DERR-2024-005835

L
- -ai,
Form Apptovcd. OMB No. zOSOOOO8.
Notification for Underground Storage Tanks
D E {<G
TYPEOF NOTIFICATION
A. Date Entered lnto Conputer
B. Data Entsy Clerk lnitials
C. Owner Was Contact€d to
Ctarify Responses. Comments
fle" ruewFActLry
5 No. ol tanks d facility --Z--G;Eht-tn,Ftfr -.hai"itac,"o
Please lnglfgiglig.iqh aI ilers excapt 'signdro'in sectirn V. This form
must be comdetedbr eacfi loeelim ontainirB undeqround sbragetanks. ll
more than five (5) tanks are owned atttds lcation, photoopythe bltnwirg
sheets, and staple continratlcn sheds !o fte brm.
flotflado.r b Dqllh.d by F.d.d l.rlor r[ udr$osnd t nt drlh&. b.il u..d to dst rrguld.d rrtd.oor rtn &rury 1, f ,7+ ta.!.tr lnlh. glurnd - d llry 8, l9t6, orthA rt bllseft lrlo lr Jt.3 fLy !,
19tA Th. Ham.ibn rquerfrd b rqr{rrd by 6rc{on 3G! ol thr BrouroComrcdoo nd nrevory erl. GCaeL.. ail{.d-
The pdmary p|,'pce o, lhb notificain pogor b o bo end orduoe
undaryound lanl(s lhdsb.c oGluvaSrd peoohrm or trastkx.rsatbnc.
ll b expeded hettle inhmatim pg p(ovU€ wiu be besad on rcsmaHy
&eihue r€6r*r or h the abeence of sucfi
'ecodq ,o.n lsE*Ldoe, belief. orreolhctira
Who alll.f tadfy? Secdqr *t@ ol RCRA as.mmded, rcqris rha. uds
erempte4 orna ol undcrglwod tadcs thatsD.e rrgdaad arEtcsmua
notit deioraied SE!. or lel ageicis of the edgrce of 6ei ts,{e Orrrerln€llE-
a) h the cer of an rnde.$ot rd silo.lee frdr ia rrc qr t{orenb. g, tggt. o.tilglil hE ll3. arbrth&D, .,!y prcct rln orn undrgrqrnd elSe
EnkrEed brthes.lgc. tE.ord3gilri[orrgilOdsrb*1rcs, ad -
b) h the cas.dary t'td€.gtqndorlea Erkh uG. b.lora l{il.mb.S.
1984. hit m hogs b use on 0ltt d'c. any prto.r x,ho orn d g.ldt fBnk
immedarrly belb.€ the dscontinuatibn of ig rrsc.
. c) ir lh.-SEr lopncy so regric. any bciity thd hc und.,!o.t lny dnn06
D EorrtynE rritirn ortEnIslrLm ctrt s (dlly.tttdtd.d Enkhbmairn nco6
b b. irdud.d).
Whrl Tutr Art hdsdod? Unde.Brqnd lDnge unk bdefiaed esany me
or cqnUnairr ol Ents lhd (1 ) b us.d E ccttih n .EJmIaim of n gdi!.deerrcsr'rrd (axrrc6.rlolun (n t drr3 o.m.odrnd.rgrurOpfrrp) ;tot c molr benEfi ,la e.ot,rd. So,ne onflc rn rn&grorrrd tsrtrs sorn€:
1. G.shq u$d ol, q dsea trl. rnd 2. ixrrrru cohrBpdouGrtutiridsortmfalls.
Wh.f T.nb Att Erdndrd? Tadrs rsnortd lrun fic grund re notsrtiecr
D notificatbG Odre.Etkssclr,&dtofi mo'hcatinare: -
l. hrm r rddl|tsl E *s or t J (x) gnloG or ls c.facjry l,3 d h eirE
m@. frDl b. ndrcoltrrn-dd g,[tcG:
Z t {(s us.dh.eiE traip ol hrcoranngive use o rhe irrniswlrat€ sDrcd;
3. eepdc anls;
a. ipeflte hclili€s (irdr&rg !sh..ing fb) ]leubad r,l&.lhe t{a!.llel G.s
Pip.line Satcty A.io{ r$8. or lh. }k r6l,s tlrU ftrCinc Srhy A.td 197p. ot
rthidr ban htasae dpcfine hcltyregubDd trl.ra.SEb hrc;
5. ar,bc. inFndtl..ilEt ,ils. pooG. abesE;
6. sm EE a c!. rar cdletfin eioare
T.iou.lfrctlghptusstal{ls:
8. fqlkl taps or assoc&ned ganuir0 lins drccdy rehred o of c Aas
Fo&clion and gs$erhg openriors;
9. srao€ Erks iult€d h an undergrwnd erE (sudt 8s s basemen( elhr.
mineE!.*iE. qftCtd( dtrm.o f trsorqe ar*bdtntuponaabone thcsr{rca oltle nor.
ttrlut Sdrtrnoo Art Coy.ltd? Ih. rctificanm rcquimrgrls.pCy D und.rgrqrld ED.eo t nls tl8rcooah quhed amncs. Ihb inctd- ary
rltGrmce doin dss haardoush so.iirn tol (14) of tre CqnDrdr.lir.
Elwiorngrd Rccpor . Conp.fE*rn md thbmyA.iol t0So(CERCLAL rl.dr
thc cco6ixr ol0rccerhrc rog/aod e hrzrirdcsre rirCsrliic C
RCRA t e hdrb peoDL.rn. ..! . cilr& oi c rry taain drroldritr bIqil rtrnn(H srdtilrorEnF.tn,l. ild Ftcsrlr (€O &OrE ehrdret
end ta.7 FlJn6 p.?.qr.rar. hdt .bofrD).
Urocr To l{odty? S€od cfirpLted bflls E:
IEEO'Dffi
168 ilOEIHresoresBftEgffisAIrl rECIrY.Uilt mtt
Itlt.o To tlotffi t. otvnas d unbrgrqlrd deoe tErls lLUt. or tha hew
b.en d(.ooutorogeairef*&ruary t. tgza, hn.dl h thergrurnd, mranoify
b, llry 8. 1985. 2. OmsE rtE triq unOelgounA tDrle. *-b rse alrr ffai
8. 1C86, musr noiify ritin O rhys d btping rhc Ent(s b us. a I lr Sld.
p$r,lg rylfcdon ol.ny smgrdr.oB b bcfitycend hbnnafn D SEDq..Ey
irtmed@ly.
hrd{o: Any ottrr dro lrnlnely ldb to ndfy c srbo*r ldrHonrniod b...rbl..f b r dyl p.llff nc f rsrf 3|O,OO ta.dttut tartHr notlllcrdoo b nd ghn c loi rltHr t b. llloilIbo brll.d0.d.
t. owNERSHlp oFTANK(S) tt. LocATtoN oFTANK(S)
frlt.t{.mlcaDo'rlFr a.rt*flr( Prd.fet.rcr. aOilr, ffi,F'te{it.e otL- LC.
Fnr.e ()<*+t e w.-.',
6€ A Er,o -)
qf-c,,]z-3'z((
(a.D-gaarldlcb.r E I
Fdf }lrD c C.qU * lA.frr, D AEceur an Texa(a
P['tr-G (l;nu .j.t{iil
EPA Form 753G1 (Rcv.2-92)
@ earrt"a on Recyded Paper
tr FcdrdGovrnmcril E conmaa
tr StateGoysnn:at E P*ra"
tr tocdGouemoril
Tar*s are locatedqr lad urit&t gr hdan
Rcardloo or qr drer tud lgtds.
Tar*s ze orted !y nalitte Ameican
V.TY?EOF FACI.ITY
Setecithe Apprcpiato Facmy DesstsOn
X Oasslaio,r
-Pambunllrlftuor
_Fedrd-ttcrmry _LlI06
Vt CONTACT PERSCIN IN CI{ARGE OF TAITIKS
iur ., Pt€r<cC O,*tntg '- u37-3?-(l
VIt Ff{ANCIAL RESFOIT1SAIUTY
Chd(rrftcApCy
l-] sthqrane
l-'l Coornrflharrp
l-] tr*Raedoneur
! hew rrt Ge ftada! rupansbny reqnoflEnts haodarcdr4OGFRSt.tprt H
t_
;l ls6s6r6
l l-Tlrrrrrrn,o
I l--1 o,er lrdrodlroredspedry
I
II l---1
I I-r
I l-l
I
I
I
VllL CEHIF|GATIC{ Gedlddgn drrorrplclhg d:6r)
l€ttry tnde, pmAy d lil rha I fraw peraraly srartrcd nd aln iarf,ar rltr thc Hsmdor qnrdlcd h il{r ad C @rcdGnll.fa etd tln b.t d qt my hq&y d nci Hvld,ab tsllra&ly ]lseonsOte h offirg tle ffimdon, I beirrrtra trcetrdird t&ndor b ttn.ert, aif compcle.
lldlrtddBlrdorraout-t erillorE d tlpiesrnrfi,3 (Prfil,
')
{a.rs f/lxr<t z c/'<t'ttz'r-,ot /-/-*---_j
tbSbrtrd
/b- t.t q E'
Paporrofi R.ducilon Act tlolto
EPA oclinalos Ftlc qordttgDurhn brthbtormb arrqe 30 rtrubs pe response indutfng &rn hr ruriarutrg hstrrctorE,qfltr and flffihhg fie datr needed and ofipldq ia rattaring lhe lcnt Send comflrlts regadng ttis-brrrden ednrde b
Glttsf, lalbmdqt Follc, Br.ndr P]h%, U.S. Erwbnrnoful nmc[qt-egency, 4o1 M Sue€t, Washlngpon D.C.2Oa6O. mailtr,
'A[btilonDedtOfficerlaEPA"'THs6rmanrendslhepralousnmcdonbrfrasprhtedin{rCFRFartZgO, lppenCxl. Prevlousedtonsdits nfficdonftrm rraybe used uitettrgpio hn
EPA Foror 7$el (F3v. 2€2r
\
tv.rilDr NL^l{Ds
Tar*s gr locabd an lrd uiUtt rt hda
Rorrvdlon a sr drrfirl lads.tr
tr
a
Tal*s ae orrad by nafin errican
ndlon, tte. or hdrddrd.
tr FrHGovsurgr E ooora*a
tr StaoeGovgrrmnt Ef Prtrra"
tr locdGou*lnrsrt
V.TItrEOFFACUTY
Selactfie Approgiab Facfity Oecrpfn
X easstdon
-Raiload
-PeiolruntlrtLtr
_Fded-ltc*nry _tlf..
-AfcrdtOnr
_tdrstlal _Frnr
VI. CONTACTPEHSON IN C}I^RGE OFTATTII(S
r-ur ., Pt€nce OU,oe '-b37-32(l
VIL FIMNCIAL RESFOI]SBIUTY
Chd(llGcApCy
l-1 serhr.rerp
l-l HJrReeatoneua
I hilo rrlfis ftadal rcposeny ltqrtrtrrfits hrodano uilr 40 CFR Sr{pct H
I-] gr{yBdrd
l-1 L.oerdcrdr
lTlsa"r.r"
l-T]rr.ran to
l-] oo; Meorod AIornd spedry
VllL CEFIFEATUTI (F.d rrd dgn &orfldrg C rdn{
lcltdf ude Fdydlilrlra lhatr psrorlrcer*redrdamtanflgSrthehEnr&r srnni[dhtldszrd el AreilaartrtllqltdtlcbasdarrryrrqtidfciH*rnbrrrnderfnryomebboueffirgth3ftnraon, itoler,ofrrtlcairtrd trmdo b tr,a,iaol, aif omptaa
{2.,s 9r*r,
lleltred*Btlrdr:c oilrlc .dtota.d nP't!rlt{v. (prht}
C l.+/atZ.o
Oc.Sbrlrd
/0- /,t' E t
EpAedmGp,flcr"oore,e o.-TfHrt Bcdsctbn AGt ilorh'
edono of t{s notficaion hrm nrry be rsea tdrle supfitcc ta*
EPA Foilr 759e1 (F.tr Z€2)
s,rl
t
.:
'
tx DEscRtmoN oF UNDERGROUNO STORAGETANKS (Comd€b ror adt tad( at fils locdioG)
Tant(t{o. , Tar*No. Z Tad(No. 3 T,ard(No- rL Tar*t{o. j
Tardc ldenlifcdion NurDer
l.StatsotTank
(mad< ordy one) Arenty in Use
TerpradlyOnof Use
l-.as-rl|
Permanen0y Ort of Use
!|-DIdEi!
Amenrlment ol lnbrmation
fr-lr---t
2 Date ol hsnaldim (mJyear)q-z(-18 ?-u -78 q-7L?8 1-2-t-18 q -zFqg
3. Esrirnarsd Total Capdty (galbrs)(,', M GAc 'Uaoo cnt-Vua cac 14ao uc ?,coo 6ae
4. iratsrial ol Corstruction
(tulart dltrd apdy)
Asphalt Cod€d or Bare Steel
Cathodcdly Proteaed Steel
EPqYC.odedSteel
Compc*b (Ste6l with Fibeqlass)
Fibeqlass Rdnlorced Plaslic
Uned lnterbr
tlolbleWalled
Polyeth$ene Tank Jad(st
Concreb
Ercardist l.lner
tHtnown
O0ter, Please spedly
Has iank been repaired?
x k x X x
5. Piping (l{derial)
(Maft all thd +ply) Bar€ Ste€l
Gahranized St€el
Fibetglass Rdfilorcsd Plaslic
Copper
Cafiodcdly Protect€d
Oor$leWalled
Seondary Coilahmont
' Ur*nosn
Otrer. Please spedfy er.lvilaoJ
m m
Gr'tvi po J 6ruuir.oJ 6NYi(orJ ciPutRo:'J
6.Pipns OyF)(i{rka! thaapply)
Sudftrn: no valve dtank
Suctirn: vdve at tard(
Prgssure
Gravity Feed
Has pilting baen repaired?
tt ll
EPA Form 753G1 (RGv. 2-92,Pag: 3
1
lL DESCRImON OF UNDERGROUND STORAGE TANKS (@mCete for edr tank d this locdion.)
Tar* tsentifi caion Nunter Tank tlo.-./- Tarf( No. Z Tenk No. 3 T,at* t'lo. 'L TatI( No. J
1. Stdrs olTank(markordyone) Qrreatyintlse
Terporadly Outof Use
(-Dard!ll
Pemanendy otrt of Use
|'L-DI{-crLt
Arnendmmt of lnbrmation
2 Ddeol hstalldim (nplyear)r?-u -q8 'l-7 r'18 't'2 (-?8 7-7.t-18 ri-z r-18
3. Esfir6od Total Capaity (gallons)(,1c(i {*At Aooo Gnt-loo(t ,.,sL LtOCo 6!\c 2^l,so (r,sl-
4. lrtlderial ol Constucnion
(iiad( all fid apply)
Asphalt Coaled or Bare Steel
Cahodlcdty ftotec.ied Steel
EpoxyCoaed Steel
ConpG*b (Sted lith Fiberglass)
Fiberglass Reinlorced Plastic
Uned lnterbr
Double Walled
Polyethylene Tank Jackst
Concrete
Excavdim ljner
Uilnown
O{tpr. Please spe<ify
Has tank been repaired?
X k X X X
5. Piping (tilaetial)
(Maft a[ tha+dil Bare Steel
Galvanized S:teel
Fiberglass Rtlnlorced Plaslic
@per
Cafrtodcally h€ci€d
Do6leWded
Seondary Contahment
' Ur*norwt
Odur. Pleasespecify cfru,rir-oJ€N,ti tZo J G NU(P,OIJ €c.lYr,(0 rJ 4;a.Jg1 f- l rJ
e.Pipng Oypo)(lvlaka!thd+dy)
Suctbn: no valye dtank
Sudion:valve dtank
Presure
GrryiV Feed
Has prpng been repaired?
rrl ll fr-l ff,-l
EPA Fo]m 7530-1 (Rcv. 2-92)Page 3
\-,
Tank ldentificdion Nunter Tar{<tlo.l:TatI( t\b. 7-Tar* No. -?Taril( No. q Tari( l.lo. 5
7. Sr.rbstanco Arenty or Last $ored
ln Gitodest Cluantty by Volum
Gasoline
Di€sol
Gaohd
Kgosene
Healing Oil
Used Oil
Ofier, Please spodfy
l-lazardous Substance
CEBC|Jnarne udlor,
CAS number
M:<Ure of Substances
Please specify
X. TANI(S OUT OF USE OR CI.IANGE IN SERVICE
1. Closirp of Tank
A Eslimded date last us€d
lrol&ylyeafl
B. Eslimde date tank dosed
(rloJ@tyea$
C. Tank vras rermved from gronrd
D. Tank was deed in gru.rnd
E. Tar*fill€dwih hert mdodal
Descdbe
F. Chz1geln ssrdce
2. Site Assessmen[ Cornplet€d
EYtlence ot a ledtdebcted
EPA Form 7530.1 (8.v. 2€rl)FagB4
a
xL cERTrFrcATtoN oF coMpLrANcE (coMpLETE FOR ALL NEI,V AND UPGRADED TAl.lKS AT THIS LOCAION)
Tad< ldentificalion Nunter Tar* No. I Tar*tlo. Z TankNo. J TankNo. (1 ,/Tail(tto. 5
l.lnslaltalim
A. lnstaller caffi€d by tank artd
pipirg manrnacurirs
B. lnstaller cartified or lir-nsed by the
inplententing ag€ncy
C. lnstallation inspecfed by a
r€dslter€d erpines
D. lnstalldim inspected and
approved by irplerrnting agency
E- tUanufactJr€/s installalbn
cfied<lists have been completed
F. Andrer method allowed by State
agency. Please specify.
