TOTAT PETROTEUM HYDROCARBONS (TPH). GASOLINE & DIESEL
EPA SW846 METHOD 80158
CASOLINE (TVPH) USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: 10 mg/Kg (ppm)SOIL
Test No.
04-05-00-11
Date Analyzed:
13 Apr 2000 TVPH
06 Apr 2000 TEPH
Dilution Factor Used = 1.0
Test No.
04-05-00-1 1
MBTEXN
SW-846 METHOD 80218
USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: s p/Ks (ppb) SOIL
Test Results mg/Kg (ppm)
< 10 mglKg Casoline
< 10 mglKg Diesel
Test Results pglKg (ppb)
< 5 pg/Kg MIBE
< 5 pglKg Benzene
< 5 pg/Kg Toluene
< 5 Fg/Kg Ethylbenzene
< 15 prg/Kg Xylenes, Total
< 5 pg/Kg Naphthalene
SOIL SAMPLE
SS-4
Date Analyzed
1 3 Apr 2000
Dilution Factor Used = 1.0
UTILITY TESTINC LABORATORY
T;/t7
Tina May
Quality Assurance Manager
SOIL SAMPLE
SS-4
40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84165-0621
(801) 48s-8941
Fax: (801) 484-9211
A Utility Testing Laboratory
April20, 2000
Premium OilCompany
2005 South 300 West
Salt Lake City, Utah 841 15
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 8021B second column confirmation not confirmed.
TOTAr PETROLEUM HYDROCARBONS (TPH) - GASOLTNE & DTESEL
EPA SWB46 METHOD BO15B
CASOLINE (TVPH) USING PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: 10 mg/Kg (ppm)SOIL
Test No.
04-05-00-12
Date Analyzed:
13 Apr 2000 TVPH
06 Apr 2000 TEPH
Dilution FactorUsed = 1.0
Test No.
04-0s-00-12
MBTEXN
SW-846 METHOD 80218
USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: s plKe (ppb)SOIL
Test Results mg/Kg (ppm)
<.10 mglKg Casoline
< 10 mg/Kg Diesel
Test Results FglKg (ppb)
< 5 pglKg MIBE
< 5 pglKg Benzene
< 5 pglKg Toluene
< 5 pglKg Ethylbenzene
< 15 pglKg Xylenes, Total
< 5 pglKg Naphthalene
SOIL SAMPLE
SS-5
SOIL SAMPLE
SS-5
Date Analyzed:
1 3 Apr 2000
Dilution Factor Used = 1.0
UTILITY TESTING LABORATORYry
Tina May
Quality Assurance Manager
40 West Louise Avenue
P.O. Box 6562.l
Salt Lake City, UT
84165-0621
(801) 485-8941
Fax: (801) 484-9211
A Utility Testing Laboratory
April 20, 2000
Premium Oil Company
2005 South 300 West
Salt Lake Ciry, Utah 841 15
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 80218 second column confirmation not confirmed.
TOTAL PETROTEUM HYDROCARBONS (TPH) . GASOTINE & DIESET
EPA SW846 METHOD 80158
CASOLINE (TVPH) USINC PURGE & TRAP METHOD 5O3OB
REPORTING LIMIT: 10 mgiKg (ppm)SOIL
Test No.
04-0s-00-'13
Date Analyzed:
I 3 Apr 2000 TVPH
06 Apr 2000 TEPH
Dilution Factor Used = 1 .0
Test No.
04-0s-00-13
SOIL SAMPLE
SS-6
SOIL SAMPLE
SS-6
MBTEXN
SW-846 METHOD BO21B
USINC PURCE & TRAP METHOD 5O3OB
REPORTING LIMIT: s p/KS (ppb)SOIL
Test Results mg/Kg (ppm)
< 10 mg/Kg Casoline
< 10 mg/Kg Diesel
Test Results Fg/Kg (ppb)
< 5 Frg/Kg MIBE
< 5 pg/Kg Benzene
< 5 prg/Kg Toluene
< 5 Hg/Kg Ethylbenzene
< '15 pg/Kg Xylenes, Total
< 5 pglKg Naphthalene
Date Analyzed:
1 3 Apr 2000
Dilution Factor Used = 1.0
UTI LITY TESTI NC LABORATORYo\
Tina May
Qual ity Assurance Manager
40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84165-0621
(801) 4Bs-8941
Fax: (801) 484-9211
A t-ltility Testing Laboratory
April 20, 2000
Premium OilCompany
2005 South 300 West
Salt Lake City, Utah 84115
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 80218 second column confirmation not confirmed.
TOTAL PETROLEUM HYDROCARBONS (TPH) - GASOLINE & DIESET
EPA SW846 METHOD BO15B
CASOLINE (TVPH) USINC PURGE & TRAP METHOD 5O3OB
REPORTINC LIMIT: 10 mgiKg (ppm) SOIL
Test No.
04-05-00-14
Date Analyzed:
13 Apr 2000 TVPH
06 Apr 2000 TEPH
Dilution Factor Used = 'l .0
Test No.
04-05-00-14
SOIL SAMPLE
SS-7
SOIL SAMPLE
SS-7
MBTEXN
SW-846 METHOD BO2l B
USING PURCE & TRAP METHOD 5O3OB
REPORTING LIMIT: s pelKs (ppb)SOIL
Test Results mg/Kg (ppm)
< 1O mg/Kg Casoline
< 10 mg/Kg Diesel
Test Results lrglKg (ppb)
< 5 pglKg MIBE
< 5 ;rglKg Benzene
< 5 pglKg Toluene
< 5 FglKg Ethylbenzene
< 1 5 pg/Kg Xylenes, Total
< 5 FglKg Naphthalene
Date Analyzed
1 3 Apr 2000
Dilution Factor Used = 1.0
UTI LITY TESTI NC LABORATORY
@ ry
Tina May
Qual ity Assurance Manager
40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84165-0621
(801) 485-8941
Fax: (801) 484-9211
A tltility Testing Laboratory
April20, 2000
Premium Oil Company
2005 South 300 West
Salt Lake City, Utah 841 .15
Attention: Mr. Andy Callister
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
:Hii:ff |?'J;iil;?3',f"ilH;;;, B secon d co r u m n conri rm ation n ot co nri rm ed.
TOTAL PETROLEUM HYDROCARBONS (TPH) - GASOLINE & DIESEL
EPA SWB46 METHOD BOl58
CASOLINE (TVPH) USINC PURCE & TRAP METHOD 5O3OB
REPORTINC LIMIT: 1 0 mg/Kg (ppm) SOIL
Test No.
04-05-00-15
Date Analyzed:
13 Apr 2000 TVPH
06 Apr 2000 TEPH
Dilution Factor Used = 1.0
Test No.
04-05-00-1 5
SOIL SAMPLE
SS-8
SOIL SAMPLE
SS-8
MBTEXN
SW-846 METHOD 8021B
USINC PURGE & TRAP METHOD 5O3OB
REPORTINC LIMIT: s t /KS (ppb) SOIL
Test Results mg/Kg (ppm)
< 10 mg/Kg Casoline
< 10 mg/Kg Diesel
Test Results lrglKg (ppb)
< 5 pglKg MIBE
< 5 pg/Kg Benzene
< 5 pg/Kg Toluene
< 5 pgiKg Ethylbenzene
< 15 pglKg Xylenes, Total
< 5 pglKg Naphthalene
Date Analyzed
1 3 Apr 2000
Dilution Factor Used = 1.0
UTI LITY TESTI NC LABORATORY
l,tb)*r
Tina May
Qual ity Assurance Manager
1 40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT
84165-0621
(801) 4Bs-8941
Fax: (801 ) 484-9211
A Utility Testing Laboratory
April 20, 2000
Premium OilCompany
2005 South 300 West
salt Lake city, Utah 841 15
Attention: Mr. Andy Callister
TOTAL PETROTEUM HYDROCARBONS (TPH) - GASOLINE & DIESEL
EPA SW846 METHOD BOl5B
GASOLINE (TVPH) USINC PURGE & TRAP METHOD 5O3OB
REPORTINC LIMIT:10 mg/Kg (ppm) SOIL
Test No.
04-05-00-16
Date Analyzed:
13 Apr 2000 TVPH
06 Apr 2000 TEPH
Dilution Factor Used = 1.0
Test No.
04-05-00-16
MBTEXN
SW-846 METHOD BO2l B
USING PURGE & TRAP METHOD 5O3OB
REPORTINC LIMIT:5 t,S/Kg (ppb) SOIL
Test Results mg/Kg (ppm)
< 10 mg/Kg Casoline
< 10 mg/Kg Diesel
Test Results ]rglKg (ppb)
< 5 pglKg MIBE
< 5 pg/Kg Benzene
< 5 ;rglKg Toluene
< 5 pg/Kg Ethylbenzene
< 15 pglKg Xylenes, Total
< 5 pglKg Naphthalene
SOIL SAMPLE
SS-9
SOIL SAMPLE
SS-9
Date Analyzed
1 3 Apr 2000
Dilution Factor Used = 1.0
UTILITY TESTINC LABORATORY
Tina May
Quality Assurance Manager
Subject: TPH/MBTEXN Testing - ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 Apr 2000
Sample Received By: David Simmons
Comments: EPA SW-846 Method 8021B second column confirmation not confirmed.
ru
40 West Louise Avenue
P.O. Box 65621
sart Lake city, UT 84165-0621
(801) 48s-8941
Fax: (801) 484-9211A t-ttility Testing Laboratory
May 1, 2000
Premium OilCompany
2005 South 300 West
Salt Lake City, Utah 84115
Attention: Mr. Andy Callister
Subject: - Uniform Soil Classification
ASTM Method D2488-9O -ALTA STATTON
Sample Collected:05 Apr 2000
Sample Received:05 APr 2000
Sample Received By: David Simmons
Comments: None
Following are the test results on your sub.iect samples;
Test No.
04-05-00-15
Color of Sample:
Dark Brown
Toughness:
None
Plasticity:
None
Description of Sample:
Well-graded sand with silt
Composition of Sample by Sieve Analysis:
COARSE CRAVEL <76.0 mm - ND
FINE CRAVEL < 19.0 mm - ND
COARSE SAND < 4.0 mm - ND
MEDIUM SAND <2.O mm - 10 o/o
FINE SAND <0.425 mm - 80 %
FINES < 0.075 mm - 10 %
* ND INDICATES NOT DETECTED
UTI LITY TESTI NC LABORATORY
Customer l.D.
SS-8
Drv Strensth:
None
Classification:
(SW-SM)
-firt"u,I
Tina May
Qual ity Assurance Manager
Reaction with 1:1 HCI:
Weak
^
40 West Louise Avenue
P.O. Box 65621
Salt Lake City, UT 84165-0621
(801) 4Bs-8941
Fax: (801) 484-9211A t-ttility Testing Laboratory
May 1, 2000
Premium OilCompany
2005 South 300 West
Salt Lake City, Utah 84115
Attention: Mr. Andy Callister
Subject: - Uniform Soil Classification
ASTM Method D2488-90 -ALTA STATION
Sample Collected:05 Apr 2000
Sample Received:05 APr 2000
Sample Received By: David Simmons
Comments: None
Following are the test results on your subject samples;
Test No.
04-05-00-08
Color of Sample:
Brown/Crey
Toushness:
High
Plasticity:
High
Description of Sample:
Clayey sand
Composition of Sample by Sieve Analysis:
COARSE CRAVEL <76.0 mm - ND
FINE CRAVEL < 19.0 mm - ND
COARSE SAND < 4.O mm - ND
MEDIUM SAND <2.0 mm - 10 %
FINE SAND < 0.425 mm - 70 "h
FINES < 0.075 mm - 20 1"
* ND INDICATES NOT DETECTED
UTILITY TESTINC LABORATORY
Customer l.D.
SS-1
Drv Streneth:
Low
Reaction with 1:1 HCI:
Strong
Classification:
(SC1
Tr"*ry
Tina May
Quality Assurance Manager
Utility,Jie*iltl-abo ratory CHAIN OF CUSTODY
ffiSaltlakecity, Utah
c*i'u t1f
8,44€{* Phone: 801 -973-8305 FAX: 801-973-8333
Pro.iect Number Project Name:
ALW) sTA11CI tl
Analysis Report To (print):
r1*by C/rLLtsICR
>(u
m
'-r'
0-l-
,i
$
)
P.O. Number:Sampler's Signature:'%r-^-Yrffi No.
of
cont.Matrix REMARKSDate Sampled Sample Time ldentification
t t-* 5-oo 4', grt ss-l X Y X I So,L
a -T-
f
Io'.oo 6s"a-{(\
Io',4 CI 95" 3 )II I
It"oo 9s-q I
t iI
J l\oo ss -5 I \\\
\\
r I '."{i s,5 *6 I
I '.3o I9-Y I (
I'L+i 5S-8 \X
{l Q',t+d E6* q t,{.I,
,quished (signature):
I
Datefime:
'!/r,,;/ou t:{3
Recei SEND RESUTTS TO (Company Name)
?&€ mtu,"- CI tc C o
CONDITION OF SAMPTES
Samples Chilled: tr Yes tr No
Seals lntact:trYes trNo
Samples Preserved: tr Yes tr No
Remarks:
Rel i nq u ish6{(si gnatu re) :Datefiime Received (signaturef To the attention of:
Relinqu ished (signature) :Datefl-ime Received (signature)Address:
Relinqu ished (signature)Datefiime:Received (signature)
Phone:
COMMENTS:Fax
)
{
1
I
(
Contact Person
UJ
L
Area Code Phone Number
Owner Name
_ Address
_ City
5 e
(check
IfuTU--^
best description of land use)
Other
_Street Address
Facility Name
_Surrounding
residential
_City.
TANKS CLOSED ranr ruo. .l ,/,
Tank No. 4 Tanr ruo. j Tank No._Tank No._
1. Estimated Capacity (gallons)Lak t1K lL l<
2.Iype (Steel, FRP, Composite)41 4t /T
3. Substance Stored h aqh
-
4. Date last used al6{8 4?)Lz /4r-'
4 /5lnb -
-1lilltiA, -5. How closed (Rmvd, inplace, CIS)
Cert. #:GS Expiration Date:GW & Soil
Cert. #: TR Date:UST Remover:
1.owner/operatorhasanapprovedclosureptan:,pNcopy9!q!s@ I
2. Product removed: Y N By:T rl;*WeODisposed at:o
3. Sludge removed: Y N By tDisposed at:
4. Tanks cleaned: Y N By:)Rinsate disposed at
5. Non-explosive atmosphere inside tank obtained by:
-
Purging
-
lnerting. Llfff Z. Olyggltg!!e!!gq-l
6. Product lines were:
-
Cleaned, secured in place, and capped
-
Removed, disposal site:L
8. Soil7. Tank site:site:
Meter
PID or FID meter readings (indicate location on the site plat.)
