DERR-2024-006397

Phone Number
StateCityCity
No Certificate Year:
l. Ownershi pof
Owner Name
Area Code
Address
Facility Name
Street Address
County
Certilicate of Compliance
Tank
No @-'tloNo@@NoCurrent year tag is displayed
No@ /l-eG) No @No @-r NoTank presently in use
lf not in use, date last used
lf not in use, depth of product in tank (in inches)
/47</q/" 7 /q7q/qk 3Month and year tank installed 'i) t<hrl I /b(Capacity of tank (in gallons)
tA),4'fu &rlSubstance stored u^bda 7/*.- L {/e*LMaterial of construction of tank (steel, FRP, etc.)
trA,t/r,a P P-P P FlpMaterial of construction of piping (steel, FRP, etc.)
02ttutCztrA-u,fi,.tt.alb-O.'t-:,,ttt tPiping type (pressure, suction, gravity, etc.)
tv.tank.
fr76,4r1"Method used (enler method used and complete appropriate torm)
V. Release Detection For PiPing
Emergency Generator tank (leak detection deferred)
>dlr l"u-a<rnlR,lnrrtN,Method used (complete separate form where applicable)
/. ll 2rtzJbffi'-N ;xti
o *-tf ,m"r>x -r ? -rJ)A? -/k-/j0)/tq- ik - hDate of last Leak Detector performance test Y
nA<<,rr1<= .(/,F}<-</f)iaF.<l- f".t t".rrt tP."tdf"ifl ,AI
& tk:r:lrW-rc-'rl? tDate of last Line Tightness Test.lI/'a
11 Fc-<n/+ S S/'R<-<-lrls<Test result (pass/fail)
!
No leak detection required (must answer "yes" to all questions below)
Cert. No. UTName and company of certified tester
Yes NoOperates at less than atmospheric pressure
Yes NoSlope of piping allows ALL product to drain into tank when suction is released
Yes NoHas only ONE check valve, located directly under pump
Above inlormation is verifiable; use comments section below to document how it is verifiable
the above-named lacility on
(pnnt narry,
Comments:
.1
I certity
Yes No
y6aa,
Signalure of Owner or Owner's Representative Present During lnspection
lnspector's
Distribution: White-DERR,nspector, Pink-Facility/Owner LDchecklist.wpd 2/99
UTAH UST PROGRAM
Release Detection
Facility lD No. i&0DlOf,
Checklist
ll. Location of Tank(s) ./ 6l/\
U
Q,\ .
Contatt Person At UST{ocation r Phone #Sa..\ n l4,A P \r,r,..) +4k't"qog
{anLl-ZTffiA.qNumber of tanks at facility:
z/<A/l< .
-&loah
-1-;/-<L-L
compteL the appropriate crrecr{st for each method{rsed.
/q 7/^*l>c
lndicate method(s) used and complete appropriate tank checklists where applicable.
(WrffiixedAutomatic Line Leak Detector type and model a
Pe -rr -t'd.?-re rtr't
forms
2
as
Manufacturer, name and model number of system
Yes or No lor each
r{A No /f5D No tYE) Norei' NoDevice documentation is available on-site (e.9., owner's manual).
@ No No@ No@ No@Records on site document that the system was properly installed and calibrated
(system and tank setup report).
No@ @No No@No"@System is maintained in accordance with manufacturer's instructions (records are
available on site).
Yes @
Tilt:
Yes @,Tilr:
Yes 16Tilt: L--Yes @
Titt:
The probe is located at the center of the tank. lf no, indicate tilt correction factor from
the tank setup report.
z6 tto (G No G) NonA NoDevice can measure the heiqht ol the product to the nearest 1/8 ol an inch
G No C"f No G No G.NoDevice monitors the in-tank liquid levels over the full range pt the tank's intern
@ No@No@NoNoA monitoring box is present and there is evidence that the device is working (i'e., the
device with roll ol for results
NoG @No q!}No @. NoDocumentation is available demonstrating that the Automatic Tank Gauge performed a
valid leak test at least once a month lor the last 12 months
lf no, for which months was a valid test not performed? (specify months and year, use
soace below if necessarv)
No@ @NoNofatg.-Noui)The tank was lilled to at least the minimum level required by the manurayer/f
equipment protocol to ensure a valid leak test
@No No,,'fGl No@ No@The tank capacity is within the upper and lower size limits requ
manufacturer's equipment protocol to ensure a valid leak tes't
Yes @ Yes @Yes@Yes €Have any of the leak test reports indicated a failed test? lf yes,,rilrin the space
below the month. year, and what follow-up actions haie been taken.
Documentation ol perlormance claims for the automatic leak test feature is available
and shows the ability to detect leaks of 0.2 gph with 95% or greater probability of
lndicate month(s) of invalid or missing test:
NoNoNo@,@@
of false alarmdetection and 5"/o
lndicate month(s) of any failed test:
Signature of Owner or Owner's Representative Present During lnspection
Comments
Signature:_
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner LDatg.wpd 2199
I
Facirity tDNo. ( 7'Q, lOqUTAH UST PROGRAM
Automatic Tank
more lhan 4 tanks-
{"4 Ar4 ffi;a
@
@No
il thePlease
RAM
than 4 tanks.tank.for Useinformationalleach
dank)1 _trank2 -1;danxl 4 ---
Yes @-Yes @ Yes e Yes @ls the UST system is filled by transfers of 25 gallons or less? lf yes, spill
and overfill prevention is not required.
@NoNo@No€i @Nols there a spill containment device that will prevent release of product into
the environment? lndicate type: Spill bucket <5 gal', Spill bucket >5 gal.'
Containment sump at tank fill
Noe No@y'45,
<-/No@ls there an overfill prevention device installed on the tank? lndicate type
Ball float (in vent line), Automatic shutoff (in fill pipe),6lgr), or Other
Nor6s,ra<No@ @NoJ
No2fgs)For overfill alarm only: ls the alarm located where it can be easily seen
and heard by the deliverY driver?
No@ No-@No@No@For overlill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
T7f1k, 4 T{nkl9.{anY-{,trenk 2- I
//?tvlank /LraiT-/Z-rd;[
FffPP'pinSrpp trp'prR0Piping
lndicate the type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrilicial Anode
(SA), or Not protected (NP).
Sub-Pump
11
sr-Pump
h
Sub'Pump
/2
,t"B
orq""''oi6n u,A
DhmmerE
Oismnsr
12
llng/llex set.'
-rr, , t=",', ,J,
recoid*lr€lo dlgtding for each tanUpillic protection test. I
lndicate the type of corrosion protection on Flex connectors and/or Swing
ioints: Booted (B), Total containment (TC), Not in contact with soil or
water (NC), Cathodically protected (CP), Non-metallic (NM) and Not
Tank cathodic protection
Piping cathodic protection
Tank lining
N
lf tank or piping has been
upgraded, indicate date
upgrades were performed:
No@No6'No@ No€The results of the last two cathodic protection tests are available' (within
6 months of installation and every 3 years thereafter).
volts
-1, t s3*l.tk(- lzbk *"'r )}s *-l'llol*n"l,tFo),./
DateTank. Tester
vollsvoltsvoltsvollso^t" APiping. Tester
Sub-.Pump
volts
Sub-Pump
volls
Sub-Pump
volts
Sub-Pump
volts
Dispenser
volts
Dispens€r
volts
Dispens€r
volls
Dispenser
voltsTesterDaleFlex.
No@ No@Noffi\\Lz:No@For impressed current system: The results of the last three equipment
operation checks are available. (Equip. check required every 60 days.)
Comments
Signature of Owner or Owner's Representative Present Duri
lnspector's Signature
Distribution: White-DERB, Yellow-lnspector, Pink-Facility/Owner Ldspillover.wpd 2y99
(
xo. l2n&t01
and Corrosion Protection Checklist
Facility lD
A
CATHODIC PROTECTION TESTS Record results of the most recent
v
tLoot o 1
lvlichlcl O. bavitt
Covcmor
Di;rnnc R. Niclson, Ph.D.
lixccutivc Dircctor
Kent P. CraY
Direc(or
\,-
DEPARTMENT OF ENVIRON MENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 Wcst
P.O. Box 14.1840
Snlt Lrke City, Utah 841l4-4840
(80 I ) 536-4 100 Voice
[phone] Fax
[phone] T.D.D.
rs
&RtNr
suNJanuary I l, 2000
TO Scott Cook
Tri Valley Distributing
PO Box 70
Heber City, UT 84032
RE:Non-compliance of underground storage tanks at Tri-Mart #80,4104 Riverdale Rd., Ogden, Utah;
Facility I.D. #1200109.
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke a
Cerrificate of Compliance if ir 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 14,lggg indicates you have not satisfied the requirements of the Act and are out of
compliance. To achieve compliance you must do the following:
l. Submit documentation to show that you have had a qualified cathodic protection tester test your
cathodic protection system within the last three years for tanks #lr#2,#3r#4, and #5.
Please return a copy of this speed memo with the above items to speed processing. [f the above information is
submitted to this office by March 13,2000, and substantial compliance is achieved and maintained, no further action
will be raken on this matter. Failure to respond to this request by the date specified will initiate the revocation process
for your Certificate of Compliance. If you have questions concerning this matter or need any assistance, please
contact Paul Harding at [phone].
)
GATH\_)E pROTECTION RESU L.s
Tri-Mart
4104 Riverdale
Ogden, Utah
Readings taken: January 26, 2000 1 :40 P.M. MST
O"oooatt rectifier odFut: 5VDC 1.5 ADC
Tested by: J. Wood
Drawing is not to scale
-1.548-1.153-1 .081
-1.129
-1.185
- 1.1 53
-1.166
- 1 .354
-1 556-1.208-1.1 99 -1.456-1.175-1.261
hIffi^"*
-1.287
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
t 68 North 1950 West
P.O. Box 144840
Salt t ake City, Utah 841 l4-4840
[phone] Voice
[phone] Fax
[phone] T.D.D.
Michael O. lravin
Govemor
Dianne R. Nielson, Ph.D.
Execulive Director
Kent P. Gray
Director
January I 1,2000
TO Scott Cook
Tri Valley Distributing
PO Box 70
Heber City, UT 84032
RE:Non-compliance of underground storage tanks at Tri-lVlart #80, 4104 Riverdale Rd., Ogden, Utah;
Facility I.D. #1200109.
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke a
Certificate of Compliance if it is determined that a facility is not in substantial compliance with all state and federal
UST statutes, rules and regulations.
Attherequestof theExecutive Secretary (UST), theDivisionof EnvironmentalResponse andRemediation@ERR)
performed a compliance review for the underground storage tanks at the above facility. The compliance review,
performed on October l4r 1999 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 documentation to show that you have had a qualified cathodic protection tester test your
cathodic protection system within the last three years for tanks #1,#2,#3r#4, and #5.
Please rerurn a copy of this speed memo with the above items to speed processing. If the above information is
submitted to this otfice by March 13, 2000, and substantial compiiance is achieved and maintained, no further action
will be taken on this matter. Failure to respond to this request by the date specified will initiate the revocation process
for your Certificate of Compliance. If you have questions concerning this matter or need any assistance, please
contact Paul Harding at [phone].
qrpr
?*r't 5T urAn usr PRocRAM Facirity to No. /2&fr lo{i
Release Detection ln
ll. Location of Tank(s) v 4ftl. Ownership of Tank(s)
certificate of Compliance on .GiGd No
ad28t+
State zip 1
,^t- 7-i
City
""nn""ry?+ ?
Facility Name
County
Street Address
'Ufita{rr
I /
', _-rCity
Phone Number
Owner Name
Address
Area Code
Contact
State
ffi comptete lor each tank. ll lacility has more than 4 tanks, complete information for additional tanks on separate form.
o@j-g <@t5@XNumber ol tanks at facility:
1G;t noNo1{q Noc6t d"D NoCurrent year tag is disPlayed
@2 no NoFi @NoAeb NoTank presently in use
lf not in use, date last used
ll not in use, depth of product in tank (in inches)
/E &'7 /f7t/lE f,3 / ?73Month and year tank installed 4/(,r.fl lc lo /<-tak lrt<Capacity ol tank (in gallons)
2)u-2,/z--l r Z.:-r-/ir,-.-Substance stored
STzz t-Ldtc-S7T* t {zZt-c*-Material of construction ol tank (steel, FRP, etc.)
FA.P tr{trffi-p t4?Material of construction of piping (steel, FRP, etc.)
L7 u-a*-//zr*,-,Piping type (pressure, suction, gravity, etc.)
lV. Release Detection For Tanks lndicate the method(s) used for each tank. Complete the appropriate checklist lor each method used.
7
Emergency Generator tank (leak detection delerred)
and tank wherechecklistsForlndicateused applicable.Detection method(s)complete appropriateReleasevPiplng
Method used (enter method used and complete appropriate form)
Method used (complete separate form where applicable)
tr-)< I Urt-t lbl"|aPf tutv f-y t rtAutomatic Line Leak Detector type and model
B-CLq ?r*8 q *-€9 <* f"Date ot last Leak Detector performance test
PAls Ar4< <-Prf,1'-4rssTest result (pass/lail)
f,* rf a4'8- €*0 -?y'Date of last Line Tightness Test
y''r+{a-///4>€ms f'41..Test result (pass/fail)
,-<2 Cert. No. Ur O27 f
No leak detection required (must answer'yes" to all questions below)/
Yes NoOperates at less than atmospheric pressure
Slope of piping allows ALL product to drain into tank when suction is released Yes No
Has only ONE check valve, located directly under pump Yes No
Above information is verifiable; use comments section below to document how il is verifiable 01 Yes No
a-/
I 4-r3--?*z
Signature of Owner or Owne/s Representative Present During
lnspecto/s
certify that I have the above-named tacility on ,rt C - /T -? /
(lMlh, day, yoar, [m)'r /y'.--'
Distribution:Pink-Facility/Owner Revised 2/4/99
^ffi ff(,/w--z
Name and ol certified tester
UTAH UST PROGRAM Facility lD
and ion nl
Please complete all inlormation for each tank. Use additional forms as necessary if the facility has more than 4 tanks.
Tankl ./{r{w Tank2 .-)Tank/( f
Yes @ €Yes Yes @ Yes {o ',The UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
<@4'to 4rG-- ) ruo 6@r)P6 q$) ruo
G-- ruo G.--'11o GtNo CY4t'to
ls there a spill containment device that will prevent release ol product into
the environment? lndicate type: Spill buckel <5 gal., Spill bucket >5 gal.,
enlion device installed on the tank? lndicate type
e1, Automatic shutofl (in fi!!.JdP*Alarm, or Other
""-
Containment sump at tank fill
ls there an over
Ball lloat (in venr
(specify)
Yes No Yes NoYes No Yes NoFor overfill alarm only: ls the alarm located where it can be easily seen
and heard by the delivery driver?
Yes No Yes No Yes No Yes NoFor overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
Tank 1 fankK-)TanW {lante{ 5'
/?Tank
/(-
Tank raril/C t*x
,/(d?E#r rUr A:?n
lndicate the type ol corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrilicial Anode
(sA), or Not protected (NP).
Sub-Pumo
)4
Sub'Pump
19
Sub"Pump
,4"tE,
Disoenser4 Dispenser,4 Disp€nsorA 0ispenser/i
lndicate the type ol 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
Protected (NP)
lf tank or piping has been
upgraded, indicate date upgrades
were performed:
Tank lining
Tank cathodic protection
Piping cathodic protection
Yes @)Yes (@ Yes @ Yes &The results of the last two cathodic protection tests are available. (within
6 months ol installation and every 3 years thereafter).
volts volts volls volts
DateTank. Tester
volts volts volts voltsPiping. Tester Date
Sub Pump
volts
Sub-Pump
volts
Sub Pump
volts
Sub'Pump
volts
Dispenser
voits
Dispenser
voltsDateFlex. Tester
Dispenser
volts
Dispenser
volts
No@,@*o No No&For impressed current system: The results oi the last three equipment
operation checks are available. (Equip. check required every 60 days.)