2. Release Detectjon (Mark all that apply)
A Manual tank gauging
B. Tank tighfness testing
C. lrwfftorycontrols
D. Arbmdictankgauging
E Vaporrnnitcirq
F. GroundlrAer nnnitoring
G- lnterslilial rnonitoring double walled
tarddpilrrE
H. Interstitial nnnitoring/secondary
containnpnt
l. Aubrndicline leakdetecbrs
J. Une t[hhess testirg
K. Ofier rnethod albt/y€d by
lmfl ementing Agency. please
specify.
TANK
EtEEtE
@EE
fl
E
fl
PIPING
Etlm
w
maE
TAI.IK
rtrEEEEEfl
tl
E
E
PIPING
t{lE
@
E
ttrmE
TAtIK
EEEwtlEE
f_l
E
tl
PIPING
EEa
B
trlwE
TANK
EmEEflEE
E
E
E
PIPING
Eff@
E
Ewtl
TA'{K
mEwEtlE
t_l
E
E
E
PIPING
EEE
E
E@E
3. Spill and Overfi! Protection
A. Ov€rfll d6/ice install€d
B- Spildsvbehnalsd
OATH: I certly the lnfurrnation conceming lnstdlation trat ls prwi<led in section be[etand lalqledge.
hstalec /0- i6-q8
Gd'nrgP.nr- /,i\aP Ati€{i
Fo6*fioo
EPA Fotrn 753C1 (Fev. 2-9{PagE 5
Fornr Ap6cvcd. OlfE NI4OSO{OSt.
Notifieation for Underground StoBEe Tanl6
TY?E OF l,lCrTlFlCATlON
I r nrew FActuTY _E_".^Ln3.,-trJ*.sg5 No.oltanks atadlity -! no. ol contirualoa Crec attadt€d
EPA Forn 753D1 (Rcv. 2{2)
S'TATEUSEONLY
tDNurirBER gffi)17
A. Dae a[ersd hlo Conpner
B. Da Erlry Oedt hitds
C- olrne( Was Cofltaci€d b
gaify Respsrses. Cdilmenrs
Please S414jigl[.iql C itena craapl'dgnElro'h €6abn V. Thie lorm
m,lst bo EmCetod6r osdr ttcfidqr colttinitE uoo?$und sGage tanls. tf
nucthan five (5) larks are orncddttls l€don, photopythe bllo$rE
shests. and stapleeotrudon sh€r[slotlre bnn
fldmcakt b r!$*ta t Ffu lrt€ d rrir$uri Enttlrr
lrnr trn s..dt ror n6dtr{ru!(rrnrrtr Jailray f, lgrlrtltr
tn b rh. $qnrd r d ...y !. lCtB s, thrl r! UurClrt lrb r- il; Iry f.
19i5. TIr Hqllibn lqrild b.rdrg tf 3Ar 5l d tr ErstrCorrraba d Srf f4 GCiAI. i rr{d.
Tle erirwy FrE ol ltbacdt atin rqrur b o.he gd adgo
uael!rcuod lr*r thdEEr samrEst tlDErr! ciCuhaqEtltre
It k crct.d Asr 6r hfcrarfan Fr plwu. d b tsd oo rcsarCy
&.iblb rE.tts. a h the g&aro ota.6 rade pr bafdgo trEg(, or
tellcE|fur
Wllo L-t Xallr? Scror 53 orlClA.: rr.o.L4 rr!,iG i( udE
rrcmrd. c.ntt c wd-Irrrrd E & oarEr rtrtDa srlti[Ircarr|u8l
mdf <h{1rld Se or lo-I qmjs of A..rirrrra d ffi *. Orr.riiry!,-
.) h C, e s(an ula5ocrl s1r E*h uia| ltil& t, fgea) tia4lr io .r &a.rAl G, F-r d! ilt.r !rL$tr.d.E!aEE* lr.d 6r rr ac.!a. rE q&fri! !t rqrE. -hrra uf
b) h fu caa. cf r,Y u{rgrsrra -ra. Ert h Ea &c Nogr$.. t
Igga. b.rtD aottrb lB qr ,rrdrr..ry pEm fr d Bdt ttnfialrcdE-t lCr 6c dssrtul*n of ie rr.
c) I trsaDlC..Erre rTrfG. art ffir, Gaisutl.lsr.ry d't0E
D t(iBtrhGirisbr c a*sy661 s16s (qrtatrru Erf hhrrin rsfDbtrdr-+
tltr Trnb ln hcljr{? t nb|3rqrn -tqD tgrf a6.6a.{Ernt q!.
csrtiutirr o( Ek tls(r) b llrd D.rtlrh m.GEtrrt*r C tEdid-.rriG.n'r{ (a rAa-nlunr ltdrdq cqr rGU !t*gra{f d?ire} Ll9ac.nd. bnlr lr.gturld S.nr. on#dar.rra.jr!.rd latat-rir3:
r. G.aei. raa C. ddGd trt sr.t a Eral lh,ur. #.xdddccctmilte
IDrf Trab /ltt Erdd.? Tn{s rned tqr lD irurd.D rc eAE
D rodfiolrr CrCr E ls rdtU i!fl aetfufui ur:
1. bntr a,:rda{id .l8 or r.r o aalbrE E E crlot l,d E aEr,!
ttteu trl tr ngtcltunrdd erpdsz rnts sadt?EiE brna cI heDlemgtuc lE an rr gu*E
rl. r!srdi:
f.!.CctalE(r cpcfino hdkb (irg|4rc crlrhe l.bl rarlr*t t'r.E rr. IurrrJ GEPtrlll S.hrrA.id 1SE or lr HEr(b6tjqrE FlFar{r S.Lrylq d 1979 qtrljci b ar hmcs Dirdr Ey rerJE rrrd.r SlrD br.l5..rb hFrar'lB ft, pax5. r hgrcg
5. 8llrt riE? r rEE E GCIGin arsrnEr7-ifr-thro€hf E 1l3:
t. Iic/i, tc s.-oo.d grtheriA l&- &*ny rehEa D ol a g.Eparrim md gnhed6 Fflir.ri:
9- 6rta E{6 ailatd h ar lndegruld ara (grat I r h{reot dlrr.
minratngt c{t t rdt c ld) I ar Eq. Dr* 3 rilra rFo c.En n
:grtcrof tbior.
Itr s..h..c
^l
Ganod? Ilt. rEihfto rq&rntted, D u-?
Srqrrd aeeD Dlrls fr.t 6(rah re6uE gfuer-. Tllh L$lG,.r,a/hru rblig rs hsr&l5 h -llra tOt (r) d Cr Glphrdr
Enrtom.lel ner. Cafrrin rr |}fr, faof rao Cm|lI $rr
tb ecrfm of Outc aE E TrirE - tr]l<r5€ rr* alft C
l€HA t& bCdc.p*nhn -f . cu6 CcrU tr&r ttr-tJrHr Lfql6rerfntclldtorrotEiLD.t fr{ r€dr.r GOCaTE Frnr{rrt
end r.., F.,t(ts retlf. idt &*-[
U|!r To l.cry? 5116 Cgtr9hE bE Dimarm
rca ltoHtrt t930 mgir, laRrroEsAlttllrEctIll. lrilt tafic
tltrra ?o tlalf t. O;rcol un-qrBrd ErC. rila Frr gfhdtor
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as prtrld h {o cFn Flt d;;lfF,iil pt t hr.dlcE dt& nffioaftnn nrrybe urrd ut{. id: td. --- -__
EPA Fcra ?SSl (Fr:, 2.ED hr2
t'd 8299 rEg tA8 ANVdh|OC -1IO 3CU3Id NOUI NVTS:1t 866t-9t-Ar
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tx DEscRlPTloN oF I,fTIDERGRCUXO SrOneOe rergts po.t+m 6. .dr l-{3 I Glr tocdm.l '-r
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tJcc
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3. Esdcred Total C.pdlf GdotE)GM &t.Uaco GtlL.cknd cac .lou ac ?,cclo Ger-
a, IEfaieldconstudin
Glrrt sltra apgay)
Asphan Ooa€d or Barr $ed
CaltoOcalty Ptorad S€€l
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Fibrglesc Rctthrcad Pla$c
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5. Piphg (l/la€da,)(tl{talttd.ppu Betl$3el
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Z. Strgra Anrttlty or LA eE €Ch Gllng Aranrlry by ydunE
Gdnc
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Hrz6usSnbstarr
CERClAmtrr.ttlq.
ClSnunter
Mfuleof S.rbctacas
Heese sp.dty
x TANr$ OUT OF rJs€ OR Cn NGE rN SEBVTCE
l.Cb€llgotTar*
A. EstnatddiblestuseC
(nn.rdryryear)
8. Estrn{c data tard( Gror.d
(rnlday0eol
C. Tar* ruG r€.[rt Gd trcm gond
D. Ter*racdc€dhgturnd
E- Tdtfidu,i&lnstnrAid
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2 SbeAssc*rrcriCornphd t-l
EtUanordelceideid I tt
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s'd 8299 Ztg tA8 ANVdNOC -1IO
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ru CeffnrCerrqr Or OOrrrpL! rttcE (COt'rpLErE FOR AI NEw AND UPGRA9CD TAI{KS AT THIS LOC 'floi0
T.r* kbltlficdooNurDr TatI( t{o. /Td(r{o.-r4-Ta*iro. J Tarr( No.-1-T.r*i5. 5
t.lnsidlsdon
A- lmtdlor cadifid by la* and
pFtq meautarr:
& In*atrcr anrifid or liclrcd by the
ltralenetrtlng ag€rrc,
C- lrsllalrr inspdrd bya
rrgidetrder$ner
O, h*a[&r inspod€dztd
appuvcd by irpletllnfrnE agncy
E f/lrirn arar'sirrrtalladon
duddsts har€ b€qr coltplet d
F. ADclhcrmcthd dhrdby State
ageiqf.Please sp€dty.
r-l r
r-ilm r---l
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A Manualt3nl(gauging
B. Tar* tigfit tess tcstiag
C. lmtmbrycoraolt
D. AuGnrdctard< ga4rng
E Vapornndtodrp
F- Grq.rrdraer rrEniEdng
G. h.rsddd moitoring dor.&le weltcd
raaQsng
H. htqsiua! nEoitdin€/secorldnygttalullnt
l- ArDraabfinclcakdgtccbrs..
J. tine tgttreqo toslirrg
K. Olherrrdroddlff€dby
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A. otrof,[ do/ica'ias;alled
B. SpId.ryb!hJtslld
bddadtaulc{nOATI+ I cerdffthe hbrrdoo oanip ffir{aton tut is gwdtlcO h tdaa
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t. Etn a odd.nirl dt o, 1.t00 edbr or lI. cgdt rrd b tdremEidbrEromtddplrpa-:
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Dr pft:f f,po d lt rrtictr prlerttr b E bco ri odr
tllrhgrur, dr rrt Et a lIf, aEld paloun, ha,lhr lllaDEtc
t b oD.Od th !l. lnfrr'tr.tbn you g,ov5. r{ b. b..l on rrod,
wId.,lo,Ua, a h tlr icro d rdr rod|. yq, tssldgr, lrld. orrEL&r.
Wb Itlr ICfy? S.dqr efrl ot RCRA. .t lilmd.d, ,tq*r! itd. ufr
oronpnd. owrro ofund.rg'omd tlnl(r that.tqr ,tgdetrd fit0rrol mrd
mtit, d.3ign Ed Snr r locrl ry.de. o, h. .rirrnc. ol thrir trdc, Orrnrr
,ncana-
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t$a. hrt rD lore.r b rn o thet drn. rU panon $ro atrd ]dr dhtordot, bcb.t thr drcontir,l.tin ol lE ur.
c) lt th. SIl. Ionq .o rqrrE, r? lUlU fu lrr rndoOor ay dngl
b hdlu hbm&n a Ell !trrtm 0!rt (od, lllri.d If( hhnuhr r!.l.Db.hdur4.
Wtrt Trab Arr frl.rfin Und.rglotnd aEret d. b dofr.d r q at
c ortildqr ot dt $a (r ) b u..d b culan rt rml.llt ol .lteilod
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t. G..ofim, u..d ol, s drll ftrl. r,ld Z [rar.lirl Dly.lr!. p.rdddar.
h.rbacib! r ftlmirrrlr"
WhlrrL /llt E!Cra.d? Tra(l rnr6r.d ioilr th|emrnd ft rntl{.d
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rira.7Fui.f qrfth.h&off,l
tllrltlo llcfy? s]ld loltil.Dd bntr !:
UTAII DBPART!,IENT OF IIEATTH
BUREAU OF EWIRONIT{ENTAL RESPONSE & REIt{ED.
288 N. 1460 i{. , P.O. BOX 15590
SALT LAKE CrTY, UTAH 84115-0590
Ufrolc llClt,? t. Qnrr d tntlrurf or{r S h tr E lh.t h.rl.n dcr ol, d Wdql d: lillry t, t37.,il df rrtrOqrd, ml,I rdly
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t: rE, rrrr ,!rtl, u0rh 30 !ry. o, lrirlirg !r lfrt trDrf,.A trat SDnqfn noffioollU nndnulr E bffy r.rd hErGt D SD.e.tq
frilItd, ff b tllli crirt bb hfrmr-
5.oUl Drt ll, rt lcc.d 3to,oohrrdt t rlll'
b aC drrl c h, rllclr fr hbailhr b rirtrd.
t.?aafraplp*rHr (fddt!edrtre lrr) neitllrd u0rlrttlrdcr
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rtadr b rr bma pF.l'l EIU rteubd urdr S ICt erb trprinrlr' pir. F dr! a lec,l!;a.rEnnca6mEllldntrrtr:7.ir-ru4ngulrrrr:
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a. tEtl EI..lrd h rt uir$qri rtr (rdr r. brrr,il, oll.dnmtlp, rlil1 ltdf c rm[ ll n Ere. Et b dlo rpr c &rr. h.rrbdmSt
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gro.nd aatl. E *l filt contrin reu.rd lllbfirna!. Tllt H,d.I rnyri.Ero d.ftid r ffiu. h rdqt t01 (ta) ot lh. Coafdndr
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fqld r 116 odftrl ol ltrp.rcrt rtf-a {l0 drgo. Fr,rtdrlt
STAIE t'SEO}ILYNo0flcatlon ,or Undeground Slorage Tanks
D ilUMBER ,"'C/ 1:. /)
TY?EOFNOTr|GATPII
A. D0 EnLr.d lnboo0tprrt l
B. IlnrErtyCbttlnlhb
G. own rtlhrOonrcldb
Chrlly Rrcponn Comn!.no!
E r ilEwFAcurY
-t--{ }S.d trlt(l .il hc[fy
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ilo. d otttn dori rhrrta eodrd
Plurrtvaroradnr ln hkdllbrr.rc.f, tfnturl'h !.cilon V. ftbbmt
mrn br cun@E6bcdon qtrhhg undorymld lbrq. tn*r. l,
nD!. tlrlr lhr. (O trr*s rr. oUll.d d thb ldbn, plpboopy tho lobwltp
thc.ls, rnd ttlpL onthudbn th..b b th. bm.
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mrlrElrED Era,
III. TIPEOFOUNER U. DT.J{ IINDS
tr F.d.relGowmmrd E[ cornmcruel
tr SidcGormmcni E Prnaro
tr Lul@vrmmon
Tada rar bc!0.d on hnd wthh ur lnden
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V. TY?EOFFACI.ITY
Srba tr Apptopb Fdiy Orctpton
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_Pofdctrn Diddhno?
ArTerl(Adlnc)
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Vt @i]TAOT PERSON !N CM,RGE OFTAT{KS
Nenr
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,OrE%a
JobTtL
ow^/c/L
Addrcec
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YO/- 6l ?- 3z / /
UL FNANCIAL RESFo]{SIBILITY
I hay. m.t thc finandel rcpombfily rcqulnmcntr lnrerderp wlh 40 OFR Subpalt H
*o^1xr6 APpU --T- - - -l- -
Esciltnsunn* ! -= annntrc ! :sldcFundr
tt-
VllL CERT|FICATION (R.rd lnd aln dtrromplcthe r[ lGlbm)
I edry undcr pcnaly ol law thr I heuo ponondly cramhod end am lamlhr x,ih $. ffiom&n aDmhlcd ln hb ad rt rilhdrcd
doanmcntq end thd bascd on my lqufiy ol tluc hdlvlduab lmmedh[rly nsponCblc lor obteining tho inbmdion, I bcllovc lha the
suhilcd lnlormation b truc.urrdo, end ompho.
lfun lndoffrJdtllleolowncr
oron'n rtauthotLed reptocntdur (Hh)
z')4..rt ,4.*..
Dr0e Sryncd
a6 a6 -?/
EPArdmrtcs prrbfc rrpodhg burd.nhr$bbnn brwregnS0 mhutoc p.itrEpoc. indttdlngtmotor ratlrrtlng Mt clbts
grdrodm ud ri.intaitrirb trr-dae nc.d.d end omplr0hg -rd ndrring th.lomi. Scrdommrnu ltgrtdl! tltb hrrd.n .adttuL b
Ohlrr, lfrmetion PolicrBnnrfi Plr[,2Zt, U.S. Eruirinmcntet Prctccilon Agcncy, aOt U Slt .t Wgsttit=$on_9.C. 20480, malcd
'Attcitbn tldr Olber br EPA.'Thb lorm emcnds th. prcvlnrr nolilicatbn brm as fficd ln 40 CFR PJt 280, AppcttOL l. Pnvbul
cdliom cil thb rrtilision lorm mry b. us.d wftllc cuppli.! brl.
i
Prryg2
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Telilt ldcntficatm Numbcr Tanktlo.1 TankNo. Z TenkNo. J TankNo.S Tlril(ilo.-
l.$ilrsdTaril((mefionlyonc) Cumtily h th.
"T:g-TH
Pomumtyotnd Ur
E.a--htl
Arncndtmttd lilonn tbn
z"Wd hstddon (mJyeafl ,/?7//? 7//? 7/,//7 /
3. Esttnr0ed Tad Capadty (gallor)
4. Uafcrhlol Comfrtrclbn
(tlart r[$d apply)
&phalt Coafcd or Barc Strl
Cdrodlcally Pptecrd Slrl
Epory Ooacd Slccl
Oomposltc (S:trl wlth Fbcrylas)
Fbeqlas Rcln orc d Phstc
Uncd lntcdor
DoublcWdLd
Polyethylenc Tank Jadct
Concr!.