Gain or span:- Calibration
/D Depth of contamination: 0 - 3 feet
-
greater than 3 feet
-ill_
4. Certified Lab:3.#of I
1. Soil contamination is evident: Y
2. Water contamination is evident: V tD pgP!! !9f9!9I
collected:
-
GW { soir -Ltsc
6€ir ,ift)5. Analysis Methods
I lBTEXO&G TRH HOG
6. lnspector observed collection of samples:N1 N lndicate location and depth of samples on the site plat.v
and submitted them to the State Lab for ana
V (f.i-) f.fZn lf yes, confirmation samples were collected: Y N
N7.1
8. Contaminated soil overexcavated:
r collected icate
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner Revised 5/98
UTAH UST PROGRAM Facitity tD
nspectionPermanent Closure I
l. Ownership of Tank(s)ll. Location of Tank(s)
4. Date Closed
?\
SITE ASSESSMENT:
CLOSURE INSPECTION SITE PLA Facili lD No.
NORTH
(&e
t t
L LZ I e'
tr o 2
I+1yrt TAI\K/,.a1a<VrJ\' lolbxrhx
12
7
+vtL,vz ?
5 *lz
4- ovea-iler+o /r"lss (e(*ttrnrca1;
->
location ol any roported PIO or FIO readings.
Potential Receptors: Distance (in feet) to the nearest:
Residences
-
Commorcial buildings X-
Surlace water _ Underground: Sewer _
Telephone line_ Electrical line _
x
Storm drain_
Property iine
Water line
Active water well _
Natural gas line_
Olher (specity)_
T 66>e++e
Ial-aComments:
lL,
L€
that I inspected the above-named lacility on
Cert#ln Date
L
sSi nature:
Distribution: White.OERR, Yellowlnspeclor, Pink-Facilily/Ownsr Revised 5/98
(
lq
I
tqsyg s
DEPART),{E\T OF E}I\/iRONMENTAL QUALITY
DiVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
\lichacl (). Leevru
(irrvernrrr
)iiurne [1. Niclson. Ph.D.
I:\crulr\c Dircctor
Kent P. Gra-v''
f)irecror
I68 North l9-ir) \\'est
P O. Box I liSr0
Salt Lake Cirr . L rah s+ I ll--+8"10
( r0 I ) j-16--l la)r_)
(liOt ) .159-8,351 Fex
(801 ) 536-Jllr T D D
rl ww.deq.state.ur.us Web
r ILE COPY
RE
ERRU-003-00
Januarv 7. 1000
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
ANDY CALLISTER
PREMIUM OIL COMPANY
2005 s 300 w
SALT LAKE CITY LTT 8.+ I I.5
Notice of Intent to Revoke Certificate of Compliance
Located at Premium Phillips 66 #41 (Alta), 10585 South 700 F.ast, Sandy. Utah
Facility Identification No. 4001 325
Dear Mr. Callister:
The Utah Underground Storage Tank (UST) Rules (R3 I I 202-l ) require that aiier December22,1998,
UST owners and operators must comply with one of the following:
I ) New UST system performance standards in Federal Regulations of 40 Code (CFR) 280.20;
2) The upgrading requirements in 40 CFR 280.21;
3) Closure requirements under 40 CFR 280 Subpart G.
Our records indicate that tank(s) 1. 2. 3 at Facility Number 4001325 were placed under temporary
closurebecausethel w'erenotincompiiancerviththe l998up-eraderequirements. Thealiowedtimeforthe
temporary closure to be effective ended on December 22. 1999. Pursuant to Section I 9-6--l l4 of the Utah Code.
:i ou have 60 day's to submit doe umentation to us to demonstrate that yoll arc in compliance or vour Certificate
of Compliance will be revoked. If your Certificate of Compliance is revoked and you are participating in the
Petroleum Storage Tank (PST r Fund. -v-ou will be ineligible to receive pa\ ment for claims against the PST Fund.
If you have anv questions. please call Jason Wilde at (801) 536-4100.
Sincerely,
D;- t r1*/L
Kent P. Gray. E.recutive Secretary (LIST)
Solid and Hazardous Waste Control Board
KPG/GKA/hsp
SENDER:
tr Complete items 1 ar
Complete items 3, 4a,
for additional services.
4b.
I also 'tr to receive the follow-
ing s ,ps (for an extra fee):
1. D Addressee's Address
2. D Restricted Delivery
5 Juo
@ertified
D lnsured
itrAaD
)
Et Pint your name and address on the reveEe of this lom so that we can relurn lhis
card to,you.
this lom to lhe front ofthe mailpiece, or on the back il space does noltr Atlach
permit.
o W (ile'Fetum Receipt Requested' on the
0 The to was delivered and the date
3. Article Aldressed lo'
below the arlicle number.
4b.INDY CAI,T,ISTI.)R
PRI.]N,TIT'NI OtL (]()
2005 s 300 \\'
s.\t,'l'L-\Ktl CITY trT 8{115
5. Received
E Registered
[J Express Mail
E Retum Receiptlor
and
6.
1
7. Date of Delivery
(-
8. Addressee's
tee is paid)
PS Form 1 994 1 02s95-99-B-0223 Receipl
E
Ulrreo Srnres Posral SeRvrce
)lililt
fFi-*--Jl-..i/.il II Postaoe & Fees Paid Ilsps l
tfermit No. G-10
|
o Print your name, address, and ZIP Code in this box o
UOEO / DERR
P0. Box 1 44840
r r-niii cirv ur 84114-4840
ll,,l,,l,,l,,,ll,,,ll,l,,l,l,,ll,,l,,l',lll,,t,ll,,l
a ,^
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. haviu
Governor
Dianne R. Nielson. Ph.D.
Execu(ive Director
168 North t950 West
P.O. Box l1-1840
Salt Lake City. Utah 841 l4-4840
(801)536-1100
(801) 359-8853 Fax
( 80 I ) 536-4.1 l-l T.D.D.
www.deq.state.ut.us Web
T IL E COPY
Kent P. Gray
Director
ERRU-396-99
December 17,1999
Andrew Callister
Premium Oil Company
2005 South 300 West
Salt Lake City, Utah 84115
RE Closure Plan Approval for Underground Storage Tanks (USTs)
Located at Premium,/Phillips, 10585 South 700 East, Sandy, Utah
Facility Identification No. 4001325
Dear Mr. Callister:
The Closure Plan for the above-referenced facility, received by the Division of Environmental
Response and Remediation (DERR) on December 9,1999, has been approved subject to the noted
modifications, if any. The DERR office and the local fire department must be notified 72 hours before
beginningclosure activities. Ircal agencies mayhave additional requi,rements forclosure ormaycharge
inspection fees. The Salt Lake City/County Health Department is no longer performing closure
inspections. Please be sure the DERR office (not Salt Lake City/County Health Department)
is contacted at least 72 hours before the closure takes place.
The Closure Plan approval is effective for a period of one vear from the date of approval. If
closure does not take place within one year, submittal of a new Closure Plan will be required, unless
otherwise approved by the Executive Secretary (UST).
Any change to the approved Closure Plan must be submitted, in writing, and approved by the
Executive Secretary (UST) before implementation. If contamination is suspected or found during closure
activities, you must report it to the DERR at (801) 536-4100 within 24 hours of discovery.
Enclosed is a copy of the Closure Notice form, which must be completed and submitted to the
Executive Secretary (UST) afterthe closure is performed. Please submit the Closure Notice ils soon as
possible, but no later than 90 days after tank closure.
v
Facility ID# 4001325
Page 2
If during upcoming closure activities, it appearlthat a confirmed petroleum release has occurred,
then the conditions. as explained in the attached notice, may apply to your site provided all the applicable
rules and regulations are complied with.
If you have any questions, please contact Jason lVilde at (801) 536-4132
Sincerely,
\)*-t 4*/h
Kent P. Gray, Executive Secretary (UST)
Utan Solid and Hazardous Waste Control Board
Enclosures
cc: Don Chase, Chiei Sandy City Fire Department
KPG@hsp
UNDERGROUND STORAGE TANK C U RE PLAN (rev.05/01/98) FACILITYID#4001325
LHD USE ONLY
Date Received
Reviewer
Date LHD Approved
Date mailed to state
Closure Plan prepared at the request of the owner/operalor (identified below)Andrew Callister
ot (company name)Premium 0il Co.Phone # (801 ) 48 7-4721
Address 2005 South 300 West
A Contractor may prepare this closure Plan as the owner/operator's agent. ln preparing the closure Plan, the contractor
must act with the owner/operator's knowledge and approval. The owner/operator must sign the Closure Plan.
ThisCtosure Ptan issubmitted in compliance with the requirements contained in R311-202 Subpart G and R311-204 (U.A.C.)
Tank owner Premium 0il Co,phone # ( 801 ) \87-\721
[ ]sole proprietorship [ ] partnership [X] corporation
City Sal t L ake
STATE U E ONLY
)
IReceived
ate Mailed to LHD
ate Received From LHD
iewer/Date Appr
r. Review/Date
Facility Name Premi umlPh i I I i S
Address '10585 Sollth 700 Ea f C ity__SaL:_dy_- Statqlrah_ Zip Rto 7o
Contact person Andrew Il:l I i Phone#(8^1 ) 487-47, I
Total number ol regulated underground tanks at this site 3
Total number ol regulated underground tanks at this site lqbe closed
TANKS TO BE CLOSED
?
2 j,|Tank #
S tee I Stee I SteelType (Steel,FRP,etc.)
nEn -o ,]7/ tt/82 7/ 4/ 82 7/4/82Date lnstalled
1 2 .0001 2 ,000 12 ,00 0Capacity
Un leaded U/L PIus U/L P remSubstance stored'
.{J 4 N,2 A'912/29/98 12/?9/98 12/29/98
\!L
Date last operaled
Remove Remove
Removed/ln Place/
Chanoe in Service?Re mo ve
I
' lndicate ths specific substance stored in each tank to be closed (regular, unleaded, diesel, waste oil, etc.)
For waste oil tanks: Have degreasing or other types of solvents been stored or mixed with the wasle oil?
Yes (identify if known)No _ Not known _
Analysis for lead or other contaminants may be required priorto disposalol contaminated soilor other material. (Checkwith
your disposal lacility.)
City Salt Lake State Utalzip 84'l l5
FACILITY INFORMATION
Address 2005 South 300 West State Utahzip 841 l5
El'lTAl Pr:rlr
1
TANK REMOVER Name D la t eman
Premium 0il Co.
.#TR-0059 Exp.date B/01./Ol
Compan
Address 2005 Sorrth ?OO Upct City Sa I t L
Phone #
SOIUGROUNDW ATEB SAMPLER Name Rrwrn tr,,.rar.Cert. # GS
Company
Address
Eve rq reen E nvi ronmen ta I
ll5 South 1100 East City Salt Lake State Ut ah 84r02
Before the closure plan is submitted tor approval, the local health and ,ire departments where the tacility is located
mUSl be Contacted. ll the tacility is in Beaver, Carbon. Emery, Gadield, Gand, lrcn, Kane, Salt Lake, San Juan, Wasatch, ot Washington county
contact OERR (UST) at (801)536-4100 instead ol the local heallh disttict. You still musl contact the local fire deoanmeht in these counies.
Contact Tifle Phone #
CONTACT LoCAL FIBE DEPT. Name ol Dept.Sandv Citv Fi re De f
Contact Ri cha rd Lyman
Dale 11 /n1 /gg
ph6ns I 558-2938
Atlas SteelTank(s) will be disposed at: Facility
Address \221 Vest 700 South CrV qalt Lal,.e Statfun"g_ Zip__94_141*_
Phone#(801 D75-9669Contact person
Product lines will either be:
-[_
removed or
-
cleaned, secured in place, and capped
Vent lines will eilher be: X removed or_cleaned and secured open.
S ame
Address City State_ Zip
Contact person Phone # ( )
National Tank E Honito rinq /Phone# ( B0t ) 280-3i24
Phone #
Tank(s) will be emptied by: company
Tank(s) will be cleaned by: company
Contaminated water in the tanurinsate will be disposed at: Facility Nat iona I Tank E n itorino
Contact person Phone # ( nnr ) 280-3324
Tank(s) will be: _ purged or __-X_ rendered inert by the following method:l5 lbs of Dry lce Per 1.000 Gallor
Residual sludges will be disposed at the ,ollowing facility : Nat iona l Tank e Mon i torino /
City State u t.h ZiP B T,OBBAddress4r52 r,, - 8?70 s.Uocf .l^r.116
Contacl person Phone #( B0r ) 2Bo-3324
FOR CLOSURE I N.PLACE ONLY
Facility Site Plat, Sample lnformation Table, sample results and Chain of Custody forms are included.
Documentation that the tank(s) were emptied and cleaned prior to sampling is included.
Approval for in-place closure has been granted by the Local Fire Department'
Fire Dept._Phone#Contact Date
[ ] Approval for in-place closure has been granted by the Local Health Department
Health District one#Contact Date
[ ] Substance to be used to fill tanks
2
Phone#( 8Or ) 53"-r865
CONTACT LOCAL HEALTH DISTRICT Name oI Dist.
-
D IE
Tirle
-
DISPOSAL INFOBMATION
Piping will be disposed at: Facility
CPNTAMINATED MATERIALS MU{BE DISPOSED AT AN ACCEPTABLE FA.CILITY:
All materials generated lrom USiclosures must be managed and disposed in a mannerthat does not place those materials
in direct contact with the environment. On-site stockpiling of contaminated soils may be required prior to any soil
management activities. Any person providing remedial assistance for a fee, including aeration and over-excavation (of more
than 50 yd), must be a Certified IJST Consultant.
Contaminated soils generated as part of tank removal are to be disposed at the Iollowing facility:
Address City _
State_ Zip _ Contact person Phone #
SITE ENT
A site assessment must be performed for all UST closures and change-in-service. Site assessments must be
performed as outlined in R311-202, Part 280.72 and R311-205 (U.A.C.). lf contamination is suspected. additiona!
samoles must be collected at the location where contamination is most likelv to be present. ll qroundwater is
encountered. a soilsamole must be collected. in the unsaturated zone. in addition to each qroundwater samole.
Soil and groundwater samples must be analyzed forthe compounds shown in thefollowing table, using appropriate
lab methods.
Substance
or Product
Type
Contaminant Compounds to be Analyzed
SoiI, Groundwater
or Surface Water
Gasoline Total Petroleum Hydrocarbons (TPH); and Benzene, Toluene,
Ethyl benzene, Xylenes, Naphthalene, (BTEXN) and MTBE
8015 Modified and
EPA 8020 or 8260
Diesel Total Petroleum Hydrocarbons (TPH); 4g! Benzene, Toluene,
Ethyl benzene, Xylenes, and Naphthalene (BTEXN)
8015 Modified and
EPA 8020 or 8260
Used Oil Oil and Grease (O&G) or Total Recoverable Petroleum
Hydrocarbons (TRPH); 4g[ Benzene, Toluene, Ethyl benzene,
Xylenes, Naphthalene (BTEXN) and MTBE; and Halogenated
Volatile Organic Compounds (VOC's)
EPA 413.1 or 418.1
and EPA 8020 or 8260
and EPA8010or8260
New Oil Oil and Grease (O&G) or Total Recoverable Petroleum
Hydrocarbons (TRPH)
EPA 413.1 or 418.1
Other or
Unknown
Total Petroleum Hydrocarbons (TPH); 49! Benzene, Toluene,
Ethyl benzene, Xylenes, and Naphthalene (BTEXN); and
Halogenated Volatile Organic Compounds (VOC's)
8015 Modified and
EPA 8020 or 8260 and
EPA 8010 or 8260
rAlternative nrethods or test procedures allowed for 413.1 are 1664 or 5520(b), and 418.1 may also use 1664 or 5520(f). The DERR is now
accepting the use of the E0fi) nrethod series to replace the 6fi) method series for water analysis. Note that analytical nrethod numbers may change
or be replaced (e.9., 8020 can be upgraded to, or replaced with, 8260 if desired, etc.). Check with the DERR, your certilied sampler, or your
analytical laboratory if you have questions regarding the proper analytical method(s) to use for your sampling program
Complete the Facility Site Plat and Sample lnformation Table on pages 4 and 5 to provide site assessment
information.