Comments
ntative Present Du
0rp,
lnspector's Signatu
of Owner or Owner'sS
Distribution: White-DERR. Yellow-l Pink'Facility/Owner Revised 2/4/99
Overfill Checklist
CATHODIC PHOTECTION TESTS Record results of the most recent calhodic protection test. Record the lowest reading for each tankpiping/flex set.
@
u-
Facility lD N". /Zat> /0fUTAHUST PROGRAM
, <.:: .<-cManufacturer, name and model number of 7 5 3e
each tank
trfrk-z?-1-;-L(Tdnk, .-*-/fbnk 1)
r€ff--au a.*$ No ,.t6.1 No
\--l--'
Ycf, ) tloDevice documentatlon ls avallable on-sile (e.9., owne/s manual).
.{6s no 4@;ruoG.'No 1@' NoRecords on site document that the system was properly installed and callbrated
(svstem and tank setup rcport).
@ tno 4rtr: no .'(C, n,4@ noSystem ls malntalned In accordance wlth manulacturer's lnatructlons (records are
@'Yes
Tllr:
ves @
Tllr:Titt:
Yes NoYes
Tllr:
&-'The probe is located at the csnter ol the tank !l no, indlcate tllt conectlon factor lrom
the tank
-6. No al6) no ,6'ro G'ttoan inchof thetheDevice
*No €F> No @n"G> noDevice monltors tho ln-tank llquld levels over the ful! lange of the tank'8 lnternal
@n"@)no @xo (G-'xoA monitorlng box ls pres€nt and therc ls evldence that the devlce ls working (1.e.' the
device is for results
@n"@*o No&*@n'Documentatlon ls avallable demonstratlng that tho Automatlc Tank Gauge perlormed
a valid leak test lor ths last 12
ll no, lor whlch months was a valld tost not performed? (speclty months and year' use
sDace below lf neceesary)
@ro (G)n"G; r.ro 6-roThe tank was fitled to at Ieast tho minlmum lovol r€qulled by the manutacturer's
a valid leak
@no,a@) o @>uo6)noThe tank capaclty ls wlthln the upper and lower size llmlts requlred by the
to
I Yes 4Eves @ Yes 4!El Yes @Have any of the leak test r€ports Indlcated a falled test? ll yes, speclfy ln the spacs
and what actlons
No(@ @'*o @n"(q,."Documentatlon ol perlormancg claims tor ths automatlc leak test featurs Is avallable
and shows the ablllty to detect leaks ol 0.2 gph wlth 95% or greater probablllty of
detectlon and 5% or legs probablllty of false alarm (3rd pady !94!!i99!ie!).
Indicate month(s) ol invalld or mlsslng test:
lndacate month(s) of any falled test:
Preaent During
/Cr' -
Signature ol Owner or Owner's
lnsp€ctor's
Dlstrlbutlon : WhltG'DERR,Plnk-Faclllty/Owner R.vbcd a8\99
Automatic
form-a,.ilflanrl i-nLc ^i ..h.ttla
available on site).
heioht
!r -:- T 15i3* JI ;13fi-=- \-/
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
lv{ichael O. lravin
Govcmot
Dianne R. Nielson. Ph.D.
Exeurvc Direor
Kent P. Gray
Diretor
t68 North 1950 West
P.O. Box l{.1840
Salt Lake City. Utah 841 l4-.1840
(801) 536{l0O Voice
[phone] Fcx
(801) 536-.lJl4 T.D.D.
TRI VALLEY DISTRIBUTING
POBOXT0
HEBER CITY UT
June 4, 1998
84032
RE: Compliance of Underground Storage Tanks
Division of Environmental Response anci Remediation t DERR) records show vou have one or more underground storage tanks
t USTs) which are not in compliance. These tanks are located at TRI-MART #80. 4 I 04 RIVERDALE RD. RIVERDALE. facility
ID# r200109.
Under Federal regulations issued in 1988. UST ow'ners and operators have until December 21, 1998 to upgrade. replace, or
perrnanently close LISTs which do nor meer the requirements tbr protection against spills. overtills. and corrosion. Owners and
operators also musr,.l-;t tjnancial responsibilitv requirements. to show they are able to pay the costs of cleanups of releases from
reguiated USTs. In addition, the Utah UST Act requires that all owners and operators of regulated petroleum USTs qualify for
and maintain a Certificate of Compliance. The tanks listed below are not culrently covered by a Certificate of Compliance, and
you have not adequately demonsrrated rhat you meet the t'inancial responsibility requirements. The USTs also have not yet met
the upgrade requirements. as shown below:
Tank ID Substance Tank Capacity Spill Protection Overfill Protection Corrosion Protection Certificate of Compliance
I Gasoline 10000 Yes Yes Yes No
Because the USTs are not covered by a Ccrtiticate of Compiiance and you have not demonstrated adequate tjnancial
responsibility for them. you are sub_rect to tlnes and penalties. Additional t'ines and penalties may be assessed if the USTs are not
upgraded or pernanently closed by the December 2f. 1998 deadline. The deadline rviil not be extencied.
If you have questions about which reouirements vou still need to meet, or wouid like to have someone visit your site to help you
assess your needs, please call Alan Jones at ( 80 I ) 5 36-'1 I I 5.
N
\
I
I
Zip Cod6
Phonc ,
Nrmber of trnk6 rt f.ciliw:
City
0.a Art >o
Own€r Nlmo
Addro88
r-1r-)/.i>Phono NuAroa Codo
Contlct Psrson At UST Locltion
f,/
Zip Cod6Stat6
9a'f
I
City
y'1 ,*do
Clrtificst! of Complianc!
County
Expi stion dllo
Str6ot Addrr3!.l) o 9
r--lat N6 6>(aTehk listed on Cartiticato of ComDlience ,affi) n"R,Trnk Drerentlv in ua6 tGr t'to
ll h^r i^ u.e- der. h.t used
ll noi in rlse. d.oth of orodud in tenk lin inchosl
t.;)Jt-tl9r)t9f)-k tr).t-l?)9t>-kMonrh .nd veer tenk installsd
,lc r-cn ,ta ltla ,) cnacr6r.iiv .rf renk lin oellonsl 7 c't'rj / C-la
ttJ, l)*^Srrtr.tince storad o.j,./"/rJ Jnr/,1,Met.rirl ot conEtruction of tank Ist6al- FBP-.tc-l
l:A I ;AI tt AlMrierirl .f .dnstruction of oioino {6te6l. FRP. 6tc.}
'**,#*i'"-'.',:i:i:i::li:ii:it:li:ili:i:!l:ii:ili:i:iiitilli:rt[lit$&iliititts[,]Hra
Fm.id.h.v G.neretor irnk lleek d6l6ction def6rr6dl
#sffifii&lWii,satui
u
lnvintorv Control/Tank Tiohhoss To6tino
Aulomatic T.nk Geuoino
DEO ,/ DEBR
Menual Tenk Gauoino
Vrhor M6nitorind
lll cGroundwetor Monitorino
lnt.rstitiel Monitorino
IStrri.ri..l lnvcntorv R.concilierion ISIRI I
"1,.1,.Tfr
r,.----81"1,.TEiiiiiliadiirl#::$i*l
Arromrric Line Leek Detector
- l HArrr
I,1..rr, ,
iifi.itii{]:itiff}$*li:ii il;i!::
Line Tiohlness Testino
Vrn6r Mdnitoiino
Gr.)undwst6r Monitorino
lnrcrstitial Monilorino
siitistical lnventorv Rsconcilietion {SlRl
Commonta
/) -t l/
J) - I -fa
Signature of Own6r or Own6r'a Boprss€ntativ€ Present During lnspection:
lnspector's Signaturs
cenify that I have inspsctod ths sbove-named tacility on
Date
Distribution: Whito-DERR, Yellow , Plnk-Fscility/Owner
F.cility Nlmo
Inrh-. .^^'^va,l mAih6.l li^.ii..r. ^.8. ^l m.rh^.ll
nrh.r a^^.^w..| marh^.I {in.li..r. ^rm. ^l m.rh^rll
0
b
5
UTAH UST PROGRAM
Automatic Tank Gauging
Facility ]D No. / )o&t ct7
Manufacturer, name and model number of system ,./r-Jo r f?t }o'E''-t il.
Please circle Yes or No lor each question lor each tank fi lacility has more than 4 tanks, complete information ,or addltionsl tanks on
separate form.
Tank 1re TankZ J Tank*9 Tan14J
d6$ No 63 No GNo d6-B ruoDevice documentation is available on-site (e.9., owner's malU4D.
Records on site document that the system was properly installed and calibrated (system
and tank setuD reDort).
(!"3 No d"S No @No @ruo
G, No de? No @HoSystem is maintained in accordance with manufacturer's instructions(records are
available on site).
Yes @
Titt:Titt
Yes @ ves @,
Tilt:
ves @
Titt
The probe is located at the center of the tank. ll no, indicate tilt correction factor from ,
the tank setup report. *
ffiNo zf€3 No ad no 6r NoDevice can measure the height of the product to the nearest 1/8 of an inch
r'V'"B no rf") No re} No 16NoDevice monitors the in-tank liquid levels over the full range of the tank's internal height
@to No@ No@ @NoA monitoring box is present and there is evidence that the device is working (i.e., the
device is equipped with roll ol paper for results docuEeqlation)
(LGe No A6D No d-F No No@Documentation is available demonstrating that the Automatic Tank Gauge performed a
valid leak test at least once a month for the last '12 months
It no, for which months was a valid test not performed? (specify months and year, use
space below if necessary)
@*o @, No €-B No NoGThe tank was lilled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test
@*o No@ @*o No@The tank capacity is within the upper and lower size limits required by the
manufacturer's equipment protocol to ensure a valid leak test
Yes CNO Yes @ ves @ ves @Have any of the leak test reports indicated a failed test? It yes, specify in the space
below the month, year, and what follow-up actions have been taken.
Documentation of performance claims for the automatic leak test feature is available and
shows the ability to detect leaks ol 0.2 gph with 95% or greater probability ol detection
and 5/" or less probability of lalse alarm (3rd party certification).
No@ @*o Nodts No@
lndicate month(s) of invalid or missing test: rt4,w r_
lndicate month(s) ol any lailed test ,t/roe-
Comments
l'1116.l)-{*rt
Signature of Owner or Owner's Representative Present During lnspection
lnspector's €
Distribution : White-DERR,, Pink-Facility/Owner Feva*d 12\95
@No
(
$
Tr* li,Tr* 2 Tn& 3Set 1 Tftt 4
Automltic Flow Restricto, (if y€5, indicEto modol in comments soction)
Automstic Shut-of, Dovico {il yoE, indicEt. modcl io commgntE soctionl }
Continuous Alatm Systs m (if yq6, indic.t6 mod€l in comm€nts r6ctionl
/-16i^; No No.€)No^a 6A NoRocords of laBt Lino Loak Ootoctor porroimlnco tost ato av6ilabla on-litc
t2 - v4/I )-U - 9l i)-r-9/oat6 ol la$ Lino L6ak Dstoclor portormanco t€6t / , ../ -92
Fril/A)6Ie'i) r"l Fsilf Po8b\R.suh of la6t Lin6 L6!k Dotsctor podo,m.nc6 toat 1@ rrir
Set 2
Yo8 No Yoc No Yo6 NoRocord6 of last Lins Tightno6s To.t s.o availablc on-6lto Yg8 No
lr-L/-rlo.to of last Line Tighlno6s T66t
Plra Flil P!8r Fail Pass F.il P.ss FailR6!uh of last Lin6 Tightn666 Tost
Namo and company ot c6rtiri6d t6616r: ;-,rr-r/a//"- lla - "/l UT O 2J}.Utlh ToEtor Conification Numbo.
Vlpor Monitoring {if yos, u8o Vapor Monito.ing chockli6t)
Groundw.t6. Monitoring {i, ygs, u86 Groundw.tor Monitoring chocklist)
lntorslitial Monitoring lil yos, uso lnl6rstiti.l Monitorino chocklist)
Statistical lnventory Raconcilialion [SlRl (if yo6, u66 SIR checklist)
Yo8 No
,$
ililli:iliiiii!iliii!i:!ii:!!iliilll
Y6s No
,11.!-Y,:?.-1'lEl i-€glE!
iri.iilixilliriili'i.,iji,:liiiiY.4os NoRocordr of last Line Tightnoss Tost ars av6ilablo on-6it6
uso othar m6thod chocklist)Othsr .pprovod mothod (if
Y66 No
Dsto ol last Lin€ TightnesE Tost
P8ss Fail Pass FailRo6ult ol la6t Lino Tightn6ss Tsst Pa6s Fail P6s6 F.il
v.por Monitoring (it y6s. uss Vapor Monitoring checklist)
Groundwater Monitoring (if y66, uso Groundwate, Monitoring ch€cklist,
lntorstitial Moniloring (if yo8, uso lnt€rstitial Monitoring chocklistl
Statistical lnventory Roconcili.tion [SlRl (it yos, u6e SIR checkli6t)
Yes No Y6a NoOpsratos at l6ss than atmosphoric prgsSurs
Othor 8p mothod (if use bth6r method
.ii.ii:i.i:iii,iii.iii.iri.iriiriiiri.iiri
Ye8 No Y66 No
Y6s NoSlop6 of piping will allow A
rcleeB6d
L>d"ict to drain into tank when suction i6 Y€s No Yoe No Yqe No
H.s only Ol{E chgqfvalvs, locatgd di.octly under pump Yos No Yos No Yos No Y66 No
,.,.
All abovo ipf6rmation on 6uction pipine is VERIFIABLE, uso commonts
ssclion rzolow to document how it i6 voritiablo,
YoB No Yes No Yos No
Comments:
's R€pro6€ntativo Pres€nt During lnspoction
OatslnEpoctor's SignEturo:
Signatura o, Ownor o.
ltllil,;l
Distribution: Whit€-DERR, Y , Pink-F.cility/Own6.
fffitr#i*ItrS#ir i#XI,;
\
TankzZ 2 Tankl't lank-I/3Tankl f L
Yes @ Yes @YeS@YeS@The UST system is filled by transfsrs of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
No€e No(@ No@'NoG'e.Dls there a spill containment bucket or another dsvice that will prevent
release of product into the environment?
No G) No@NoNo€D
indicate the type of device: Ball float (in vent line
Qlllll]|EL Alarm, or oher (sPecifY)
ls there an overlill Prevention devico installed on the
Yes No Yes No Yes NoYes NoFor overlill alarm onty: ls the alarm located where it can be easily
seen and heard by the delivery driver?
Tank//S
Yes No
Tank? 3
Yes No
lank3r Y
Yes No
lankf* z
Yes NoFor overlill alarm onty: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
ic
Tlrt
/c
Tar*Tank
tC-ic
Tr*
t=A /
Um
FA f
Um
Fnr
Llm
t41l',
Um
lndicate the type of corrosion protoction: Noncorrodible material (FRP)'
Composite steol (CS), lntemal lining (lL), lmpressed Current (lC)'
Sacrilicial Anode (SA), or Not protected (NP). ll FBP or CS do not
complete the remainder of thls section.
lf the UST is not protected, was the tranuline installed before May 7'
1985? lt ye3, corroaion Protsctlon 13 not required until Dec. 22'
do not complete the remalnder ol thie section.1 998;
Yes No Yes NoYes NoYes No
Yes @Yes@Yes@Yes@The results ol the last two cathodic protection tests are available.
6 months of installation and every 3 years thereafter).(within
Tank
volts volts
Tar*
volts volts
Llre
volts
Um
volts
Llm
volts
Um
volts
Results of the most recent cathodic protoction test.
Name of
TeSt
No@ No@NoGNo@For impressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
60 days.)
the date the retrolit was completed. J--rJ*
lf the tank has been retrofit (lined protected), indicateNcathodically
6-
,)-1"9:tlnspector's /a Date
I understand that the following marked items must be completed by
'
December 22, lggg in order to meet the 1998 upgrade requirements: ! Spill prevention for
! Overlill prevention for tank(s)#- E Corrosion protection for tank(s)
! Corrosion protection for piping assoc. with tank(s) *
Signature ol Owner or Owner's Representiative Present
X Facility meets 1998 upgrade requirements.