Ercavation Uner
Unknown
othcr, Plear spcdly
Hes tenk been rcpalnd?
x ><\11 ><
5. Pprng (Materhl)
(Mart.ll thsl appt) Ban Stccl
Galvanizcd Slccl
Fbeqlase Reidorccd Plasdc
Coee.r
Cdtodbdly Potecied
Ilouble Wdlcd
ScmOery Corildnrncnt
Uliltmnn
Olhcr, Plear rpccty
6. Phlng Fvpc)Ortdthdapply)
Su&n: no velvc et tank
Sufin: vatvc atanlr
Pr:osun
Gnulty F..d
Has ppng becn repaircd?
Pr3eg
Trfi tsontlllcdon'Numbor \ , Tt d(Tlrn(ib Z Tlrilr 2L Tarn(No. 7 Tlttkib.-
7. $tCarrce Gumn0yortesi S:tor.d
h GloaLsl Ourntry by Volumc
Gaso[nc
DLsd
GrdPl
Ketucm
]bdr OI
Uscd O[
othcr, Plcar lpcdty
HazadoueSubdarm
CERCLAtnmcandbr,
CAS numbcr
Mixturcof $Daaps
Plcase lpclly
x" TAT{!(S OI'TOF USE. OR C,HAilGE N SERVrcE
1. Cb.he dTarf(
A. EstmdcddeLlastUs.d
(moJdayrlcar)
B. Edimae dde tank closedjylrl___
C. Tenkwas nmovcdlpm gtoutd
D. Tmkwascbo.d hgnund
E Tenk lilbd wifi lncrt malcdel
Dcscrbe
F. Changp ln sericc
Z Sl. Arc.$ment OomC.tcd
Evidcne ol a ledtdcteclcd tl
Pegp4
xt. oEmmcArplr oFE;. ffit.ere FoR Arr l{EwemG- E r-rcernts Loc noil)
Tet*ldonfffcdon NunSrr T.r*fb. /Tr*lrb. Z T.ril(fb. .,Tr*}b. /Trd(lb.-
1. hf!&n
A hdrlbrandffrd brtrd( rtd
pfhg maruldunn
B. hdrlbr cdfrrd c bmrd by tr
fnCrmonthg lgury
C. h.0dmon hgrard by I
ngbLrtdmghror
D. mlmon hlp.Ad lrdrF !rr.d by htphtr.dfte egnm,
E" Urnutdrn/r lndaSdbn drodr-
Ilirherr bornomplcicd
F. Anothor mcdpd rloxd by Sldc
rgcncil. Plcarc lecdty.
Z R.L!.. Detecilon (MartdlthliTply)
A. llanualtankgaugkU
B. Tank tightness tclirg
C. blcnbry ontob
D. Arbmdlct nkgeuging
E Vapormonibdq
F. Grcundwater monltorirp
G. lntcntithl monlodrq.doublc wdlcd
tank?ptng
H. lnteniltial rnonltolftUA.condery
ontainmcnt
I A6mrtb linr lcdrdaoaon
J. lhc tlgtmcer locdttg
K olhcl method dbr.d by
lmplementing fqcnq. Pbu
lpdly.
TANK
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Federal Register / Vol. 50. No. 277 I Fiday. Novcmber 8. 1985 / Rules and Regulations
APPENDIX I to'j $280.3
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ixrarrtae r rcqrind bl t r&nl br lq rr rndcnruond att*! ttra hgflt*t' ,, r;r\!.\ p',pstre bcrhrh lffhdinF srrtrtrns lrrrr n'5rbu{ uEjlt rh(- Ndtlrll (;$
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brn norno5 rne*raoro,raan-j ffi,-iL-o."-r trtr r,sni rrili,er-crilJuri includ(\ t.rr.lrum. c.8.. crudc rxl ot anr lBctrrn th('E.f \hrch h lisuld !l \la,drrd
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t.ranrru<dtorrro.ngl*arrngoilfurconrumprircrr.conrhgprcmrsrhcrsrtorsd: *rll bc gbicr to r oril Frrltt ml lo.rard 310.000 for aci trnl ffr rr'"-n
l. vrtrr raoLs ' mtifn$6 6 nol ttvttl d fa rhth ,rl(. inlmrioo ; sborlrcd.
pleascrvccorrrrinrininkallircmserccpr'signarurr-inSccrionV'.Thisformmustbyconrplcttdfirr I lndicatenumbcrof fJ
.r.ttio..ri6n "oritrining
undarground stongCunkr. lf more than 5 unksarc onncd at thir locatton. I conttnuatron shl'cls L'l
phorocopl. rh€ rsvcr:€ sdc. "nO1o.
. *n,rnira,,on shcets lo this fornr- I attachd U- -.--,
ili; I
(ll same as Sectron t, mark oox rrere E )
Facility Name or Company Srie ldentitier. as apphcaDle
Ilurryrs Center Texaco
Stre€r AOOress or Stale Road. as apphcabte
6 l,lest I'{ain
County
Carbon
Cfty (nearestl State ZIP Code
lndicate
numoer ol
tankS al thrS
locatron
Marf Oox nere il rank(sl
are located on lano wttnln n
an lnoran reservalron or lJ
on otner lncltan trust lancls
Owne, Name (Corpotalron. lnorvlouilr' Puolrc Agency. ot Olner Entrtyl
Ellis L. Pierc'e
streer Ao0ressP.0. l\ox 7 92
ZlPCode
84 501
AreaCooa PnofleNumDer801 637-3211
Type ot Owner (ld.tt.il th.t.PCt I I
Et crrr.n, f] StareorLocatGov't tr 3'#3i?S"
ft ro.-", El '(5!X?13fl.,fr.D. no. tr ft:',31;l'
I
Nanr€ (lf sams as Secfion t, maa bor here [X[ )
t] Mark bor h.re only a, this is.an amended or subsequent notrficalron tor this localton.
I certity under penalty ol lalv that I have personally examrned and am lamiliar with the intormation submined in this and all atlached
Oocuments. anb tnat Saseo on my tnourry of those rndrvrduals rmmedrately responslble lor obtatnlng the inlormatron, I b€lleve tnal tne
submtneo rnlornatton ls true. accurate. and complete'
ano ottlcral lrtl€ o( ownet oa ownel s aulnonzeo repre3onlatlria
Ll 1/t-zt'.-r--t---r/ // \\ U:
EtA io(m /li])-l t I t-85,
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Federal Register / Vol. S0. No. 2r7 / Friday. November 8. 19BS / Rules-and Regularions 46615
Utah Regcxo.Iotlere".
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Arbitrarily Assigncd Sequenlial Number (e.9.. 123-)Tank No.
1
Tank No.
2
Tar$ No.Tar[< No.Tank No.
l. Status ol Tank
(Mart 8n td ePPllE) currently in use
Temporarily Out of Use
Permanently Out ot Use
Brought into Use after 5€.€6
fr<-'ll--r
I-l
t-Tr fx-]fx-l
Z Eslimaled Aqe (Yearsl 2 Ivrs Zl yrs Z[ Yrs lL Yts
3. Estimaled Total Cepacily (Gallons)6 rlr)n 6 000 6 .000 6 .000
t llriil#ff3tructioo steer
Concrete
Fiberglass Reinlorcecl Ptastic
Unknown
Other. Please Specity
t--l
ril l-lr-]
5. lntemal Protcction
(Maft atl t Et app,/yg,l Catngic Protectiq'l" - triteriorLining (e.g..eporyresns) .
None
Unknourn
Olher. Please Soecity
l-1
r--r tTr I=-r Trl
6. Extemal Protection(Mad(.trt.r,tepptylil cathodicProtection' Fhinted (e.9.. asphattic)
. Fiberglass Reintorced Ptastic Coated
Unknown
Other. Please Specify
tr-lI--r
r-r
r-r-l rrl rrt
T
7. Piping
(Mail,altttatr'{,ty$) Baresteel
Galvanized Steel
Fiberglass Reinforced Plastrc
Cathodically Protected
- Unknor fll
Oher. Ptease Specify
I-TI trt tr-l rrt
8. Substance CurrenltyorUsl Siored . F,,!pty
in Greatat Ouentity by Votum. b. f,;;,,.(Mail a,l thel apply8)
Dies€{
Keroseae
Gasoline (irrctuding atcotrol bf€nds,
Used Oil
Other. Please Specify
. c. Hperdous Subotarrcc
Please lndicate Name ol Princrpal CERCT-A Substance
Chemical Abstracr Service (CAS)oilo.
Mark box Cl it tank stores a,nrxture ol substances
d. Unknown
r:=l-il IT-Il-]t-rl
t--r
tr=
E
9. Addilional !nlormation (lor lankr permanently
taken oul gl lcrvice,
a. Estimaled clate last used (mo/yr)
b. Estimated guantity o, substance rematnrng (gal.)
s Mark box 0l il tank was filled wilh inerl material
(e.9.. sand. concrete)
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Petroleum Maintenance & Equipmentattn. A. Ward pierce
P.O. Box 761
Price, LJT 84SOf
I"ab No: OB-UOOSOS9
Report Date: 4/ tS/Os
Sample Description:
hoject:
Sample Matrix:
Lab Group No:
Date/Time' Sampled:
Date/Time Received:
Sample Note(s):
PARAMETER / Unite
CERIIHCATE OF AT{ALYSE
#f Tank Pit Soil @ 14.
^CE-_I{TER TEXACO. PRICE, I.J"[AHSOIL
59614
4/ 8/O3, 16:004/lO/03, tt:00
Sample received on lce.
RESI'LT IIRII ITBTEOD
VoIatiles
Anal.yst: RB Date Ana1yzed.:Benzene, ng/Kg
Ethylbenzene, mg/Xg
Naphthalene, ng/Kg
Toluene, mg/Xg
Xylenes, mg/Kg
BTEX/TPH
Analyst: RB
TPH DRO (C1o _ c28),
TPH GRO (C6 _ c1o),
Date Analyzed: 4/tO/03
rlJls/Kg
mg/xg
Time: G:3L
< 0.2
2.54
< 0.5
2.90
<1
14.3
Time: L2:t9
353.
s56.
sw845 - 8250B
sw845-82608
sw845-8250B
sl{846 -82608
sw845- 82508
sw845 - 82608
s[{-846 801s8
sw-845 82508
4/LL/03
Methyl tert butyl eEher,mg/Kg
0.2
0.5
0.5
1
1
0.5
50
20
{ECEIVED
.JUL 1 | 2003
OEQ
Enuimnmnhl Bsp0trso & mmmftmQr.
-
= Mrnimufl ReporCing Limit.
6100 s0urfl StRATLEn
SALT LAKE CITY UIAH 84107 6905
801 262 7299 PH0ilE
9ll1 ,A' ?qro ttv
Petroleum Maintenance & Equipment
attn. A. Ward Pierce
P.O. Box 761
Price. LJT 84501
CERTTFICATE OF ANALYSIS
#2 Tar:dr. Pit Soil @ t4'
CENTER TEXACO- PRICE, TIIAH
SOIL
596144/ 8/O3, 15:55
4/lO/O3, ll:00
samPle received on ice'
REst r.T
Lab No: 03-U003040
Report Date: 4/ l5/O3
URIJ ITBTEOI)
Sample Description:
hoject:
Sample Matrix:
Lab Group No:
Date/Time Sampled:
Date/Time Received:
Sample Note(s):
PAR,AIdETER / UNitS
Volatiles
Analyst:RB Date Analyzed: 4/tL/03
Benzene, mg/Kg
Ethylbenzene, ng/Kg
Methy1 terE butyl ether, mg/fg
Naphthalene, mg/xg
Toluene, ng/Kg
Xylenes, mg/Kg
BTEX/TPH
Analyst: RB Date Analyzed: 4/LO/03
TPH DRo (C10 - CzBl, ng/Kg
TPH cRO (CE - C10), ng/Kg
Time:
< 0.01
< 0.025
< 0.025
< 0.05
< 0.05
< 0.025
Time:
<50
<1
6:31
0.01
0.02
0 .02
0 .05
0.05
0 .02
72:19
sw845 -8260B
sw845 - 82608
sw846 - 82608
sw845 - 8250B
sw846 - 82 50B
sw845 - 8250B
svl-845 80158
sw-845 82608
50
L
aL = Minimum Reporting Lj.miE
6IOO SOUTH STRAfLER
SALT LAKE CITY UIAH 84107 6905
801 262 7299 PH|ilE
.^)
';*i.
; q:r'i
Petroleum Maintenance & Equipmentattn. A. Ward Pierce
P.O. Box 761
Price, LJT 8450f
Lab No: 03-U00SO41
Report Date: 4/ lS/Og
Sample Description:
hoject:
Sample Matrix:
Lab Group No:
Date/Time Sampled:
Date/Time Received:
Sample Note(s):
PARAUETER / uaita
CERTIFICATE OF ANALYSE
#3 Tank Pit Soil @ lE'
-CENTER TEXACO- PRICE, I.NAHsoIL
596r44/ 8/03, 13:584/lO/03, ll:00
Sample r€.ceived on lce.
RESI,IJT I(RL IGTEOD
VoIatiles
Analyst,: RB Date Analyzed: 4/LL/O3Benzene, mg/Kg
Ethylbenzene, mglKg
Time:
< 0.01
< 0.025
< 0.025
< 0.05
< 0.05
< 0.025
Time:
50
<1
5:31
0 .01
0.02
0.02
0.05
0 .0s
0.02
L2 zL9
50
1
s!{846 - 82508
sw845 - 82608
sw845 - 82508
sw846 - 82508
srl846 - 8250B
sw846 -8250B
sw-845 80158
sw-846 82508
Merhyl terE butyl ether, mg/KgNaphthalene, mg/Kg
Toluene, ng/KS
Xylenes, mg/Kg
BTEX/TPH
Analyst: RB Date Analyzed: 4/Lo/03TPH DRO (C10 _ c28), mglKg
TpH GRo (cG - c1o), mglKg
L = Minimum ReporEing LimiE
Page
61OO SOUTH SffrATLER
sALf LAKE CtfY U\AH 84107 6905
801 262 7299 PH0NE
oil aai ,^an ?.v
Sample Description:
hoject:
Sample Matrix:
Lab Group No:
Date/Timd Sampled:
Date/Time Received:
Sample Note(s):
PARAIIErER / units
Petroleum Maintenance & Equipmentattn. A. Ward Pierce
P.O. Box 761
Price, LrT 84501
Lab No: 03-U009042
Report Date: 4/ l5./Os
IAL UETEOD
CERTIFICATE OT' ANALYSIS
#4 Tank Pit Soil @ lS'
-CEI\ITER TEXACO- PRICE, TJTAHsoIL
596r44/ 8/O3, 13:354/lO/O3, 1l:00
Sample recetrred on lce.
RESI'tT
Volatiles
Naphthalene, ng/XS
Toluene, ng/Xg
Xylenes, mg/Kg
BTEX/TPH
Analyst: RB
TPH DRO (C1O _ C281,
TPH GRO (C6 - c10),
Date Analyzed: 4/LO/03
ng/rg
mg/xg
Time: E:31
< 0.2
2.30
< 0.5
3.00
L.70
L8.2
Time: L2:L9
32L.
153.
sw846-8250B
s!{845-82608
sw845 - 82608
sI{846-82608
sw845 - 82608
sw845-8250B
sw-846 80158
s!{-845 82508
Analyst: RB DaEe Analyzed.: 4/LL/03Benzene, ng/Kg
EEhy1benzene, W/XgMethyl tert butyl ether,nl.g/Kg
0.2
0.5
0.5
1
1
0.s
50
20
L = Minimum ReporEing Limit
6IOO SOUfH SfNATLER
SALT LAKE CIIY U\AH 84107 69O5
!21 121 1122 lt!gilE
Sample Description:
hoject:
Sample Matrix:
Lab Group No:
Date/Time Sampled:
Date/Time Received:
Sample Note(s):
PA&AMETER / vnits
Petroleum Maintenance & Equipmentattn. A. Ward Pierce
P.O. Box 761
Price, LJT 8450f
Lab No: 03-U0OgO4g
Repofi Date: 4/ tS/Os
ITETEOD
CERTINCATE Otr,ANALYSE
#5 Island Soil @ 4,
-CE--IVTER TEXACO- PRICE, TJTAHSOIL
59614
4/ 9/O3, 9:304/lO/O3,ll:00
Sample received on lce.
RESI'IJT llRL
Volatiles
Analyst: RB
Naphthalene, mg/Ks
Toluene, nrg/Kg
Xy1enes, mg/Kg
BTEX/TPH
,Analyst: RB
TPH DRO (Cto _ c28)
TPH GRO (C5 _ c1o),
Date Analyzedt 4/Lt/03
DaEe Analyzed:
, mg/Kg
mg/Kg
4/L0 / 03
Time: 5:31
s.50
90.5
<10
31.0
284.
1010
Time: L2:L9
25so
6L70
Benzene, ng/KS
Ethylbenzene, mg/Kg
Methyl tert butyl ether,rIl.s/Ks
4
10
10
20
20
10
sw846-82508
sw845- 82508
sw845 - 8260B
sw845-82508
sl{845-82508
sw84 5 - 82608
sw-845 80158
sw-845 8260P
50
400
= Minimum ReporEing LimiE
Page
6IOO SOUTH SfRATLEB
SALT LAKE CIfY U\AH 84107 6905
10"! 121?-122lt!9.ilE
Petroleum Maintenance & Equipmentattn. A. Ward Pierce
P.O. Box 761
Price, LJT 84501
CERTTflCATE OF ANALYSIS
lanple Description: #6 Island Soil @ 4'IToJect:- _ CENTER TExACo- PRICE, I./TA[ISample Matrix: SOIL
Lab Group No: bg6f 4Date/TimeSampled: 4/ g/OS, lO:10
Date/Time Received: +t{o/os',-iib"O
Sample Note(s):
Sample recetved on ice.