CONTAMINATION INFORMATION
lf contamination at the facility is susoected or confirmed, the information must be reported to the Executive Secretary (UST)
at (801) 536-4100 within 24 hours. The Division of Water Quality must be notified at (801) 538-6146 if Free Product is
encountered or if surface water has been impacted. lf contamination is confirmed, any person assisting in the remediation
process for a fee must be a Certified UST Consultant.
()
3
ANALYTICAL
METHODS'
FACILTTY SITE PLAT (CLOSURE PLl \
The site plat must be drawn to an alpropriate identified scale. lt must show plarlrr+d sampling locations, substances stored
in tanks, and other relevant information. Tank and sample identification numbers must be consistent with the inlormatior
given on p. 1 and 5 of the Closure Plan.
F)ataFacility lD #_ Drawn
1I Scale:1"- _Feet
NORTH
X = Sample locations (SS-#, WS-#, USC-#)
e = Monitoring Wells (MW+,)
O = Soil boring (SB#), or Geoprobe Boring (GP-#)
O = Water Wells (domestic, livestock, etc.)
Slope of Surface Topography: (N,NW,W,SW,S,SE,E,NE)
Land Use At Site:
-Residential -Commercial -lndustrialSurroundi ng Land:
-Residential -Commercial -lndustrial
Site Plat Must Indicate Approxinrate Locations Of:
y' Current & former tanks, piping & dispensers
y' l-ocation of all samples to be taken
y' Buildings, fences, & property boundaries
t/ lJtility conduits (sewers, gas, water, storm drains,
electrical, etc.)
4
SS#1X
WS# 1
USC# 1
UST UST UST
XSS#2
WS# 2
I
I
I--------t
(
A 5Q i\'
3SS#
5SS#
X7SS#
XSS#4
XSS#6
XSS#8
USC# 2
(
NORTH
-l-l-L
_ll.L
z.otr
Fc/)
ll.L
--.Li-L
rlL
__Ll.L
Complete table lor all samples to be taken for closure.
1 Soil (SS), Groundwater (GW), or Unified Soil Classification (USC).
2 Approx. depth in feet below grade. The required minimum sile assessment samples must be iaken at 0-2 fe€t below the backfilynative soil interface.
3 Contaminant compounds to be analyzed lor each sample (trom table on p. 3).
4 Appropriate analysis melhods for contaminant compound(s) in each sample (lrom table on p. 3).
Approximate depth to groundwater in the vicinity of the tanks:leet
Regional groundwater llow direction:
State Certilied Laboratory to be used:Uti I i ty Testing Laboratory
Compounds3 Analysis method(s)aSubstance
stored in
tank
Sample
typet
Sample #
Gasoline SS 10- l2 ft .TPH 8BTE XNSS# 1
SS# 2
ss# 3
4 ft.
SS# 5
55f b
SS# 7
ss# B
TPH E B TEXN 8or5 Mod s Bo2oGasolineWS'10- l2 ft.t/s# 1
\rs# 2
USC l0- l2 ft.USC# 1
usc# 2 II
City Salt lake
Contact person Phone #(80l ) q73-8 ?oq
Please explain any unusual or extenuating circumstances expecled regarding the site assessment or closure:
I certlfy under penalty of law that I am the owner/operator ot the tank(s) reterenced above and that I am lamiliar wilh
the informatlon on this torm and that it is true, accurate and complete, and further, that the procedures described
herein will be followed d
Signature ol tank owner
uring lank closure.
oate t z-l z lq '1rlFull Name ot tank owner IA
5
C..l\
SAMPLE INFORMATION TABLE
Depth'?
8015 Mod s 8020
SS# 4
Address 87q South Chestnut Stateftah_ Zip R4 I ? 5
I
Michael O. l,eavitt
Governor
Dianne R. Nielson, Ph.D.
Executive Director
Kent P. Gray
Director
l
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
I 68 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 84114-4840
(801) 536-4100
(801) 359-8853 Fax
(80r) s36-4414 T.D.D.
www.deq.state.ut.us Web
LE.COPI
ERRU-310-99
September 2I,1999
PREMruM OIL COMPANY
2005 s 300 w
SALT LAKE CITY UT 84115
Ourrecords indicate thatyou are the owner and/or operator of facllity#400l325,known as PREMruM
PHILLPS 66 #41( ALTA ) at 10585 S 700 E, SANDY, and that there are three temporarily closed
Underground Storage Tank(s) (UST) at your facility.
ManyUSTs weretemporarilyclosed lastDecemberin orderto stayin compliancewithUSTregulations.
These tanks may only remain temporarily closed for one year.
All owners and operators must meet one of the following requirements for each temporarily closed LJST
by December 22,19992
1. Permanently close the UST(s) by removal or proper closure in place.
2. Comply with the 1998 upgrade requirements for spill, overfill, and corrosion protection.
If yourTemporarilyclosedUST does notmeet one of these two requirements, you will be subjectto fines
and penalties for non-compliance. If you currently have a Certificate of Compliance for your temporarily
closed UST, the certificate for the non-compliant UST will be revoked. If your temporarily closed UST
is currently covered by the Petroleum Storage Tank Fund, you will lose the ability to make a claim against
the Fund for releases from the non-compliant UST.
If you have questions concerning your temporarily closed UST please contact Jason Wilde at (801)
536-4100.
Sincerely,
Kent P. Gray, Executive Secretary ruST)
Utah Solid and Hazardous Waste Control Board
KPG/GKA/hsp
\
State *f- utah
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
t
d
Michael O. Leavitt
Govcmor
Dianne R. Nielson. Ph.D.
Exccutivc Direcmr
Kent P. Gray
Dircctor
168 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 841 14-4840
(801) 536-4100 Voice
(801 ) 3s9-8853 Fax
(801) 536-4414 T.D.D.
r,
May 3, 1999
PREMfUM OIL COMPANY
2005 s 300 w
SALT LAKE CITY UT B4t_15
Re: Temporarily out of use underground storage tanks with a Certificate of Compliance
The Division of Environmental Response and Remediation (DERR) records show you have one
or more underground storage tanks (USTs) which have been temporarily closed. These tanks
are located at PREMIUM PHILLIPS 66 #41 ( ALTA ), 10585 S 700 E, SANDY, facility ID#
4001325.
* July 1,1999 starts the new billing period for Underground Storage Tank fees.
x If you permanently close your tanks before July 1, 1999 you will not have to pay fees for the
new fiscal year.
* If your tanks remain temporarily closed after July l, 1999 you will have to pay fees for the
new fiscal year.
The DERR shows that the following tanks are temporarily closed:
Tank ID Substance Tank CaPacitY
1 Gasoline 12000
2 Gasoline 12000
3 Gasoline 12000
If you have questions concerning your temporarily closed tanks please contact the UST section
ar 801-536-4100.
Low-interest loans are available for upgrading or permanently closing UST's. If you are
interested in applying for a loan please call Gary Astin at (801) 536-4103.
L2/25/SE
(Revlsed 4lU96l
14:J0 FNt 1 E01 5t04242 DEQ/DERR
UNI TERGRQUNI) STORAoE r NK CLOSURE N-OXISJ
TEMPORARY CLOST.IRE
DEO / OE!iB
l?EC!r'.'ii)
@ooz
Facility ID 4 400 132s
t-*_-l
| .lrtt-?mq
Ilqa r
U n;,.,J DiLtvERLD
Temporary Closurp Noticc prcpared at tte request of the owner/upcrator (identified below) by Andrew Callister
of {comosnv nome) Premium Oi 1 Co . Phorrc #( 80b 487-4721
Address 2005 South 300 West S.alt Lake Stileuta! Ab 8411.3'
FACILMYINFORMATION
UST Owncr Premiu. Oi 1 C.'. Phone #
[ ] sole proprietorship [ ] pannership [fl corporadon
Address , 2005 Sog!h.300 We .City.- Salt T.eke Srare Uralhzip 8411s
Facility Premium i 11i S
10585 South 700 City lalllatl StareutalZp 840,70
ContactpcrsoD
-
Phone #
Number of rcgulated tanks at thc facilitv to be temporarily ^t^G^'{j
Number of regulated tanks at the facility; 3
TEMFORARY CLOSURE REOULd TIONS
An UST Eystem temporarily cic,sed less than 3 months must:
O continue operation anrl maintenancp of corrosion protcction (if any; on rnnlcs and lines.
e continuc opcradon an<l mainrenance of release detection or empty the the UST system ro lcsu than l" of product.
An UST syrtcm temporarily closcd 3 rnonths or flxlre must:
O continue operation anrl maintcnance of conosion protectioo (if anyl 0n umks and lines.g continue opcration arul rnaintenance of release dctcction or cmpty the the UST system to less rhrn l " of product.
O leave vent lines open ind functioning, and crp snd sccurc ull othcr lines, pumps. rnanways, and ancillrry equipment.
O send a propcrly complered Tenporary Closure form to the DERIVUST Secdon.
tl USTs (anks and lines) withou: propcr conosion prctection may remain undcr tcmporary closurc status for up to 12 months-
Bctore thc cnd of this dosurc period:
O thc tanks must bc pcnuncotly closed, org a silc sssessnrc-nt mus. bc prrfortrd and ao uxtcnsion of the tcfiportry closurc status requested from the DERR and
approYctL
An UST systcm tcmporarily clcecd tbr morc than 12 montis rnrst bc upgraded wi(h cvrrosion prrotec(on on tanks and lines, and
spill and ovcrfill prevention beforc thc tnnks csr bc brought into usc-
(
{
t/
.,'%
Entared
7-
[ ] Fuel was cmpticd. [ | Com;sion Fotcc$on is opcrating. [ ] Rclcasc dctection uluipmeut is operuing.
Ll^-^
tl/ ZUt AO t4l 003
TANK$ TEMPoRABILY CLOSEp
' IadirnE thr rptdflc tuttttlcc norcd ln .tc'h tllls io bc
r fo tt? trerrtc U8 ioctr
For Temporary ClostrrE of 3 uooths or nore:
clored (rcBllarr unllrdcd. drc6ct.tr31c oilt utc')
Beforel2monthstheUST(s)willbe:$leerm"nendyclosed[.lNcw/tjpgradedIlExtensionrequcstcd
SITE ASSESSMENT
If ancxrcnsioo o[ thc l2 nronth tenporar.l closure is requestedr complcrc the site Asscssmc[tponions of thc uudcrgound Storage Tank
Pcrms[srt Clo$re Noticc (avaitable lPon rcquett)'
l{:JJ. fAl' 1 oul oJO{Z{Z lrbr{/ rbt(K
r certify undcr penalty o[ lrrw ttst r rror thc orucr or the trnk(s) descrtbed gbove aud that I am larnitiar with thc inform'thr
os ttrb form end tuat it is truq occurato .rd .onfht" and fur6cr, ttat the proccdurts dcscrtbcd henein verc toll'owcd durinl
tenkdosurt.
Signeturc of UST Owner
Full name o[ Owncr
Rerurn comptetcd Temporary Closun: ''Iotice form to:
State of Utrh Dept. of Envirourfltal Qualiry
f)ivision of Environrncntal RwPouse and Rqncdiatioo UST Section
168 Nonh 1950 West lut Floor
salr L-ske ciry, utah E4l 16
t Ilate tll l1x-T-
Tank #1 2 3
Date Installed 314/82 3 / 4l82 3 /4182 _
Cepecitv 12,000 12,000 12,000
$u$5frn6g st6rcd'Unleaded U/L Plus u/L Prem
Dftte t.st opcretcd L2/2e/sd v/2s/s t L2129/98
Inches of product
remaiuing io taukr L l,b
Tunk #
Coppedsecurcd (YN)
lines
Purnps
maowoys
Venr Llnes open (Y[D
,
a
, ta.r
LPremium Oil Company
2005 South 300 West
Salt Lake City, Utah 84115
(801) 487-4721
n
November 25,1998
Attn: Tamie Call
Division of Environmental Response
P.O. Box 144840
Salt Lake City, Utah 84114-4840
Re: Facility # 4001325
10585 South 700 East
Dear Tamie:
Enclosed you will find the infonnation you requested in your letter date November 3, 1998. If you have
any questions you may contact me at the above address or phone number.
Thank
Andrew
State lf Utah
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 144840
Salt Lake City, Utrh 84 I l4-4840
(801) 536-4100 Voice
(801) 359-8853 Fax
(801) 536-4414 r.D.D.
November 3, 1998
a
Michael O. travitt
Governor
Dianne R. Nietson, Ph.D.
Exccutive Dircctor
Kent P. Cray
Direcbr
TO Andy Callister
Premium Oil Co
2005 South 300 West
Salt Lake City, UT 84115
RE Non-compliance of underground storage tanks at Premium Phillips 66, 10585 South 700 East,
Sandy, Utah
Facility I.D. #4001325
To continue to maintain a valid Certificate of Compliance, the facility must be in compliance with
Federal and State Rules and Regulations. The compliance review, performed on October 27 r 1998,
indicates you have not satisfied the requirements of the Act and are out of compliance. To achieve
compliance you must do the following:
1. 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(s) #1.2.3 .
The above information must be submitted to this office by December 3, 1998 . 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 Tamie Call at (801)
536-4t63.
Premium/Ph i l1ips
10585 sourh 700 Eas t
Sandy, Utah 84070
LINE LEAK DETECTOR TEST
LOCATION:
TESTER:
NUMBERTANK SIZE PRODUCTTANK #
FAIL6aBrRed JacketPlus12 , 0001
ns lI:nmPe.l .Ir.k P rIIn'l eeded12 _ 0002
IiilmRed Jacket3Premium12,000
PASS / FAIL
PASS / FAIL
PASS / FAIL
PASS / FAIL
PASS / FAIL
PASS / FAIL
PASS / FAIL
PASS / FAIL
6E
kaGSEIIII
II
III
DArE oF rEsr-lq?l?,STATTON #__-!L_
PASS / FAILBRAND
PASS / FAIL
Address Eoo 5 S 3oo t)c*v >Lc t'"t"(/-i- t'otffq lt g
Phone NumberArea Code
Phone #Person
Owner Name.A
V fer\t Lutry'1 ;IC,
Number of tanks at
Current ts
Facility Name
7oo F
qo7 D
No Certificate Year:
Tank 1 Tank 2 Tank 3 Tank 4
P
State ZipCity
rem)qm Phi tl;*
^
n
streetAddress lOq?5 S
Certificate of Compliance
countY uhrl.\
Yes No Yes No Yes No Yes No
Tank presently in use Yes No Yes No Yes No Yes No
lf not in use, date lasl used
lf not in use, depth of product in tank (in inches)
Month and year tank installed 31t^
Capacity of tank (in gallons)I AOOD tao&t e-oo o
Substance slored Gas ;
Material of construction of tank (steel, FRP, etc.)