During
Distribution: White-DERR,Pink-Facility/Owner
UTAH UST PROGRAM ,,,... FCCII 1tlts,,t{o
;Oorr-osion:,Pi,otoction l*epection CheEklist
tai,affi, i Uitple iii ult##i # l irriiffi
CE
con*bsl6Nii:#no oilll
TanlTrr*
UPGRADE
. F--:Y,;/
,,T'NDERGROI,'ND STORAGE TAIYK PROGRAI,I
Forzr
* I z///l I
f t -lo r/,DaE: /-r-1/
ADDRESS:
OWNER
(drdcocqaur)
REFI'ND DELEIECHARGESfor Re-bill _Yes_No
b,'/arc e?4 4^4r
+- l,'/l r 7?n e 9 Tar T,',4
€{lt +- f;
/t'a/ (a ff FT/e( i,t ,'5 Tq n7tf((
&
rd
o&
(J oz
a
:-?:>*,-- '.:l->=-- 1 -.-:- :'.:t:,1.,^ ..: _ " .
.a
+,' :/l'r'.'.-
,'
::
{.
'*
a
-3'(t i *6r:r.ffi:i#:r {
+
r.-i:,
.,r;1
t"t"'* *"'"r/, - l*)L !*.,1
City State . Zip Code' Qr,y' t 'hlo ' o ttvt ?
Expiration date
4, n,/oy',NJ,
10
Certificate of Compliance on
r
Street Addressql64
Cr.,rty V
Citv State ZiP Code' 00il+- t/Al c'Y ntt
Address 2tlL ff^rrt?,1*J-
Phone #Contact Person At UST Location
Number of tanks at facilifu:
Area CA-6)>- tvqrPhone Number
No dA' No rA& No rG- NoTank listed on Certificate of Comolianeo
/GN No/4i No z6- r.roTank oresentlv in use w-/
lf not in use. date last used
^ aarrutwrLT<+>/ / r Hll not in use, depth of Droduct in taokOoioehes)4
/ 9,F ? -/1 tQtLl-L-tqr> -k/ 9> \ i o) )Month and vear tank installed
,A tr*i /^ tffi /,1 . r.,ttll v ,14-o IlffiCaoacitv of tank fin oallons)
l2r, . lt./.ltal. /Jttv 0,, r, )ly'r * r*-Substance stored
{/1,./" /rJ . /../t /,./fMaterial of construction of tank (steel. FRP, etc.)
,:AfFl" /J:A I t=fiy'Itlaterial ol construction of oioino {steel. FRP. etc.}
fialiffiffip u:ffii
nf /?fiil .<-
#,t,i :r:riii:il:i:liiiiiitiililiiiiiii::irr::::lilffif.iffi. i#rffiE$lo
/., $.;;:;t,,r,s,,,,,,
1,,,,,,.M#li'it*Eftliaii lEtE
Emeroencv Generator tank (leak detection defened)
lnventory Control/Tank Tiohtness Teslins
Automatic Tank Gauoino
Itlanual Tank Gauoino
Vaoor Monitorino
Groundwater Monitorino
lnterstitial Monitorino
Statistical lnventorv Reconciliation (SlR)
Automatic Line Leak Detector
Line Tiohtness Testino
Vanor L'lonitorino
Groundwater Monitorino
lnterstitial il/lonitorino
Statistical lnventorv Reconciliation (SlR)rE
certify that I have inspected the above-named facility on
(moth, day, ,er, Xme).?
Representative Present During
Comm€nts
I 9 -2D -9{-
Signature of Owner or
lnspecto/s Si
(.^
$
tt-
I\
Distribution: Whit+DERR,nspector, Pink-Facility/Owner
:
UTAH UST PROGRAM Facility lD No.--r:-ed:e-?-
H6l6a$eiDeted..ti h,,,lE5pecti6h,,,,Gh,eeklisi'ii,,,,,',,.,',,
:iiiiili.:ii.iii:l;:::.::tiliti:tffiil * ir n*(*}iiiiiil...r..,,::::,i::ri:riiii*+,:{r--::r.i:.i..:t.;r':i;:,.,,Ofifr$iohlp.,CIf.i, jifnk(*I......iiiili.
1un. ,t\ I4q.(il,r^f,
{iti^6r[ trfrkt nn qonarqlo fnrm
\lll Tqnk lnfnrmallan n^mnlata lnr oer{r t:nk lf fanilltu han mora than 4 tanks comnlele inforrnslion lor ar
Taak )Tank I fank ATank 1
,4fr' Nn
Pioino tvoe suction. oravifu. etc.),"ffi
nthar a6nr r/ed methnrl /indinata nama nl mathndl
V naiaaea ll|alaetlon,F6f pfuilhit':'namnlete:nlnlna nlranliflRf end annionrlets tantr'errecltisrla\'.i#;rah methrfi'litlitrarl',,
Othar annrnved mothnd /indi.ate name of mathodl
. r tixEf,.,
6\t
Tank 1 Tank 2 Tank 3 Tank 4
Yes 6"Yes @ Yes @ves @lDevice documentiation is available on-site (s.g., manufacture/s brochures, owne/s rnllyq!|
No@ Nof9 No@ No6)Rocords on site document that the system was installed, calibrated, and maintained
according to tho manufacture/s instructions (if no explain below)
@*o /GF) No Nocf69 No/qA probe is present in the tank (checked by inspection)(
)@ No @ No No@ NoBDevice can measure the height of the product to the nearest 1/8 ol an inch
4€|1 No Nor@ No(@ No@Device monitors the in-tank liquid levels over the full range ol the tank's intemal height
Td No No@ No@ NoGA monitoring box is present and there is evidence that the device is working (i.e., the device
is equipped with roll of paper for results documentation)
Turo
Yes No Yes No
/?Qt-
Yes No Yes NoDocumentation is available demonstrating that the Automatic Tank Gaugqwas in l€ak test
mode at least onc6 a month for the last 12 months € a, t-o , . *h/Ji* *<
lf no, which months are missing? (specify months and year)
No@ No@ No@ NoG'The tank was filled to at least the minimum level required by the manufacture/s equipment
protocol to ensuro a valid leak test
@O No Noe;"9 €@ No@NoThe tank capacity is within the upper and lower size limits required by the manufacturefs
equipment protocol to ensure a valid leak test
Yes 6 Yes 6D Yes @ w6eHave any of the leak test reports indicated a failed test. lf fail, specify in comments section
what actions have besn taken to correct the problem. Has DERR been notified?
No(D No@NoG}No60Documentation of perlormance claims for the automatic loak test leafure is available and
shows the ability to detect leaks of 0.2 gph with 95% or greater probability of detection and
5olo or less probability ol lalse alarm (3rd Party certification)
///ruoa/; -Larof./ ,.,- llrtL oilr; ,/ *. "o, *,i, lre orrrln*r,Comments:Da/r/tq-,//
Drta'- 2a *c ,t-
Signature of Owner or
lnspector's Signatu f
Representrative Present During
Distribution: White-DERR,Pink-Facility/Owner
UTAH UST PHOGRAM
Automatic Tank
Fmllity lD No.
Manufacturer, name and model number a "y"t" , Jr rJr, $ott 7 r C 3 ':-€)
nCeae.r.Cl,,$,,or,1flo.ffi', bfi.ih1rygtlq1.loi mcn unn iirffiyha$momf-rc!!:4lqffi;. r Uqtq!.qf$$
b
\
Tank 1 Tank2 Tank 3Set I Tank 4
Jqrj'*J otoiw ,/oo,l*Automatic Flow Restrictor (if yes, indicate model in comments section below)t3y'/
Automatic Shut-off Device (if yes, indicate model in comments section below)
-
t40ll /,il./-,Continuous Alarm System (if yes, indicate model in comments section below)
No(G)No.@ ft6n No f"B NoRecords of last Line Leak Detector performance test available on-site
/ - tJ^^Qs-/-2 t--9,t-/-2t--9J*/ -a.j-- f J*Date of last Line Leak Detector performance tesl
Failf*t r@; rart Fail(@ ffr*.t FaitRosult of last Line Leak Detector perlormance test
Set 2
No6'/{O No NoGRecords of last Line Tightness Test available on-site
Date of last Line Tightness Test S,,A
Fail/#s Fail@:,/6fsB FailResult of last Line Tighhess Test
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
,f- )-qv A ?-)o ->y _>Statistical lnventory Reconciliation [SlR] (if yes, use SlFl checklist)
---Yes No
.-
,: l:: ,::, :, :, ::::::: , , , :'j 1,,
Yes NoRecords of last Line Tightness Test available on-site
method (if yes, use other msthodOther
Yes NoYes No
Date of last Line Tighhess Test
Pass Fail Pass FailPass Fail-4^""FailResult ol last Line Tightness Test
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (il yes, use lnterstitial
Other approved method (if yes, use other method
Operates at less than atmospheric
checklist)
use SIRStatistical lnventory Reconciliation
Yes No Yes No Yes No Yes No
Yes No Yes No Yes No Yes NoSlope of piping will allow ayv{oouctto drain into tank when suction released
Yes No Yes No Yes No Yes NoHas only ONE "n""fi",located direcfly under pump
Yes No Yes No Yes No Yes No-ng6oon on suction piping is VERIFIABLE, use comrnents sectionAll above
Representative Prssent During lnspection
lnspector's Signature:
Signature ol Owner or
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
UTAH UST PROGRAM
:rHelease Detection For Piping
FiCility lD No.*-*-J3g.s-l!-t_
has mor6 than 4 tanks, complate lnformaUon for all addtio+ral piprng on e€paraia forrn,
f;D No
,6r"ir
:l$uCtion 6nU GffiVit$:iF.low,,,Fiping:
No Lsak Detaction to,ilt ar,,itre
cn ^"*", S tr4 -r,h"n/ /rt/ obtb /,,/*l J,+
Tank 1 Tenk2 Tank 3 Tank 4
Yes (frD ves @ Yes 0a Yes CtD'The UST system is filled by transfers of no more than 25 gallons at one
time. lf yes, spill and overfill prevention is not required.
No(@'@ No (O NoNo@ls there a spill containment bucket or another device that will prevent
release of product into the environment?
No@ No@ @ NoNoAn overfill prevention device is installed on the tank. lf yes, indicate
the type of device in the space below.
ty^Ball float valve (in vent line)
a-/'Automatic Shutoff valve (in fill oioe)
Overfill Alarm
Other Svstem (soecifu tuoe)
Yes No Yes No Yes No Yes NoFor overlill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
Tank 2
Yes No
Tank 3
Yes No
Tank 4
Yes No
Tank 1
Yes NoFor overlill alarm only: ls the alarm cleady marked to indicate what is
meant when the alarm sounds?
Yes
Tar*
a-A Yes
T6r*
rno
Td*
Yes @
Ter*
Yes @
dAt No
Um
No
Ta*
No
Llm
No@,Llm
No@)
Tanks and/or lines are made oI a noncorrodible material (such as
liberglass) or are made of steel clad with a noncorrodible material. l,
yes, cathodic protection is not required.
Tar*
@No
Trr*
Noff9
Tar*
No€9
LiE
Yes G$'
Llm
Yes 6")
Um
Yes .@
Llm
Yes (@
Tanks and/or lines are made of unprotected bare steel and were
installed prior to May 7, 1985. ll yes, cathodic protection is required
on or by December 22, 1998.
Yes No Yes No Yes NoYes NoThe results of the last two cathodic protection tssts are available.
(Tests are required within six months ol installation and every three
years thereafter).
(lC)orlndicate type of cathodic p
Sacrificial Anode (SA)
Te.*
- /, rl volts Or Q J- votts
Ta*Ter*
^ 0r ?O volts
Tar*
'O *.{/ volts
Llm
volts
LiN
volts
Llre
volts
Llre
volts
Results (in volts) of most recent cathodic protection test.
Test llata'
Name of person who performed laet.
@*o NoNo@@
J
€-@ No
-/,.r7 /)/au 1?9i-
DUPresontOwneroforRepressntative ringSignature
,lnspector's Signatu
For impressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
Distribution: White-DERR,Pink-Facility/Owner
UTAH UST PHOGRAM.
: :::::: | : .: t:t:tehks;' :'
@
Llre
L ,l'|\F TEC r NC. 446421 9A55
Inscal Iac lon/ Upgraoe r jrnr E
P. A5
I
P. r.!1 B No s
lt-oo t d ?
qqG4
(X I N6v p.EtE t ) Portlr!, McClf1crEl,6E
3arrtlltrroq coDpcay ec Inc.
\ddr. t a E'. Box 04s
Sonca€: per Kent W s ar
M ssoula
Cicy oq en
( I Ne'a Insrallaeion
s
zrp 59606
dace qTa n L997
-
dar,e
-
daea
t x ) opgrrdc
8
521:@aa{
scAcPEoa. I 1406 1 -98 ss
Carc:.:t.d IqrC.l1.r,r on projeCf,
.{ahc Dou las J. S ephens
cace sorx rrll connrence __Uafeh 1995
Facil.rc'v
aaEk o.E
l:t lif noc a ree {acili.tY r 1 2001 09
a)< Kwit<c.
Address 455 24th S Su e B
t7
Cerc. !
Corr. *
C€tc. I
rr 0I3 Exp.
E:P.
Erp
Pr61I :, cy
iddre5s
Kar Kwik
410 River ale Roa
Ccn(acE tc John B ar I orr
en s E,a
Total Inecal,Iac,loa TaJlJ( Feetpenig $1 ,000
Oaqguai ot cxEaaurctAg cLrcu.arclacer GlpGce.d,r None
rrd6Tsafu Involv.d la Ialtlllttlca /
:an( .
1 ?A 5
Insraj:iU.Dgrede ug ug ug ug ug
Capac::v tgalicns)10,000 l 8-I000 12,000 4, O00 6 ,000
i)?e , iR.P. Sreei. esc. ,Stee I Steel Steel steel SteeI
su5sEance co De stored qas gas qas qas gas
succlan.6ravi
Prprrrg :.f 9 {Press
Press,Press.PreSS.Press.Press.
o! facBelLrclo=/dc
Dcacr:.pe1oa NuoSor
5
',ti.l
Xrll co=rlocaC lo=a C,or UCah DePcECftcnc, og En?iroDnenCaI eualicy
Dlvision of EnvironmcoCal IeapCASc and RcmcdiaClon
t68 NorE.h t950 Hesc, 1sc ploor
srlc
)aq,e ipprowe6
LaXe UEah {, { 116
App. By laScace Use Cnly:z c1
lo
cL* s(n h/2--Date PerrnlC l.latIed
TL
-
tL
-
U.
Phone t 1
Phone I I
L r rr-{'Ec I Hc. 4A6 Fal eBss
U! InsEaIl"ac lor./ Upgraoe pe_.n:.c
P. A5
( X I Nay p.tzl E t ) PcElB uodlflcrs16E
3ergrlI.(tol Coapaay L C
Addr.rs P.O. BOX 404s
FEoa. I
C.rer!ied Ia!erll.r,r on projeCC;
Yamc
cace uorx urll conraence Maf Ch 1995
Facilrtv lit (if noc a nev fac
rear o.ooKElk Kwit Inc.ilicy)t20 0109
M ssou a
4qGL(P.rD1E Nol
se.a" M 59 UU I)
Cerc
Corr
Cerq
rr 0I3 3
TI,
t I Nev Insrallacion
dace .Ta n 1997
da Ec
da
t x I Llgrrdc
!
fl
E:cp.
E)e.
Exp
Xdclre s 455 St Suite 3 B c!oq en Sca
Ccncaci per K Wan ard
Kar Kwikf .c1I i. sy Ns.ao
i3dress 410 verda 6 oaR g en s E,A z!
?hone *I
?otal InacaIlaE.loa TaIk Fec,/PertaiE,$1 ,000
Ccnc.acE 9crs John Barlow
OEuBuAi or .rE,aaurctAg cr..rcu,rclBc6o .r?Gct.dl None
Toa.I,r IDvoIv.d la Ia6tlI1a,t1cs
:an( a
1 )?A
:nscaIl/'?pgride ug ug ug ug ug
Capacrcy tgalioas)10,000 I 0,000 12,000 4,000 6 ,000
Type IFRP, Saeei. cEc.)SteeI S t.ee 1 Steel SCEE I Steel
su5sEance co oe stored oas gas qas gas qas
Piprng T.f e {Prrss
Su<cron, crsviE.yi Press,Press.Press.Press.