Lab No: O3-U009044
Report Date: 4/ t5/Os
URIJ ITBTEOD
PARAI{ETER / Unite
VoLatiles
Analyst: RB Date Analyzed.: 4/LL/03Benzene, ng/Kg
Et.hylbenzene, rng/Kg
Methyl tert butyl et,her,ng/Kg
Ti.me:
< 0.01
< 0.025
< 0.025
< 0.05
< 0.05
< 0.025
Time:
<50
<1
5:31
0.01
0.02
0.02
0.05
0.05
0 .02
12:L9
50
1
sw846 - 82508
sw845 - 82508
sw846 - 826',08
sw846 - 82508
sw845-82508
sw845 - 8260B
sw-845 80158
sw-845 82508
Naphthalene, mg/Kg
Toluene, mg/Kg
Xylenes, mg/Rg
BTEX/TPH
Analyst: RB
TPH DRO (C10 _ c28),
TPH GRO (C6 - C1O),
Date Analyzed: 4/tO/03
ffig/t<S
'J,Ils/Ks
:L = Minj.mum Reporting LimiE
61OO SOUfH SfNATLEN
SALf LAKE CIfY UTAH 84107 6905
801 262 7299 PHoilE
iill[.i
:ii5.:.1 i
Petroleum Mai:etenance & Equipment
attn. A. Ward Pierce
P.O. Box 761
Price. UT 84501
Sample Description:
hoject:
Sample Matrix:
Lab Group No:
Date/Time Sampled:
Date/Time Received:
Sample Note(s):
PARAMETBR / rnrrrs
CERTIFICATE OF AT{ALYS$
#7 Tank Pit Soil @ 15'
U.S.C. Sieve
CENTER TEXACO- PRICE, I,]TAHSOIL
596r44/ 8/O3, 13:40
4/ lO/O3, 11:00
Sample recelved on lce.
RESUIJT
DATE
I|RL AIIAIJYZBI)
Lab No: 03-U0OS04E
Report Date: 4/15/Os
UETEOD ANAIJYST
INORGEI\,TC PARAMETERS
Sieve, t Rock, t
Sieve, t Sand, t
Sieve, t Silt & C1ay, t
Temperature, Receivi.ng, C
59
35
5.0
1L
0.1
0.1
0.1
4/L4/03 1o:30
4/L4/03 1o:30
4/L4/03 1o:30
4/L0/03 11:00
Agronomy No.
Agronomy No.
Agronomy No.
KJM
K]I{
KI,I
sPs
L5
L5
t5
RL - Minimum Report,ing Limi c
6IOO SOUTH STRATLEN
SALT LAKE CITY IITAH 81107 6905
E0t 262 7299 PH0ilE
oAl oco ,tro .rv
Petroleum Maintenance & Equipment
attn. A. \lrard Pierce
P.O. Box 761
Price, LJT 84501
Sample Description:
Project:
Sample Matrix:
Lab Group No:
Date/Time Sampled:
Date/Time Received:
Sample Note(s):
PAnAUETER / Ulrrts
CERTIHCATE OF ANALYSIS
#8 Island Soil @ 4'
U.S.C. Sieve
CENTER TEXACO. PRICE, I.]TA}I
SOIL
596144/ 9/O3, 9:404/lO/03,ll:00
Sample recelved on lce.
DATE
RESI'LT ITRL AIIAIJTZEI)
Lab No: 03-U003046
Report Date: 4/ l1/Os
IIETEOD ANAI.YST
INORGA TC PAR;AMETERS
Sieve, t Rock, t
Sieve, t Sand, t
Sieve, * Silt & Clay, t
Temperature, Receiving, C
73
1.5
11
1.0
0.1
0.1
0.1
4/l-4/03 L0 :30 Agrononqr4/t4/03 10:30 Agronomy
4/L4/03 1o:30 Agronomy
4/Lo/03 11:oo
No. lGJIr,t 15
No. KIM 15
No. IGIM 15
sPs
,IRL =Minimum ReporBing Lj,mit
61OO SOUTH SfRAILEN
SALI LAKE CITY UIAH 84107 6905
801 262 7299 PH0NE
onl oaa ,ar6 ?tv
Lab No: OB-UOO3O47
Report Date: 4/ tS/OsPetroleum Maintenance &attn. A. Ward Pierce
P.O. Box 761
Price, LJT 845Of
Equipment
CERTIFICATE O[' ANALYSIS
Sample Description: #g Island Soil @ 4,
hoject:
Sample Matrix:
Lab Group No:
Date/Timd Sampled:
Date/Time Received:
Sample Note(s):
PARAMETER / rNrrrS
U.S.C. Sieve
^C^E-NTER TEXACO- PRICE, T.IIAIISOIL
596144/ 9/O3, 10:054/LO/O3, tl:00
Sarnple recelved on lce.
RESI'LT
DATEIMI. NIAIJYZED UETEOD ANALYST
INORGE.MTC PARAMETERS
Sieve, t Rock, g
Sieve, t Sand, tSieve, * SilE & Clay, t
Temperature, Receiving, C
20
50
31
L2
0.1
0.1
0.1
4/L4/03 1o:30
4/L4/03 1o:304/t4/03 10:30
4/Lo/03 11:00
Agronomy
Agronomy
Agronomy
No. K]M
No. K]M
No. KrM
sPs
15
15
15
= Minimum Reporcing Limj,t
6t00 s0urH sTnAtLEn
SALT LAKE CIfY /UTAH 84107 6905
80t 262 7299 PH|ilE
ona o40 aqro ?rv
,---ri;.;i:,
-1 I
;r -j;iJ_r
. ili
Iji
, >1:.-*_
!::
Sample Description:
hojecfi
Sample Matrix:
Lab Grouo No:
Date/Timd Sampled:
Date/Time Received:
Sample Note(s):
PA&AIIBTER / Untee
Petroleum Maintenance & Equipmentattn. A. Ward plerce
P.O. Box 76t
Price, LJT 84SOl
Lab No: . Og-UOOgO4g
Report Drte 4/ tS/Og
I8,IJ UETEOD
CERTIFICATE OF ANALYSE
#lO Lines Sotl @ 4'
-C^E--IVTER
TEXACO. PRICE, I.ITAHsoIL
596r44/ 9/O3, l0:S04/ lO/03, I l:O0
Sample recelv€d on tce.
RESUI.T
Volatiles
NaphEhalene, ng/Xg
Toluene, W/XgXylenes, mg/Kg
BTEX/TPrr
Analyst: RB
TPH DRO (C1.0 _ c28l ,TPH GRO (C5 _ c1o),
DaEe Analyzed: 4/tO/03
Ylg/Kg
mg/Kg
Time: G:31
< 0.01
< 0.025
< 0.025
< 0.05
< 0.05
< 0.025
Tlme: 12:19
50
<1
sw846-82508
sr{845-82508
sr{845 - 82508
sw846-82508
sw845-8250B
sI{845 - 82508
sw-845 80158
sw-846 82508
Analyst: RB Date Analyzed: 4/LL/03Benzene, ng/Kg
Ethylbenzene, mg/Kg
Methyl Eert butyl ether,IIIlg/Kg
0.01
0.02
0.02
0.05
0.05
0 .02
50
1
= Minimun ReporEing LimiE
6IOO SOUTH SfNATLER
SALI LAKE CIIY U\AH 84107 6gO5
801 262 7299 PH0ilE
..

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lu.
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=
ouolL
,
I
-IolUF=UJ
-IC)
Petroleum Maintenance & Equipment
attn. A. Ward Pierce
P.O. Box 761
Price, LJT 84501
CERTIHCATE OF ANALYSIS
Sample Description: C-11 Soil @ 7'
lO'South of Dispenser C-ll
#5 FYont Island -
CEIVTERTEXACO, #6 W IVIAIN PRICE
SOIL
59762
4/22/03 , l2:4O
4/23/Og , I l:05
Sample received on lce.
RESI'I.T
Lab No: 03-U00338O
Report Date: 4/25/03
URIJ TIBTEOD
hoject:
Sample Matrix:
Lab Group No:
Date/Time Sampled:
Date/Time Received:
Sample Note(s):
PARAI{ETER / Unite
Volat,iles
Analyst: RB Date Analyzed: 4/24/03
Benzene, mg/Kg
Ethylbenzene, mg/Kg
Methyl tert butyl et,her, mg/Kg
Naphthalene, mg/Kg
Toluene, nrg/I/'g
Xylenes, mg/Kg
BTEX/TPH
Analyst,: RB Dat,e Analyzed: 4/24/03
TpH DRO (C10 - CZAI- , rrq,/KS
TPII GRO (C5 - C10), mS/Kg
fiECE'VED
JUL q , 2033
Time:
< 0.01
< 0.025
< 0.025
< 0.05
< 0.05
< 0.025
Time:
157.
<1
7 t04
0 .01
0.02
0 .02
0 .05
0 .05
0 .02
7:36
50
1
svt845 - 8260B
sl{846-8260B
sw845-82608
sw845 - 82608
sw845- 82508
sw845 -8260B
sw-846 801s8
sw-846 82508
rilgrffiotnmdeuron
RL = Minirmrm Report,ing LimiE
6100 s0ufH STBAtLEn
SALT LAKE CITY UTAH 84107 6905
801 262 7299 PH0ilEnnl ,A' 727e EtY
Petroleum Maintenance & Equtpment
attn. A. Ward Pierce
P.O. Box 761
Price. LJT 8450I
CERTINCATE OF AIYALYSE
Sample Description: C-12 Soil @ 5'
12'South and West of Dispenser
#5 Front Island
CENTERTEXACO, #6 W I\{AIN PRICE
SOIL
59762
4/22/03, 12:314/23/03, l1:O5
Sample rec=lrrcd on lcl.
RESI,L:[
hoject:
Sample Matrix:
Lab Group No:
Date/Time Sampled:
Date/Time Received:
Sample Note(s):
PARAIIBTER / Uaitg
Lab No: 03-U003381
Report Date 4/25/03
URI. ITE':TEOD
Volatiles
Analyst:RB Dare Analyzed: 4/24/03
Benzene, mg/Kg
Ethylbenzene, W/KS
Methyl Eert butyl ether, mg/Kg
Naphthalene, mg/Kg
Toluene, ng/KS
Xylenes, ng/Kg
BTEX/TPH
Analyst,: RB Date ,lnalyzed: 4/24/03
TPH DRo (c10 - C2Bl , rlrg/xg
TPr{ cRO (C6 - C10), mglKg
Time: 7:04
< 0.01
0.0521
< 0.025
0.131
0.105
0.792
Time: ?236
<50
2.3L
sw846-8250B
sw846-8260B
sw845-82608
sw845-82508
sw846 - 8250B
sw846-82608
sw-846 80158
sw-845 82508
0.01
0 .02
0.02
0.05
0 .05
0.02
50
1
IRL =Minimum Reporting Limic
6t00 s0uilt SfBAfLER
SALT LAKE CITY UTAH 81107 6905
80t 262 7299 Pfl|ilEnnl rA0 7270 Erv
li'
Petrolern Maintenance & Equipment
attn. A. Ward Pierce
P.O. Box 761
Rdce, LJT 84501
CERTIFICATE OF AIYALYSIS
Sample Description: C-13 Soil @ l5'
3' South of #4 Sotl Sample Tankhojecfi CEMERTEXACO, #6 w IVIAIN PRICE
Sample Matrix: SOIL
Lab Group No: 59762
Date/Time Sampled: 4/22/Og , L2:22
Date/Time Received: 4/23/03, l l:05
Sample Note(s):' Sarryle recctrrcd on lcc.
PARAITETER / Uaits RESI,IJT
Lab No: O3-U003382
Report Date: 4/25/Os
IRL UETEOD
Volauilee
Analyst: RB Date Analyzed: 4/24/03
Benzene, mg/KS
Ethylbenzene, mg/Kg
Methyl t,erE buEyl ether, W/KSNaphthalene, rg/Kg
To1uene, mg/fg
Xylenee, mSr/KS,
BTEX/TPH
Analyst: RB Date Analyzed: 4/24/03
TpH DRO (c10 - C2g) , mSr/KSI
TPH GRO (Ce - C10), $g/r<S
Time: 7104
0.0700
0.378
< 0.025
0.125
1.30
3.37
Time: 7 :36
50
8 .60
sw845-8260B
sw845-82608
sw846- 82508
sw846-82508
sw846-82608
sw846-82608
sw-845 80158
sr{-846 82608
0 .01
0 .02
0.02
0 .05
0 .05
0.02
50
1
IRL -Minimum R.porclng Limit
Page
6IOO SOUTH SIAATLEN
SALT LAKE CIIY UTAII 84107 6905
E0t 262 7299 PH|ilE
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UNDERGROUND STORAGE TANK PROGRAM
Adjustment Tracking Form
FAc # Sooo 121
FACILITY NAME: C€,{tb.t" TpXacc
OWNERNAME: Pie-fi-,e O;l /r).
REASON FOR:
(circle one)
Adjustment Refund @e@
Tonk'< ,9" ra,i,vw/e)U - 8-oz
hm iVe all F., 2oo 4 Fee, * Cun)
om{
RE-BILL?Yes No
BY: S'ql, l,rhf, ,f-f Oerc: (. - lA-4,
APPROVED BY:
UTAH UST PROGRAM
Permanent ClOSure lnspeCtiOn Faeilitv tD:*ryaot) t
Ownership of Tank(s)Location of Tank(s)
owner Name ( il ,2. 0,'e.t','z Location Name /' z n] o { -T,eu.ot .r,
Address PO Aox 7at Address *t ; >,/z<* ,lrf n, n <L.
ciw {) /, cc state d T zip ?+6nt Citv f ti. e state UT zio Rrrsel
Contact Phone
Land use of surrounding area:
Residential lndustrial Commercial / Other
Tanks Closed TankNo. I Tank tlo. f.TankNo. 3 TankNo. {Tankt{o.5
)apacity (gallons)4k 4k 4k 6k 2/<
l-ype (Steel, FRP, Composite)?ap
iubstance Stored D,' ,rzr>/(oct 5
,)++ ?t,.f): e. ,> I
)ate last used 3-.?i-ol
)ate Closed 4- 8^c,q j
low closed (Rmvd, in place, CIS)krn ,,'rl
Original#oftanks $ - Closedtanks $ + Newtanks O = #of tanks remaining O
Iank Cleaning and Removal:
GW & Soil Sampler: uJ rtf I {) , raro Cer1. #:GS Cqffi Expiration Date: ?- l5 -Ott
UST Remove,, Vn{ rL p, efi,Z-Cert.#:TR CIX ExpirationDate: t- l5-O+
Swner/Operator has an approved closure plan: O f.f Copy of closure plan is on Site: (D N
Product removed: f) N By: P, p{'r p ,,t , I Disposed at:
Sludge removed: @ r.r By: Tn ,J,'n n ,, I Disposed at: -)n),,^ n rt , I
Tankscleaned: fOt't By: f uJ,,.on "il
Rinsatedisposedat: TnJ,,n, n,l
Non-explosive atmosphere inside tank obtained by:
-
Purging -{ tnerting. LEL or % Oxygen obtained:
./
Product lines were: _ Cleaned, secured in place, and capped J Removed, disposal site:
l-ank disposal site: ,n t bo n to,,trrlrr lo nrl t , tl Soil disposal site:
SIte Assessment:
rlD or FID meter readings (indicate location on the site plat.):
Vleter Type: Gain or span: Calibration specs:
Soil contamination is evident: Y C Depth of contamination: 0 - 3 feet Greater than 3 feet
/Vater contamination is evident: Y () Depth to water table: f l5 / Slope direction of surface topography:
\umber of samples collected GW: Soil: ( f, USC: 3 Certified Lab: / ln i, ,rt l, ., - ln
{natysis Methods ' f,O A-tex}l6-raD o&c rRpH Hoc other:
lnspector observed cottection-ot."rpf".I , f! N lndicate location and depth of samples on the site plat.
lnspector collected duplicate samples and submitted them to the State Lab for analysis: Y O
Contaminated soil was overexcavated: Y N 6D lf yes, confirmation samples were collected: y N
Farc,t ol'A
. Yellow-lnspector. Pink-Facility/Owner Closurepl rev0201.wpd
Utah UST Program
Permanent Closure lnspection Facitity tD;fory1.
Faoilily.Slte Pl*t
NORTH
Pc*:f L'ne
+0 *-';rffi
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(
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rk ,
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qi
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=\
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nd depth of all samples collected by the sampler and the inspector.Show locations of all buildin,
Also indicale lhe location of
ls, streets
anv reoort
4{a,'n
tanks, piping and dispenser islands. lndicate location
ld PID or FID readinos.
Potentlal H tot's. t*dlcate the,dBtanoe {ln feet) and dlrectlon to the ncarc$t'
Residences CommercialBuildings t+o'./V PropertyLine lo L Active Water Well
Surface Water Sewer Line Water Line NaturalGas Line 5C' t/
Teleohone Line )O' E Electrical Line Storm Drain Other:
Comments: J) noL 1po tnrr ttl-.,tc.. ,'tI Ai<o. I<lnn)l
)I
l(name) 1 Antt W.qf ttt O f certify that I inspected the above-named lacility on (date): t4 - 8 -O I
lnspector's Signature:
'
S lr rn, /L/.q,,/?1r-t..7 cerue )l/ Date: 4. ? - aj
'B*aa.A aE2
)istribution: White-DERR, Yellow-lnspector, Pink-F rev0201.wpd
rf-+: -'-i"-i
71
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Closure Plan Review Summary
Facitity tD @t --l Non-Notifier: NO
Number of regulated tanks at this site not previously closed: Database: s closurc plan: 0
Certificate of Compliance lssued: yes
TANKS TO BE CLOSED
Tank# Type Date lnstalled capacity substance Last Used Rmvd/tn place
5 Fiberglass Reinforced Plastic 9l29l9} 6000 Gasoline IN usE RMVD
6 Fiberglass Reinforced Plastic 9l29l9g 4000 Gasoline IN usE RMVD
7 Fiberglass Reinforced Plastic 9lz9l98 4000 Gasoline IN usE RMVD
8 Fiberglass Reinforced Plastic 9lz9l9} 4000 Diesel IN usE RMVD
9 Fiberglass Reinforced Plastic gl29l91 2000 Gasoline IN usE RMVD
TANK REMOVER
Name: A. WARD PIERCE Cert. #: TR-TR-285 Exp. Date: 8fl5t04
SOIUGROUNDWATER SAMPLER
Name: A. WARD PIERCE Cert. #: GSG$SE9__ Exp. Date: 8nst04
lf different from database:
Tank Owner:
Address:
Site Name:
Address:
Remarks:
ORIGINAL TO FILE COPY TO AREA SCIENTIST
Phone:
City:
Phone:
City:
State: Zip:
State: Zip:
Wednesday, March 26, 2OO3 Page I of I
Michael O. Leavitt
Governor
Dianne R. Nielson, Ph.D.