Material of construction ot piping (steel, FRP, etc.)rR? -Piping type (pressure, suction, gravity, etc.)
lV. Belaase treteotioh For.Tanks tnolcate merhod(a) usedfor
Emergency Generator tank (leak detection delerred)
Pressrr,"e -
each tank Qornplt
lnventory Control/Tank Tightness Testing
Automatic Tank Gauging
Manual Tank Gauging
Vapor Monitoring
Groundwater Monitoring
lnterstitial Monitoring
t/'v/-t-/-Statistical lnventory Reconciliation (SlR)
Other approved method (indicate name of melhod)
V. Heleage. Oetection For Piping comptete plptlrg Ehecklbt an
l/-zAutomatic Line Leak Delector t/
Line Tightness Testing
Vapor Monitoring
Groundwater Monitoring
lnterstitial Monitoring
Statistical lnventory Reconciliation (SlR)
Other name of method)
certify that I inspected the above-named facility on
(honth, day, y6sr, lime)
Present Du
method
I
(prinl nam€}-l,/a /drru&
t<-of
-1lnspector's
Distribution: White-DEBR, Yellow-lnspector, Pink.Facility/Ower 08/0997
-UTAH UST PROGRAM ' Facirity to No. qM$A5
Release Detection I Checkl
l. Ownership of Tahk(s)Hi Ubcatianoffthk{s}
"ff:;i\C,
for each tark.lf facllily has mpre than 4 Unksi sompletG for additional tanks on for,m.lll. Tankrlnforrnation compt6t6
Tank 1 Tank 2 Tank 3 Tank 4
The UST system is filled by transfers of 25 gallons or less. lf yes, spill
and ovedill prevention is not required.Yes @ Yes @ Yes @ Yes No
ls there a spill containment bucket or another device that will prevent
release of product into the environment?/Yes @ Yes @ Yes @ Yes No
ls there an overfill prevention device installed on the tank? lf yes,
indicate the type of device: Ball lloat (in vent line), Automatic shutoff (in
fill pipe), Alarm, or Other (specify)
Yes @ Yes o Yes (,Yes No
For 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 No
For overlill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?Yes No Yes No Yes No Yes No
Tank 1 Tank 2 Tank 3 Tank 4
rank N P rank Nf rank wp Tanklndicate the type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrificial Anode
(SA), or Not protected (NP).
lndicate the type of corrosion 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
lJ the UST is not protected, was the tanupiping installed before May 7,
1 985? It yes, corrosion protection is not required untll Dec. 22,
1998; do not complete the remainder of this section.
The results of the last two cathodic protection tests are available (within
6 months of installation and every 3 years thereafter).
Protected N
pipins
F*p
PFing tr4P Pipi'.ts fAP Piping
stb-Purlp N/56-Putrp
NO "*'"* NP Sub-Pump
O**,
N ?
o*'/,/
P
Dirpas6,Nf'Disp€Ner
@'* *o @'* *o rd No@ Yes r'* No
@"''* *o @'''* *o @"'o* *o Yes PiPru No
Yes No Yes No Yes No Yes No
volts volts volts volts
volts volts volts volts
Results of the most recent cathodic protection test.
Tank
Piping
Flex
Test
Name of tester:
volts volts volts volts
For impressed current system: The results of the last three equipment
operation checks are available. (Equip. check required every 60 days.)Yes No Yes No Yes No Yes No
Comments
lnspector's Signatu T)ala./o-a 7-? (
lf the tank has been retrofit (lined or cathodically protected), indicate the
date the retrofit was
; i ' ,,;iADE NOTIFICATION (Complete only for pre-1988 Ta
;Roverfill
prevention to, t^nxls)* h 2 / 3
$c-oT-)- KKrinRo -r rLdP
tr Facility meets 1998 upgrade
(SOiff prevention for
understand that the following marked items must be completed by
! Corrosion protection for tank(s) #
Siqnature of Owner or Owner's Representative Present During lnspection
(p.lnt |Me)
December 22, 1998 in order to meet the 1998 upgrade requirements:
f,Corrosion protection for niping/f;)ssoc. with tank(s) #
Distribution: White-DERR, Y6llow-lnsp€c1or, Pink.Facility/Owner Revised 5/98
UTAH UST PROGRAM
Overfill and Corrosion Protection
Facirity tD No.lAO [3a5
Checklist
Piri,..e comptete all intormation for each tank, Use addltional lorms as necessary lf the facility has more than
I
tt
Sot 1 Trlk I T..{. 2 T.r* 3 T.nt 4
Automatic Flow Rostrictor lil yos, indicllo mod6l in commont6 s6ction)4,e"1 Tdct<r:->
Automatic Shut-off Dovico (it yos, indicrto modol in commcms aoction) )
Continuous Alarm Syst.m (iI y6B, indicato modol in commo,rts soclionl
Rocordr of last Lino Lglk Dotoctor porlormanco t6st 610 6v6ilsbl6 on-shr Yor No Yos No Yoa No Ya! No
O!t6 ol la6t Lino Lo6k O6tector p6rfo,manc. t€at
Rs6uh of la6t Lin€ Lesk Doloctor porformrnc6 t€st P.ss F6il Pa88 F6il PErs Fail
Set 2
Rgcords ot la6t Lino Tightness Tost rrs rvail.blo on-8ito Y.. No Yo8 No Ycs No YgE No
Dat6 of last Lino Tighlnoss T6st
R6suh of laEt Lins Tighlmss Tost P!8! Foil Pars Fail P.s! Fsil P!88 Fail
Nam6 .nd company ol csnifigd testor
V.por Monitoring (it yo8, us6 Vapor Monitoring chockli8t)
G,oundwatff Monitoring lif ye6, uas Groundwator Monitoring ch6cklistl
lntErstitisl Monhoring (if yes, uso lntorstiti.l Monito.ing chscklistl
' Stati6tical lnventory Beconciliation [SlRl (if yes. uso SIR ch6ckli6t],r/l,'-t"
Yo6 No
Oth€r .pproved method (if yes, us6 other m€thod chocklist)
,::S,iq$9lt:#:lh,tlll.*:lfH,I|ii::El#ltbr:::.:,:,:::.::,::.:::,::,,:r::::::,:.,r:::r:::l::i:,:'1::::.:.:':,:::,irr:i:,:r:l,,:ixi'::i::
Rocords of lsst Lino Tightno66 Tost are avrilabla on-Eit6 Yos No Yos No
i:!._--,--',,Ei!:ltttttri_l
Yo6 No
Dats of la6t Lino Tightnoss T6st
Rssult of la6t Lin6 Tightnoss T6st Pa66 Fail P.5s Fail Pass Fail PasB Fail
Vapo, Monitoring (if y6s, uso V.por Monitoring chscklistl
G.oundwator Monitoring (if y6s, us6 G.oundwator Monatoring chocklistl
lntorstiti.l Monitoring lif ygs, u6o lntgrstitial Monhoring chockliGtl
Statistical lnvontory Reconciliation ISIRI lif yos, uso SIR checkli6tl
Op6r6tes at leBs than atmo6phoric pros6uro
, uso bthsr mothod ch€cklistlmorhod {ifOth6r
Y6s No Y66 No
'TH,ffi,-ffiffililliiihl:i:rl:ii:ai:i:i;: ::i::
Yos No Y.6 No
Yos No Yo. No Y6s No Yes No
Ha6 only OilE chock vrlv6, loc.t6d di.octly undor pump Yas No Yos No Yss No Yos No
All .bov6 inform.tion on st ction piping is VEBIFIABLE. uso commsnta
86clion below to documsnt how it is vorifiabl€,
Y6s No Y6s No Y6s No Y68 No
Comments:
Dat6
Signatu.e of Ownsr or Owner's Bepresentativo Prgsont ouring lnspection
lngpector's Signature:
Dbtriburion: Whit6-DERR, Yollow"lnsp€ctor, Pink-Frcilhy
Pr6r Fail
[Jt!h Te8to, Canificltion Numbs: UT
Slopo of pipino will .llow ALL product 1o drain into tank wh6n suction i6
rolossod
SIB as a method of
test and should be
leak detection refers only to monthly monltoring uslng SlR, An annual test performed using SIR is considered a tank tightness
reported on the tank testing and inventory control form.
Name and address of SIR vendor:
lnventory records for product inputs, withdrawals, and the amount still
remaining in the tank are available for each operating day,(ves) tto @r.ro 6J'o Yes No
Records include correct number of monthly water monitoring readinqs.fD uo G No G No Yes No
Tank inventory is measured and recorded before and after each fuel delivery,4] No ca No fl") Ho
Appropriate calibration chart is used for converting product level
measurement to gallons and is available for review.
No@ Yes No
Yes No
Yes No
Dispenser pump has a current callbratlon stlcker or approprlate calibratlon
documentation.QHo Nog G*.
The drop tube in the fill pipe extends to within one foot ol tank bottom.6") uo C")*o rG) No Yes No
SIR monitoring records are available lor the past 12 months. It no, indlcate
which months are missinq in the comments section below,@to G)No (ves/ Ho Yes No
Yes @ ves @ ves @-)Yes NoAre any months results reported as "fail"? lf yes, specify which months ln
comments section below,
Are any months results reported as "inconclusive"? lf yes, specify whlch
months in comments section below.
ves Cffo)ves 0?.)Yes No
No
Documentatlon of perlormance claims for the SIR method is available and shows the ability to detect leaks of
0.2 gph with a 95% or greater probability ol detection and a 5"/" or less probability ol false alarm (3rd party
certification).
a"=D No3rd party certilication indicates the method has been approved tor both tanks and lines ffi ATGlThe volume of product in the tank is measured using a:
Nolf a gauge stick is used, it is long enough to reach the bottom of the tank.
-\
. Acceotabld Wornlf a qauge stick is used, the bottom o, the gauge stick ls:
lf a gauge stlck is used, lt ls marked tegibly and the product level can be determined to the nearest 1/8 ol an inch
Comments:
No
Date: / 0 -a7-?{lnspector's Slg
Signature ol Owner or Owner's Representative Present During I
t Complete the approprlate sections of the ATG checklist.
over the full of the tank's internal
Oistributlon: Whita.DERR, Yellow-lnspector, Pink-Facility/Owner Revised 5/98
a
lFaciilty pn".1oo l3 &-9
Statistical
Please circle Yes or No for each question for each tank
Tailk 1 Tank 2 Tank 3 Tank 4
@t'
Yes No
ves@
Please circle the appropriate response for each question
Yes
@
Michael O. Leavitt
Governor
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 City, Utah 84114-4840
(801) 536-4100 Voice
(801) 359-8853 Fax
(801) 536-4414 T.D.D.
PREMIUM OIL COMPANY
2005 s 300 w
SALT LAKE CITY UT
October 29,1998
B4t_15
Re: December 22,1998 upgrade deadline for Underground Storage Tanks
The Division of Environmental Response and Remediation (DERR) records show you have one or more underground storage
tanks (USTs) which have not met the December 22, 1998 UST upgrade requirements. These tanks are located at PREMIUM
PHILLIPS 66 #41 ( ALTA ), 10585 S 700 E, SANDY, facility lD# 4001325.
Under Federal regulations issued in 1988, UST owners and operators have until December 22, 1998 to upgrade, replace, or
permanently close USTs that do not meet the requirements for protection against spills, overfills, and corrosion.
This deadline will not be extended. If your tanks are not in compliance by the deadline, they will not be able to receive
deliveries of fuel.
Our information shows these requirements have not yet been met:
Tank ID Substance Tank Capacity Spill Protection Overfill Protection
I Gasoline 12000 No No
2 Gasoline 12000 No No
3 Gasoline 12000 No No
Corrosion Protection
No
No
No
Any metal flex connectors connected to fiberglass reinforced plastic (FRP) piping at the submersible pump or dispenser must be
cathodically protected or taken out of contact with the soil.
USTs filled by transfers of less than 25 gallons at a time (usually used oil tanks) are not required to meet the spill and overfill
prevention requirements as part of the upgrade requirement.
If you have questions about which requirements you still need to meet, or would like to have someone visit your site to help assess
your needs, please call Alan Jones at (801) 536-4115.
PREMIUM OIL COMPANY
2005 s 300 w
SALT LAKE CITY UT
March 17,1998
8411_5
Re: December 22, 1998 upgrade deadline for Underground Storage Tanks
Division of Environmental Response and Remediation (DERR) records show you have one or more underground storage tanks
(USTs) which have not met the December 22, 1998 UST upgrade requirements. These tanks are located at PREMIUM
PHILLIPS 66 #41 ( ALTA ), I 0585 S 700 E, Sandy, facility ID# 4001 325.
Under Federal regulations issued in 1988, UST owners and operators have until December 22, 1998 to upgrade, replace, or
permanently close USTs that do not meet the requirements for protection against spills, overfills, and corrosion.
This deadline will not be extended. If your tanks are not in compliance by the deadline, they will not be able to receive
deliveries offuel.
The DERR encourages owners and operators to meet the 1998 upgrade requirements as soon as possible before the December 22,
1998 deadline. It can take several months to upgrade, close or replace an UST system. Delays are not unusual, and contractors
may not be available if you wait. Start planning now!
Our information shows these requirements have not yet been met:
Tank ID Substance Tank Capacity Spill Protection Overfill Protection
I Gasoline 12000 No No
2 Gasoline 12000 No No
3 Gasoline 12000 No No
Corrosion Protection
No
No
No
Any metal flex connectors connected to fiberglass reinforced plastic (FRP) piping at the submersible pump or dispenser must be
cathodically protected or taken out of contact with the soil.
USTs filled by transfers of less than 25 gallons at a time (usually used oil tanks) are not required to meet the spill and overfill
prevention requirements as part of the upgrade requirement.
If you have questions about which requirements you still need to meet, or would like to have someone visit your site to help assess
your needs, please call Alan Jones at (801) 536-41 15.
NOTE
DATE:2/14196
TO: Gary Astin
Department of Environmental Response
FROM: Andy Callister
Premium Oil Company
Enclosed you will find the information you requested in you letter dated,l/19/96.