D.r crlpg I oe Nutrb.r
edc. ol fDrcrLlrclol
Linino, Cat-hod ic Protection 5
. -tt.tl.1
xrli coag:,og.c lorB cot Ulah Oepsrc,ncnc o! EnvironrnenEal euaIlEy
Dtvisron of Environrncacal Leepeat. and Rcnrcdiacton
158 NorEh 1.950 HeBE. 1sc Floor
srlE Lal€1 , gEah s{116
App. By U2-- Dace Perrn:'c Marled laScace Use CnIy: lace ApProweo 6
cL* 5(17
Douol as J. Sl1e
Fhone t
q
Press.
NS stececton
hI.,Owners Tanof s ll. Location of
Leak Detection
(lf rmo er Socdon I, cltlck hor. _ )Fa;rr*$li#yyfrpp,,crbb vSq
**0";,;*hiffifr:*W
County &'th,
Clty (narror$ . Strt , Zp Codo' i ,i,.,i"/, ll kl ,r i vo :
Frclllty aof, i/ c*a /t i
Numbcr oil Tankr rt Thlr locadon:
Ownrr Nemo (Corporedon, lndlvldurl, Publlc Agcncn or drrr rntlty):
ln, /''u,A D.ot..
Str..t Mdr..r,-'-*--.-r -rv " r'1"'rf -\cffi
W?&arClw Str!.' l*,lt* h fo/,
tlr-clFlhoncNumborfltr) (.t>-avva '/"r'ln
Cdntea /cnon At UST tocadon Phoncl
)
Zp Codr
,f Wol
Tank 2Tank prsently in use Tank 4
mor&
and
Tank I
thiit inicrmation for all additional
Tank 3
lf not, date last ussd u,r.trlrlr/or/
Ilf empti€d, verify 1' or lees of product in tank
Month and Year Tank lrEtalled (E-€stlrnat6 or K-known), rf,i trrv'k ter)- k
, Jon/o1.,./,1,,/*LJMaterial of Consruction (E-6stimate or K-known)
Capacity of Tank (ln gallons) (E-€stimats or K-known)/o.tnl no^D. aTjA Ll n:-a t. i'c'-a
Substance Stor€d (E-estlmate or K-known)/l r* tl ^-l ,/? rr-ui,,-0rrcil l,rrrr,l
Manual Tank @uglng (only br tanks under 1,000 gal.)
Manual Tank @ugirU and Tank Tightrts Testing
(only br tanks urrchr 2,000 gal.) __-----
Tank Tightnees Tding
AutornaticTank @uglrq \--l-
Vapor Monltorlng
Ground,vater Monitorlng
lntor$nid Monitorlng
other approved m6hod (write in narne of merrod) t/ {I n tl.nt -rt,? Ulrh,^t/tz
Prrcaurbad PlptroCh*k One Type ot Pldng br 6ach Tar*
slrdo.l Ptpang
Aulornatic Une Leak Detec1o6, and
(ctr€ck one of the followirq)
Vapor MonitorirE
Groundwater Moniloring
SecorxJary Containm€nt with Moniloring
Line Tighhes TdirE
Conosbn prot€clion install€d (indlcab data)
otrrll n*rlllSpill/Overfll proieston install€d (indicab clab)
General sib observalions and cornmenE (vicintty observalione, grcund water lanel, eb.)
3 -t.,P^qv
mo.tt \ d.yr y.ri fftr
lnspecbr's Signature:
r
j J Date:
certify that I have inspected lhe abovE named lacility on
S1oO59.1
\NI
\ -2,P --q U
lnventory ntro an an Tightness ng
l.in
each lhls
-2d
-il,'.
Namo and addrces oltank tghUlebotsfi
MdEd ol tenk tghmm bddng:
Fedlity lD *
hes more lhur 4 tenk3,
Honnation lor eI additona,
/L Tank I .,f; faak2 Tank 3 Tank 4
?'tt , -) r -4 7
-fr,/qt
"L -31-9)---'-*Dale of tasl tank tlghtness test
yw I t1,-). trl y4-fc,'
Did tank pass test'l lnCicate y€s or rr). lf no, specify in
comm€nts s€ctlon below the status of the tiank or whal
actioG have been taken (e.9., has state been notifiedl)
2k
/U
Y-c-/Y )ftr-
Doclrrn€ntation of cteliverles and sals balances wffir
dally measuremenc of llquicl volume ln tank are
rnaintainecl and available.
u-d--11-1,4-U lt'Wt
Overage or shortlag* are les lhan 1% + 130 gals d
tank's flow htough volurne.
////lf no, whicfi rnonthg rverE not?
rnethocb and flgures [Js€d and recorded.ZZ noEcan
yc noRecorcb lnclude rnonthly wat€r lnonitoring.
yqr noBooks appear used ancl evldencE ol r€cent €nfi€s is apparent
noy€sBooks are recorclled rnonhly.
yes noAppropriate callbratlon chart 18 usod for calculatlql volume.
yes NC'Dlspenser pumps have cr,rnsnt calibration sticker8.g.zA- ).4 y6 nc,Th6 clrop tube ln the illl plpe extends to within on€ foot d tank bottom.
t6 noIOwner cun dernonsttato consistency ln dlpsticklrp technlquG.
y6 noMonthly water readlrqs are r,rsed ln calculating mmthly lnt onbry balanc6'
y6 mThe dlpstld( ls long enough to rEach the botlom c, tho lank.
y6 mTh€ ends of the gauge stlck arg flat ard nd rYorn clowYl.
rolyqiThe dipstlck is rnatked legibly and tle produci level can b€ cbtermln€d to th€ noar6l one+igffi
of an iircfi.
y6[noThe tank has be€n lested within the year and fias passed th€ fightn€ss tel (if necessafl.
y€s rr)A third-party c€rtlficatim of the tank tlghtrrcs t61 rndlod ls available.
noy€sTank t€sler complied with all cortification requirernents.
yes nc,Monitoring and t€sting ars rnairilain€d and available frcr th€ past 12 rnodfls.
J -2P^?ytnspectot's Signafure:
Cornm€nE:
Dab:
GIE
SloO5S-3
\
c
J
=
Detection for Pi in
L?:1 tttF{r[ry Df,
a
Tank 1 Tank 2 Tank 3 Tank tlSot I
)2 - 22-q3 tz-/{-13Autornatlc Flow Resflctor t2- 2L-q 3 tz-2)-43
Automatic shd€ff Devlce
Contlnuo.s Alarm Slrstem
and
Set 2
Jtfr tqsh,./tL-/t- 93 / utTltB)/Annual Une Tightrtas Testirq
Vapor Monitoring
f vapor Monitoring, doq;rnentatim of mnthly
rnonitorlng is available
lnterstitlal Monitoring
lt Int66titlal Monltorlrg, docurnentatlon cil rnonfily
rnonitoring ls avallable
Grounct-Water Monllorlrp
lf Grounct-Water Monilorlrp, cbqJlnmtathn of rnonhly
rnonltorlrrg ls avallable
other Approvecl M€trrod (specify ln commenB secllon)
Llne Tightness T€stlng (requlred every 3 yeats.)
Vapor Monltorlrg
SeconOary Cmtalnment with lnterstitlal Monltorlrg
Grotrnd-Water Mon itorl ng
Otrrer Approvad Methcl (sp€clfy ln commetG sellm)
No Leak Detectlon Requlred /,
(must answer yea to atl ol thc lollowlng queetlogr}-
Op€rat6 at less than atrncpheric prGi$rr€_,.1_
Has only me check valve, wlrlch ls
uncte gJnlp
rryilrdare,tuv
of pipirg allows product to drain back into tiank
suclion released /'
Slope
when
Ltl above inbrmation pnlst'rcrim pipirg is verifiable/-
&sketch the site,
fiom
stor€d)
) -*r-e ve[f
Comments:
SignaUre:Date:
cedrfy lhat I harle lnspected th€ abovo named lacili$ on ffi,dly;y.i,!rtr.
l -A"-ry
S1o05O-5
a
r
NRY A1 '94 r3i3L P.t/7
{
rtrr
ft^I //" ''/t "3
)
C/4/
zS /t
o/anTe 70
(o>7 - 64c7d
trAY olVoqso
-f()l frUl- 1faf"S
Recelved
Uv. ol Envkonmenta
BeaPonse &
Femediatloo
21 3
@A
19$4lr,l ,Y
N
fu*
t-,
OZ6L
NFY A1 '94 t3t3t P.?/t
Petls Tec[, lnc.
I1170 Sant y Gulch Boad
Sandy, i.,tah 84091
Pnone (801) 5/2-9303
Fax (801) 5il-8e75S(z l\a\
Rpd 4 ft^"^3
Smncn'
,neff/,o,.fuu llt#fEsma
CORROSIOX PRO{IEEIION
Iest Date:April 25, L994 Test llo: 94O426F
site location:Kar Kwilc /2oolo?
4104 Riverdale R.oad
Ogden, Utah
Under 40 CFR 28o.3L, the EPA reguires all corrosion protection
systems rnust be operated and maintained to continuously provide
corrosion protection to the metal components of that portion of the
tank and piping that routinely contain regulated substances and arej.n contact with the ground.
A11 cathodic protection systerns nust be tested within 5 uronths ofinstallation and at least every 3 years thereafter.
The following stee] tank systems rrere tested with a s.tiP3 tank
monitor to show the structure-to-soil potential indicating the
Ievel of cathodic protection. Due to varying soil conditions andother factors beyond our control r v€ cannot guarantee theseresults. This is only a prelirninary survey,' a more extensive
survey can be performed at your request.
The stiP3 meter should read more negative than -o.85
Accord5-ng to the Steel Tank Institute, this voltage
indicates the Lanks/lines are properly protected.
IIAEK T ^T!.AT.PESTIT,TS
voIts.
reading
Regular Unleaded - West
Regular Unleaded - East
Regular
Diesel
Premiun Unleaded
SteeI
Steel
SteeI
Steel
Steel
-o.59
-o.58
-o.52
-o .64
-o.60
voltsvoltsvoltsvoltsvolts
}IATERIAL RESTILII|SPTODUEP LINE I.D
Regular Unlead.ed
Regular
DieseI
Premium Unleaded
FRP
FRP
FRP
FRP
N/A
N/A
x/A
N/A
t>
o
6
t

o1
o m :U -{T'
i o I
-1rn ol1
U
:U rn aIo Z.rri
l x -I
ri
l @-l
'o'or mo m=lIo/-mz fa mrl o mI !-s,
!)o oo.oo o oo ==@o =(D g o =-
I
X!,n H5 F oA frH tdilU!,H tr 8 B ;H HU3,E ;I,
SO
O
N
J
3e
ON
3m <.
d
cmF el
-Fl
m
a 'o
FE
(/
)
o
cr
)
F
m Hi
(n
o
lm,m
o o :0
oooo d F E>a @ z1
\.
r-
3 z P
or
(
n
AoN(J
l N N IN Ot
I\0(,a o o c0
,0 =C o I\
)
oa ot o2 a C I o o€o
i\
:0
!
>
Qo
P
-'
@
r
cO
m
-{
x
o
Pd
g
6N
2
sn
o =m (n maso
,m
Ir s)
@o olAot
I olAo,ooo 3 3o o.o ooo =o E o-oII N)
INol
I\0A
Fi
az
-
a7
nr^ ^,) r i^i?1q.q1 iln friiii ? ft.t
n. usTtIAN srR sy5?8t1d,.r,r ADrzuaJ Tightneas Eoport
Thtd ;raport !a- on- the lnventory recordg totrlrc parJ od ot os/pl7;;" ,o ,0/31/s3.
Company rr..st€ ;EA.R .flrrf.E
Ctty: OOD.BII
,A\
StatJon # : 7
StaUJon .tlanncr trAE ABIJ( IIICAddreee t 4to1 Rrvgiiiie-riieD
PART A:9tafe.- rtT
TaaK ZD;
DBI'5
P&a'4
REgT
UNL2
UNL3
Syatoa gEatuar
TIATTT
TTOHT
TIOHT
INCONCIIUgIVE
TNCONCLUSIVE
Produet;
DTESEL
PREMTW
REOUIJAR
UNTJEADED
UNTJEADED
QuiJtcy:
GOOD
cooD
cooD
cooD
GOOD
Data
Dol"e:
9046
7e682
12066
71 993
74993
SaIea:
7789
75623
70904
77 060
77A60,ls_!ry rarDusf&.ras rflc.(sIR) a€Jease aocectionrrc based oa para.nctcre
Js a eertjfJed gtat,s trcaT rnventory Reconcrtratronvendor. Taak.a'arug r"r,rr y -t;_;-iig;;;"r" testinsepeelttcd by t}e Epe pr"tZ""l for SiR mcthods,
PART Bt Cofifienes and geeoarmendatJone
%:,;'1:i: :z:zy,;z:;?:;i"j"Tff ?:i, ,i:olil":;,1;,o,37!very dlecrepa,,ctee
i.
DgL5
P8A{
?EA7
lNIr2
$u3
{9/10/xggg tDErt -eoo)
Thte aye,ea has a coawcraioa_ error due to -tank trre or clrcrtcffor' we have guaatJ il;a- *io-e*Ji-"i,-!.r, 70ag (Eank appearsii'i,,: *;1":!", #Zia::;;;s usod). usriarv """outrte-zo, thte error
{to/zg/tee3:DEL tol}
Thlo ayBtcs, showcd e coasJg-t?nt gaTntng Erend for the patlod, aadtlrue rt ta raeoacJ'uatvi-.-'riJr-eilii-rzu.be.due
Eo r) a rnercrcattbration "toptei.-ii' *Z";iJ-iry xzr rr*rns on niL"r, or 3)dcljrrerjeg eie recorded li-r:et gafflae . gnrur. that maters aro'":?;1:{ i1"*:23'l;riZ:,::,'" r';;-;;'-*,,.,. ana aeii ierlee ara
{ a eatc of Menltotd systen }
0' d t00' oN 65: 0 I 96, l. I l3o l(.a8-986-r:nc : n r
+t
LEAT:: RAl'E7O7=fGPH PRESSUIiE RISE,
SLIGHT DIP, THEN
IHf.IEOIATE JUf.l}T
TO FULL PI1ESSURE
PRESSIJFE
LI(-tl'l LUNLEADED
PREI,I I UM
gL(.lREGULAR3a
a ii*'t Li
D I ESEL
r'RODUCT PASS/FAIL
1,,55
,ft-tt
rlHr ancjvr LINES rEsrro or--l-!{y:Jl;
TESTED EY UTAH fjTATE CHRTIFIED U. Si l-- INSTALLEIi-
LIT{E NITROGEN PRESSURE TF.5T RESULTS
F AS$r'FA I L
THE AEOVE LINES TESTED ON-_-_-
TESTED BY UTAH STATE CERTIFIED U.S.T. INSTALLER--
#TL(-r1'.1(:i
*TLO130
i ',-i, li r;l1,''
t1 /1.
f7r*t,./ / k.r
.l r':t', jt'/>i)t L-7 i) 7c:z;U /)r i i.: i t ' ,
1-r ('; ' u'v' !
I p+ ,,69,lr1> .
(. vt/tr'tl"l ,;),r..,ti1
i /. >'
-(
I
,r r',tl ,/(-
. ,*
t'
.i (ir.
t.;
r,I I f.JUTES PI{E5SUh:E
LEFT IN LINEFRODUC,l'FOUNDS {]F PRES=UF]E
AFPLIED TI.] LINF
UNLEADED
PREH I L]I'1
RE6ULAR
D I ESEL
PRDDUCT L EAl.l liii''l'L
7OZ=3GPH
PA55/FA I L
r+Tl-(-i i:f i,:
30
THE AEI]!'E LINES TESTED AN___/_Afu'/SS--
TESTED EY UTAII STATE CERT]FIED U.S.