Executive Dircclor
Brad T Johnson
Acting Dircctor
lltilh,^
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and
168 North 1950 West
P.O. Box ltl4840
Salt lake City, Utah 84114-4840
[phone]
(80t) 359-8853 Fax
(80r) 536-4414 T.D.D.
www.deq.utah.gov
Remediation
F ILE
April 1,2003
ERRU-O38-03COPY
Ellis Pierce
Pierce Oil Company
P.O.Box762
Price, utah 84501
Re: Closure Plan Approval for Underground Storage Tanks (UST's)
Center Texaco, located at 6 West Main Street, Price, Utah
Facility Identification No. 50001 2 I
Dear Mr. Pierce:
The Closure Plan for the above-referenced facility, received by the Division of
Environmental Response and Remediation (DERR) on March 24, 2003, has been approved
subject to the noted modifications, if any. The DERR office and the local fire department must
be notified 72 hours before beginning closure activities. Local agencies may have additional
requirements for closure or may charge inspection fees. Please be sure the DERR office is
contacted at least 72 hours before the closure takes place.
The Closure Plan Approval is effective for a period of one year from the date of approval.
If closure does not take place within one year, submittal of a new Closure Plan will be required,
unless otherwise approved by the Executive Secretary (UST).
Any change to the approved Closure Plan must be submitted, in writing, and approved by
the Executive Secretary (UST) before implementation. If contamination is suspected or found
during closure activities, you must repon it to the DERR at [phone] within 24 hours of
discovery.
l. An additional sample needs to be taken for the piping run between the tanks and
the dispensers.
2. If the Carbon County landfill will not accept the cleaned fiberglass tanks, then the
tanks will be taken to E.C.D.C. in East Carbon.
Facility ID# 5000121
Page#2
Enclosed is a copy of the Closure Notice form, which must be completed and submitted
to the Executive Secietary ruSD after the closure is performed. Please submit the
Environmental and Unified Soil Classification Sample Analysis Data and Chain of Custody
Forms with the Closure Notice as soon as possible, but no later than 90 days after tank closure-
If during upcoming closure activities, it appears that a confirmed petroleum release has
occurred, then thJ conditions, as explained in the attached notice, may apply to your site
provided all the applicable rules and regulations are complied with.
If you have any questions, please contact Sean Warner at [phone].
1
{5Ts
Brad T Johnson, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
BTJ/SDW/hsp
Enclosure(s)
ullDFFcFou.ilq sroRAcE TAilr( cLosuRE PLAN (rcv. 0sf0ra8)
RECEIVED
MAR 2 q 2003
**r,r,*r r8fi ,,?, r Bsmodhuon
FAcNuw a**hooll
ot{t
Recqrved
LHD Approved
mailod to State
clocure Plan prepercd at the rEqueet ol the ownedoperator (identifiad balow) W
ol (cornpany
Phone * qrf, l6r?-tJ?E
Sure z { 3, fqf,q/
A contractor rnay ptEFm thb oosure Ptan 1s the owner/operato/s agBnt. ln pruparing sre cloeure ptan, the Gontnecbrmuact with the owner/opardo/s knowlcdga and approrral. The ownerloperator must .ig; il jf;;" ;;."- -
Thh ctosure Plan is sr'omittecl in cornptiance wdh thtl r€quarern€nE contained in R811.202 subpan G and Rglt-ao4 (u.A(
Trnk q1nrr E//, s I;Z Phone *t{rft6}?Wt
[ ] sole [ ]partnership fficorporation .,rr&ta---- xao hlap r/4-
sirbSr- Zr,ersa/
Phone * t{rf tGt?-fr?A
F!clllty
Ad&tss
Cornact
Total number ol regulated undcrground tanke at this ste ,f, -Total nurrber ol rqrulated undergnound tanks at this site to bE clossd _ f___
TAIIIKS TO qE CLOSED
(reguhr, urt.Ibd. d.raa. nEr dt, etc.)
For w'rtr oil lrnkr: Hart dcEraasing or othep typ€s of soaventE been aorEd or nrir<ed with the rvarb oil?Yec (irrentily rl larown) n/ / tt
ffis,5r3*%;lfl -,conriarninants,*ffi "I*;"Iff ;a'(chedcu
ewerrDatc Approved 7 .2e-aj q tA,/
.Review/oat y(W
Tank#*t *J {t y'<7 #.f
Type (Stool FFlP,etc.)qtl-bell
D1 r<.*tl hra-A1;.4-,llee(jl*rf 4t lttt6lz-cc 8,Il#
Date lnstall€d 9- a8- q8 ?-& -?f ?- l?- ?8 ?-ar ff ?-tg- tr.
Capacity 4 ooo ?oao t{doo 0Poo J oeo
Subdence sto[Ed'*l':r'.(PLTAOCD
tatar,;t *,ryfr,T*q.tLCq60
tt"o (sa;ffiS#t
Date lafi oparaied l^t tLC)t h) stlt a lu l4l2 )u L'i
H6rnolr6dln ?lacrl
Chanoa in Serube?Waty'co Rt*ttrlcrl P*tottco fuv*to ftatO*Orrror tha lpcrc elllnot 3b'I, h Gt ter* b bc crc.d
v \-.
',t
TAIIK RElrcVER l.larp
x coctao psnon
Cert. # Teee$Exp. dateFrj-dA
Phone*l?rf t 637-f37?
Addnss stau4{"- aefAlzl_
carr#csot 7 ew.crtrF-$at
Cornpany.Phone * tqrf t 6t?- Pr 7f
Address 76 City.State/* WlJg_
B' 'rtr tlr cbant pEn b tubmltbd tor apptorral. ltlc locel hlrlth rnd firB orertncrtr wlrrro th. hcmv b bc.!]lr 'ttcoontrolrd' fltntd..f & ,I-g3r,v?,,cedon-Err,,v,Garm6,r,xr,rro't,roil,s.firr&r. s.r..t.n rta.rarrornm*qrr 6,wstuDEm ruslt tr (w )swt u, lw d tltc to,ca, t'rrtr, dserct Ygu ilt W @t t. t@t 0n 4.tuirlteat m t,!F,,.rour-
CO]ITACT LOCAL HEALTH DETH|CT Namc of Dist. 5>{ LE( g arglQ*a{-ot
Contecl Titlr Fhona * ?37--264.COilTACT LOCAL FIFE DEPI.W];*t-o2tW 4rle cl )xp Phonc* 6lC-3187,.._@
Trn(r) will be @oscd at Fadtity
r
T?.
z)
Pirorre*t#f t GSE - ?oog
$ao p4 . A&*l_
Phone * gifi Gi ? -ft O,
Phone * l.Ef ,637-224
,
Phone * Eq, r7t{ -tfdb
#tP/ | ,ef- 8l*
4cpe3_
-ffiL
Drtr
nqtifuIrfi|{.. witl b€ diepeed a tho forbwing tdW,oU* ?rZi , tJu*. u?o u" J
Cont&t percon phoner* d
Tank(s) will be rmflhd Dp company
Tank(s) willbe clrurd by company 4n
contmin.bd wrttr in thc tenurlnntc wiil be disposed ax Facilrty
ConEct penon
TmHr) will ba: -X- erged or
-
rendered inert by ttle followirq
Flrc Dcpt.Phonc#Comact
I. I Apptoval for in-place clogure has been granted by thc Local Health Depanment.
HcCth Dietrict
tl
tI
II
FoR closunE ril+rAgE oilLy /U/{L
Facility sitc Plat, samplc lnformation Table, eamplc resutts "rffi"in of C.rtLav forms a. fncludrd.
Docuthcntation that th. tank(s) ware emptied and clcaned prior to eampling is includcct.
Approvar ror in-place croture has been granted by thc Local Fira Department.
Name of DepL
stabr^t-z{-flf?/
Product tlntl will eilher be: Y renpved or
-
cleangd, eecured in place. and cappecl.
?/-,rl&,qwill eitherbE: X, r?rnoved or_-cloaned and secur€d op6n.
aet o Su4adisposcd at F^acility t
f&rsc City.
ConEcil pereon
I I Substurcc to b€ usad to fill tanrs
.Phonef, - Contact Drta
ei|TAiltMtTEp rurTEnlAut tsuFr ?E DISITOEFD AT All ACCEPTATLE FAgantY:
AI metEriab gEnerEted lrom UST ciosuroc must be managcci ani Oisoosaci in a rnann6t that does not giaea tro3e mElelisls
in diroa contact wrth thc erwionnreil. On-sile sbdeiling ol conurnrnated soils ma7 be rEqrl€d pdor b any xil rnafteoeitEril
5.tiyiti6.. Any W15rlit pravrting retdial€ssstance tor a t*, ircltding aaratfuxt aN over-erevatian (ot nlrllle tat fi yd),
fltwttu a Certrpd llST Cansunam.
Contaminad soilr ganaratcd as pryt of tank remoral are to be disposed.at ths lollorving factlity:
.*C.,D.C ,*aaraaa ttrrz)qvt nbtq t43 crry*r"tC'*aW
,^r-WWl:Segcorrract*o
SITE ASSESSTET{T
A rltc alrxarn.nt mud bc pgformcA to, ell UST clolurll rnd etnngHn-..rYie.. Slb arallnUilr nxrrt br
prrbrmrrl rrou{f,rrrl [r Btl-2&l, Frrt 2SO.n ard Rillt-206 (UA.C.}. tt qonunrlrUrtlon {L.nrraara rf4{onr
ianatee rnurt te coWd et tu locrdon whrru,coqtrFtrflon lr mod [Irh tp br PrrpL lt cqtlfirhr lr
.mflltrtd. | .oI lmb mrd br,c{{pF:ffi. hr th. lmtillllbd loqt h ffin to rGft oroufllEE d. Soi
lnO grcundufir rrnrpbo mud br mE lor Utr comnounO dtmn in thr folowftrg trHr, uring tpproprh. hil
m.lhodG
Subcucc
orPrro&ct
Tyr
Contaminanr Compounds to be Amlyzed ANALYTICAL
METUOI'SI
SolL Grmld;ruc
orSnr{rcc Wrbr
Gemlirc Total Pctroleum Hydrocarbons (TPH); 34gl Benzcnc. Tolueuc.
Elhyl benzcne. Xylenec. Naphthalcnc. (BTEr0\f) and MTBE
8015 \todificd cd
EPA 8020 or 826O
IXclCI Torgl Petroleum Hydrocarbons (TPH); aql Benzcc. Tolncne.
Eth-vl bcnzcnc. Xylcncs. md Naphthalcrc TBTEG\)
8015 Modifrcd gltrl
EPA 8020 or t26O
rModl Oil and Grcase (o&G) or Total Recovcrablc Pctrohum
Hydrocarbons TTBPH); and Benzcnc. Tolucuc. Ethyl bcnzcnc.
Xylcncs. Naphhalcnc IETE:($ ard MTBE: egd Haloemarcd
Voluilc Orcmrs Comoounds tVOC's)
EPA +13.1 or 4lE.l
egd EPA 8020 or 8260
sd EPA8Ol0orE260
NcrOll Oil and Grcase (O&G) or Total Rccovcrable Petmleum
Hydrocarbons TTRPH)
EPA4l3.l or4lt.t
Otlcror
Udtmqu
Total Pecolpum Hydrocarbons ITPH): qp4 Benzcrr. Tolucng,
Ethyl bcnzcnc. Xylcncs. ad Naphhalcnc {BTEIO{); ggl
Hrloccnalcd Voluilc Otrmic Cormouods tVOC'sl
EOIS :flodifid qill
EPA 8020 or E260t[C
EPA E0t0 or 8260
or Ert prudsrri dlolcd fr {13.1 ero 166l c my rlo rnc 166l or 5l2llG Ttr
escpdaf &r ra: d th m [iiod rtri:r to rtdm ths 6ltr rff .cdGr h rrc.rlre. I{ot U rdyt|:d ntbet ffir ny drr
r * rcptrccO (c*, tOlO trl tc upgraci to 6 rtphcd wltL tlIO lf d:drrd. ctc-l $br* wlth tt. DEIB. yanr ca{ird rrdr'ctr
rnlydcel lfbcrlorf tllqt hrvc qut'Ool! rcfrrdlnt lh propcr eorlyrlcrl rtiod(t) to ll.c fot your llmdlq pro,!ru,
Compb63 thr F.cU[y Sllr Plst and Sampb lrrlormaion Tabla on p.gcr { end 5 to prwldr db rrrlrmr
inlormdon.
coNf rmlATlol ttlFoBf,lTlclN
It oorrar*rdirm at lhe rscility b susnf@d or ctffirmed, the informaion must be reporlrd to ttre Execrnnre Secmtary (US
at (SOf ) 536.|to0 wiil*n 24 hurs. The Dtuiaion of lvater Oudtlty mt,st be notifnd at (801) 538€148 lt Fruc PtEild
enc€unl€rcd or if nuree waler has becn impao'ted. lf contamination ig cort'irmcd, any penon a$listing in tt€ r€modirili
ptocGss lor aloc rfirct bo a Cefilicd UST Consuttant.
t.{luru*iv:DEXRlru
\/
FApluTY SITE PLIT(CLO$UHE Pl-ANr
The s'e pftat rnust be orawn to an appropriafoentitl€d aclls. .lt must shor danned sarnding locations' urEtancBstors
in tanks. and orher r"ro"nt intornauon. Tank and sanele ilentil'rcaion nunEers must be coGtrstent wrth lhe lrso]rnetlgt gitE
onP. l anclsof theciosurePlan.
-Facirityrg *Sn@rAl . Drryr W A,*J/tr-V fif c,Ct ox3-e/-8-
1I
NOBTH
\
S-\--\--
Hz+t6 4a",,cer*r
Pho:l-l)t A*tl$
--1.P.r,.re^Y IABau,a Ar;:i,"
Scalc: 1'= d? Fest
=-Dg =sJ\
ttlxl o o)*"t
I
Jr'rrl
b*'
-Ii
$t
I
,"* j
v6
.*L*P
-rfut4'-b
&:
t_<,e
x.--+--
*.1
Jrl
?a
CD{
(/
.t
*l
fl
3
Y
3q
\"
.t,
\
ei
frtr\\w**d
..t$co
X - Samph locadourSSJt' WS-t USC-il)
o = Mmitcing tffdls tMW'*')
O = Sotl bqrng (SB4). orCtcogmbe Eoring tGP+)
O a rtracr Wdlr ldorrsic. IivestocS. erc.)
Slopc ol Surticc Topography (N.N!V.W'SW.SSE'E NE)
Lard Urc At Sirq -Residcotitt -Comnrrciai -lndstdal€.rmrndino I -and: Rcai&laid -Comctal -lndrltrid
*1
R.,E
$r' Ftd Mu$ hrilcrtGAPProdmtc L@of:
r/Curtrar & fotnrrtankt. piping & <ltrpss
/ t-ocnionof rll sanrplcro bc talca
/ Buildingr" r'qtcer. & propcnv boutduics
I Utility conduit3 (sewcrs. 8as. u,alet. storm drain!-
elcctrical. erc. t
,;ir"
Der atS
r;rtf I
\
Fbo'.r'{
Corlplete tabb tor all Eatnpl€e to be taken tor clcsure'
tld (ss), omrmr tgwt' or urdfid soll clel|ltklrbn (usc).
anpra*iboninfttotrgrd1 Th.rt4rind'IfiimumsiE.ssl|!ftunsarE.3muttb.Elaoet0-ehdb.bithcbacld.hdu.drmficr.
cA;rtrrrhrrl corlForm b b. rn lye br slch rrnlph filun trd. ot p- 3]-
ADFoFridr .nily[ll rn.Gofi br Go(fiirirhnt comPoulo(a) ln aacn $md. (rtult t.tr. 0n p. 3).
I
2
3
4
Apgrorimate depfi to groundlvet€r in the vicinity of tho tanks: ,.5 teO.
Ftcgronalgrourd{vatertlowdirgclion: 9erti{lh .
Sernplr I Subrtnu
rtond ln
tmk
S.mplr
typc.t
D.pth:Compoundrl An lyrir mdrod0f
+t ss OrtszL Soil t)fr F 4nT-E Z-
r?lJ +ffit*Fot{ + &oto
#) 9S l\rstl sd/t3 h ts,
rJ s5 Gas qa )L t 37) lA/,/'
F4 SS G^-s ."a;(t? h t.f/tr'
tf Js l}*s so) t J 75,r/t1 t/t/
Fl s5 A+s go t'L z t*s/l/Patf, q- fu22&
*'l usc.9,L
Qt.fitC re'{o t.f '
tf qsq.SOt c
C/qoe-z* gl
*9 r,t s C.