Facility # 4000148 9812 South 700 East Sandy, Utah
" * 4001324 1075 South Redwood Rd. Salt Lake City, Utah* * 4001325 10585 South 700 East Sandy, Utah" " 4001326 2690 West 3100 South Salt Lake City, Utah
If I can assist you in anyway you can reach me at (801) 487-4721.
i
FEB 1 fi !oe6
! uauo DELTVEBED
DEBR
ffi
USIIIIAII. TAIII( IilUTIITllRY II[T[ SHEET
t .{o.r3 zf
do
I F.*-ili
9t-
- Jcl^
COMPANY: PREMIUM OIL COMPANY TANK ID#:
PRODUCT
MONIH/YEAR:
STAIION
MANIFOLDED: YES
(A-B+F-G)
A B CD E
77u)l
rEIEi
F GH
rnEvtcrJ:t I onsrrq I nwcll'toS I (sh6l)r#:t ,,,:^
I rmrv's loeuvenrrs I II sncx I cnossner I II cLrols I cu-irrs I cn I rEf c^ttcr6
50u,
1 a,r, ^, . )-? ,' <_2\<>5b {)-/rI j2 ?
2 9--:'l ra'l /! rJr4 )^t -7,/)S';0 5')-E5
3 ,l0q Yu?r$lt47-T);--t tq -lb
I
4 15 bl .+ l./13 q55 tlo'j \L - '-{
q nQ^tl lU Lr-i tttft
I lJ39 -.f / rt'.,.nt t -3
6 '?tt \7co13 .1 LIL Zio-''*t7 -Ll
7 -2,' .,1t - ,'r 5ct 14tt rJt Jl
8 bg'1 I 4 313e1 \73 ^ tll -15
9 q,1x)2q0c q L/ ot?i lnZT-ba; I \q I
10 LtQl \'-ltfr lr31 q193 "-- <5+
11 '7lo'L1 ,152{1 q Ll)4t44 -3Q tq
L2 b1r t '15'i i 1r \ trtrc-t lQzo tr 7'l
13 la t;'t 275o 4 b tot-t ota trtj-? j -r7 -3j
14 q 310 q-7 q t-7 "1 lc-Q o.r?7l -tv
15 =-J_Q,r_,.q 1? ltr )r4L 7 ).i0 'L'7 -1u
15 \21-'/q ? Sl",l .'1f,-...1't))n Q,:,-t t3 I
L7 b3c,',11") ul i.,r QCT"ut"Yl17r'tcl L '/,
18 r 5ii15':il rl r?U-3':'ct -,8
19 ,l,c,l>5cI1"1,l"=l I 5.L,l :-51
z0 '? t t"i tr: t.I
e-(tr''t'l t I
-81
2L 1't l'1 r -t n €t'I'tL >) I '7,1 !7 toq 7rl -i?
22 lo\ 1L (,-L'ld,q .'-t .:,. 7 1LU*l -r).Ll
23 (lrC'iir -r 3 Ll?7 -16 0 \-1 .1lrl i;-&Jrll,
I
!
24 q'1?')t-l''i 0 i 5,-l 2 h I nbL U;"t;t Ll?t I
25 v ot.l ? 3
z6 \5 SLo-5t 43tz rlV
27 ? 1<nj I tlv sSq bl lrSV ?fa'I -1 ')"e-
I
j
2E nulg a b 3'11 5l\9t?0 t1-41ao29.1rlc$5 (r(o i3 25("'1t018 - !*?
i
I
30 :? 17q 1"i:1 91 i t3a 440 -1Lt bq L 3{
L o
r'Z-(,MONIHLY WATER READING 6-d
I
-Lo-v
31
oTHER REfiO/ALS/AoDTTIoNS &},ATER RE}+O/AL):
g 38'aL
1
USIIIIAII - TAIII( IilUHT(lRY IIITA SIIEET
TANK ID#:Itt
)COMPAI'JY: PREMIUM OIL COM PANY
q\\ q.
IL-PRODUCTSTATION
MANIFOLDED: YES
UMBER: ij //
(A-B+F-6)
I rmrY's I oelrvurs I II "iln | ffi*,* 1 .,. I
E
t)!:/(g
TgIf.f,
H
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(sFffir)
z{*
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CD
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c^tt06
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sq.o
1 3-738 / ))ss:/ U-l /-!tg,l tl - /o -)g /q,'g
z Ql qS *stt l) ,rl< '' , / i to3)7>z/-Gt -,3 !
3 (05\4 tL'i L7'i 7 D1l"fu4t - t5 - t5l
4 4 0;'),'i )z.71 ZQgO \oa1'l \o -xl
q 45q:1ffio 13 r,r: I \ rr or)1au4 _ 105 -r9.,
6 Tti t,B3t3cr tt rz-qS-ii qT -t)t1l) I
I
7 5-.l r-1 )rrrt r1'7 -t'\r l-
8 LlitZT 13{ot }'
;7 I 01b :t -t3 -r3s
9 93lf t1\\q,o t4 ol -ltrzV -r/3 -zqq
10 url3 t4 ool',l5?5 9:r3 r- c:))-n\
11 e0ql I ./ rt l'--l t'l1 I lol,"l3 l -nb
L2 1 t'll O -', ^r "l
) .' i'r 1tl -'r(.' i7 l8 z'R 5r-11 -7w
13 qtlq 400)H qU tL{r4qt l!?1 Y -zql
14 1"lLl'|l'!1>tr"t1s)qtLl1 50 -L37
15 vtsi l.{ t ".ri I 4zv 17(ql -<3 -71C
16 4ilL'd l', ; l'-i I 1Q rr'_i t/L.lS5 )-1 -LV\
L7 zi t-)t
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18 t .1 O'LU llJ C I
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19 , t ".>' ')
15 --.ti1.:\7 bc tr''J;L{q - ? r"')
20 !.,-LtL: i 't t-.-,
I l.-'., Ll t-gcttZ - 1q - 30)
2L tac I'u 19 ttr.{L \6 2,;!'L{3 -?!/t
22 A,4,ii 9q-?21 111'j (. | \v,3rl - \-s
23 -1 Li U.J '{tQ:-lUrztl tq 10 tiirl - r1l - tlZZ
24 4r!,'l I
Li i r,^1631--L LIC- I rl q ir'. L1L - 9'r:i
25 :j "i tf/I u Lr'l1L l7-3 C q Ll'rt t - 71_.l-)-qn I
I
26 , ??T 't 54v(7 (o??Lttr 3Z -4q
z7 *q,rlb
'
65 '): ri-,llq L,TLql ar*?,- LItL I
I
28 u 5*g I biLoo t3 q1 9q "1b '1 - 4rfr ,
29 3138 tb9 o33 *'{ ') 1 Ll5X8 3 - 4aL
30 ?q0 1o'lsO l'? D csa,t)lLl q,u 3-?38 - qLl - Ll5c
31 5{v
t'2
oTHER REHO/ALS/AoDrrroils & 1{TER
MONTHLY WATER READING 4-
1
-26
rorP
h9 rZ
a
USIilIffI - TAIII( HUT]ITIIRY B[T[ SHETT
COMPANY: PREMIUM OtL COMPANY
SIAIION NAME/NUMBER:*/t PRODUCT:tr,t' ,'i1L//
7 MANIFOLDED: YES
-B+F
B
OELWERIIS
€R065nET
c^LLfi5
E
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TOOAY'5
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caL016
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sncrclrt06'JLtorts
50.o
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1 9rya 7-z /?4tzi.r-rB _tr,Z
2 l0i t 7410 L{ !t .)i -lo0
3 7,1oo sSt l'l I I
4 Zr.l Ua Ltl .l q:
(I 3 l'rjt qtrJ 0 Li '10
6 b0a 3Lt 1t-L - LlS
7 1o4 )I (I oc
8 'a5 2_bb qXL l
9 is'i l.',t $n4 o - q'i9
10 I 5 3?ltg I
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r.3 ri ?0 caq (--J -)5
14 a,)L]It5 1F rJn-.4o
15 1 qi,
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16 1]3v Atl r<l/LJV
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18 '-t33 .{3 ?5t j u,- i3i
19 i1,'o Llrl -L-- i 3l ')
20 c'- Li *! r,7
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22 zc a tr,l\t {3
23 7 LI b3 L Ll CY
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24 3V 0 t--j
25 nL.lq \J J
2.6 I q l/
27 'l Z I
28
29 -, G-
0
30 L - 4zY
Qog .l5
t- -zMONTHLY WATER READING
- zo'
31
(RECORD OrHER REflO/ALS/AoDITrOils &REI+O/ L):
LO
I{OTE
DATE: December 28,1995
TO: Gary Astin
FROM: Andrew Callister
The station manager for facility # 4001325located at 10585 South 700 East has been given a new
stick for tank gauging, also enclosed is an amended tank notification form-
Stat* *f'{-Itah
Michael O. travin
Covemor
Dianne R. Nielson, Ph.D.
Exeutive DiEttr
Kent P. Cray
DiEtor
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
P.O. Box lzt4840
Salt L,ake City, Utrh 84114-4840
(801) 5364100 Voice
(801) 359-8853 Fax
(801) 53644r4 T.D.D.
Facility r.D.#4001325
TO: Andy Callister
Premium Oil Co.
2005 South 300 West
Salt Lake ciry, uT 84115
RE: Non-compliance of underground storage tanks at Premium Phillips 66 # 41 (Alta). 10585 South 700 East. Sandy,
Utah: Facility I.D. #4001325.
The Utatr 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 October 23. 1995, indicates you have not satisfied the requirements of the Act and are out of compliance.
To achieve compliance you must do the following:
-1. Submit evidence that proper Statistical Inventory Reconciliation (SIR) is performed on USTs #1. 2 and 3 by:
a. Documenting that the water in each UST is measured to within one-eighth inch, at least twice per month, and
the water measurements are submitted to the SIR vendor. USTMAN's protocol requires at least two water
checks each month. It was not evident that this information is being recorded and submitted to USTMAN.
Please submit copies of November's inventory data sheet or other documentation showing that the water
readings are being recorded..b. Documenting that you have obtained a gauge stick which is capable of measuring product level in one-eighth
inch increments, is legible, is long enough to reach the bottom of the tank, and is not worn on the end. (The
stick on site was worn on the end.)
Other:Grant Bateman was on site during the inspection. He indicated that the tanks may have had anodes attached.
but they were not sufficient to protect the tanks. When originally registered. the tanks were registered as being
cathodically protected. If they are not protected. either because they do not have anodes or because the
existing anodes are not sufficient to protect them. you may declare them as unprotected. You can do this by
completing the enclosed Notification Form and indicating they are bare steel tanks on p.3. or by otherwise
indicating in writing that they are not protected. If you do this. they will have to be protected or replaced by
the December 1oo8 upgrade deadline. If there is any question conceming whether they are protected. it might
be a good idea to have a cathodic protection test done on them if you have not already done so. Some other
items were noted during the inspection. They are listed in the "comments" sections of the SIR page of the
inspection form. Please take the necessary measures to correct the problems.
The above information must be submitted to this office by .Ianuary 1, 1996. ff 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 me at (801) 536-4100.
Prinled on recycled paper
Date: lllll95
From: Garv Astin
USIIIIAII - TAIII( IWffT(lRY II[T[ SHffr
Ptt:
5
COMPANY: PREMIUM OtL COMPANY
o
I
TANK lD#: I
PRODUCT4tSTATIONUMBER:
MANIFOLDED: YES
8+F-G)
B
OELIYERI T5
cnosS,/r.ET
c!-to.5
C
clt
I
ct!
otf,,l
($0m)
y0 to1
A D E F G J
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sncx
c^I.L016
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STICT
CALIOE
c^tto.s
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3 l'l a7
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15 Sq n bq
16 \L]S l3 ?-0 i
t
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18 q oL.l I L
19 IS
20 I 0 L
2L r52
22 -2v -l
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24 1
25 0 '1 q 5
26 b I 0f 5
27 0 OL "39281o -z
29 L
30 1-t l3 Lq
31
cnHER REr'tO/ Ls/,& I{ATER
MOMHLYWAIER READING
l:,
L,.
l-^.
H
o/s
3
USI!fiAII . TAHI( IWTilT(IRY IIATA SHEET
TANK lD#: L-
A I l"--
PANY
STATION NAM NUMBER:
COMPANY: PREMIUM OtL COM
MON
PRODUCT
MANIFOLDED: YES
(A-8+F-G)
B
OILTVERI E5
(aos5^|ET
cluor5
H
o/s
wEnl
(srqT)
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3 L 3t r
4 ?tc5 LI
(1 -a tL Zo5 .1
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),
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7 LJ '-*A
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8 1-1 -)\59 51
9 It{q D.{L I
10 Li)z\q -q u
11 Ll 0 tt?7t5
L2 tt\:V 63o 4,.*t?,-Ll I rat
13 Lrq a t!lctG 3 LOG
14 "ll,
uti (-poe 8o LZ\
15 )na (r111 o
16 "lb 5t 0z
L7 0 c'J 7l qn -sf
18 '1
19 I I cJ q
20 4 NL ,+ l0
2L q '7
I
22
?-60 Llz 5 '1
24 L-l 3 t n
25 1b lo .t Z 3 - llo
26 5 5O3lP L '1ll v
27 313'52b j q -tu
28 5 I I 3 )
29 b 5q 535 I
30 \t aA3v5 g
31 -?l
oTHER REflOTALS/ADDITTO{S &I{ATER
MONTHLYWATER READING f-t
I tt -
5
USIililI . TAI{I( II{UTITT(IRY IIITA SHTET
Nor,r
3
I
COMPANY: PREMTUM Olt COMPANY
STATION
TANK ID#:
PRODUCT:
MANIFOLDED: YES
(A-8+F-G)
IOOAY. t
JTICX
c{-L06
B
OELTVERIE5
CR('sI,/}.€T
clLt016
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cartort
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13 (1t ! t
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15 \V 53 -lt
(
16 (Lto 0 t IL7tD,8ts
18 0 v t 5
19 ,20 oul ro l2L
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23 zo
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29 5'1 2n00 t5 o OL o30aY31
51158
OTHER na+orAt):Aoorrro{s &I{ATER
MONTHLYWATER READING
a It !
6rb-)MONIH/YEAR:
Michael O. L€avitt
Govcmor
Dianne R. Nielson, Ph.D.
Ex6utive DiEtq
Kent P. Gray
Diretor
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
P.O. Box lzt4840
Salt Lake City, Utah 841 l4-4840
(801) 536-4100 Voice
(801) 359-8853 Fax
(801) 536-4414 T.D.D.
Facility I.D .#4001 )5
TO: Andy Callister
Premium Oil Co.
2005 South 300 West
Salt Lake ciry, uT 84115
Date: ll/1195
From: Gary Astin
RE: Non-compliance of underground storage tanks at Premium Phillips 66 # 4l (Alta). 10585 South 700 East. Sandy,
Utah; Facility I.D. #4001325.
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 ttre 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 October 23. 1995, indicates you have not satisfied the requirements of the Act and are out of compliance.
To achieve compliance you must do the following:
1 . Submit evidence that proper Statistical Inventory Reconciliation (SIR) is performed on USTs #1. 2 and 3 by:
a. Documenting that the water in each UST is measured to within one-eighth inch, at least twice per month, and
the water measurements are submitted to the SIR vendor. USTMAN's protocol requires at least two water
checks each month. It was not evident that this information is being recorded and submitted to USTMAN.
Please submit copies of November's inventory data sheet or other documentation showing that the water
readings are being recorded.
b. Documenting that you have obtained a gauge stick which is capable of measuring product level in one-eighth
inch increments, is legible, is long enough to reach the bottom of the tank, and is not worn on the end. (The
stick on site was worn on the end.)