.i
l-. Il'JSTALLT
L IT]E NITROGEN ITRESSLJFiE TEST RESUL.TS
I'AS5/FAIL
5J
firs
rHE AEovE LINES rEsrED oN--/>-lL-6-/ss------
TESTED EY UTAH STATE CERTIFIED U.S.T. INSTALL
,nr/crci 3 n€p le"b ofcf.uh's''lo
+L. ov\e s +V+ f^)lf 4 .
t Lr^se- fA"^ Lr"+-'lle'l 01
Fu + *es+ vesu\)s ar ' tt-
F4;/
ft//
f<,1
-ol l- s /.-{ C
1r l:LO f 7
I Aa,
feplo.e-
Ahert
t / ; l\
c
lfr>
r.,.
Ph]ES5UI1E RISE,
SLIGHT DIP, THEN
1IIfl}:DIATE JI]I'IP
TO FULL PRESSURE
PRESSIJRF-
38 //LINL EADEI]
crk7PREI,I I UM 3o
OK/rs1REGULAR
o/<3D I ESEL 3Y
I,I If'JUTES I)iiESS'JRE
LEFT Ir-'l L Ir'lEPOUNDS OF I.-ITESSURE
APPL IED TO L II.IEIsRODUCT
ZOUNLEADED
2c)PREM I Uf'l
'Lo7FEEULAE
7.4yf,D I ESEL
,lr
' .t\,
rrjir,::. ,.,
i
i
i
I
I
i
OK
December Lo | j.992
WILLIAM MOORE, CARE OF
STATE OF UTAH
DIVISION OF ENVIRONI,IENTAL RESPONSE AND REMEDIATION
DEPARTMENT OF ENVIRONI,IENTAL QUAI-,ITY
SALT L,AKE CrTY, UTAII A41t4-444O
Dear Mr Uoore:
1. Charge One, (a) That annual
not been conpleted within a
Inspection was made on october
was nade on November 6, L99Lt
inspection date.
lzu) kn
tank and line tightness tests had
year of the last test. FACT:
]-9, ]-992 and the last Tank test
and w s need
leak detector
1991, and was
In response to your letter ERRU-o835-92, NOTICE oF INTENT To
REVOKE CERTIFICATE OF Co!.{PLIANCE NO.552l--2 facility ID# l-200109
(4104 Riverdale Road) the following information is subnitted.
(copy of test results inclosed)
(b) That annual test of the autonatic line
operation was not made.
Automatic line leak detector test made December 24,
(copy of test results inclosed)
2. charge Two, That we were not naintaining copies of the
performance cLaims for automatic Iine leak detectors and
tightness test as required.
copies of 3rd party documentation for leak detectors incLosed.
Copies of 3rd party documentation for tightness test incLosed-
3. charge Three That sre urere not recording and using nonthly
water reading in calculating the nonthly inventory balances.
FACT: That we take dailv water reading and that these are used in
not vet du e $rhen the insDectio n was made.
calculating the monthly inventory balances.This info ation was
shown to e insoector, expl-aine d to the i-nspector, y t he chose
to incorrectlv c olete his reDort.
copies of daily check out information showing water neasurenents
inclosed.
UTAH DEPARTMENT OF
ENVIRONMENTAL OUALITY
DEC I { lse2
DIV. OF ENVIRONMENTAL
FESPONSE AND REMEDIATION
comments:
Inspection procedures need to be chanqed. While the inspector
nar- rri+h fr6.+ +h6 ].aainnina af f ha i ncnaa+ i aa T r,,re h^+ h?ae6h+
$/hen he finished, and did not see the reports until later. If he
had completed a exit interview of his report, many of the hours
aroi nrr i nto vour raanI est ^nd mv renl w .':orrl d have n <arrad eq fho
inforrnation was on file and avaifable to him.
As Your office has given me until until Januarysatisfactorily resolve the problens, I $/i11 expectthat the inclosed documents are satisfactory in the
the problem before that date.
L9, l-993 to
conf irmat ion
resolution of
nt s
Kar
455
ik tnc
24th Streetsuite 38
ogden, Utah 84403
CERTIFICATION
Location:
SIZE (eal)
4,000
10,000
^r.
r
TANK #
Tank 1
Tar* 2
Tank 3
Tank 4
Tank 5
Kar Kwik No.L
41M Riverdale Road
Riverdale, Utah
Tracer Flesearch Corporation
010722a
Date: November 6,lg9l
LEAK STATUS
Pass
Not Tested j' ,
Pass
Pass
Pass
PRODUCT
Premium
Unleaded
Diesel
Unleaded
Regular
TRACER
DDM
N/A
tt4B2
DDM
114B.2
,rliP12,000_
6,000 )
12,00v')
Tracer Research Corporation certifies that the tank and pipe systems listed in the abovetable have been tested by means of Tracer Tightru, which meets the criteria set forth inNFPA 329 for a precision leak test. _Acco.Jirg io EPA standard test procedures forevaluating leak detection methods, this.Tragel risirl,n,r method is capable of detecting teaksof 0'05 gallons per hour with a Probability or oetJctioi (po) of 0.97 and rrouuuruty of FalseAlarm (PnJ of 0.029.
Subrnitted by:
Tracer Corporation
The following criteria are usecl for the classification of leakage when tracer is detected.
PASS
Crilcria:
'I'raccr
less than 0.1 ug/L
lcss than 1.0 ug/L
but grcater than 0.1 ug/L
If concentration decreases with an increase in depth
FAIL
Critcria:
Tracer
grestcr lhan or cqual to 1.0 ugll-
greater than or equal to O.l tglll-
but less than 1.0 ug/L
Deoth below erade
At fivc fcct
Deoth bclow erade
At any dcpth -
If conccntration sustains or increascs with an
iacrcasc in dcpth.
i
li
lil
l.l
3
,t'
)f
E
r
-\,-1
Store L
PRODUCT
UNLEADED
PREM
REGUI,AR
DIESEL
BY
Store 2
PRODUCT PRESSURE
UNLEADED
PREM
REGUI,AR
ABOVE
Store 3
PRODUCT
UNLEADED
PREM
REGULAR
BY
34
34
32
7 : 3GPM
RESILIENCY LEAK RATE
L2 OZ 7 OZ/MIN
Lt oz 7 OZ/MIN
LL OZ 7 OZ/VII,N
D 2 DECEMBER ],991
RESTRICTE
3 GAL PER
PASS
PASS
PASS
RESTRICTE
3 GAL PER
PASS
PASS
PASS
BY
PRESSURE
7 = 3GPM
RESILIENCY LEAK RATE
32 LOZ 7OZ/vIlN
32 L2 OZ 7 OZ/vlrN
33 2OZ 7OZ/vtrN
TESTED 30 DECEMBER 199].
g*l@7
TED 24 DECEI{BER ].99].
RESTRICTE
3 GAL PER
PASS
PASS
PASS
PASS
3r_ LL OZ
32 L2 0Z
30 L2 0z
30 L2 0Z
7 OZ/vtrN
7 OZ/MIN
7 OZ/MIN
7 OZ/MIN
RESILIENCY LEAK RATE
I
.-.t!.
Store 4
PRODUCT PRESSURE
n
RESILIENCY
LL OZ
8 07,
t2 0z
78 0Z
7 : 3GPM
I,EAK RATE
RESTRICTE
3 GAL PER
UNLEADED
PREM
REGUI,AR
DIESEL
36
30
34
36
7 OZ/MTN
7 OZ/MTN
7 OZ/MIN
7 OZ/VLTN
PASS
PASS
PASS
PASS
RESTRICTE
3 GAL PER
BY
Store 5
PRODUCT PRESSURE
UNLEADED
PREM
REGUI,AR
DIESEL
BY e/tL4
Store 6
PRODUCT PRESSURE
UNLEADED
PREM
REGUI,AR
DIESEL
BY
26 DECEMBER ]-99].
7 = 3GPM
RESILIENCY LEAK RATE
34 13 OZ 7 OZ/UITN
3L LL OZ 7 OZ/vIrN
35 r-3 OZ 7 OZ/vlIN
34 t2 OZ 7 OZ/MIN
TED 26 DECEMBER ]-99].
RESILIENCY
7 = 3GPM
LEAK RATE
7 OZ/vItN
7 OZ/tqTN
7 OZ/vt],N
7 OZ/vIrN
PASS
PASS
PASS
PASS
RESTRTCTE
3 GAL PER
PASS
PASS
PASS
PASS
32 13 0Z
3L L2 0Z
32 L2 0Z
33 L2 0Z
S TESTED 30 DECEMBER ]-991
I
i
t
PERFORMANCE EVALUATION OF THE
VAPOHLESS LD 2OOO LINE LEAK DETECTOR
FINAL REPOBT
FOR VAPOHLESS MANUFACTURING
9234 EAST VALLEY ROAD
PRESCOTT VALLEY, ARIZONA 86314
DECEMBER 3, 1990
It .E) v
I
a
LD 2OOO EITALUATIO}IPage 11
is zero with a
coaclugloae
The gellewing conclugions aro ' based on the results af the
tests corra'-,ttJJt''irine this evaluat'ion'
oTheperforuanceoft'heLD2ggoaxceedst'herequirementsor dne federal ;;i";"iiriiion" when used for hourly
t'esting.These'Ji[i'";-.'";;iriti"tdetectionofg5tor higher for ,"lil.ii-3!;l/h.;;;-i prouabilicy of false
alarn of 5t or less'
o The LD 2ooo 1? .capaIig ^?-f-3."tecting l"ult'" of 2'5 gal/h
with a probabi]i;i";-f-tetection oii6oi with a conf idence
i"itt"ir of 92 to root '
o
o
o
o
o
The ProbabilitY of : -:ul"t alarm
conf idence ini'eivar of zeto to 8t'
Under operating 9old1!io^ns where
stabre, the io'zooo is caPable of
small as 1.5 gal/h'
the temPerature
detecting Ieaks
when no rea)< is present, the LD 2ooo opens to furr frow
i; Iess t'han 5 seconds '
The reset time for th? I,D 2OOO is less than for Eany
;i;.;-i".n"nl"ur reak detectors'
An additional 72 replicat-e Eests were conducted t'lith no
failures. These were ntj-i.Lluded in the official
resultsbecauset'heywere-in.oaitiontothethreetests
per circulati;; J;;iog qeSTi'ti"a oy the' EPA protocol ' rf
rhese resr,s oi. ir"rudea d'^t-n.;tilistical inalysis' the
conf idence i,''t"tvai is reduced from 8t to 4t'
is
as
II//
,,
EVALUATION OF THE RED JACKET
XLP LINE LEAK DETECTOR
FOR HOURLY MONITORING
EPA EVALUATION FORMS
PREPARED FOR
MARLEY PUMP COMPANY
58OO FOXRIDGE DRIVE
MISSION, KANSAS 66202
DECEMBER 21, 1990
,{ "-'
Results of the Performance Evaluation
Conducted According to EPA Test Procedures
Pipeline Leak Detection System
Used as an
Hourly Monitoring Test
This form summarizes the results of an evaluation to determine whether the pipeline leak
detection system named below and described in Attachment L complies with federal regulations
for conducting an hourly monitoring test. The evaluation was conducted according to the United
States Environmental Protection Agency's (EPA's) evaluation procedure, specified in Standard
Test Procedures for Evaluating Leak Detection Metltods: Pipeline Leak Detection Systems. The
full evaluation report includes seven attachments.
Tank system owners who use this pipeline leak detection system should keep this form
on file to show compliance with the federal regulations. Tank system owners should check with
state and local agencies to make sure this form satisfies the requirements of these agencies.
System Evaluated
System Name:Red Jacket XLP
Version of System:
Manufacturer Name:The Marley Pump Companv
5800 Foxridee Drive
(strect address)
Mission. Kansas 66202
(city, strate, zip code)
(913)1-5700
(telephone number)
Evaluation Results
1. The performance of this system
Q! meets or exceeds
( ) does not meet
the federal standards established by the EPA regulation for hourly monitoring tests.
The EPA regulation for an hourly monitoring test requires that the system be capable of
detecting a leak as small as 3 gal/h with a probability of detection (Po) of.95Vo and a
probability of false alarm (Pp') of SVo.
2. The estimated Ppo in this evaluation is 0 Vo and the estimated Pp against a leak rate
of 3 gallh defined at a pipeline pressure of 10 psi in this evaluation is 100 Vo.
Pipelinc Leak Dctection System - Results Form Page 1 of 5
E
EPA EVALUATION FORMS
PREPARED FOR
MARLEY PUMP COMPANY
58OO FOXRIDGE'DRIVE
MISSION, KANSAS 66202
a
.! r
EVALUATTON OF THE RED JACKET
DTAPHRAGM LEAK DETECTOR
FOR HOURLY MONITORING
DECEMBER 21, 1990
Results of the Pcrformance Evaluation
Conducteil According to EPA Test Procedures
Pipeline Leak Detcction SYstem
Used as an
Hourly Monitoring Test
'This form summarizes the results of an evaluation to determine whether the pipeline leak
a"p"tioo iy.1i* named below and described in Attachment 1 complies with federal regulations.
fOr conduciing an hourly monitoring test The evaluation was conducted according.tofhe United
States Enriroimental Piotection Ag-ency's (EPA's) evaluation procedure, specified h Snndard
i;;;-p;;;;;;;; fo,r Evatuating Leit D"teitio, Mbthods: Pipeiine Leak Detection Systems. The
full evaluation report includes seven attachments.
Tank system owners who use this pipetine leak detection system should keep.this form
on file lo ihoi compliance with the federil'regulatio,ns. Tank system owners should check with
rfut" .nO local ageniies to make sure this form-satisfies the requirements of these agencies'
System Evaluated
System Name: Red Jacket Diaohraem Leak Detector
Manufaclurer Name: The Marley Pump Companv
5800 Foxridee Drive
(streel. address)
Missio Kansas 66202
(city, stalc, zip code)
913) 831-5700(
(telephone number)
1
Evaluation Results
,,
The performance of this sYstem
(X) meets or exceeds
/ 'l does not meet
i(" feO"rut standards established by the EPA.regulation for hourly monitoring tests.
The EPA regulation for an hourly monitoring test requires. that the s)slem be capable of
J.i..Jing a iiak as small as 3 gai/h witn a piobability of detection (Po) of 95Vo ao.d a
probability of false alarm @so) of 5Vo.
The estimated P.o in this evaluation is 0 Vo and the estimated ?p against a leak rate
of: gatlir defined'at a pipeline pressure of 10 psi in this evaluation is 100 Vo'
Pipclinc [*ak Dctection System - Rcsults Form Page 1 of 5
PERFOR]VIAN CEEVALUATI ON OFTIM
i
I
J
; i.', 1,,', . i:,. i:
t
TRACERTIGIIT LEAK DETECTION SYSTEM
flNAL REPORT
FOR TRACER RESEARCII CORPORATION
3855 N. BUSINESS CENTER DRTW
TUCSON, ARIZONA 8s705
t
I
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7_
'1-
J
r
ocToBER 4,1990
1
'|,
I
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Executive SummarY
The Tracer TigbtN tank and line testing method was evaluated using the EPA the
protocol nstandard Test Procedures for Evaluating Leak Detection Methods:
Nonvolumetric Tank Tightness Testing Methods"' The results indicate that the method is
capable of detecting leala of 0.05 gallons per hour with a Probability of Detection (Po) of
0.97 with a Probability of False Alarm (Pre) of 0'029'
The performance characteristics for a leak of 0'005 gph were also evaluated' The Po
for 0.005 gallons per hour leaks was determined to be 0'97 with a Pre of 0'029' Although
it is unusual for the Pp to be the same for a lower concentration' both numbers were
apparently governed primarily by operational difficulties rather than by inherent
limitations of the method'
The evaluation procedures involved spiking the bacldll atT}tant$ using a series of
selected5ampleprobes.Thespikessimulatedleaksof0.05and0.005gallonsperhourover
a period of approxinately one week A statistical comparison of the simuration data with
the observed resurts was conducted to determine the performance characteristics of the
Tracer Tigbt test method
Thefederalregulationsrequirethatleakdetectionqystemsbecapableofdetecting
realcs of 0.1 ganons per hour with a po rate of 0.95 or greater. By detecting leals as small
as 0.005 gallons per hour with a Pp of 0'97, the Tracer Tight has been showu to exceed the
fedlrd requirements'
l.'-.it--
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'12:01 tl{
12:@ AH
I,IIKE
#### sArEs ####
oolrsorE I REIDII|G 07-c-\or
corso[E 2 READIIG o7-G-vot
LESS PREV. DAY READIIIG
GROSS GALLilS SOLD
rLESS ADJ IruE TO OVERRI}IG
IIET SALES
### INCHES I{EAST'RED ###
IIICHES I,IEAST,,RED /CLOSI}IG
UATER lll TAIIK tll 114 l[.lu
lllCHES I,IEASURED /CLOSIllc
UATER lll rAltK lll 114 lll.