,D! L
.aLf tt ?lo gt
Ststrl Cettlried kberatory to be
c,ry- +rlq4egl- srdegd- qfliil-
rqgarding the sits asEesstnsnt orcbsutt:
14RE
I crfilyt$fire.milVot lrtrtlemllrflrnt'rop.iliototthctank{r}r$cacrd rbow.ndtutl utiretffiur
ifrrfnforrntti,mtrftonnlrldtHilbfgrpocuretorndconpldc,rydfurthr,thrtthoero€ailltt drcdb
/
hrdn ui[ b.lallccd
Z.^is '244 e
Location of Tanks
owner Name ?iCfn Z n,' I
Complete for each tank. ll tacillty has more than 4 tanks, complete lnformation for addltlonal tanks on-separato torm.
Number of tanks at facility:
Capacity of tank (in gallons)
Tank is in use (Y) or, if not in use, give date last used
lf not in use, depth of product in tank (in inches)
Answer the lollowing lor all tanks. Note any €xcoptlons ln the lalt column.
Current year tank tags are in Place
Material of construction of tanks
Material of construction of piping
ype of Spill Prevention Device. Note if tank is filled by transfers of less
an overfill alarm is the primary overfill device: Alarm is
it can be seen and heard, and alarm is clearly marked
Corrosion Protection. Answer the lollowlng lor all tanks. Note any exceptlons ln the last column.
Method used on tanks
Method used on flex connectors
Enclosed containment sumps at tanks
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Cathodic Protection Testlng. Show test results for each tank, line, or flar connector'
FlexConnectors I I / ll I suopump
Tester Date
For impressed current system: The results of the last three
of Owner or Owner's
Utah UST Program
Release Detection lnspection Checklist w5oo
Distribution: White-DERR, Yellow-lnspector,-Facility/Owner Ldchsck.wpd rev0302
Method used for tanks: A f A used for oioino'. Ji,l ma 1C.n 4,of3
Manufacturer. name and model number of ( o )noo
Clrcle Yes or No lol and identifv bv tank anv exceptions to the answer in the first column.
Records on site document that the system is properly installed, calibrated, and
tation is available on-site
Equipment used to acquire data, take readings, perform test is adequate, accessible and
functional. lnclude ATG console, dipstick, etc.
Documentation o, valid testing or monitoring is available for the last 12 months' Show
Tilt Factors: #1 f2 #3probe is located at the cenler of the tank, or, il not in the center, show the tilt factor
each tank from the tank
tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test, and the lank size is within the allowed
Secondary barrier is properly placed and constructed, designed for groundwater
considerations, has an acceptable permeation rate, is compatible with the substance
and is not in the 25-yr flood plain (per site
readings for product inputs and withdrawals are properly obtained and
include the proper number of water readings, and water readings are used to
appropriate tank calibration chart is used and is available for review.
and extend to within one foot of the tank bottom.
Show results of monitoring for each tank for the !q9! 1z,!rno!!!s'Fail. No Results, lnvalid (ATG) or lnconclusive
Tank and Line Tlghtness Testing, Line Leak Detoctor Testing:
Date of last tiqhtness test for
Date of last tiohtness test for piping:
and certification number of tester:
Automatic Line Leak Detectors. lndicate type and
model number for each leak detector.
Safe S,*t"" cument,ation is available and verifiable to show that piping operates at less than atmospheric pressure,
Tank and Piping Leak Detection Facility lQ
White-DERR, Yellow-lnspector, Pink-Facility/Owner wpd rev0302
Utah UST Program
Release Detection ln on Checklist
Locatlon ol Tanks
Location Name Ce-nk-f TelownerName P;erce- O;l Tfi|
complete lor each tank. lf lacillty has more than 4 tanks, complete lnlonnatlon ror additionel tanks on separate form.
Number of tanks at facilitY:
Capacity of tank (in gallons)
Tank is in use (Y) or, if not in use' give date last used
lf not in use, depth of product in tank (in inches)
Ansrver the tollowing for all tanks. Note any exceptiorc ln tho last column.
Current year tank tags are in Place
Material of construction of tanks (sleel, FRP, composite, etc')
Material of construction of piping (steel, FRP' flex plastic, etc')
Piping type (pressure, safe/US suction, gravity' gtc')
if filled bv transfers of less than 25
corrosion Protection. Answer the fotlowlng lor all tanks. Note any excoptlons in the last column'
Method used on tanks (NM, CS, lL' lC, SA' NP)
Method used on piping (NM, CS, lC, SA' NP)
Method used on llex connectors (8, CS, NC, CP, NM, NP, N/A)
Enclosed containment sumps at tanks
lndicate dates ol upgrades- lining, tank or piping cathodic protection'
Cathodlc Protection T$ting Complete lor each tank'
last two cathodic protection tests are
6 months of installation a@
For impressed culrent
,
of Owner or Owner's Representative p1gqg{qq1ng]1ryljg
Oistribution: White-DERR, Yellow-lnspector'
Utah UST Program :
Tank and Piping Leak Detection
Method used for DiDino: * 1uL -
Manufacturer, name and model number of system: b e (tem 3'd party cert. available Yes No
tank anv exceplions tg the answer in tfie firat column.Gircle Yes or Na lor each question, ln the last
Records on site document that the system is properly installed, calibrated, and
maintained (system and tank
Device documentation is available on-site (owner's manual,
Equipment used to acquire data, take readings, perform test is adequate, accessible and
functional. lncl. ATG console, dipstick, etc.
Documentation of valid testing or monitoring is available for the last 12 months. Show
probe is located at the center of the tank. lf not, the tilt conection factor for each
The tank was filled to at least the minimum level required by the manufacturer's
ipment protocol to ensure a valid leak test and the tank size is within the allowed
Secondary barrier is properly placed and constructed, designed lor gw considerations,
has an acceptable permeation rate, is compatible with the substance stored, is non-
corrodible. and is not in the
lnventory readings for product inputs and withdrawals are properly obtained and
Records include the proper number of water readings, and water readings are used to
appropriate tank calibration chart is used and is available for review'
have current calibration stickers or plqpqlqqlblqlg!
extend to within one loot of the tank bottom.
Show results of monitoring lor each tank lor the last 12 months'
Tank and Line Tightness Testing, Line Leak Debctor Tetthrg:
Name and certification number of tester:
Date of last tiqhtness test tor
Name and certification number ol tester:
Date of last leak detector
Safe Suction piping: Documentation is available and veriliable to show that piping operates at less than atmospheric pressure,
has onlv one check valve (under pump), has proper slope of piping.
comments h J
White-DE , Pink-Facili .dall rev0201.wpd
UTAH UST PROGRAM
Release Detection lns Ghecklist
Facility lD No. 5 f?qTprel
l. Ownership of Tank(s)Il. Location of Tank{s}
Owner Name .t ,t'i €t'tz- ot I = nr
Address^""''"" .?'.12 Ve <L 8t- i'l R.,^,2 c/ Ar'E
City .rt . State Zip Code
Y'', c e i,la 8+& |
Area Code Phone Number
Person At UST Location Phone #
Facility Name-- '' '- - (znlar TeX,rLo
Street Address-----b wa-s/. ttr|a,h S '
l^"t (r,'rc_ li"r flrfi?,
County
Certilicate of Compliance on site? Yes No Certificate year:
lll. Tank lnfOfmation Complete for each tank. lf facility has more than 4 ranks, complete
Number of tanks at facility:
Current year iag is displayed
Tank presently in use
lf not in use, date last used
ll not in use, depth of product in tank (in inches)
Month and year tank installed
Capacity of tank (in gallons)
Material of construction of tank (steel, FRP, etc.)
Material of construction of piping (steel, FRP, etc.)
Piping type (pressure, suction, gravity, etc.)Preseu re
lV. ReleaSe Detgction FOr Tanks lndicale the method(s) used for each tank. Complete the appropriate checktist for each mehod used.
Method used (enter method used and complete appropriate form)
Emergency Generator tank (leak detection deferred)
V. Release Detection For Piping lndicate method(s) used and complete appropriate tank checkliste where applicable.
Method used (complete separate form where applicable)
Automatic Line Leak Detector type and model
Date of last Leak Detector performance test
Date ol last Line Tightness Test
Name and company of certified tesler
No leak detection required (must answer "yes" to all questions below)
Operates at less than atmospheric pressure
Slope of piping allows ALL product to drain into tank when suction is released
Has only ONE check valve, located directly under pump
Above information is verifiable; use comments section below to document how it is verifiable
t 3 e..A f1 .--WA f n et^ - certify that I have inspected above-namedfacirityon ll- 24 ^oo
Signature of Owner or Owner's Representative Present During lnspectiorr:
(lMh. day, yw. titu)
Distribution: White-DEBR,, Pink-Facility/Owner LDchecklist.wpd 2/99
66/Z pd^^'r3^ollrdsplrou^ o/^Ilcpl-Iuld !opodsul-MollaA'uu]c-allqM :uolnqulsro
:uorlcodsul 6uunq luesar6 enrleluesardeg s;ouirto lo iaui/\o 1o a.rn1eu6r5
oQ -A'C':ernleuOrg s,.ro1cedsul
:sluourtuoc
oN sa^oN sa^oN sa^oN sa^('slep 99 fuarra palrnbal >1ceqc 'drnb3) 'alqelre^e ale slcoqc uolferaOo
luauldrnbe aorql lsel aql lo sllnser aq1 :uelsIs luellnc passerdtul lo3
sllo^
Dsuods€
sltol
/esuodslo
sllo
,esuoos!o
sltoA
rasu6dsrcIoleo/ lotsal 'xell
suo^
dund-qnS
slloA
dund-qns
sllo
dund-qns
slloA
dund-qnS
sllo^sllo^slloslloAnr-7"/ )alsal .ou!d!d
slloAsllo^sllo^sIoA7,/'"oV relsal 'IUBI
oN sa^oN sa^oN sa^oN sa^/ '(:ageeraql steal g fuena pue uorlellelsut lo sr.lluou, 9
urqlrm) e;qelrene ote slsol uorlcalotd ctpoqlec o/v\l lsel er.ll lo sllnsal aq1
uorlcago:d crpoqgec 6urdr4
uortcolojd ctpotllec IupI
:peurloUad etern sepetbdn
alPp aleopur 'pepetEdn
ueaq seq Durdrd to 1ue1 g1
6utur1 1ue_1
,esugdsm))_
rosuodslO
(dN) potcalord
loN pup (y1p) cr;;e1eu-uoN '(dO) pelcalord 11lecrpoqle3 ,(CN) :atBm
Jo lros qyM lceluoc ut loN '(CI) luauuteluoc lelo1'(E) peloog :slurol
6urmg roTpue slolcauuoc xolJ uo uotlcalotd uotso.l.loc to adl(1 aql olectpul
resuods!Orosuodslo
Orn"-onS (/-L
dund-qnS dund-qnsdund-qnS
6ud!d6ud!dWlv
6udtd'(dN) paparord lop ro '(yg)
opouv lercrluces '(Cl) tuar:nC passerdLul '(11) 6urur1 geu:e1ul ,(93)
1ae1s
egtsodu.ro3 '(y1p) crggelau-uo11 :uor1ca1o.rd uorsolloc 1o edft eq1 alectpul
6udtd
IUEI.luel.w)/IUPJ.
, IUBII ruelz ruel} IUEI
NOrrcSIOUd NOISOUUOC
oN soAoN so^oN se^oN so^aspunos lrlJele aql uaq/$ ]uEalu
sr lpqm aleclput ol pallptu l;tee;c u.ue;e eq1 s1 :Iluo uJele lllyeno Jol
oN sa^oN sa^oN sa^oN se^l,tenup fuenrlap aq1 riq pteeq pue
uees I;rsee oq upc U aJoLUv\ palecol ulple aq] s; :Iluo lurple ll!;.tano Jol
oN (".^r\ov (6|2ON 6DoN ("
raqro ro'rrelq ffi ,(eur; luen r', r$ffiil"?
:edft alecrpu; clu@netd ||r;.rano up alaql sl
oN G-aDoN 6"\-yoN asDON T6D
're6e<lelcnqrrros(r6officnq1'rio'"r'l,ll,::iJ:,Y::ffi 'lffi olur lcnpo.rd 1o eseelb4uca,andlrmlE-q1 ecr^ap lueuluteluoc 1;rds e ororll sl
G) so^@ sa^@ sa^@ sa^'patrnbat lou st uotluanold llt;,tano pue
;1ds 'seA ll assal ro suo;;e6 9Z lo sialsup.rl ,{q palg sr uelsIs ISn arll st
,./t rluBl \r S ruBlhfz xuB\)/f rue\)
NrlI I NeAAHI 1'ilJHZiAn'rr-lc .-*,-S'
'slu9l
'
uaql erour seq A1|pe1 ag;1 ilretsanau sB sutro, leuo$ppe asn 'luel qcea rol uollgut.tolul llg aFldrroo esga6
IqHCeqc uollcedsul uollcolord uolsotroc puE
'oN Ot rttltcegl'ltVH9OUd ISn HVrn
tl
UTAH UST PROGRAM Faclllty lD No.
Automatic Tank Gauging
Manufacturer, name and model number of system:
Please circle Yes or No lor each question lor each tank. Use addltional formg as neoeslrary il the facillty has morc than 4 tanks.
(r"rr)(t 6anr. s 6**or5
Device documentation is available on-site (e.q., owner's manual).€fA No 6A No dGI No d") No
Records on site document that the system was properly installed and calibrated
(system and tank setup report).
,@ No 6) No @No @No
system is maintained in accordance with manufacturer's instructions (records are
available on site).@*"@t"@*"@No
The probe is located at the center of the tank. lf no, indicate titt correction lactor from
the tank setup report.ea No
Tilr:{"9 No
Titr:
@No
Titr:
(@ No
Tilr:
Qeyice can measure the height ol the product to the nearest 1/g of an inch tfD No G) No ft*€ ruo S"D No
Device monitors the in-tank liquid levels over the full ranqe of the tank's internal heioht (G) No nG) ruo tG) Ho 6) No
A 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 documenlation)@No @No @No ft'E No
Documentation is available demonstrating that the Automatic Tank Gauge perlormed a
valid leak test at least once a month for the last 12 months
Yes @)Yes @ Yes (-?Yes tr.O
lf no, for which months was a valid test not pertormed? (specify months and year, use
space below if necessarv)
+
The tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test @No @No @No .@ 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 {Q '"{A No '@tlo @No
Have any of the leak test reports indicated a failed test? ll yes, specify in the space
below the month, year, and what follow-up actions have been taken.
Yes €Yes @ ves @ Yes @
Documentation ol performance claims for the automatic leak test feature is available
and shows the ability to detect leaks of 0.2 gph with 95o/o or greater probability of
lefeqlion and 5o/o or less probability of false alarm (3rd partv certification).
(9 ".@No (9 No @No
lndicate month(s) of invalid or missing test:
lndicate month(s) of any failed test:
lnspector's Signature:_
"o ^"n", * S"*a .ta?15 ,rr* Fare 5ii'f s <l^tt^,r,'nrl ll<4 t.esLJ f asiedi. {r^r
-
otf)
,^'-' z /l/e L ";",)l-1,?-o,,
signature ot owner or owner's Representative present During tnspec ,r"", /Wi bflir//h 6/h
Oistribution: White-DERR, Yellow-tnspector, pink-Facillty/Owner LDatg.wpd 2/99
Socot21o,u
JU5T TF|E F Arpr-EAsEltfiilililufiullull$lffil
DATE TfiTEL
NO. OF PA6ES TO FOLLOW COVER fEfr.ign_a._
FROrl,l: .{. WARD PIERCE
** _. . '-;;-:;:::;:_=.
t'd NVSA:A 9661-AA-L
@
Michacl O. Leavitt
Govcrnor
Dianne R. Nielson, Ph.D.
ExcBtive DlteEtor
Kent P. Gray
Dircctor
TO:
j::i,i:i"i *lr,;+1 t._j t";_i$"1
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 Wesr
P.O. Box 1,148,{)
Salt Lalce City, Utah 841l4-4E40
(801) 5364100 Voicc
(801) 359{853 Fax
(E0l) 535-4414 T.D.D.
Ellis Pierce
Pierce Oil Company
P.O.Box792
Price, Utah 84501
DATE: 6l2U2W
FROM: William Moore
RE: NON.COMPLHNCE OF TINDERGR
6 W. MAIN, PRICE, UTAH; FACILffy ID# Sfir0l2l.
To continue to maintain a valid Certificate of Compliancg the facility must be in compliarrce with Federal and
StateRules andRegulations. Aninspectionofyourfacility onFebruary le 2000, aniareviewof,ourrecords
on June 22,2000, has shown that the following information isSTrr,r,lacking:
tu Submit evidence that you are properly using your EMco WHEAToN 20fi) with csTT
Automatic Tank Gauging (ATG) System, by correcting the Time of Day. During inspection it was
found to be one hour off. Submit a copy of a report with the actual time printed written on the report
nexr to the report time of day.
To date. DERR has notreceived documentafion of compliance with this item.
Submitevidenceyou haveproperrelease detection onthepiping. Thiscanbedoneoneoftwoways
based on your setup.
A. Perform an Annual Line Tightness Test on each line. The last was l114tg8.B- Print the Sump Sensor Staars Report each and every Month and keep available for
inspections. Missing even one month wilr require you to perform item A.
To date. DERR has not r€ceived docu$entation of comoliance with this item.
The above information must be submitted to this office by 7t821/2000. If it is not received by the date
specified, we will commence the revocation proceps of vour Cenificate of Comoliance. Continued non-
compliance willresultin thef'ees onyourCertified USTs to be increasedfrom $75 per tankto$l50pertank
and failure to pay the additional fee can result in lapsing of your UST Certificate of bompliance. If you have
questions concerning this matteror need any assistance, please contact williani Moore at (g0l)536-4100.
121
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Michael O. Leavitt
Govemor
Dianne R. Nielson, Ph.D.
ExecutiYe Dircctor
Kent P. Gray
Director
TO:
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 84114-4840
[phone] Voice
[phone] Fax
[phone] T.D.D.