Other:Grant Bateman was on site during ttre inspection. He indicated that the tanks may have had anodes attached.
but ttrey were not sufficient to protect the tanks. When originally registered. the tanks were registered as being
cathodically protected. If they are not protected. either because they do not have anodes or trecause the
existing anodes are not sufficient to protect them. you may declare them as unprotected. You can do this by
completing the enclosed Notification Form and indicating they are bare steel tanks on p.3. or by otherwise
indicating in writing that they are not protected. If you do this. they will have to be protected or replaced by
the December 1oa8 upgrade deadline. If there is any question conceming whether they are protected- it might
be a good idea to have a cathodic protection test done on them if you have not already done so. Some other
items were noted during the inspection. They are listed in the "comments" sections of the SIR page of the
inspection form. Please take the necessary measures to correct the problems.
The above information must be submitted to this office by .Ianuary 1, 1996. 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 me at (801) 536-4100.
Printed on recycled paper
lco Eas{
ts A
Code
({
City
I I
Facility
Certificate of Compliance on site?
County
No Expiration
Street Address-'--' iA.t8rf sesrL
State
U
2005 .(oulL
Zip Codeurc
&
Address
StateCity
(
l/"
Owner Nama'-"'Rzwri.l,a,r
0d (
(x) E dcst-
Area Code
Phone #Contact Person At UST Location
9)
,a No Yes NoTank listed on Certificate of Comoliance
)G No Yes NoTank oresentlv in use
lf not in use. date last used
lI not in use. deoth o, Droduct in tank (in inches)l*t ql*z-LItrlonth and vear tank installed
lLr 00C)t i7,0aoCaoacitv ol tank fin qallons)
Peaw.ir-ID(vt Uu'lte&lSuhstance slored
9La/-SLee IMaterial of construction ol tank (steel. FRP, etc.)
FdLP Fep trtLPMaterial of construction of pipinq (steel FRP. etc.)ffikllst:iftS,l ri:ti*ifr6x
.25iuY€
lnventorv Control/Tank Tiohtness Tesling
Automatic Tank Gauoino
rl45W
Groundwater Monitorinq
lnterstitial Monitorino
Statistical lnventorv Reconciliation (SlR)
I ine Tidhtness Testino
Vaoor Monitorino
Groundwater Monitorino
lnterstitial Monitorino
Statistical lnventorv Reconciliation (SlR)
hL5
certify that I have inspected the above-named facility on
&y, yeer, tm)
Present During
f\)g 1-l
I ,o Z,
L3
Signature ol Owner or Owne/s
lnspector's Signafure
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
, .: : I tt . I I ,,, :, I :,,::::,: t: iiiii iti
..i.'.,.... :,. ..,,iiii ii..iF#tffi..lD
:Ch6G IiSt::::::::i:iiiiill:,
...ot
lL I Lffitlon..,ofiifd k(s)I;.....Ortlneiship.,,CIf : TAnkt
faak D Tank ?Taak ATank'l
fiift Nr)
Nn Ki,Na
9W
Pininn tune lorassure- suction. oravifu. etc.)
Fmarncnnv Ganarator tank {leak detection deferred)
It-ianrral Tank Gatroino Eil5NMTdT""U$F
Vanor Jtionitorino |c4J--:-'rr
Othar annrovad mathnd lindieate name of methori)
V palaana fh?aetldrr For P[nIno Cmlatc fiihhf, r..hankli(t nnd nnnranrlatc tank r:hec]listls\ lor ilaeh mathrxl lHhnrl
Arrlnmalin I ina leak Dalaatar
Other annroved method (indicate name of method)
fenk 2 Tank 3 Tank dTank 1
Yes @ Yes @ Yes @ Yes NoThe UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
Yes @ Yes @ 6Yesls thers a spill containment bucket or another device that will prevent
release of product into the environment?
Yes @ @Yes YeS @
Yes No
Yes No
Yes No
ls thore an overlill prevention device installsd on the tank? lf yes,
indicate the type of device: Ball float (in vent line), Automatic shutotf
(in fill pipe), Alarm, or Other (specify)
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?
Tank 4
Yes No
Tank 1
Yes No
Tank 2
Yes No
Tank 3
Yes NoFor overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
Tsnk
AIP
Tank
tfP
Tar*
LIP
Tar*
Umllr
FA-r FfuP
Llre
?tLP
Um
lndicate the type of corrosion protection: Nonconodible material (FRP)'
Composite stesl (CS), lntemal lining (lL), lmpressed Current (lC),
Sacrificial Anode (SA), or Not protected (NP). f FRP or CS do not
complete the remainder of this section.
No@ Yes NoNo@No@)lf the UST is not protected, was the tank/tine installed before May 7'
1985? tf yes, corrosion protection is not required until Dec' 22'
1998; do not complete the remalnder of this section.
Yes No Yes No Yes NoYes NoThe results of the last two cathodic protection tests are available.
(within 6 months of installation and every 3 years thereafter)'
Tar*
volts
Tilk
volts
T!l*
volts
Tad(
volts
Um
volts
Llm
volts
Ure
volts
Um
volts
Name of
Test
Yes NoYes No Yes No Yes No
For lmpressed current aystem: The results of the last three
equipment operation checks are available. (Equip. check required every
60 days.)
December 22, 1998 in order to mset the 1998 upgrade requirements: El€pill prevention for tank(s)#
lnspector's Sig
meets 1998 upgrade requirements.
OY\
t Z ,
r*4-
1,7,3poverfill prevention for
! Corrosion protoction for piping assoc. with tank(s)#
\,t^S
understand that the following marked items must be completed by
Signature of Owner or Owner's Representative Present During
I s
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the rotrotit was completsd.
1,7,3
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
iiOfis6$i$t
FTOIIW:IE.
:HITi"t TIaild
UST PROGRAM
Results of the most recent cathodic protection test.
u PG RADE HOrr rrCitor.rl
@€orrosion protection for tank(s) * l, ZE ,
Set 1 Tank 1 Tank 2 Tank 3 Tank 4
Automatic Flow Restrictor (if yes, indicate model in comments section bslow)
Automatic Shut-off Device (if yes, indicate model in comments section below)
Continuous Alarm System (if yes, indicate model in comments soction below)
Records of last Line Leak Detector performance test available on-site Nolu)Nofo NorrRt Yes No
4lztlqS d,h s t l- z4tztt\5Date of last Line Leak Detector performance test
Fail6e f^A) Fail das3, Fait Pass FailResult of last Line Leak Detector performance test
Set 2
Yes No Yes No Yes No Yes NoRecords of last Line Tightness Test available on-site
Date of last Line Tightness Test
Pass Fail Pass Fail Pass Fail Pass FailResult of last Line Tightness Test
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
Yes No
lnterstitial Monitoring (if yes, use lntsrstitial Monitoring checklist)
v/Statistical lnventory Reconciliation [SlR] (if yes, use SIR checklist)
Yes No Yes NoRecords of last Line Tightness Test available on-site
method (if yes, use other methodOther
Yes No
Date of last Line Tightness Test
Pass Fail Pass Fail Pass FailPass FailResult of last Line Tightness Test
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use Interstitial Monitoring checklist)
Statistical lnventory Reconciliation tslRl (if yes, use SIR checklist)
Yes No Yes No Yes No Yes No
method (if yes, use other method checklist)
Operates at less than atmospheric pressure
Other
Yes No Yes NoSlope of piping will allow ALL product to drain into tank when suction released Yes No Yes No
Ll0rs
Yes No No No Yes No
Yes No No No Yes No
(-Comments
Present During
HaS ONE check valve, located directly under pump Yes
Yes
Yes
YesAll above information on suction piping is VERIFIABLE, use comrnents section
lnspector's Signature:
Signature of Owner or
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
FsCltrty
SIR as a method of leak detection refers only to monthly monitoring using SlR. An annual test performed using SIR is considered a tank
tightness test and should be reported on the tank testing and inventory control torm,
Name and address of SIR vendor:
u
fil) Ho fl"p r,ro @)N"Yes No
ves fQ
lnventory records lor product inputs, withdrawals, and the amount still
remaining in the tank are available for each operating day.
Records include correct # ol monthty water monitoring readings.. gtb ves 6ft!ves(ru!Yes No
Tank inventory is measured and recorded before and after each fuel
delivery.
No E)""C9D *o Yes No
Appropriate calibration chart is used for converting product level
measurement to gallons and is available for review.@*'No@ @,"Yes No
No{9Dispenser pump has a current calibration sticker or appropriate.calibration
documentation. I ltr;-@No @to Yes No
The drop tube in the fill pipe extends to within one foot of tank bottom.6) No No@ NoG)Yes No
Noc)Nofa Nofr"i)
SIR monitoring records are available lor the past 12 months. lf no, indicate
which months are missing in the comments section below.Yes No
Yes @Are any months results reported as "fail"? lf yes, specify which months in
comments section below.
ves6D Yes No
Are any months results reported as "inconclusive"? lf yes, specily which
months in comments section below.
Documentation of perlormance claims for the SIR method is available and shows the ability to detect leaks of
0.2 gph with a 95o/o ot greater probability of detection and a 5olo or less probability of false alarm (3rd party
certificatton).
Yes @ ,.. @ "*@
@
Yes No
No
3rd party certilication indiceteg the method has been approved for both tanks and lines,(Yes_.No
The volume of product in the tank is measured using a:trffi"*ATGI
lf a gauge stick is used, it is long enough to reach the bottom of the tank.@ No
lf a gauge stick is used, the bottom of the gauge stick is:8s{Acceptable c6
lf a gauge stick is used, it is marked legibly and the product level can be determined to the nearest 1/8 of an
inch over the full range of the tank's internal height .
Present During lnspection
No
j.al
il-le s
5Date:
l&
,!n
tf - ?f
0 ,,L
1 Complete to appropriate sections of the ATG checklist.
Comments
Signature ol Owner or
lnspector's
Dlstrlbution: White-DERR, Yellow-lnspector, Plnk-Facllity/Owner
ves dt
(J9
FACILITY SITE PLAT Faclllty lD No.
NORTH
I rat*
Fill)
Pt'., i
r;ll2
F;lr,
trt" I rr'
1
Di.p LL,
il t'ae-6\" ojl 3
\,.*
1o
a
0 E1
o
0
o
a
1,
lfboa t" V1^.
th6 location ol any roportod PID or FID readings.
Potential Receptors- lndicate distance (in feet) to the nearest:
Underground utilities Active water well
-
Residences
Sudace water _
Commercial buildings
Other
certifythatlinspectedtheabove.namedfacilityon.
(pftl lrm) ( Mth, day' Yeat' tme)
lnspecto/s Signature: Cert#- Date:-
n\*
I
l
J
I
(lnmmanlc'
PREMIT]MOIL COMPAITY
2005 South 30O West
4oorsz{
salt take Ciry, utah 84 I 15
(80D 4874721
Dccember 17,1993
Attn: Gary Astin
Division of Environmental Response
150 North 1950 West 2nd Floor
Saft r'te 6i1y,1;1"tr 34tr6
Dear Mr. Astin:
Eacloscd is the informalion you requested in you lettcr date Dec€mber 15, 1993. Ustman
Industries is presenfly completing our tank tightoess testing , we are waiting to receive or must
rcsetrt certificate from them. I have onclosed their monthly monitoring rcports showing that otu
tanks are tight.
Ifyou have any quastioos please contact us.
UTAH OEPARTMENT OF
ENVIRONMENTAL OUALITY
DEC 2 0 1993
DIV. OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
, Siocerely
2,,/u,^,- {ir.t-t-:6t
Andrew Callister
tt
ID
o
o
ID
o
ID
o
E0o
(,,l
(,,I
aElalal<l
zl
aElllFIurlEI,o
/ %O,/izf
(- . 2 lor a.ldhional services
. Print yolr nams a n(, ,Jdr€ss on th€ rsverse of this lorm so that ws can
f ,rish to raceive the
rotl ,ervices (for an extra
Iee):
1. n Addressoe's Addr€ss
4a. Article Number
P 301 680 200
4!. Service Type
LJ Registered
El certitied
. Write'neturn BeceiptBequested" onrh€ mailpi€ce bclowthe.rticlenumb€,2. ! Resrricted Delivory. The Eeturn neceipt will s deliverod and the date
'?-/Consult stmaster for fee
r€tum thas card to you.. Attach this form to the lront ol the m8ilpi€cs, or on th6 b.ck if spac6
3. Article Addressed to:
MR. RULON HYMAS
PREMIUM OIL COMPANY
2005 souTH 300 wxsT ! insured
tr coD
o
oo
cI
oE
E
I
oE
oE
2
o
o
6EF
SA],T LAKE CITY, UTAII 84115
5. Signature (Addresseel
6. Signature (Agent)
Ill Exoress Mait n Return Roceipt for' Merchendise
4oona{oEc 1 'b tgg3
8. Addressee's Address lOnly if roquested
and fee i6 paid)
&tw
7. Date of Dolive
Form 1 1, December 1991 iu.s.oPo: re02-3?}{p DOMESTIC RETUBN RECEIPT
S*mte *fl Utmh
Michael O. Leavitt
Gwcm
Dianne R.. Nielson, Ph.D.
Execrirc Dircar
Kent P. Gray
Dircar
DEPARTMENT OF M QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIA'TION
150 North 1950 We*t 2nd Floor
Salt l-ake City, Utsh 84116
(801) 536-4100
(801) 359-8853 Fax
(801) 53tu414T.D.D.
Submit a copy of precision line tightness and leak detector tests for tants #1, {2, and #3,
performed in accordance with the reqiriremens of the Act, for the tanls found in non-
compliance on August 23, 1993, as required by utatr Admin. code R311-202-1. see
40 CFR gg 280.a1(a) O), and 280.44.
ERRU-803-93
December L5, 1993
CERTIEED MAIL
RETTJRN RECEIPT REOI,]ESTEI)
Rulon Hymas
Premium Oil Company
2005 South 300 West
Salt Lake City, Utah 84115
RE: NOTICE OF INTENT TO REVOKE CERTIFICATE OF COMPLIANCE NO. 12699-3
Facility lD #4A0I3.25
Dear Mr. Hymas
The Utah Underground Storage Tank Act (Act), Utatr Code Ann. $ 19-6414 provides that the
Executive Secretary ruSD may revoke a Certificate of Compliance if it is determined that a facility is not
in compliance with the requirements specified in Utatr Code Ann. gg 19-6412Q),413. The Act iequires
substantial compliance with all state and federal statutes, rules and regulations including Utah Admin. -Code
R3Lt-202-1, which incorporates by reference Code of Federal Regulations (40 CFR) g 280 in effect as of
May 26, 1992.
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) perforrred a compliance review for Certificate of Compliance No. 12699-3 issuedto a facility owned or operated by Premium Oil Company. This facitity is located at
10585 South 700 East, Sandy, Utatr. The designated facility identification number ii 4001325. This
facility contains three underground storage tanks (USTs).