## INVEIITORY.GALLOIS ##
PREVIO.IS GAL'S III TAIIK
DELIVERY
NET SALES
GAL'S CALCULATED IT TA}IK'S
GAL'S }IEASURED AT CLOSE
GAL'S IIEASURED AT CLOSE '
GAL'S OVER / SHORT
AI,IT TANK YILL HOLD }IGJ
CHECK IO DETER}IIT{E OVER
OR SHORT OF THE DETIVERY
TNCHES AFTER DELIVERY T1
IXCHES AFTER DELIVERY T2
02 READI}IG AFIER DELIVERY
IIIV AFIER OELIVERY TA}IK 'I
IIIV AFIER DELIVERY TATIK 2
IIIV BEFfiE DELIVERY
(
i
llET IICREASE IX TAXr(S)
DETIVERY I/ FROI DEL SLIP
DELIVERY 2/ FNOil DEL SLIP
ITIATER or
ITOT G LS
gAU61
1324t855
3953854
I 160
0
1 150
TOTAL
========================== | ========= | ========= | =========
TOTAL
0
0
0
0
l*rel' orcnntxc llEcEss RY (l
lpRoELEil l[ REqrun G s GALS Ineo.Mn .r 0
(B-Oct-gz lpRoELElr lll UIIIEADED G S G LS IUXLE DED 0
lo( IPREXII I 0
lol( loIEsEt 0 Pt
REcurAR llulllE DED2IPREI rfl 3 DIESEL 4
2e€731
3l.79740
5366339
io*xg
1210727
37591
1?395?9
zUTn
1111079
70 71'155 222
70
REGULAR
72.25
0
713 155
ulr TEADEDI PRE|{ UI
I
33.375 |ol
27.125 |ol
52
0
2?2
DIESEL
33.625
0
========= l========= l========= l========= l=========
PRO tr3 PRO #4
34t!6 2071
0
22?
0
70
0
713
0
155
9679
0
5412
3138
2357
3331
3327
0
18/'9
9715 1U,1
0
%83 -4 -9
2285 14506 2673 2159
REGULAR
PRO #I
DELIVERY OTIE
UIILEADED
PRO #2
PREI{ U}I
PRO f3
DIESEL
PRO #4
0
0
9749 6125 3t+$
0 0
0 0
0
0
2071
0 0
hftT€t< /Yn4qrer' O*--o
lq
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R2?
9749
i:
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0000
0 0
1 --------- I ------- I ---------I -------- I --------- I ---------l=e====== l=====aa==
| 353792r
| 1688855
| 52267W
t---------
.,,_...-
--'------t---------
========================== | =========*========= l========= l========= | =-====== | |
l
--------- t--------- l-----"" l--"'---- |
--------- r--------- | t--------- l---------ol oll 0l 0
I
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(^R rUtK #1
" 12:06 All
12:11 ,rll
CARHEll
l0K
05-oct-92 l0{(
loK
l0l(
#### SALES ##$#
@IISOLE 1 READI}IG O7.G.VOL
coilsoLE 2 READIIG o7-G-IOL
LESS PREV. DAY READIXG
GROSS G tLOrS SOto
rLESS ADJ DT'E TO OVERRIIIG
}IET SALES
#ff tllcHEs ilEAStRED ###
IilCHES I.IEASURED /CLOSIIIG
II TER ltl TAIIK t[ 114 l[.lt
I}ICHES I{EASURED /CLOSIIIG
UATER III TA}IK I}I 114 IN.
## I}IVEIIoRY-GALLOIS ##
PREVIqJS GAL'S III TAIIK
DEL I VERY
NET SALES
GAL'S CALCULATED I}I TAIII('S
GAL'S I.IEASURED AT CLOSE
GAL'S I{EASURED AT CLOSE
GAL'S OVER ./ SHORT
A}IT TANK 9ILL HOLD }IOIJ
CHECK TO DETERI,II}IE O/ER
OR SHORT OF THE DELIVERY
TNCHES AFTER DELIVERY T1
INCHES AFTER DELIVERY T2
02 READITIG AFTER DELIVERY
I}IV AFTER DELIVERY TAXK 1
IIIV AFIER DELIVERY TAXK 2
IIIV BEFORE DELIVERY
IET uCREASE rr TAIIK(S)
DELII/ER,Y T/ FROI DEt SLIP
DELII/ERY 2/ FROI DEt SIIP
ITJATER o(
9291600
3953255
13243132
1723
0
172'.1
TOTAL
0
IOTAL
0
0
0
OVER ./ SHORT 0
q/oq frtu.#/" Q,^l a)n fek ftlleoq-*re€
I*IIET OVERRIXG XECESSARY (
lREqrLAR.' 0
lur[EIDED 0
IPREr{rrxr 0
lDrESEr 0 R
lT0T G rS IREqTL R IIUILEADED2IPREX UX 3IDIESEL 4
1688803
3537903
522$37
3/.79473
5364980
1886866
'1031+8t+4
175883
121U7',|
1239378
201701
1U1U2
69 1359 256 37
69 1359 I 256
REGULAR luil LE DEDI PREil ull
37
IESELD
5
0
72.875
0
625
35.
n.
54
0
.875
0
%
0
PRCD #1 PRO #2 PROO trJ PRO #4
9817
0
750'.|
0
1359
3751
0
?56
2107
37
0
69
974E 614?
*61
2&
3495
0
?070
9749
...:.
ytb ?071
0
-18 -10
2251 13875 2514 't929
REGULAR
PR00 #1
DELIVERY OIE
UTILEADED
PROD #2
PREI{ U}I
PRCD trJ
DIESEL
PR(I) #4
0
0
9817
0
0
7501
0
0
3751
0
0
2107
O,qtt
--1-.
\
I
0
0
9817
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0
7501
0
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3751
0
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2107
0 0 0 0
0 0 ol
a
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lzcat(n
F IL E COPY
November 19 , : ggzqeotv to stale of utan
D,vrSion of Envrrgnrng616l ResOonse anO Rerneotalron
Deoarlment of Environmentai Oualrty
sarr Lake crty urah 84114-4840
ERRU-0835-92
DEPARTMENT OF ENVIRONMENTAL QUALITYDIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Norman H. Bangerter
Govemor
Kenneth L. Alkema
llxecutive Director
. 1950 West North Tempte
salt Lake city, utah
Kent P. Gray {801) 536-4100
Director (801 ) 536-4099 Fax
CERTIIITED MAIL
RETURN RECEIPT REOUESTED
Kent Wangsgard
Kar Kwik, Inc.
455 24th Street, #38
Ogden, Utah 84401-1501
NOTICE OF INTENT TO REVOKE CERTIFICATE OF COMPLIANCE NO.5519.1
Facility ID# 1200109
Dear Mr. Wangsgard:
The Utah Underground Storage Tank Act (AcQ, Utah Code Ann., Secrion 19-6401 g!Sgg., requires thar every owner
or operator of a petroleum storage tank have a Certificate of Compliance after July l, 1991. Section L9-G412(2)
of the Act identifies the requirements which must be satisfied before a Certilicate of Compliance may be issued,
including:
The owner or operator has a valid certificate of registration;
The peroleum storage tank fee has been paid;
All state and federal statutes, rules and regulations have been
substantially complied with; and
All tank test requirements of Section 19-6413 have been met.
A representative of the Division of Environmental Response and Remediation (DERR) recenrly completed a
compliance review of a facility located at 4lM Riverdale Road, Ogden, Utah, and designated facility identificarion
number 1200109 (the "Facility"). Based upon a review of this Facility, DERR has determined thar
1. Kar Kwik, Inc. owns or operates fou underground storage tanks (USTs) locued at the above
facility, which are regulued under Subtitle I of the Resource Conservation and Recovery Act
(RCRA),42 USC Secrion 6991(c) g!S.g1., and the Act.
A Certificate of Compliance (No.5519-l) was issued to the Facility on or about Ocober 1, l99l
The records establish that after the Certificate of Compliance was issued, the following conditions
necessary to continue the Certificate of Compliance have not been satisfied:
Kar Kwik, Inc., as the owner or operator of the facility identified above, has failed o:
1. Document that you have perfurned annual tank and line tightness tests performed in accordance with the
requirements of the Act, and an annual test of the automatic line leak detectc operation as required by Utah
Adminisrative Code. (UAC), R311-202, Sections 280.41(a), 280.41(b), and 280.44(a).
. ,, t ,-, -2. Document that you mainain copies of the performance claims for your automatic tine leak detectors and
ht ^'" '>!nL tightness tests, ils required by UAC, R3l1-202, Section 280.45(a).'b
^ vkk/]fr"y.,,,,"'u'"b, lt-11 4- !fr.-\B -r-
RE:
)
3.
Facility ID# l2ml09
Page 2
Gray Executive Secreary (UST)
Utah Solful and llazardous Wasts Control Board
KPG/|VWmw
Fred Nelsoo, AUonry General's Office
E. Mark Nichols, M.D., M.S,PJI, R.S., Director, Weber^Iorgan DisHcr Health Department
3. Document thaa yol record and use the monthly water readings in calculating the monthly inventory balances
used in rhe inventory reconciliation, as required by UAC, n:t 1-ZOZ, Secion 20.436i.
section
-19-6'414 of the Ac[ Fovides $ar a Certificare of Compliance may be revoked if the Executive secrstaryg-sT) lgqmines that any of the requircmens listed above have not been srrisfied. This letter will serve asWRITTEN NOTICE ro you, rhe owrcr or operarc of the Facility described above, thar
Your Certificate of Comptiancr may be revoked.
You are violuing the eligibility rcquirernents for the peholeum Storage Tank Fund.
You.have sirty-(9 days folowing tlre receipt of this lerer to demon-strars compriance with therequirements of the Act or your C€rtificato of Compliance will be rcvoked and you wil beineligible o receive payment for claims againsa the peuoleum Sbrage Tank Fund.
If rhe Executive Secrctary (UsT), determfuDs that rhe compliance problems described above have not beensatisfactorily resolved after the sirtv -1) day period, you will receive a Notice of Agency Action or order statingthu your Cenificate of Compliance .voked for unk *t,#2,#3 and #4,antl rtrat-you'are no rongei eligiure rupayment of cosB ftun the PeEoleum srorage Tank Fund or will be able to receive delivery of perole,im to the UsTsar this facility.
Please contact william Moorc at (801) 53fl100 at your earliest convenience to discuss this notice.
Sincerely,
)4t
Kent P.
l.
1
3.
cc
IZ 0O t07
ction stLeak Detection n
cl L/oJ
.ppllc.bb
Addrur or
ol Tenkr .t Thlt l.ocrtlon:
Frclllty lDt /2owr.oq
Olnor Nemo (Corpondon, lndlvHurl Publb Agoncn or dt ? otttlty):
qU , Strtr. Zp Codr- D"r,/a. U /7L f v'/o /
Phonr llumbor
Phon I
I f
Arcr
//r. //r,)/.
SurtAddrrs
or/t/p.
thit and information
mon8
addldonal
Tank 4Tank I Tank 2 Tank 3Tank presertly ln use
b4q ut U/,/lf not, date last tJs€d
,>Pl \,l*l(tanklf omptl€d, verlfy 1' or lss of
/ ?z 7-E tc a)-Ftq>) -EMoflth anc, YearTank lrEtall€d (E-€stlmat€ d K-kno,Yn)
ch. /,L,-0 ,L,i "1../th "(Malerlal of Corsfflrllon (E-e6timate c K-known)
L/ tttv/ ). wt)/ot rn /O t)rto / otro(E-6tirnate or K-known)Capaclty of Tank (ln gellons)
,l .. ,,/-.U11.u-y'.tfil*tlu.-r-Substance Stored (E-€lmatg !f
Manual Tark Gauglng (mly br tanks uder 1,000 gal.)
Manral Tank GauSlnS and TankTEffitsTdlng
(mly br tanks uncier 2,000 gal.)
and lnv*tory ConrolTankTigfitns
AutornatlcTank @uglrp
Vapor MmltclrP
Ground.Yater Mmftorlng
lnt€rstltlal Mmitorlng
Oher approved method (wrtte ln name d ntdtod)
PEartr.d PlPhe
E cdo.t PlpLte
Ched< OmTypc d Pldng for eachTs*
v.Alomatlc Une t-eak Deleclors, and
(ch€ck me of the bllowlng)
Vapor Monitoring
Grounchrvater Mon ltorl ng
secondary cmtainment with Monltorlng
Une Tightste Tecillng
OFCoroebn pifrodon lnstellod (hdlcab dab)
SpilUol€rftl poocton hstellod (rdbeb dS)
Gener{ ei|g ob6€firations and cornm€n!3 (vldntty obeeryatone, ground w6[r bvel' eb.)
Date:SlgnatJre:
codfy ttat I harre ln+ecbd lho abovo named ladlity on
/o -/?-?L
lo- /?-?2 /oc'a
s'r@r
1,
County
,?O/
@ntrci Pcruon At UST l-oceUon
r2)- oy?r
tte
aq
35
l\V
[r0rddlrdttOtrUrsllhn: fncu,,rrrhJ
an nessnventory
/ 2 aT /o?
/)nao-
anntro g
7nca, A."porJ G,z)o rrfiL-
) ) FIPP- ?YooTrtcc*t /|n'.>ozo- tr,f') OJ' (
est ng
Fedli$ lD*
Narno and addrE dtank tgtilness bster T
3 trs^t^ ,44,72 13 at ,) ,t, ar<b
Tank 4Tank t Tank 2 Tank 3
/t '3 -?2//- 3- 9o lt-3-9o //-3-raDats d last tank tEhrls t€st
la-/*t*r /*
Dict tank pass test? lndicate yes or no. tl ro, specify in
comrnents seclion below the status of tle tank or what
acllons have been takon (6.9., has state b€en notifl€cn)
/u/^/* /^/b
Docunrentatlon of cteliverles and sds balancc wltl
dally m€asurernenB d llquid volume ln tark are
rnaihtained and avai lable.rr l*/*rrOveraCps or shoragoo ar€ l6s UEn 1% + 13() gals d
tank's flow frough tolurne.
lf no, whlcfi rnonths rvere not?
and llgure usedcan explaln lnventory no!16
y€noRecords lnclude rnonlhly wat€r rmnitorlng.
*yB noBooks arfF€tr lrs€d and evldence d r€cent sffil6 b apparenr
yes rloBooks ar€ r@nclled mmthlY
yq,./noApproprtate callbratlon chart ls used for calculatlng volunr.
no!,6[Dlsperser pumps havo cunfi calibratlon $ickers.ti-tJ^-?L/'
no!,€8 LThe drop tube ln the llll plpe axtends to wlthln me tbd of taril( b@rn.
ye8
|
noOwner can c,€rnorElrate conslslency ln dlpsllcklrp t6crnlqu6"
noMontlrly water t€adlngs are r.rsed ln calculatlng rnonhly lnventory balancc.
y6 noTh6 dlpstlck ls lorp enough to rBacfi the botom d rl€ tank.
y6 troThe 6ncb dthe gauge stlck are flat and nd wom dorn.
rlol)€sThe dlpsllck
of an inch.
ls nrarked leglbly anct lho prodt ct t€vd can be cbtormlned b h€ n€arest meelgffit
y6 noTh€ tank has boq1 tested within tlr year ar6 has pass€d t1o ilghtns t€sr (itnecsary).