Ellis Pierce
Pierce Oil Company
P.O.Box792
Price, Utah 84501
DATE: 612212000
FROM: William Moore
tll
tzl
RE: NON.COMPLIANCE OF UNDERGROUND STORAGE TANKS AT CENTER TEXACO,
6 W. MAIN, PRICE, UTAH; FACILITY ID# 5000121.
To continue to maintain a valid Certificate of Compliance, the facility must be in compliance with Federal and
State Rules and Regulations. An inspection of your facility on February 10, 2000, and a review of our records
on June 22,2000, has shown that the following information is STILL lacking:
Submit evidence that you are properly using your EMCO WHEATON 2000 with CSTT
Automatic Tank Gauging (ATG) System, by correcting the Time of Day. During inspection it was
found to be one hour off. Submit a copy of a report with the actual time printed written on the report
next to the report time of day.
To date. DERR has not received documentation of compliance with this item.
Submit evidence you have proper release detection on the piping. This can be done one of two ways
based on your setup.
A. Perform an Annual Line Tightness Test on each line. The last was l0ll4l98.
B. Print the Sump Sensor Status Report each and every Month and keep available for
inspections. Missing even one month will require you to perform item A.
To date, DERR has not received documentation of compliance with this item.
The above information must be submitted to this office by 712212000. If it is not received by the date
specified, we will commence the revocation process of your Certificate of Compliance. Continued non-
compliance will result in the fees on your Certified USTs to be increased from $75 per tank to $ I 50 per tank
and failure to pay the additional fee can result in lapsing of your UST Certificate of Compliance. If you have
questions concerning this matter or need any assistance, please contact William Moore at (801 )536-41 00.
Michael O. Leavitt
Govemor
Dianne R. Nielson, Ph.D.
Executive Director
Kent P. Cray
Director
TO:
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 84114-4840
[phone] Voice
[phone] Fax
[phone] T.D.D.
Ellis Pierce
Pierce Oil Company
P.O.Box792
Price, Utah 84501
DATE: 211512000
FROM: William Moore
tll
t2l
RE: NON-COMPLIANCE OF UNDERGROUND STORAGE TANKS AT CENTER TEXACO,
6 W. MAIN, PRICE, UTAH; FACILITY ID# 5000121.
To continue to maintain a valid Certificate of Compliance, the facility mustbe in compliance with Federal and
State Rules andRegulations. An inspection of yourfacility on February 10,2000, and areview of ourrecords
has shown that the following information is lacking:
Submit evidence that you are properly using your EMCO WHEATON 2000 with CSTT
AutomaticTankGauging (ATG) System, bycorrectingtheTimeofDay. Duringinspection itwas
found to be one hour off. Submit a copy of a report with the actual time printed written on the report
next to the report time of day.
Submitevidence you haveproperrelease detection on thepiping. This can be done one of two ways
based on your setup.
A. Perform an Annual Line Tightness Test on each line. The last was 10114/98.
B. Print the Sump Sensor Status Report each and every Month and keep available for
inspections. Missing even one month will require you to perform item A.
The above information must be submitted to this office by 411512000. If it is not received by the date
specified, we will commence the revocation process of your Certificate of Compliance. Continued non-
compliance will result in the fees on your Certified USTs to be increased from $75 per tank to $ I 50 per tank
and failure to pay the additional fee can result in lapsing of your UST Certificate of Compliance. If you have
questions concerning this matter or need any assistance, please contact William Moore at (80 I )5 36-4100.
UTAH UST PROGRAM
Release Detection
Facility lD No.
Checklist
ll. Location of Tank(s)
City State Zip Code
Contact Person At UST Location Phone #
FaciritvName Gn*e_ ft.Xac o
lll. Tank lnformation Gomplete for each tank. lf facility has more than 4 tanks, complete information for additional tanks on separaie torm.
Number of tanks at facility:
Current year tag is displayed
lf not in use, date last used
ll not in use, depth of producl in tank (in inches)
Month and year tank inslalled
Capacity of tank (in gallons)
Material of construction of tank (steel, FRP, etc.)
Material of construction of piping (steel, FRP, etc.)
Piping type (pressure, suction, gravity, etc.)
lV. Release Detectlon For Tanks lndicate the method(s) used for each tank. Complete the appropriate checktist for each method used.
Emergency Generator tank (leak detection deferred)
Method used (enter method used and complete appropriate lorm)
V. Release Detection For Piping tndbare method(s) used and tank checklists where applicable.
Method used (complete separate form where applicable)
Automatic Line Leak Detector type and model
Date ol last Leak Detector performance test
Date of last Line Tightness Test
Name and company of certified tester Cert. No. UT
No leak detection required (must answer'yes'to all questions below)
Operates at less than atmospheric pressure
Slope of piping allows ALL product to drain into tank when suction is released
Has only ONE check valve, located directly under pump
Above information is verifiable; use comments section below to document how it is veriliable
Signature of Owner or Owne/s Representative Present During
inspected the above-named facility on
Distribution:Revised Z4l99
Overfill
UTAH UST PROGRAM
and Corrosion Protection I
Facuttytpruo@?L
Checklist
Please complete all lntormation lor each tank. Use additlonal forms as necessary il the facility has more than 4 tanks.
The UST system is filled by transters of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
ls there a spill containment device that will prevent release of producl into
the environment? lndicate type: Spill bucket <5 gal., Spill bucket >5 gal.,
Containment sump at tank fill.
ls there an over ention device installed on the tank? lndicate type :
Ball float (in venl .{), Automatic shutoff (in fill pipe), Alarm, or Other
For overfill alarm only: ls the alarm located where it can be easily seen
and heard bv the deliverv driver?
For overlill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
lndicate the type of corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrificial Anode
(SA), or Not protected (NP).
lndicate the type oi corrosion protection on Flex connectors and/or Swing
joints: Booted (B), Total containmenl (TC), Not in contact with soil or
water (NC), Cathodically protected (CP), Non-metallic (NM) and Not
Tank lining
lf tank or piping has been
upgraded, indicate date upgrades Tank cathodic protection
were performed:
piping cathodic protection
CATIIODIC PHOTEGIION TESTS Record results ol the rnost recenl calhodic protection tesl. R€cord tho lowBsl reading for each set.
The results of the last two cathodic protection tests are available. (within
6 months of inslallation and every 3 years thereafter)
Tester
-
Date
Flex. Tester Date
For impressed current system: The results of the last three equipment
operation checks are available. (Equip. check required every 60
Drstnbutron: While-DEHR,Pink-Facility/Owner Bevised 2/4/99
Manufacturer and moderor monitorins "y"r"^, FHO ll)l<ljlSvt M) Dare instaled: 7 t 4atk
lnterstitial space is monitored (Check one): \(llanuallV on a monthly basis ( }Automatically: continuously ( ) Automatically: on a monthly basis
:f,Jll::*:::i:::::it:t: j: j::::::
System is capable of detecting any release of stored regulated substances from any portion of the primary tank or piping
within one month of the release (verify number and location of tank and piping sensors)o No
Documentation of performance claims is available (third party certification)f.,No
lnstallation records are available on-site (manufacturer's checklistl (et No
Maintenance and calibration documents and records are available and indicate appropriate maintenance procedures for the
system have been implemented @ No
lf observation wells are part of release detection system, observation wells are clearly marked and
secured to avoid unauthorized access and tampering (answer for each well)$r'r"@N.@ru"3'*"(
Tank is fitted with secondary containment and interstitial monitoring Yes Yes 6J ""' G)v".6[ (
lndicate type of secondary containment for tank (double-walled. bladder, lined excavation, etc.)6v)
Product lines are fitted with secondary containment and interstitial monitoring fI) rvo '(O *"&b ruo d) ,r" (
lndicate type of secondary containment for lines (double-walled, lined excavation, etc.)rh)
Monitoring box, if present, is operational (mark for each tank)GJ *.f"")*"f"lruo 4J r'r" /
lf monitored manually, equipment used to take readings is accessible and functional f.) *,@*o fei) ruo GJ ruo
Documentation of monthly monitoring is available for the lasl .1 2 months (sensor s:tatys reports,
manuatinspections, etc.) 1Q l rlav\ t*zld1rype "".@ v""(il)v". c)Yefb
lf a leak was detected or the system has recorded a leak alarm, indicate the month and year.
Provide additional information as necessary in the comments section on investigation/repair.
!t tho tank is lttted with an internal bladder: The bladder is compatible with substance stored and
will not deteriorate in the presence of that substance
Yes No Yes No Yes No Yes No
Excavation is lined with an impervious artificial material (if yes, answer the following questions):
Secondary barrier is always above groundwater Yes No Yes No Yes No Yes No
lf the secondary barrier is not always above groundwater, secondary barrier and monitoring system
are designed for use under such conditions
Yes No Yes No Yes No Yes No
Secondary barrier is constructed from artificially-constructed material and will allow permeation at
a rate of no more than 1O'6 cm per sec for the regulated substance stored
Yes No Yes No Yes No Yes No
Secondary barrier is compatible with the regulated substances stored and will not deteriorate in
presence of that substance
Yes No Yes No Yes No Yes No
Secondary barrier is non-corrodible or protected from corrosion Yes No Yes No Yes No Yes No
Secondary barrier is situated outside the 25 year floodplain Yes No Yes No Yes No Yes No
comments: ///law-yl flbnkYq 7a*#- - Z,^ah*ctza'q he,,,l 1 o I) ah/l
// --/
lnspector's Signature:_
Signature of Owner or
%rrut r
|wner,s^{,,"""n,"ff"resentDuring,n"o".,,.--_7-
Distribution: *^*t*,
fr)
, Pink-F
UTAH UST PROGRAM
Automatic Tank Gauoin
Facrrrty ,rno. S@lil
v
Manufacturer,name and model number of system:
Please circle Yes or No for each question for each tank I lacility has more than 4 tanks, complete lnlormation tor additiona! tanks on
separate lorm.
Tank't Tank 2 Tank 3 Tank 4
Device documentation is available on-site (e.o.. owner's manual)-,(S, No da No d) No A N/,
Records on site document that the system was properly installed and calibrated (system
and tank setuD reDorl).@'",A..(9 No @No €rD*(
System is maintained in accordance with manufacturer's instructions(records are
available on site).@No @No GNo @(
The probe is located at the center of the tank. lf no, indicate tilt correction factor lrom
the tank setuo reoort.J.i.t,.9 v"" @-t,n:lOfr Yes. Orirt#-rfi ;ifu,9,
Device can measure the heiqht oI the product to the nearesl 1/8 o, an inch ,6\ No lr6J No 6A No ,A Nd
Device monitors the in-tank liquid levels over the full ranqe of the tank's internal heioht lHo \*(") No (rE No (Y") No/
A 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)@No @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
ves Fo\Yes &t"" (O --Yes O
lf no, lor which months was a valid test not performed? (specify months and year, use
soace below if necessarv)
The tank was filled to at least the minimum level required by the manufacturer's
equiDment protocol to ensure a valid leak test
A,Uuo @""@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
(9 *.@No C*"@*(
Have any of the leak test reports indicated a failed test? lf yes, specify in the space
below the month. vear. and what follow-uo actions have been taken.
Yes No Yes No Yes No Yes No
Documentation ol performance claims for the automatic leak test teature is available and
shows the ability to detect leaks of 0.2 gph with 95% or greater probability of detection
and 5o/" or less probabilitv ol false alarm (3rd Dartv certitication).
@No OA NO @""@4
lndicate month(s) of invalid or missing test:
lndicate month(s) of any failed test:
1-,*,/ t/6 [ p[qq / ttlqq / ol4t /q/d / qlu./>/qe le)eq lslq /q,b /tl*,
comments'I 'l-' ? l) [) ' P t r " ?'" -' c:
r P ?r 7
L
7
p
?P P 7
q
f
?P
P ?
r -ntLil7t&;Lortr
lnspector's
--=/
DetF'r/o/
Signature of Owner or Owner's Representative Present During lnspec
rlM/hftmn-
Distribution: white-DERR,, "rrf/*..r"r, Pink-Facitiry/owner Revisd 12\95
UTAH.U$T FROGRAM Facility ID.NA.
Tank Tightness Testing And lnventory Control
/
't/,
This method of leak detection requires both monthly inventory control reconciliation and tank tightness testing. lf the UST has not been upgraded
(upgraded means that the tank and piping are protected from corrosion and that spill and overfill prevention devices have been installed) the tank needs to
qe tightness tested anlually. lf the UST is upgraded the tank needs to be telled every five years. lnventory records must be kept for each ooeratino dav.
TA}IK T'IGHTN ESS. TESTING Tank i Tnnk2 fank,3 T:ank 4
Record of last Tank Tightness Test available on-site {sJ *o 6, No 6) No ,("! No
Date of last Tank Tightness Test ffi<
Result of last Tank Tightness Test. lf fail, specify in comments section what
actions have been taken to correct the problem. Has DERR been notified?6j.) Fair @'""@ r"',6 Fair
TVpe / Brand of test equipment used:
Name and company of tank tightness tester:Utah Tester Certification Number: UT
Documentation of performance claims for the Tank Tightness Test method is available and shows the ability to detect leaks of 0.1 gph
ryitl"t 95% gr.greater prob.gbility of detection and 5% or less probability of false alarm (3rd party certification)
Yes No
IfrlVElITOnY CONTf,ot Taak I Tanl( 2 Tanl(3 Tarlk 4
lnventory volume measurements for regulated substance inputs, withdrawals,
and the amount still remaininq in the tank are recorded each ooeratino clav @No @No @No
lnventory is reconciled monthly (sum of daily over and short for each month is
compared to 1% of tank's flow throuqh volume + .l30 oallons)BNo @No @No @ r.r"(
Which months exceed the allowable over-short? (specifv month and vear)
lnventory control records are maintained and available for the past 12 months for
each tank @*"0No O*"6No
Records include monthly water monitorinq to the nearest 1/9,,@No 6 No ,f") No ,No
.Monthly water readings are used to adiust monthlv inventorv balances ANo fil No aNo x/'{es) No \
Appropriate calibration chart is used for converting product level measurerryEglto
gallons and is available for review l+{62 @No @No @No 6 *"(
Dispelser pump has a current calibration sticker or approoriate documentation 6No tr) No 6) *o 6) ruo(
J drop tube is present and it extends to within one foot of tank bottom /"5 No fJ No f;b No 6J ruo(
FEa$e citote Y€6,ff HO fof each question
owner/operator can explain inventory control methods and demonstrate acceptable qauoinq technioues /A No
The volume of product in the tank is measured using a:Gauqe Stick (^ra
lf a gauge stick is used, it is long enough to reach the bottom of the tank
^.?,
No
lf a gauge stick is used, the bottem of the gauge stick is:^.Atceotahle Worn
If a gauge stick is used, it is marked legibly and the product level can be determined to the nearest 1/g of an inch overlle llill range of the tank's internal heiqht @ No
av g n Leafffi :; * l t ' , ,
| fll rxvtcJ<
Z f l d<caue.L/
------}>t I
\'(trL/.){l "\Iol', ruo
dtz //
lnspector's.,in"rrr.'' ,/%I y'r*J
-,
r nst.
Sionature of Owner or Owner's Reoresentative Prasant Dr no tnsoectior\trav
White-DERR,, Pink-F Revised 5/98
u/,uiti C*fii
Facll1ty n {mlLl racillty lfare Ce*ryen TexAce
Faclltty Address b t^,1. MAnl Sf .g*v Percd ,srlJE-l,Ln-Q*fo!
Soettzl
SUB PurrlP fl,ryla S€^/SoRs
,rlL
t L'*.
DTSPENSER pAN S€*lfioe,$
PuuP # ltur.(Esur.rs
Z
1+10
resr o"r" t/tlfw
comments J "-r*.r,^ *
rechnlct ,n &'Ul. &u",lrr-, By ,4
?ry
{C oil Ac.t- Lt^)
PETROLETM HATNTENANCE & EQUrPrrElflr 332 WEST RAXLBOAD AlrE. PRICE, UT 84501
{801) 537-rEST rAx (s01} 537-6628
rn',, ,i
DEPARTMENT OF ENVIRONMENTAL QUALTTY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. Leavitt rii 168 North 1950 Westcovemor P.o. Box 144840
Dianne R. Nielson, Ph.D. i Salt Lake City, Utah 841 14-4840
Executive Dircdor ,, (g0l) 536_4100 Voice
Kent P. Gray [phone] FaxDircctor (8ol) 536-,1414 T.D.D.
TO: Ellis Pierce
Pierce Oil Company
P.O.Box792
Price, Utah 84501
DATE: 6123199
FROM: William Moore
t1l
RE: NON.COMPLIANCE OF UNDERGROUND STORAGE TANKS AT CENTER TEXACO'
6 W. MAIN, PRICE, UTAH; FACILITY ID# 5000121.
To continue to maintain a valid Certificate of Compliance, the facility must be in compliance with Federal and
StateRulesandRegulations. AninspectionofyourfacilityonJuneT,1999,andareviewofourrecordshas
shown that the following information is lacking:
Submit evidence that you are properly using your EMCO WHEATON 2000 with CSTT
Automatic Tank Gauging (ATG) System, by:
(a) Documenting that the ATG system is properly installed, calibrated by, calculating the "Pitch"
of each Tank and entering this into the Tank Setup to correct the intemal tank chart for the
pitch of the tank. Submit a copy of the calculations and Tank Setup data, after entry to
DERR.
The above information must be submitted to this officeby 8123199. If it is not received by the date specified,
we will commence the revocation process of )rour Certificate of Compliance. Continued non-compliance will
result in the fees on your Certified USTs to be increased from $75 per tank to $150 per tank and failure to
pay the additional fee can result in lapsing of your UST Certificate of Compliance. If you have questions
concerning this matter or need any assistance, please contact William Moore at [phone].
UTAH UST PROGRAM Facirity !D no. .Yo@1,2-(
Release Detection lns Checklist
l. Ownership of Tank(s)ll. Location of Tank(s)
Address
City State Zip Code
Contact Person At UST Location Phone #? Yes No Certificate Year:
lll. Tank lnfOfmation Complete lor each tank. lf facility has more than 4 tanks, complete informalion for additional tanks on separate rorm.