The compliance review indicates you have not satisfied the requirements of the Act and are out of
compliance. As such, you are violating the eligibility requirements for the Petroleum Storage Tank eSDFund and your Certificate of Compliance may be revoked. To achieve compliance you must do the
following:
1
You have 60 days following the receipt of this letter to demonstrate compliance with the
requirements of the Act or your Certificate of Compliance will be revoked and you will be ineligible to
receive deliveries of fuel and receive payment for claims against the pST Fund.
Printed on recycled paper
Facility ID# 4N1325
Page 2
If you fail to resolve the compliance problems described above within 60 days of receipt of this
lefter, you will be notified by a Notice of Agency Action and Notice of Hearing. The purpose of the
hearing will be to determine if there is any reason your Certificate of Compliance should not be revoked.
Please contact Gary Astin at (801)536-4100 to discuss this notice at your earliest convenience.
Sincerely,
Kent P. Gray, Executive Secretary QST)
Utah Solid and Hazardous Waste Control Board
KPG/GKA/cb
Fred Nelson, Atlorney General's Office
John Inch Morgan, Acting Director, Salt Lake CityiCounty Health Department
cc
ilrW,
TANKNOLOGY CORPO RATION INTER
Phone (8OO) 888-858 FAX (713)
ServlceOrder# O65304
NATIONAL 4I6902255
restDate 08/LL/92
5225 Hollister, Housloq Teras T70406?94
Certificate of Tightness
Underground storage tank system(s) tested and found tight for:
TANKOwNER: PRE11IUM OIt CO. Aile-41
TESTSITEADDRESS: pREttIUl.{ OIL CO. 10585 S. 700 E. SANDY, UT
I s] r-sax DErEcroR(s] oNLY.t I rANK(s)oNLY, [.]Lrr,rE(s)oNLY,
TANK SIZES &
PRODUCTS TESTEO
1 REG UNL
3 SUPR UNL
2 REG
LTNES TESTED 1A , 2A, 3A
LEAK DETECTORS TESTED 50 I 90 -9223, 501 90 - 922L , 4L289-7 47 9
Unit i/lsr. Certificate Number & Name Og? DAVID I . MATHIE 07 / 94
o15t DAvrD r. l{.ATHrE o3'/g3 validonlvwith
Corporate Seal
u.s. Parmt * 4462249. Camdian Parst * t 1 85693, Europcan Patent Appl. * t 692txl
TANKNOLOGY & \/bcuT*t are trademrks ol TANKNOLOGY CORPORAnON INTERNATIONAL Nol.: Se€ VscuT*t Tost Eeport tq t.nk idcnttrlcetlm rnd 3na loc.tbn d[wlng.
IAK+'
fW PREMIUM OIL CO.\
nvoice Name/Address pREHIUl,t oIL co. 2005 s.
iiteName/Address pREl,tIUM OIL CO. l05g5 S.
VacuTect* TEST REPORT
Site # 41
ur 841153OO WEST SALT LAKE CITY,
7OO E. SANDY, UT
S.O. #
Date
Phone
Attn:
0 55304
o8 I LL/ 92
<80r> 487-472L
GRANT BATEI.I.AN
LINES Loak [let
Tank
Prodrct
Tank
Capacity
Tank
Ola. E
Malqial
sT/
FRP/
LrBd
Oippod
Watd
Lowl
I
STAFT
ENO
Oigpod
Poduct
Lawl
a
STAFT
END
Prob€
Waler
Level
a
START
ENO
Waler
lngrcsfi
Oeteted
a
Yss/No
Bubblo
lngress
Oelsted
!
Yes/No
Ullage
lngrass
Dsl@ted
!
Ygs/No
TANK
a
Thhl
d
Fail Lino t
Lire
Male.ial
!
ST/
FRP
Lire
Drliwry
Syel. Typo
I
PS/SS/GS
LIN€
TEST
I
START
NME
LINE
TEST
a
END
TIME
FiBl
L€ak
Rat6
I
GPH
LINE
!
Tighlq
F.il
Exisl
LD(s)
Pass/
t ill
NONE
NEW
LD(s)
foslod
E
PASS
TANKS and LINES Testod lo CFB-4O Parts
28+281 & NFPA 329 Spec's.
Other:
REC
UNL
Obdcr 1A FRP,,}11:01 14:31'::0.000,
. ",,.1.rt#
P N 501 90- 92 23
h(D$/M'G,
WES'B
Mfuqh
50 00
Y
REG ZA FRP-#
,:i#$
P N 50190 - 9221
IEE9ry
ores*&
':
"9a
,ii 3A
::I
:FRPft
,'rl;l:d"
l9: lJr :iro .0QO,,
;1..r r'1,*ll,
tl,a P N Erd!o$Mo: 4L289-7 479
!EE5E
hwM
SMTim:
Od@ld ,'.fim*
.' i) r,:
brosMowo:
LEE58
O.r*h
'lY.rirr;rri;P
'1lti&
t..,.i+.ii
ETdLOSMG:
LM TEfl E:
ktuve
Malcial SldTi@:
'.i...:ffi
krowG:
IEESB:
brryk
Sird Im:
S€o
ob9.
Fo.
Lc.
Tank
t
TANKS
I
UNL
TANKNOLOGY Region: WESTERN REGION Unit # 018 Stare Lic. #
\OTF: Original VacuTtrl Oata recordings are reviewed by Tanknol@y's Audit Control Oeparlment and mainlained on file.
2
Tanknology Corporation I nternational
5225 Hollister St., Houston,TX 77O4O
(8OO) 888-8563 . FAX (713) 690-22s5
State: UT
hLOS/MG
LIXE LEAI DEIECTOR TESI
sltllol Jo. #41
LOCA'IIOI Cash Saver Alta
10700 s. 700 E.
Sandy, Utah
DEIECIOR TO.
DAIE OP tESr 1t/4/s3
PASS \TAILBRilTD
tlrx
l1
Regu l ar
t2 ,000
Red Jacket
507909221 Pass
rAJTN
a2
TIIX
a3
Itrxt{
IAfi
l5
?trr
l6
rArx
*7
tArx
T8
unleaded
12 ,000
Red Jacket
s01909223 Pass
Premiun
12,000
Red Jacket
472897 479 Pass
IXSIALLER I TL 0032tEs
USTMAN SIR SYSTEM
MoathTy Molitoring Report
SEPTEWER, 79 93
Repor| Date: 70/22/93
Conpany Da,€ : PREMIUA OIL COMPALY
SCatioD .warre: PR.E!{IUM OIL #47Addregs: 70585 S. 700 EAST
PART A:
City: SANDY
SEatioD #47
State: VI
Taak ID
07
02
03
DaCa
Qual ity:DeTs:
9382
i2362
8277
POOR
POOR
FAIR
{s,/ts/tsst, -227}
Sa.I,es:
77469
35079
8743
aSTMAN INDASTRIES INC. iE a cert,ified Statiatical Inventory ReconciTiation(SIR) releaae detectloa wendor. Taak abatus results for aonthly r.oaitorir.gare based oD parazeters speclfLed by the BPA proEocol for SIR frethods.
PART B:Comfrents aad Recorame adatioas
O/S Tisted beTow repregeot refrovale, addiEioaa or deTivery discrepaacies
wbich were accoua.ted for as part of the ,9fE aaalysis.
07
02
03
{s7sltsss:oEL t46zJ {e/s/7ee3: 221}
{s/s/tsss:ozr, -t3B} {s,/ jo,/lsss: tst}
{9/t,/tg9s, 782} {g/tz/tggs: 119} {g,rts,/tgss:
{e/27/7ss3:DEL 224} {g/zz/tggs' -783} {e/28/7ee3:
-28e]
742 ]
Syatefr Status..
TICEE
TIGITT
TIGI{T
Product :
REGVLAR
TJNLEADED
PREMZAM
USTMAN SIR SYSTEM
Monthly Moaitoriag Report
ocToBER,7993
Repore Date: 77/24/ 93
Conpany Daae : PREMIUM OIL COMPejiIY
Statioa lva.!re: PREIIIUM OIL #47Addrese: 70585 S. 700 EAST
PAR? A:
City: SANDY
Statio,x #47State: W
Taak ID:
07
02
03
gysted Sta tua..
TIGITT
TIGITT
TTGT{T
ProducE :
REGULAR
Data
QuaTiEy:
POOR
FAIR
POOR
DeTs:
9704
32896
83 96
SaIes..
77746
357 52
86 83PREMIW
USTI'IAII INDASTRIES INC. is a cettified StatiaCical laveDtoiy ReconciTiat.ioa(SIR) releaae detect,ioD vendor. TaD.k atatur reauTtl for moathTy mocitoriDgare based oD pararnet.ere specified by tbe EpA proEocoT for SIR mef,hods.
PART B: Confrentg aad ReconmeBdatioas
O/S Tisbed below represeat zemovaTs, additioas or d.eTiwery diecrepaacies
wh,icb. were accouaBed fot as parE of Cbe SIR a6aly9is.
UNLEADED
]
]
{to/s/tgss: 776e} {1o/7/7ee3:
4%] {70,/77/t993: -t2s} {10/24/1ss3: -a4}
07
02
0i
{_70/7/tee3: 213} {10,/2,/lss3: so} {to/s/tggs '{70/74,/7993: 788} {10/19/7993: -2s7} {tO/St/tggs:
30s]
-82]
-102]{to,ttrttggs:{to/tz/tsgs:
{70,/7,/7993:
2033
s48
ery
'{ttotgzs
,A(
',a. "'- -' : .,.
/ 4.?t1' ..i/ :.,4n *. .i" ..; .r.ra.;a d,
DEPARTMENT OF ETWIRONMENTAL QUALITY
DTVISION OF EN\'IRONMENTAL RESPONSE AND REMEDIATION
Michael O. Igvitt
Gwelu
Dianne R.. Nielson, Ph.D.
Excrtivc Dista
Kent P. Gray
Dirgte
150 North 1950 West 2nd Floor
Salt l-eke City, Utah 84116
(801) 53G4100
(801) 359-8853 Fax
(801) 536-4414 T.D.D.
FIL T COP Y
RE:
ERRU-803-93
December 15, 1993
CERTIFIU) MAIL
RETI.]RN RECEIPT REOUESTH)
Rulon Hymas
Premium Oil Company
2005 South 300 We.st
Salt Lake City, Utah 84115
NOTICE OF INIENT TO REYOI(E CERTIFICAIE OF COMPLIANCE NO. 12699-3
Facility ID #4A013.25
Dear Mr. Hymas:
The Utah Underground Storage Tank Act (Act), Utah Code Ann. $ 19{414 provides that the
Executive Secretary OST) may revoke a Certificate of Compliance if it is determined that a facility is not
in compliance with the requirements specified in Utah Code Ann. gg 19-6412Q),413. The Act iequires
substantial compliance with all state and federal statutes, rules and regulations including Utatr Admin.
-Code
R3 1 1-202- 1 , which incorporates by reference Code of Federal Regulations (40 CFR) g 280 in effect as of
May 26, 1992.
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) performed a compliance review for Certificate of Compliance No. 12699-3 issuedto a facility owned or operated by Premium Oil Company. This facility is located at
10585 South 700 East, Sandy, Utatr. The designated facility identification number ii +OO13zS. This
facility contains three underground storage tanks (USTs).
The compliance review indicates you have not satisfied the requirements of the Act and are out of
compliance. As such, you are violating the eligibility requirements for the Petroleum Storage Tank (pST)
Fund and your Certificate of Compliance may be revoked. To achieve compliance you must do the
following:
1 Submit a copy of precision line tightness and leak detector tests for tanks #1, F2, and #3,
performed in accordance with the requirements of the Act, for the tanks found in non-
compliance on August 23, 1993, as required by utatr Admin. Code R31l-202-1. See
40 CFR $$ 280.a1(a) (b), and 280.44.
You have 60 days following the receipt of this letter to demonstrate compliance with the
requirements of the Act or your Certificate of Compliance will be revoked and you wiit Ue ineligible to
receive deliveries of fuel and receive payment for claims against the pST Fund.
Printed on recycled paper
(
("
MAILED OUT. DATE AND IMfiAL:
AUTHOR
SECTION MANAGER o
BRANCH MANAGER
DTVISION SECRETARY
FINAL APPRO -DA AND INTTIA
ASSIGNMENT SIGN-OFF SHEET
lr2- Llb 5
/4,h
(,
n^ )2/ 6h3 Drq P /6/?3
/7 -t
e /J -8'21 -^b /?-?-93
L:
AUTHOR
SECNON MANACER
BRANCH MANAGER
DATE RECETVED
9..
1-t -73
/4"7
AUTHOR'S NAME:
DATE SUBMITTED:
DRAFT APPROVAL . DATE AND INTIIAL:
DATE RECEWED
CORRESPONDENCE #
L/s/3-?3
tzt'l
DATE FORWARDED
12- -3
DATE FORWARDED
,4tlqs tr
rAt^ t>/? z
,4q(q:
Dt^ tctstqz--
DIVISION SECRETARY
A
Facility ID# 4001325
Page 2
If you fail to resolve the compliance problems described above within 60 days of receipt of this
letter, you will be notified by a Notice of Agency Action and Notice of Hearing. The purpose of the
hearing will be to determine if there is any reason your Certificate of Compliance should not bi revoked.
Please contact Gary Astin at (801)536-4100 to discuss this notice at your earliest convenience.
Sincerely,
4,treD
Kent P. Gray, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
KPG/GKA/cb
cc Fred Nelson, Attorney General's Office
John Inch Morgan, Acting Director, Salt Lake City/County Health Departrnent
6V+ "r/
L k i I p c h k IeaDaetctnonseoInctce I S t
l. Ownership of Tank(s )ll. Location of Tank s)
Own.,
.3oa w)*rnnJL
Araa Cad!
<r
S&..t
P C.d!
2 7
T
or or Stata Roart .. .pptlc.!i.
Eo.l Adc,r!sr
L-
o €
(lt r.ft. .. S
. .ppLlc'lb
"to slc
qo o/32
Flaasa atl lt !tLscafnoldtEu{otrnalod 6acnl*E.hasla[tY mont TlaIIle8sl,0 Enolaco fia arldoy ccmElqtt ila filornaton ail
Slrt!
ma tCo,poradon.
Sl.rr 5t-.
Clty (n
du.l, Publle A!.ncy, or o!,l.r .n!tyr:
rf t t4
{um5ar q,.t Thlr l-ocadoG
Mcfin anc Year Iank lnsBtl€d fE-sslimatE or K-kncwnt
Cscacrv ot Tank (in gailonst (E-eslrmata cy (-knownl
!,'lalsnat of Cansiruction (E-esttmara cr K-kr'lownl
If 6mcxtec. venv 1' Cr tess ct Crocud in tanx
lll. Tank lnformation
nk1 Tank 3 Tank 4
Canud Prrlon At UST t ciuon
ZD Cod.f ltf
' F.cilfry l0r:
Sub$ance Stored (E-€dimara or K-knovrnl Y'& n..Ltc
lV. A. Flelease Detection For Tanks Ch€ck iht r€l€&9a r.tr1odls| usrd tsnk or N/A ncnt rrquirrd-
Manual Tanx Gaugrng (onty ior Enks unde. 1,0@ gal.)