./noy€s
A thirc,-pary certification of the tank tlghrloss tst rnethod is available.
noy6Tank tester compliect with all certificatlst requlrernents.
trclMonitoringarld t€sting are maintained and avallable br tho past 12 rnonths.y€s
lnepecbt's SQnatm:
I
Cornments:
/
Dab:/o^/?-?2-
sre3
!16
05
Leak Detectlon for Plplng
A m.fiod mJd !a aLctd to.rr rafi at llrtrl afpac.t a hdcd d.f a, bt ti, f lrb h.Oly hr lrua trlt a
brto, Cs phctoogy !* p.g. rd dnC.L h. Hornrdon la.I dlcnd p$he! l
t..ll I Tmf 2 Tr,rl(t tml aS.l t
a-/Aro.r€lb Flofl Re6frbb.
Aiofi€flc Shn€{f O€vfa
Cdltlrl.oJEAhrm
md
S.{ 2
/ I - , - 90 /t-3-rot/-3 -r'to /t- 3'-ro26a.At@)Q )lt \ \Arrual urb Yhhftd l€dlno
Vapd Mo.rlto.lno
t vapd tildthdlno, documd[8tlon ot nult y
,rEriibdrp b avalhbL
lnt6r9hlal Mdllldlnc
tt lnb.Snlal lroohorlng
.rsrlHng b EYailabla
, doofisna on c, nsltrlly
Gdrrd-W8lt tgonlb.lnC
f Grurewald lrbnlto.lng, dooJ,ndtolbo c, trulltry
nsrlb.lr€ b avalhbb
Oft€. Apo.ovd Mottod (8pdty h co,ffisttE sodlon)
Suctlon PIP Lrdcd (h. d rnod rsaflt LtI
Vapor lilonlb.lrE
MstrE<, (s@t h comrn€rrB soc on)O[f|d App.oYed
tao 14
(mud
!k Oatccdon R
tnrrYar ylt lo
.qult.dr! ol lha lolorYhg Sraa onal
Opsat* al 16 ftan SlrrGotslc P.Krl
llaa o. y dE ch6k valw, st{ch b l€t€d drEdy
l,rdd Pt.lTl
Sropo c, plplno allo.6
rrhan a.E*ri rBl€asacl
prod.d b ffdn back L o terf(
Arl abo/e k !.mallon C:r s,tcdo.t plplrE b vsttbb|.
on fle back oa tlts she€L ptoase skstdt h6 8ne, rElrm afi plcng rur.r tarlks (,lncludlno slz. & a.tdanc6 6o.€dl
sfir lcrlon ol w€lB and thek dHaffi lio,i tanl.8 ar6 pldrEt
t'lr. tra'
h.p.cf. Slgr$rc Dd:
Ert\ a.r! ,.r! c.
Cqrrndttt:
I
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--
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-
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Al.O{
?dlYA,.
Pressurlzed Plplng
u.r. Thlttne To.drp (r€qJllld €tr, 3 )€4,!.!
S€cordary Cdltalnflsi wlth Ltsstttlal ironltdkE
qqrt+watg irron[o.lno
a{ry iln I trnn hlpoclsd tL &|n illld tcny o!
,'-t
FACILITY ID.tzco to't
Non-Marketer Di scount
Previ ous Pol I ut'ion Inc'idence
- LUST File Y/
- Form Incl uded C/
TTT
- Verify tank,/1ines
vs regi stered
- Documentation ok?
- Rate ok?
Fund Paid
- FY 9I?
Compl i ance
- Fees Pa'id
- FY 88?
- FY 89?
- FY 90?
- FY 91?
Not
Unacceptabl e Acceptabl e Appl i cabl e
Y /N >-"
&/n -'
Mtl -'""
PST CHECKLIST
year (t I
/
[Lr
N
Y /N t'/
i-''
Y/N
-Y/N v
Y/N \,/
Y/N
/
J
/
- Compliance Outstanding?
- Leak Det. Required & 'in use?
- Notifjcat'ion up to date & complete?
ttSHW\SUPPORT\C0LLEEN. E\checki i st . pst
a
Bureau of Environmental Response and Remediation
288 North 1460 West, P.O. Box L669O
Sal-t Lake City, Utah 84116-0690Attn: Bill- Moore HECEIVED
i,rr,Y I r ffiC(
^. glAH 0EP1., Or HEALTH
c E Rr r F r cAr r o N Flg*YSt F,[rl?P,TIn^+lAh
February 18, 1-99L
This is to certify that the following tanks at the followinglocations Owned and Operated by Kar Kwik fnc are manifoldedtogether by a syphon system. This system consists on a single
sub-pump for the two tanks, with no valves on the piping betweenthe tanks. The l-evel of the two tanks are always the same inrelation to one another.
Kar Kwik 4LO4 Riverdale Road. Riverdale, Utah
Tanks rrBrr and rrErr both 10r000 galslLo)t01
_..r1 q2_ Kar Kwik 710 Washington Blvd. Ogden, Utah
I lUr' ' Tanks rrcrr and rrBtt both 12rOOO gals
lTas ll o Kar Kwik 1918 Washington B1vd. Ogden, Utah
Tanks rrArr and rrBrr both 10r000 gals
We are now treating these rrtwinedrr tanks as a singleState Insurance and AnnuaI Underground StorageAssessment. Please make the necessary adjustments
records.
Thank You,
gsga rd
Pr ident
Ka Kwik Inc.
1104 36th Street
Ogden, Utah 84403
tank for
Tank Fee
to your
W\F\TANK1
m
Tttce t Re scttcl Corlortliot
EXPLANATION
r I Sampllng Probe Locatlon
Approdmate Ptpellne LooaUon
KYf IK KAB
1IO1 BIYEBDALI
BIYIBDALB. U'AE
e0-1332-{l
.t0 10..16 18..17
PEEP
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SAUPLING LOCATIONS
tEr l'
oE
12,000 3at
BGSular
DDT'
LllD
6,000
gal
Prcm
IL4B2
Ct tlt
t!tI
Lrl C
10.000
gal
4,000
,f"$",
7
DDU
-{
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l0,OO0 3al
Unlcadgil
Flgure 1
.t
.a
ttlaad!
BUILDING
SENDEF: (
. ComDloto ir6m6 1 and/ol -. Conplet€ itoms 3, and 4a
rr .ddltlonal B6rvioo3
&b.
. Tho Rstum Feceipt Fse will provid€tho signatu,e ollh6 p.rson dol
I also to rec€ive the
following servicos {tor an sxtra
t66):
1. ! Addrass6e's Addr€ss
2. n Rostrictod Dolivery
Consult r Ioa fge.
4a. Articlg Number
P 70 955 151
. Print your n.me md .ddrc$ on tho rov.6. ol thi. lorm !o th6t w6 c.n
r€turn ihb card lo you.
. Anach lhB lorm to th6 tront ol the m.ilpi€ce, or on th. blck if !p!co
. W t3 "n€tuh Rscoipt R.qu.stod" on th€ mailpioc€ b6low rlt. 6nict€ numb€r
3. Article Addressed tol
KENT WANGSGARD
KAR KWIK INC
455 24TH ST +38
ocDEN UT 84401-1501
4b. Service TypeE 5ggiatered I lnsured
E/ceftitied E coD
! exp ress Mail fl Return Rocoipt for
il6rchand
7. Dato ol Oelivery
#1200109
8. Addr6s8.6's Addross (Only if roquested
, and f66 is paid)
5. Signature {Addre
6.S re (Age
Form , November 199O *u.s. GPo:18sr-2E7so DOMESTIC RETURN BECEIPT
I rn qtt _t E1
Certified Mail Receipt
No lnsurance Coverage Provideq
Do not use lor lnternational Mail
H]^(,gffi (See Reverse)
*:
455 24TH ST 3B
ooo(,
E
LI
(!
KENT WANGSGARD
PO , Sraie & ZIP Code
OGDEN UT 84401-150i
#1200109 $
F6slrictod Oelivery Fee
$
Felur. R€ceipt Sh@inq
ro whom & Dal6 o.liwred
F6rorn Btr ipr Showing to Whom,
Oat6, & Address or O€Iv6ry
-t
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Tracer Elererrch Corporation
INTRODUCTION
Horizon Engineering and Testing and Tracer Research Colporation performed
Tracer Tightru leak testing of 5 underground storage tanks at the Kar Kwik site in
Riverdale, Utah. The tanlcs were inoculated with tracer October 20, 1990 to a concentration
of approximately 10 ppm. Srmples were collected on November 3, 1990. The following
table shows the tank size, product it contained, and tracer that was used for testing in each
tank:
TANK # PROpUCT SIZE (GAL) TRACER
Tank A Regular 12,000 DDM
Tank B Unleaded 10,000 ll4B2
Tank C Diesel 4,000 DDM
Tank D Premium 6,000 L14B.2
Tank E Unleaded 10,000 DDM
CONCEPT OF OPERATION AND IMPLEMENTATION
The tracer leak detection method relies upon the addition of a highly volatile liquid
chemical to the fuel. If a leak occurs in the underground fuel systen\ fuel is released into
the surrounding soil. The tracer escapes from the fuel by vaporization and disperses into the
soil by molecular diffusion. Various means are used to sample the soil vapors in the
immediate vicinity of the underground tanks and pipes. In this case, sampling was performed
by driving probes into the ground in the vicinity ofthe tanks and pipes. Each probe has an
effective detection radius of approximately 10 to 12 feet. This means that a given probe
should detect a leak anywhere within the area described by the 10 foot radius around the
probe. The tracer must be placed in the tank at least two week prior to the probe
sampling for this method to be effective. This process of leak detection by placing a liquid
tracer in a liquid product followed by detection of the tracer underground in the vapor
phase is protected under TRC patents.
Total volatile petroleum hydrocarbons are measured to give additional information
about the conditions at the site. In particular, the hydrocarbons provide information about
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.ltaceF FleBe€lrch Corporacion
the severity of the leakage, and the degree of environmental damage that may have
occurred. The absence of tracer also gives double assurance that the tank system is not
leaking.
CT,ASSIFICAIION OF LEAKAGE
The classification of leakage is based on the concentration of tracer detected. The detection
of hydrocarbons outside of the tank is used as supplemental information.
PASS - lrak rate less than 0.05 gallons per hour.
Criteria:
Tracer Depth below gEade
less than 0.1ug/L At five feet
less than 7.0 ug/L If concentration decreases with an increase in
but grea(er than 0.1 ug/L depth.
rl
FAIL - I*ak rate equal to or greater than 0.05 gallons per hour.
Criteria:
Tracer Depth below grade
greater than or equal to 1.0 ug/L At any depth
greater than or equal to 0.L u;g/L If concentration sustains or increases with an
but less than 1.0 ug/L increase in depth.'
' Sustaining concentrations are those concentrations which are within 50Vo of the
concentration detected at three feet.
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CERTIFISATION
Ilcation: Kar Kwik
4LM Riverdale
Riverdale, Utah
Tracer Fleaearch CoFPorrtion
9G,1332-01
Date: January 8, 1991
TANK
Tank A
Tank B
Tank C
Tank D
Tank E
TRACER
DDM
tt4B2
DDM
tt4B2
DDM
PRODUCT SIZE Gal)Regular 12,000
Unleaded 10,000
Diesel 4,000
Premium 6,000
Unleaded 10,000
LEAK STATUS
Pass
Pass
Pass
Pass
Pass
I
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Tracer Research Corporation certifies that the tanks and pipe systems listed in the above
table have been tested by means of Tracer Tightru, which meets the criteria set forth in
NFPA 329 for a precision leak test.
Lq--='
'. r,1 -.,.:\.!\ +i\rH*: i.. t+)F\-r/Url:iml$
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Submitted by:*_
Tracer Research Corporation
The following criteria are used for the classification of leakage when tracer is detected.
PASS - Ial mle lcss ahrn 0Jl5 gsllom per houn
Critcria:
Tnccr
ls thEn 0.1 u&/L
Dcpth bclw mdc
Ar l-rc fct
16 than 1.0 ug/L
bua grcalcr thao 0.1 u&/L
If @nccntEtion dccrc with an incrc in dcpth
EA!! - lal nrc cqu.l to or grcrler thrn 0J)5 gallom pcr hor.
Critcria:
Tnar Dcoth bcl@ mdc
gHtcr than or cqul to 1.0 u&/L At ary dcpth
gHtcr lhan or c{ul to 0.1 u&/L
bet 16 than 1.0 uyl
lf mnccntmtion sstaim or inre with an
inre in dcpth.'
' Sustrining mentmtim arc the @nenlntim $'hich 8rc within 5070 of th€ @nentmtioo dctcclcd at thrc fer.
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Horizon/Kar Kwik
4104 Riverdale, R'i verdale, UT
-90- 1 332-0 1
t t t:t tgt
Locat i on
Page 1CONDENSED DATA
Compound
1'.1482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
Concentrat i on
0.'t
01
01
0 - 0000
0 - 0000
0 - 0000
o1(D
01
01
)
)
)
D
0 - 0000
0.0000
0.0000
0.0000
0. 0000
.0070
D
o2
o2
o2
o2(D)
o2(D)
o2(D)
0. 0000
0 .0000
. 0120
0
0
0
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03
03
03
04
o4
o4
05
05
05
06
06
06
07
o7
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
0.0000
o.0000
0 .0000
. 0010
0.0000
0.0000
0000
oo00
0.0000
0.0000
0.0000
0.0000
.o77 4
0000
TPHC in mg/L, Tracers in uS/L
O.0OOO = Not detected Detection Limits: Tracer (0.0005)
-99999999999 = No sample TPHC (0.05)
I
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. ,'izon/Kar Kwik
4104 Riverdale, Riverdaie, UT
90- 1 332-0'l
Page
Concentrat i on
0.0000
0.0000
.0468
0.0000
21/ 17"/s1
Locat i on
07
CONDENSED DATA
Compound
DDM
11482
BCF
DDM
1'1482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DD},I
11482
BCF
DDM
08
.08
08
09
09
09
'I 1
11
11
12
12
12
13
13
13
1 3141516
1 3141 516
't314'1516
14
14
14
15
15
't5
0. 0000
0.0000
0.0000
0 .0000
0 - 0000
0. 0000
.0047
0.0000
o. 0000
0.0000
0 .0000
o. 0000
0 .0000
0.0000
0.0000
0 - 0000
0 .0000
0.0000
-99999999999 .0000
-99999999999. 0000
-99999999999 .0000
TPHC in mg/L, Tracers in ug/L
O.OOoo = Not detected Detection Lim'its: Tracer (9'0005)
-99999999999 = No samplg TPHC (0'05)
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. .'izon/Kar Kwi k
4104 Riverdale,
90- 1 332-0 1
1/ 17 /s1
Locat i on
Riverdale, UT
Page 3CONDENSED DATA
Compound
11482
BCF
DDM
11482
BCF
DDM
't 1482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDI'4
11482
BCF
DDM
Concentr at i on
0.0000
0 .0000
0 .0000
15
16
16
17
I7
17
171819
17 18'.! 9
1718 19
18
18
18
'II
19'II
AIR
AIR
AIR
BLANK O-I
BLANK O 1
BLANK O1
0.0000
0.0000
0 - 0000
0.0000
0.0000
0.0000
0.0000
0 - 0000
0.0000
l
0.0000
0.0000
o .0000
000
000
000
0.0000
0.0000
0 .0000
0.0000
o.0000
0.0000
0. 0000
0.0000
0 .0000
0.0
0.0
0.0
BLANK O2
BLANK O2
BLANK O2
BLANK
BLANK
BLANK
03
03
03
114A2
BCF
DDM
TPHC in mg,/L, Tracers in ug/L
0.OOO0 = Xot detected Detection Limits:
-99999999999 = No samPle
Tracer (0.O005)
rPHc (0.0s)
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4104 Riverdale, Riverdale, UT
90- 1 332-O 1
1 /'t7 /91 4
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:t
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CONDENSED DATA
Compound
11482
BCF
DDM
Page
Concentrat ionLocat i on
BLANK O4
BLANK 04
BLANK 04
0.0000
0.0000
0. 0000
[.
TPHC in mg/L, Tracers in ug,/t
0.O0O0 = Not detected Detection Limits: Tracer (0-0005)
-99999999999 = No sample TPHC (0.05)
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mlEXPLANATION I
SaEpll!( Probc Locauo!
ApprodEatc Plp.tla6 Locatton
KWIK KAR
{104 BITtiDAL!