Manual Tank Gauging and lank Tigfnn€ss Te$rng
(onry Er lafl€ urcer Z0@ gat.)
c<l-Z/i
-r ank Tighness T€dir€ arld tnvemcry Conrc,
Other acaEv€d m€riod (write in name ol m€fioc)
At,cn€$c Tank Gauging
lmersnial Mcnncfir€
Vaocr Mondc.ing
Grcurcwals{ Monitoring
lV. B. Fleiease Detection For Piping Check lha rrbls. OsE cn rr.rtc,(sl us.d lor piFing-
Ch€cx On€ Typo qt Piping tor s&fl Tar1l(L.z
I
Aurcmatic L.in€ L€ak Oer€clors. aldldreck cn€ ct h6 iollotyrng)
(-t/t/
Vaccr Monrtcnng I
Grcuncwater Monitonng
I
Sec:ndarv &rnarnm€nr with Monrlcri
Ljns Tlglf,ness Tes ng F ?,-/'///
lV. C. Corrosi on and Spiil/Overfill Protection
C;rqson crcec:oa urslallod (incicato dat€t
Scrll/Cvarnll grc'€cion tnsrdl€O iindtcalg catsl
V. Site lnf ormation
GellaEl sn€ oEsarualons and csrtmonts lvtcfirty oas€Nalon:i. Eroun<t wetat l6/€i. arE.)
f3the! I ha/r irlsEracEd
hsc€clcr'! Signa!.rq:
.!o/! n rild bdity dl
Oab:
5r.6r-t
l3
Phona Numb.r
4 EnXr.
tani€.
TanK oresamly in us€4""k3)
It nct. 6als tasl LLs€d
K3/,
?'*)----------->,12-Y-___>
4 Al --+-5
a/(1.
ti
p{
Leak Detection for Piping
Facirty lO *:/oor 3>t
Pf gSSUfiZgd Piping e meoco mugt b€ 6.1€c1sd torn o.ch sar.Wh6E aDpUc.bl€ indkare daE of hn lln I tli! bcility has nEr! than ,a
6nks. ptgaso olrotccogy firs paga rrrd cornpblE lho inlErmaion lor dl rdddEEl cnDirg
€'lr.DSet 1 Tenk 4
Auiomanc Fiow Festndor
Aucmarrc Shd€tt Oevic€l. ,/ I =r?-Cannnuol.s Alarm Sys6m I I I
and
Set 2
Annuar Ljns Tighrn6ss Testrng
vacor Monlcnng
I
lf VaEr Mcnitonng, doqJmsflratm ot monrnry
monltcnrE !s avallabte
ll.nersnial Montcnng
I
ll lrrcrsrfial Mon[cnng. Cocumemalcn cl monhty
mon(onng rs availabla ..
I
ll Grcund-WaEr Mcnnonng, dccJnleolalron ol mcntnty
rncnnonng is avala-bl€
Oth€r AoErov€d Mathod (sp€cdy in c.mmenrs sercnt I
Un€ Tigi'mG T€stlrq (reauire€ €very 3 y€ars-) I
VaEr Monitoring
S€candary Cofltainmem with lrfl orstitial Monitonng
Ground-Water MonitcnrE
Cther Aoo(trv€d Merhod (sD€cfy in €mmens secimr I
No Lesk Detectlon Haquir!d
(must answer yrs to tll ot the tollowlng qulstlons)
--T-lOp€rarBs al lEss than atmosEfi€ric Ar€ssur€
Has only one oick valve. ryhich is locared direcfly
under pumo
Sicc€ o, picrng allot66 produci to drain back into Enk
r.,nen sudron rsl€as€d
All amv€ F.,trnaron on suciJon ptptn€ E v€nfiablo
I
On rhe back L. tlis shea. ple€s€ skerci'l tha s 6. noUng arl piping rurE tanks {lrElL6irg sizs & S.tsran€es 5l! E}
ano lccancn cf wells and lh€ir ois'6nca irom Enks ano crpin€:
lt
lnsDaclDt s
Cariments:
lBt I har! hsFl€cd rho rlo\/! tE r tecdily qr
O&
sr.6&5
@c)<r{fi',rrl,
f/t /qt 81, /q,P/t, /qt
Grouno-V{ate, Monitoring
SUCtiOn Piping* , raarcrl azt! ot riosr rE r tslt
N.ria rlE ai*[E d t r( tgtltlG Et!r:
DO 3zF.cey D a
ucqt cE{ lgrn= Grr.rg:
Please com plete all in formati on fo r each tank tlt h.sfac{ty mo1t l1rlr 1 bntq C{s.hbcomgbt!FrEEc+yllrr mdinE nrdqt p.g!fr rl addtr|d EnLr.
?anl 40ar€o,last lank ItsLd!lt:ee
Ord tart tesll9agl lndicate 0ry€s no.It no.5D€ci rntyemm€f|ts sEcriqi b€ior 016 otsul!..Ei tankt]('af wtlittilcorltiaveb€€n ta (€!t fES(e.9..silllE b€€n no fdA
with
rrarn 1 +'I 3o gajs
fi no.rYhrctr nofins w€ftt tEQ
ye3:s e.answer o r'n o rfo cea h ue stionq
can oqo,arn €rllrc m61'lCtS an3 rlcues rJs<AIx',E'!(L y6
yet rE
HET:S idu3a lYaqyr?afiry nsuori,€.
YE
ilEFarY&
BetG tJsdapp€ar E']E ovid€flcE rEc{rll 6fifia3 rs
y6
Diso€rs€r PUrnFS lt:lv6 qJ'TETT caribnrtm Stld(EG.
y€s rE
Th6 (lrrcts ct tre sud(caug6 AIE flar 4ft,mt rrcrn COwn.
y€s t10!Th€dic: rt*13 mari(a6 ardlegibly ll16 9JE'UC l€v€t c3nan D€inctt dauYmln€c '.o tt€nearBsi cre€rgh|tfl
taroer $gaellr:
Commcnc:
O.E
B@lc ar€'tqElod rnomhry.
ApF,tdiaa €tiEalE r cian is usad lE"calqJlanng voturi€.
The c,rro iJ!.in ns ftl pE€gx!6rEs to wro.lin Cr:€tEcl ct tank bsacrrrOvrng carl cenErsEare ccrclslerc/ in dipstddng t€q':nlcu6slrloftirywarcr r€adrn€s ar€ lJse h calcra ng momnry invgltory Ea]arEs3.Th€ 6icsrd(is long sfiou€h b rEa6 lne bocom ot the taruc
Ths Ent tEs Oa€rr r.<'rt witiin ng y€ar arE has gassod tl€ ngtm€ss lsst (i, necsssary) .A h,r!€any cafirfcarion cd fi6 Enk tjgfimgsg tESr mathcc ls ayalErleTank t€ssr empfi€d with all cant,icalcrl t€guiremerns.
Mcnncnng and tEs:ng aftt mamatn€O it iC,avartaote tcr cle czsrl 2 rncr,ms
y€3
,€
rlo
rE
yelt ll
y6
y6
y€s
y€s
ys
yes
y8s
tl
tl
l''
ta
no
no
rlo
and
tak
A,l
A utomatic Ga ug gann
llrn.Gr?. nrrna f.td aE C,urn* ol syrun:
F.crry D
Please answer or no for each guestion
0evrcs ooc.rm€nEldofi is avallabte sn6at rnalat'aclJrE|.Sle.g..bleurc.orrrgs nEruaJl.y€s ,E0evrcac:rn moasurE cilh6t€irlt prEuct to n€an6t ot anone{aghrr incfr yE IEOermenarion $outsUierdan irCr.rvats in borom cil tant is C':E(€C'nrqllllytone:l,Eitate€€rlc y€s
willDevice dgclarE a l6:r,(on fie ott iqis reccneliadcninvernory it orc€gteoldtscrsparEy q
a130prrJsllow-0no.Elt ongalons a brqEmomrtry yE
ATG0elm€madon ts utlta'ratlable fie w:Ls tn test a,n6e dmrnimum aollcB 0ronu'L y€sErO1€d(8d cdFTBSSE angElrg6 tankS
yBs
fiataviO€nCA 6svic€is rsldEregJnsdG,Jm€r@on.y€s TE
m
el€cr(ad dGJrrl€nEldm tnar wilsiqr$Brn rt$all&.andca,tibr"rEct rnairdarnd trrrrnufaciJrgagins;trLEions.acccrdir€
2 y€s
rE-cr6Mainenara ArE ayailaDte rEiUEiLupon ycatnHngrEcarEsitfietcravaila!le fi€9ast 12 Itlontis.yrE I'E
.''e$**'f..' '"1"/- . ""' :'r*.,11 :
.-..- -:it-. '-.''- .:'IIE ".... "a B-.- .4U''=b-"...-
-.€-i':. ::-..._
E.:. '-..
.i.+.r....: -.-r ::
IIEDGUsSgnrrl:
Conuung
0e
santrarcs gf
--'1'-:" - :. .: .:... .. . ..,.-.
-
rA
^
FACILITY ID.tAC(, 1z zT
PST PROCESSING CHECKLIST
Year
Non-Marketer Discount
Previous Pollution Incidence
LUST File
Form fncluded
"r@ /
(9t* r-/-/
TTT
- Verify tank/l-i-nesvs registered
- Documentation ok?
- Rate ok?
Y/N
Y/N
Y/N
-
Fund Paid
FY 9L -/'
Y /N ,./
Fees Paid
FY BB?
FY 89?
FY 90?
FY 9I?
Y/N
{3'
-a
Compliance r-,/t-
I Compliance outstanding? y /rC ,--'
Jn .\ ,jf - Leak detection required? Wtw ,,-' AD-f co/\ .. /
F:;l)ri Notirication up to date & complete? (i/* t,'
J'' , :.AppIication?
^[>,4.SS -
Date Qualified
Review completed and certificate issued by
suPPoRT\CE \CHECKLTST. PST
-<7
NotUnacceptable Acceptable Applicable
DEPARTMENT OF HEALTH
] DTWSION OF ENVIRONMENTAL HEALTH
RECEIV
FA(xLxTYL D. # L.( t: a r 32r
f o55rS S. ?tld F
6trL
Norman H. Bangerter ..
Govemor
Suzanne Dandoy, M.D., M.p.H. Bureau oi Envtronmenlal Response and Reme.iation
Executive Diretor ,, 288 North 1460 West, P O. Box 16690
Kenneth L. Alkema :: Salt Lake Crty, Utah 84116-0690
Diretor :, (801) 538-6338
En=
TO:
7*(-<l t
FRoM: [, t i?4uu-nunll
Your application for coverage under the PETROLEUM STORAGE TANK FUND is
incomplete. The following additional information is required before your application can
be processed.
[ ] The results of your Tank I Lirle Tightness Test and a copy of the field report need to
be submitted to this office.
$4 A Notification Form, registering or upgrading your tanks, needs to be filled
submitted (use Form 7530 (Revised 9-S9). D.1(L'-'ae,r{, fh<{ f::-, f i.t,'.'
(,* ( t*-&- aLntt sc-{.',-, r.,r o).E4'.!c .re l,-*.,
out and
[ ] Annual Tank
$
Fee Assessments remain unpaid. Please submit a check for
. This will cover the fiscal year(s) '88 '89 '90 '91 (circie the applicable).
[ ] You have not compieted the form declaring "PREVIOUS POLLUTION INCIDENTS".
Please complete the enclosed form.
[ ] Annual Fees for the PETROLEUM STORAGE TANK FUND remain unDaid. Please
submit a check for $. This would cover the fiscal year'91. The
amount for the current quarter oniy would be $
[ ] Your "APPLICATION FOR NON-MARKETER DISCOUNT" is defective for the
following reasons:
[ ] The release #has not been characterized or maintained its cleanup
your project manager, and the
[ ] Other (below):
Please note that ),ou will not be eovered under the PETROLEUM Sf,ORAGE TAI.IK FUND until the
above mentioned it lls arc clmpleted. If your are currently a LUST site and your Fbnd application has
F." lpProveq anyAuther releases wil be covered by thaF\rnd" If youharraany questioiri concerning
this please call the Bureau of Environmental Rasnnnie and Remediitinn at S3R.rlqiR
schedule to the satisfaction
Executive Secretary (UST).
of
?
PREMIUM OIL COMPANY
GENERAL OFFICE
taolt 48't-47 21
2005 souTH 300 wEsT
SALT LAKE CITY, UTAH 44115
February 8, 1991
Utah Deparfnen t of Health
Underground Storage Tank Section
P.o. Box 15690
Salt Lake City, Utah 84116-0690
RE: 10585 South 700 East
To whom it may concerni
Our monthly lnventory records shorr frm, March 1982 to present
there has been no leaks of the storage tanks at thls location.
Ttre eervice station ras purchased in, Septanber 1977 and was left
vacant til it vas remodeled in March 1982. Prevtous to our purchase ofthis property, there wae a Sinclair station on thls location. We haveno lnformation on their pollution hietory.
Rulon H s
Petroleum Erlronmental Services, Inc ^
2440 South 3270 West
Salt lake city, utah 84119
Telephone (801) 97 2- 0202
Fax (801) 972-0977
January 4, L99L
Premium Oil Company
Attn: Don Wooley
2OO5 South 3OO West
SaLt Lake City, UT 84115
Re Cash Saver
1O585 South 700 East, Sandy
Mr. Wooley,
Please find enclosed copies of the tank tightness tests that
were performed on L2-4-9O, on underground storage tanks at your
faci1lty.
Systen type: Pressurized
Tester: Troy Spackman UT #: O146
GRADE TANK SIZE
(sat)
HIGII LEVEL
LEAI( RATE
(gph)
LOW LEVEL
LEAI( RATE
(gph)
LINE
TEST
TANK
TEST
Premium
Nolead
12, O00 <0.05
L2, OOO <0.05
L2, OOO <o. 05
Pass Pass
Pass Pass
COMMENTS
A11 tanks and Lines tested tight.
If you have any questions please caLl at number above.
-b-42",*".-Steven R. Soruner
Petroleun Environmental Service
Regular Pass Pass
Petroleum Envrronmental Services, Inc.
1942 Norrh Beck Srreer
Salt Lake Ciry, Utah 84116
Telephone (801 ) 322-2060
Fax (801)322-2063
PRODUCT LINI IEST DATA SHTET
/o Sr 7*t t Err,**- O^/1""
Test #Product
L,-4'"/rr/fi{, A'ZAI*r"{tl 54 /2,,/ / ,J.-.i(_r-4
_&.."p /?.r.
VI U
/Ini t'i a
Fi na
Pressure
Pressure
, c675 "0v . c€t
fihq/),c675 ,{5
e5 u o) o_;
Ratio:
eed - Back
BI eed-
E_
-6
Cps )
"jo^7
Jc:{5 /l ,,J5-/Z 'oo
/0:7s /0;{5 J/:sc30;30".-J-l--+Conc usion
Tan Le Rate
ank Le ak Rate
ks ,Ptss lqss
11
Ca*/r,-
84,,i
,oa7S
\::.-