BtvEaDALt, Utl'a
SAI(PLING LOCATIONS
!0t7r0tr 19
P
la
t3
e !8
!
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2t
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E--i
t6
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o,000
3.1Pr.m
It4B2
OE
,0,000
tal
UDI
DDII
DDI
4.0O0r.lDfc.cl
-{
On
BUILDING
o
d 1182
10,000 talUnl.rd.(l
oE
12,000 ga.l
RcSulu
DDI(
trlgurc I
4
lllrtrtr
ilrac"-
arl/lt,ttl
.6
.t
qFfi:lrrY u). *
FEfhOUEUTU SIOhAGE. AUT FUND APPLICATION
FAC ILITY INFORMATION:LOCATION OF'TANKS:
Owner Name:Facil'rty Name:
StreefAddress:IStreet Address:
City:
County:
State:
Phone:,l
c erson:
a
CitY:
CounS
State:
Phone:
Contact
pp Al Q<l tr.ozL/ 03
n
non-marketer with annuallxltlMarketer, or
Non-marketer with annua I monthly thro
DESCRIPTION OF UNDE RGROUND STORA GE TANKS:
monthly throughPut greate
ughput iess than 10,000 ga
r than 10,000 q
llons (Must ven tv)
allons.
A r)/-.fank #
Age
Capacity
Substance
,1 t7 Aq
[? nfi<
/)./0
hA
,oC)()
TANK TIGHTNESS TEST
/?/)Tank #APass/Fail OAs s
CERTIFICAT E OF REGISTRATION
?AS <a
tXtV
All Underg round Storage Tanks
All registration TANK Fees have
COMPLIANCE WITH UST REGULATIONS:
ls the applicant currently i n compl iance with all Federal
I y] Yes [ ] No-lf "No" please describe item(s)
(UST) at this facility
been paid.
have been'registered.
ffiEt
, State, and Local,Q
of non-comPliancb'i
STrri2 eoulations
T
PREVIOUS P oLLUTION INCIDENT(S)
Have you ever had a Poll und Storage Tank) lnformation:
ed with this aP lication.
r r{ No -'-"}g"r,g:ei[::5ir's$T:'ilig,*?:'Jlo"Tr",'"?:"#il#'Jffiilli'",":??ris faci,itv
[ ] Yes-lf "Yes' please
PST FUND FEES
[\ l-y'(
is includ
is facility /2?^
I certify und€r penalty ol hw rtrar tho sboro rePresentatbB rnade by mo are true and conect'
, 2 h-e er,,
. ,..., _-1 i
Applicant's signature Date signed:v 55" i'i
TYPE OF OWNER:
2
/g . //+ n.o
/ /., cA <
LUST
Full
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To
PREVIOUS POLLUTION INCIDENTS
Mr. Deruris Downs
Executive Secretary
Utah Solid & Hazardous Wastes Committee
Dear Mr. Downs:
As required by paragraph 26-14e 104 of the Underground Storage Tank Act, I have
performea a tank *a U* tightness test on eadr underground s,torage tank at my facility,
and based on this test, there has not'been a release of petroleum. Additionally, based
on "customary businesi inventory practices standards", I am not aware of any release of
petroleum from my tanks.
44a,
of
oR,
I have had the following releases of petroleum (detailed below; also mention any action
you took to clean uP the release).
signature of owner/oPerator
Tank Fund.
rrsurr n t lz(fiN
^1
1. CERTIFICATE OF REGISTRATION:
have been reg istered - Form 7530 (Revised 9-89).
$2sltanUyr, 1990/1991 = $4S/tank/yr- 1988/1989
2. COMPLIANCE WITH UST REGULATIONS:
kTl am in compliance with release detection requirements.
I t Tanks installed belore 1965 or unknown: release detection by Dec. 1989.
[ | Tanks installed 196$1988: release detection to be completed by my compliance date.
I t Release detection completed upon installation'
*f1am in compliance with all other Federal, State, and Locat UST regulations.
3. PST FUND FEES - ANNUAL FACILITY MONTH LY THROUGHPUT:
non-marketer with annual facility monthly throughput greater)-Yfam a marketer, or lam a
tnlan t0,o00 gallons.
Il$zsopnymentltank:Fiscalyear(Ju!y1,1990.June30,1991).
t I Ouarterli payments @ $62.5oltank (Due the lst day of Jul, Oct, Jan, and Apr)'
t I ! g, a lgn-Iglketer with annuar laciriu Lne{l'rv.ryitt#Jfil9BiJ33r'^?it|"? garrons'
f j i nive completed the APPLIcATIoN FoR NoN-MAF
I I $125 paymentltank: Fiscal year (Juty 1, 1990'June 30, 1991].
I I Ouarterfi payments @ $31.2snank (Due the lst day ol Jul, Oct, Jan, and Apr)'
4. TANK & LINE TIG HTNESS TEST - ACTIONS REQUIRED AFTER TEST:
I-YAll svstems oass the'W
"ri submitting the r
tank and line tightness tests.
rlliriJ'oiine tair tightness test and a copy of the field report.
t I lI tanks dg-lol meet-the reqlllements sei bv rure tin$,t'S,?"t33f itul"r:? l:il5lfl:ii i ndre cbntacted the State UST office and will submi
5. PREVIOUS PO LLUTION INCIDENTS:
POLLUTIO N INCIDENTS fOTM which states whether
practice standards, I am aware of any release from the
tank.
6. INDEPENDENT FIN ANCTAL ASSURANCE records at facil
.JJ-l have obtained financial responsibilitY requirements for the first $25,000/release
tfselt tnsurance
[ ] Rislr retention group
I I Guarantee
I I Letter ot Credit
[ | Commercial tnsurance [ | Surety Bond
II
r I I have obtained independent third-partv nnancia' ":i:1"ffi""ii#ffi3#8,5!:ie:"t')ffinl ootiin indepen<ilent third-pafi financial assure
, ,,i
*See o<planatlons under "Hou, do I get sfiarted?'
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Tracer Fle3srrch GorPoration
INTRODUCTION
Horizon Engineering and Testing and Tracer Research Colporation performed
Tracer Tightru leak testing of 5 underground storage tanl6 at the Kar Kwik site in
Riverdale, Utah. The tanks were inoculated with tracer October 20, 1990 to a concentration
of approximately 10 pprn Samples were collected on November 3, 1990. The following
table shows the tank size, product it contained, and tracer that was used for testing in each
tank
TANK # PRODUCT SIZE (GAL) TRACER
Tank A Regular 12,000 DDM
Tank B Unleaded 10,000 ll4B2
Tank C Diesel 4,000 DDM
Tank D Premium 6,000 ll4B2
Tank E Unleaded 10,000 DDM
CONCEPT OF OPERATION AND IMPLEMENTATION
The tracer leak detection method relies upon the addition of a highly volatile liquid
chemical to the fuel. If a leak occurs in the underground fuel systen\ fuel is released into
the surrounding soil. The tracer escapes from the fuel by vaporization and disperses into the
soil by molecular diffusion. Various means are used to sample the soil vapors in the
immediate vicinity of the underground tanks and pipes. In this case, sampling was performed
by driving probes into the ground in the vicinity of the tanls and pipes. Each probe has an
effective detection radius of approximately 10 to 12 feet. This means that a given probe
should detect a leak anywhere within the area described by the 10 foot radius around the
probe. The tracer must be placed in the tank at least two week prior to the probe
sampling for this method to be effective. This process of leak detection by placing a liquid
tracer in a liquid product followed by detection of the tracer underground in the vapor
phase is protected under TRC patents.
Total volatile petroleum hydrocarbons are measured to give additional information
about the conditions at the site. In particular, the hydrocarbons provide information about
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'ftace r Fl e gedrc tr Corpo rtti on
the severity of the leakage, and the degree of environmental damage that may have
occurred. The absence of tracer also gives double assurance that the tank system is not
leaking.
cr.asslFrcAlroN oF LEA,KAGE
The classification of leakage is based on the concentration of tracer detected. The detection
of hydrocarbons outside of the tank is used as supplemental information.
PASS - [.eak rate less than 0.05 gallons per hour.
Criteria:
Tracer Depth below glade
less than 01ng/L At five feet
less than 7.0 ug/L [f concentration decreases with an increase in
but greater than 0.1 ug/L depth.
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FAIL - Leak rate equal to or greater than 0.05 gallons per hour.
Criteria:
Tracer Depth below grade
greater than or equal to 1.0 ug/L At any depth
greater than or equal to 0.1 uglL If concentration sustains or increases with an
but less than 1.0 ug/L increase in depth.'
' Sustaining concentrations are those concentrations which are within 50Vo of the
concentration detected at three feet.
)
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CERTIFI.CATION
I-ocation: Kar Kwik
4L04 Riverdale
Riverdale, Utah
Tracer Fle;earch CorPoration
9U1332-0r
Date: January 8, 1991
TANK
Tank A
Tank B
Tank C
Tank D
Tank E
PRODUCT
Regular
Unleaded
Diesel
Premium
Unleaded
SIZE (sal)
12,000
10,000
4,000
6,000
10,000
TRACER
DDM
1t482
DDM
11482
DDM
LEAK STATUS
Pass
Pass
Pass
Pass
Pass
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Tracer Research Corporation certifies that the tanls and pipe systems listed in the above
table have been tested by means of Tracer Tightru, which meets the criteria set forth in
NFPA 329 for a precision leak test.
,i,1 -,.:t!\,s.!)srll,.:t+)ts\rrq..S:i*xNI
Submitted by:
Tracer Research Corporation
The following criteria are used for the classification of leakage when tracer is detected.
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PASS - t r* rale lcss lhan 0.05 gallom per hooa
Critcria:
TBcr D€pth bclw mde
ls thso 0.1 u&& Al fnc fet
16 thil 1.0 u&/L
but gMtcr than 0.1 u&/L
If mrentntion delm with an inre in dcpth
!l!! - IaL mlc cqud ao or gr.lcr thstr 0Jl5 gallom pcr hor
Critcria:
@! Dcoth bclq mde
grcalcr lhan or cqul to 1.0 ug/L At ,ny dcprh
lf rcnccntntioo sutains or iocffi with an
in@ in dcpth.'
' Sustaining onatrtntiffi aE the onentBtiffi which arc within 507o of rhc @netrtntion dctcctcd .t thrc f@L
gHter thsn or cqEl Io 0.1 ug/L
but ls thao 1.0 u&/L
3
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Horizon/Kar Kwik
4104 Riverdale, Riverdale, UT
- -'90- 1332-01
1/ 1.1 /s'l
Locat i on
Page 1
0
0
0
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01
0t
01(D)
or (D)
01 (D)
o2
o2
o2
o2(D)
o2(D)
o2(D)
03
03
03
CONDENSED DATA
Compound
11482
BCF
DDM
'11482
BCF
DDM
1 1482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
Concentrat i on
0 - 0000
0.0000
0.0000
0. 0000
o.0000
0. 0000
0. 0000
0.0000
.0120
0000
0000
0000
04
04
04
11482
BCF
DDM
1't482
BCF
DDM
11482
BCF
DDI.I
11482
BCF
.00t0
0 - 0000
0.0000
05
05
05
06
06
06
07
07
0.0000
0 .0000
0.0000
0 - 0000
0.0000
0 - 0000
0. 0000
-077 4
TPHC in ms/L, Tracers 'i n ug/L
0.0000 = Not detected Detection Limits: Tracer (0.0005)
-99999999999 = No sample TPHC (0.05)
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0. 0000
0. 0000
.0070
. .' i zon/Kar Kw i k
4104 Riverdale, Riverdaie, UT
90- 1 332-0 1
1 / 17'/ s'l CONDENSED DATA
Compound
DDM
't 1482
BCF
DDM
11482
BCF
DDM
1 1482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDT,I
'l 1482
BCF
DDM
11482
BCF
DDI.t
11482
BCF
DDM
Page
Concentrat i on
0.0000
2
Locat i on
07
08
.08
08
0 - 0000
- 0458
0. 0000
0.0000
0 .0000
0 .0000
0 - 0000
0.0000
0. 0000
. oo47
0 .0000
0.0000
0
0
0
9
9
9
11
12
12
12
13
13
13
'I 3141516
1 3141 516
13141516
14
'I 4
14
15
't5
15
0.0000
0.0000
0 - 0000
0. 0000
0. 0000
0.0000
0 - 0000
0 - 0000
o - 0000
-99999999999 .0000
-99999999999 .0000
-99999999999.0000
TPHC in mg/L, Tracers in ug,/L
O.0OOO = Not detected Detection Limits:
-99999999999 - No samPIe
Tracer (0.0005)
rPHc (0.0s)
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. .'izon/Kar Kwi k
4104 Riverdale, Riverdale, UT
90- 1 332-0 1
1/ 17 /s1
Locat i on
16
16
16
17
17
17
171819
17 181 9
't71819
18
18
'I 8
19
19
19
AIR
AIR
AIR
BLANK O1
BLANK O1
BLANK O1
CONDENSED DATA
Compound
't 1482
BCF
DDM
11482
BCF
DDM
1 1482
BCF
DDM
1 1482
BCF
DDM
11482
BCF
DDM
11482
BCF
DDM
1 1482
BCF
DDM
't 1482
BCF
DDM
11482
BCF
DDM
us/L
Detection Limits:
Concentrat i on
0.0000
0 - 0000
0.0000
0.0000
0.0000
o - 0000
000
000
000
0.0000
0.0000
0 .0000
0.0000
0.0000
0 - 0000
0.0000
0. 0000
0 .0000
o.0000
0.0000
0.0000
000
000
000
0.0
0.0
0.0
0.0
0.0
0.0
BLANK O2
BLANK O2
BLANK O2
BLANK O3
BLANK 03
BLANK O3
TPHC in mg/L, Tracers in
O.OOOO = Not detected
-99999999999 - No samPle
0.0000
0.0000
0.0000
Tracer (O.0005)
rPHc (0.0s)
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. -r izon/Kar Kwi k
4104 Riverdale, Riverdale, UT
90- 1 332-0 1
1/ 17 /s1 CONDENSED DATA
Compound
11482
BCF
DDM
Page
Concentr at i on
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:t
:t
:t
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Locat'i on
BLANK 04
BLANK O4
BLANK 04
0.0
0.0
0.0
000
000
000
r .:..-..:{r- .1..-r.i}
TPHC in mg/L, Tracers in ug/L
0 . 0000 = Not detected Detect i on L'imi ts
-99999999999 = No sample
Tracer (0.0005)
rPHc (0.0s)
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Glg4r ?rt c cr Retet rcl Co 11 ort lio t
EXPLANATIO}I
S!Eptt!{ Probc Locatloa
l
Approdmato Plpclllr LocatloE
KWIK KAR
{t0,i RlvBSDALt
RIVERDALI, UTAE
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toct
6
SAUPLING LOCATIONS
6,000
3alPron
l1,aB2
OE
ldt
10,000
aal
UDI
DDII
o
,1.000
ol,*a
DDI/
BUILDING
10,000 fal
Ualcrdod
o
12,000 3al
RcSuld
DI}I
f lgurc I
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arl/ttrratltttartt
!i
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.!
#RECEIPT FOF CERTIFIEO i'IAIL
NO INSURAIICE COVESAGE PBOYIOED
IIOT FOF INIERNATIOI{AL MAIL
P 5rr0 ?1e ??e
(See Reverse)/o?
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Special Delvery Fee
Feshcled Del,very Fe€
Relurn Rece,p! show,ng
io whom and Dale Delvered
TOTAL Poslage and Fees S
Poslmark o. Dat6
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OFFEIAL BUANE8A
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Prh yot' il!l., adirar. a,n aP Cod.h lha araca b.lor,. Corirc.(. ft.ol. L 2, S, -rd a on dl.
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Damlt , oth.Irh. .lf,r io brd( o,.'lld... Endora .nlcL "iatorn R.6lp(iaqrrr.d" dl.oa.rr to nb.r.
PENALTY FOR PRIVATE
usE. t300
Utah Department of Heai th
Bur of Solid & Hazardous
288 North 1460 WestP.0. Box 16690
Shlt Lake (ity, iJT 84115-06{-
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