Number ot tanks at facility:
Current year tag is displayed
lf not in use, date last used
lf not in use, depth of product in tank (in inches)
Month and year tank installed
Capacity of tank (in gallons)
Material of construction of tank (steel, FRP, etc.)
Material of construction of piping (steel, FRP, etc.)
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.
Emergency Generator tank (leak detection deferred)
Method used (enter method used and complete appropriate form)
V. Release Detection For Plping lndicate method(s) used and complete appropriate tank checklists where applicable.
Method used (complete separaie form where applicable)
Automatic Line Leak Detector type and model
Date ol last Leak Detector perlormance test
Date of last Line Tightness Test
Name and company of certified tester
No leak detection required (must answer'yes'to all questions below)
Operates at less than atmospheric pressure
Slope of piping allows ALL product to drain into tank when suction is released
Has only ONE check valve, located directly under pump
Above information is verifiable; use comments section below to document how it is veriliable
Signature of Owner or Owner's Representative Present During
Distribution:, Pink-Facility/Owner Revised Z4l99
UTAH UST PROGRAM Facitity tDNow
Overfill, and Corrosion Protection lnspection Checklist
Please complele all information lor each lank. Use additional forms as necessary ll the facility has more than 4lanks.
SPILL/OVERFILL PREVENTION
Tank'l Tank 2 Tank 3 Tank 4
The UST system is lilled by transfers of 25 gallons or less. ll yes, spill
and overfill prevention is not required.Yes O Yes @ YES CJ v", (ruor)
r
aI
ls there a spill containment device tlq ! release of product into
the environment? lndicate typel Spill bucket >5 gal.,
Containment sump at tank fill.
C9 NO q9 No qes.) No (v"9 No
ffi.@'1[:J:1:3li:r'@No qg) No e) No (Y"9 No (
For overlill alarm only: ls the alarm located where it can be easily seen
and heard by the delivery driver?
Yes No Yes No Yes No Yes No
For overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
Yes No Yes No Yes No Yes No
CORROSION PROTECTION
Tank 1 Tank 2 Tank 3 Tank 4
lndicate the type ol corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrificial Anode
(SA), or Not protected (NP).
ilil\Tank Tank
fu'Piping Piping Piprng
lndicate the type of corrosion protection on Flex connectors and/or Swing
joints: Booted (B), Total containment (TC), Not in contacl with soil or
water (NC), Cathodically protected (CP), Non-metallic (NM) and Not
Protected (NP)
-IK.'-Sub Pump Sub'Pump q
]r..c_Dispenser Dispenser Dispenser
lf tank or piping has been
upgraded, indicate date uPgrades
were perlormed:
Tank lining
Tank cathodic protection
Piping cathodic protection
cATHoDlcPRoTEcTlot.|TesrsRecordreSultsottne'nostrecentcath
The results o1 the last two cathodic protection tests are available. (within
6 months of installation and every 3 years thereafter).
Yes No Yes No Yes No Yes No
Tank. Tester
-
Date
volts volts volts volts
Pipinq. Tester- Date
volts volts volls volts
Flex. Tester- Date
-
Sub-Pump
volts
Sub-Pump
volts
Sub'Pump
volts
Sub-Pump
volts
Drsp€nser
volts
Drsrenser
volts
Oispenser
volts
Disp€nser
volts
For impressed current system: The results ol the last three equipment
operation checks are available. (Equip. check required evtry !9 !qy!-l-Yes No Yes No Yes No Yes No
uomments:
rncnA.r^r'asinnar,,rp. % r%r*l-lJ. Date:, 6/7fr9
Sionature of Owner o, O*
Distribution:white DERR, *,"- ,^,(",,}Facility/owner U Bevised z4les
UTAH UST PROGRAM
Automatic Tank Gauoin
Facirity ,o"r.9@2-l
Manuracturer, nameand modetnumber .rt "r"^, FW O LvlV*ln -- {gv rErf ZW#C#
Please circle Yes or No for each question for each tank ff lacillty has morc than 4 tanks, complete inlormation lor additional tanks on
seoarate form.
Tank 1 Tank2 , Tank 3 Tank 4
Device documentation is available on-site (e.9., owner's manual).@No ,"6 No W*o (v?)
"o
Records on site document that the system was properly installed and calibrated (system
and tank setuD reDort).
@No @No GNo GJ*"
System is maintained in accordance with manufacturer's instructions(records are
available on site).@No @No @No @ *o(
ril:,:1"_t:"[f$:11
the center of the tank. lf no, indicate tilt correction tlff{Al Tfi"*Y"" G)Tilt: rI);i:dp iiirr@
I
Device can measure the heiqht ol the product to the nearest 1/8 of an inch f"e No O*o GJ No f""\ No
Device monitors the in-tank liquid levels over the full range ol the t?Uqnlelnglhelgh!-fi") No 6No CJ No ,f&l No /I
A monitoring box is present and there is evidence that the device is working (i.e.' the
device is equiDp€d with roll of paper for results docurlentation)@*'@*"@No @ No(
Documentation is available demonstrating that the Automatic Tank Gauge perlormed a
valid leak test at least once a month for the last 12 months
,L\Yes (No/'* @,,"" 6-ves 1fii
'o
L
a
4/
7
ll no, for which months was a valid test not performed? (specily months and year' use
snace below il necessarv)
:::'H:J".: j',::'.1L1ffi::'liL'J',TJJ'lJ:1"'*o'''fl SiXlSt'8[iH''1H%@No 6*"@No G, No
The tank capacity is within the upper and lower size limits required by the
manulactrrrer's eouioment orotocol to ensure a valid leak test
G' NO @No DNo @ ro(
Have any of the leak test reports indicated a lailed test? lf yes, specify in the space
below the month. vear. and what lollow-up actions have been taken
Yes @ Yes @ t"" (*J Yes @
Documentation of perlormance claims lor the automatic leak test leature is available and
shows the ability to detect leaks of 0.2 gph with 95ol" or greater probability of detection
and 5o/. or less orobabilitv ol false alarm (3rd party certification).
(*9*o @*.'@ *,@ *,1
lndicate month(s) ol invalid or missing test:
lndicate month(s) of any failed test:il
commenis, *e.{-rrr G hrt*&zTQ=#-Audo--.<{rq6<
- tp,F - ,d 9, -J=s cr-e/*e6,r ,u r r T-l
4 /,5-lZ/I IrV% Zry-t7
Qi^h.rr116 ^l .lw6ar ar (1wner's ElFnrecenlelive Presanl Durind
Oistribution : White-DERR,, Pink-Facility/owner Bevised 12\95
. '.' lLs oStZ..\6
Facility lD:
Facility Name:
Street Address:PRrcE ur 84501 ,,t 1t-6tz-Bz(\
vI1//\" 4V<7,*a
Owner Name: PIERCE OIL lNC.
OwnerAddress: POBOX792
50vv l 21
CENTER TEXACO
6 W MAIN ST
PRICE UT 84501
LD
Tank lD:
Federally Regulated Tank:
Tank Status:
Date lnstalled:
Date Closed:
Tank Capacity:
Tank Material:
Tank Material:
Pipe Material:
Pipe Material:
Pipe Flex Connector's:
Pipe Type:
Substance Stored:
Overfill lnstalled:
Spill lnstalled:
Cathodic Protection Met:
ln Compliance:
On PST Fund:
Other Financial
Tank Release Detection:
Pipe Release Detection:
Tank lD:
Federally Regulated Tank:
Tank Slatus:
Date lnstalled:
Date Closed:
Tank Capacity:
Tank Material:
Tank Material:
Pipe Material:
Pipe Material:
Pipe Flex Connector's:
Pipe Type:
Substance Stored:
Overfill lnstalled:
Spill lnstalled:
Cathodic Protection Met:
ln Compliance:
On PST Fund:
Other Financial
Tank Release Detection:
Pipe Release Detection:
1
Yes
Permanently Out of
51711 965
8/1 3/1 998
6000
Asphalt or Bare Steel
TTT
ALD LTT
2
Yes
Permanently Out
5/7/1 96s
8/1 3/1 998
6000
Asphalt or Bare Steel
ES
No
No
Yes
Yes
No
TTT I.C.
ALD LTT
Tank lD:
Federally Regulated Tank:
Tank Status:
Date lnstalled:
Date Closed:
Tank Capacity:
Tank Material:
Tank Material:
Pipe Material:
Pipe Material:
Pipe Flex Connector's:
Pipe Type:
Substance Stored:
Overfill lnstalled:
Spill lnstalled:
Cathodic Protection
ln Compliance:
On PST Fund:
Other Financial
Tank Release Detection:
Pipe Release Detection:
Tank lD:
Federally Regulated Tank:
Tank Status:
Date lnstalled:
Date Closed:
Tank Capacity:
Tank Material:
Tank Material:
Pipe Material:
Pipe Material:
Pipe Flex Connector's:
Pipe Type:
Substance Stored:
Overfill lnstalled:
Spill lnstalled:
Cathodic Protection Met:
ln Compliance:
On PST Fund:
Other Financial
Tank Release
3
Yes
Permanently Out
5t7i 1 965
8/1 3/1 998
6000
Asphalt or Bare Steel
Pressurized
Gasoline
Yes
No
No
Yes
Yes
No
TTT I.C.
ALD LTT
4
Yes
Permanently Out
5n1965
8/1 3/1 998
6000
Asphalt or Bare Steel
Yes
No
No
Yes
Yes
No
TTT I.C,
ALD LTT
es
Friday, May 28, 1999 Page 1 of 3
Pipe Release Detection:
Owner Name: PIERCE OIL lNC.
Owner Address: P O BOX 792
PRICE uT 84501
Facility lD: 5uvu121
Facility Name: CENTER TEXACO
Street Address: 6 W MAIN ST
PRICE UT 84501
Tank lD: 5
Federally Regulated Tank: Yes
Tank Status:
Date lnstalled:
Date Closed:
Tank Capacity:
Tank Material:
Tank Material:
Pipe Material:
Pipe Material:
Pipe Flex Connector's:
Pipe Type:
Substance Stored:
Overfill lnstalled:
Spill lnstalled:
Currently ln Use
91291'.t998
6000
Fiberglass Reinforced Plastic
None
Flexible Plastic
Double-Walled
Pressurized
Gasoline
Yes
Yes
Tank lD: 7
Federally Regulated Tank: Yes
Tank Status:
Date lnstalled:
Date Closed:
Tank Capacity:
Tank Material:
Tank Material:
Pipe Material:
Pipe Material:
Pipe Flex Connector's:
Pipe Type:
Overfill lnstalled:
Spill lnstalled:
Yes
Yes
Cathodic Protection Met: Yes
Substance Stored: Gasoline
Cunently ln Use
912911998
4000
Fiberglass Reinforced Plastic
None
Flexible Plastic
Double-Walled
Pressurized
Yes
Yes
@'
ln Compliance:
On PST Fund:
Cathodic Protection Met: Yes
ln Compliance:Yes
On PST Fund: Yes
Other Financial Mechanism: No
Tank Release Detection:
Pipe Release Detection: ALD LTT
Pipe Release Detection: ALD LTT
Tank lD: 6 Tank lD: I
Federally Regulated Tank: Yes Federally Regulated Tank: Yes
Tank Status: Currently ln Use Tank Status: Currently ln Use
Date lnstalled: 9/29/1998 Date lnstalled: 9/29/1998
Date closed: Date closed:
Tank Capacity: 4000 Tank Capacity: 4000
Tank Material: Fiberglass Reinforced Plastic Tank Material: Fiberglass Reinforced Plastic
Tank Material: None Tank Material: None
Pipe Material: Flexible Plastic Pipe Material: Flexible Plastic
Pipe Material: Double-Walled Pipe Material: Double-Walled
Pipe Flex Connector's: Pipe Flex Connector's:
Pipe Type: Pressurized Pipe Type: Pressurized
Substance Stored: Gasoline Substance Stored: Diesel
Overfill lnstalled: Yes Overfill lnstalled: Yes
Spill lnstalled: Yes Spill lnstalled: Yes
Cathodic Protection Met: Yes Cathodic Protection Met: Yes
ln Compliance: Yes ln Compliance: Yes
On PST Fund: Yes On PST Fund: Yes
Other Financial Mechanism: No Other Financial Mechanism: No
Tank Release Detection: ATG Tank Release Detection: ATG
Other Financial Mechanism: No
Tank Release Detection:
Pipe Release Detection: ALD LTT
Friday, May 28, 1999 Page 2 of 3
Pipe Release Detection: ALD LTT
,^
Owner Name: PIERCE OIL lNC.
OwnerAddress: P O BOX 792
PRICE
Facility lD: 50url121
Facility Name: CENTER TEXACO
Street Address: 6 W MAIN ST
PRICE UT 84501uT 84s01
Tank lD:
Federally Regulated Tank:
Tank Status:
Date lnstalled:
Date Closed:
Tank Capacity:
Tank Material:
Tank Material:
Pipe Material:
Pipe Material:
Pipe Flex Connecto/s:
Pipe Type:
Substance Stored:
Overfill lnstalled:
Spill lnstalled:
Cathodic Protection Met:
ln Compliance:
On PST Fund:
Other Financial Mechanism:
Tank Release Detection:
Pipe Release Detection:
I
Yes
Currently ln Use
9/29/1998
2000
Fiberglass Reinlorced Plastic
None
Flexible Plastic
Double-Walled
Pressurized
Gasoline
Yes
Yes
Yes
Yes
Yes
No
ATG
ALD LTT
Friday, May 28, 1999 Page 3 of 3
\t
{
FacilityJD #
Closure Notice
FACIL]TV NFORMANON
Tank Owner
[ ] sole proprietorship [ ] partnership [)ilcorporation
aaaress 'P.9. /? ry 7 E a cnt
UNDERGROUND SToE(\GE TANK PERMANENT CLOSURE NgrtqE (Revised 01/t)1tr7)
(identified below) by
of (company namelPr4rz.c,lrtr.nn 4/*,rt/an*oca v?-,,f-trautpnone * u:ilSl G?7- Flz?(
Address r Boy -7 tot, B<:v -7 tct ciy Opica state/cl. Zio?,lszt
Phone # Grrl 6i7- Zu/
/o).,,-,Stat*(- Ztp_fu:-o/
EJ,IIAL fiESPONSE & REMEDIATION Processed
Mailed to LHD
in LUST File #
to LUST a"uir* 3124,71
Facility Name.
Contaa person
Number of regulated tanks at the facility before closure: I
Number of regulated tanks at the facility atter closure: J
TANKS CLOSED
' lndicate the specific substance slorecl in each tank to be closed (regular, unleaded, diesel, waste oil, etc.)
ct\lfu.icE Statef2l.. Ap-Ly r-a,L
Phone#(q)n G"7- 7+//
Tank #/2 3 4/
Date lnstalled FFPPrzo rIQ L(t96f )?or ) ?65
Capacity (r, oa b, ce 6rooo O,aa d
Substance stored'c./,-A rt1 8*-.1*t t)t nlEl
Date last operated ?-7r ?-7s P- 9.9 *-ra
Date closed 3- 7*?- ?P P -rr e- ,"
How closed
(Removed/ln olace)/?ootoru Rernuro Rc'rav6a l)Etouerl
Cert. # cS//1., Exp. datel}-.2.xet
Phone # k)11 b? ?- P] 7 3
state-lufsLzip-fuEe-
Company
CLOSURE INFORMATION
fl Fuelwas emptied }( Sluq4as removed
Tank was: |0 PurOed [ ] lnerted. 'Method Used:
)d Tank was cleaned.\-7iiut - -n I iA .at u<en 1i9 rc< h tuuryc]
Not applicable
Location of Ctosure Records P*a"OU*a-41fui-,tz*w& *. r?f ^*{ Po,t?+ja/
For ln-Place Closure: tanks filled with
For Change-ln-Service: Substance to be stored
DISPOSAL SITES USED:
ls any contaminated soil which was over-excavated still on-site? _ yes
Was Free Product encountered during closure activities@tD lf yes, please
AJ&- tat+&- 5 -/ -{9{*L P' t 's]rE ASS, .:SMENI
Complete the ,:acility Site Plat (Closure Notice) and Sample lnformation Table (Closure Notice) on pages 3 and 4 to show the
locations, depths, and other information on all soiUgroundwater samples taken for closure. The samples must be consistenily
identified by sample lD # on the site plat, table, and lab analysis report.
Completed Facility Site Plat (Closure Notice) is attached.
The following must be included (enter the distance, and direction (N,S,E,W) from the area of mntamination or, wrree applicable,
use OH for overhead, NP for not present):
Waler Une Sewer Line
-
Natural Gas
-
Stom Drain _Telephone _ Eectdcal _ Prcperty Line _ Buildings
Completed Sample lnformation Table (Closure Notice) is attached.
Certif ied lab analytical environmental sample results are attached.
Unified Soil Classification (USC) sample resuhs are attached.
Chain of Custody form is attached.
Sampleswereproperly: [ ]collected t lLabeled [ ]Packaged [ ]Transported
Samples were in sight of the person in custody at all times or in a secured locked place.
I certify under penalty of law that the closure site assessment at this facility was conducted in accordance with R3l1-
2o2 (parts 280.52 and 280.72) and R31 1-205 U.A.C., and that any additional samples required by R311-202 parts 2BO.S2
and28o.72 and R311-20+2(a)(1) were properly collected
) ---
Signatu rc of Certif ied G roundwater/Soi I Sam pler
Full name of Gertified Sampler Da/c 3-t8-rr
lf contamination at the facility is confirmed, any person providing remedial assistance for a fee must be a Certified UST
Consultant. The Certified UST Consultant providing assistance is:
CERTIFIED UST CONSULTANT Name Cert. # CC__ Exp. date.
Company Phone # (
;L NO
indicate thickness,
Location Name Contact Name Phone #Date Amount
Tank(s)Lg"*i {a/,a=,f)a'r; n q75
r^z>-H-o9 3-?r Tank #
Product From Tank(s)?c. ttSEtt fu*,c/7 t-
/-22-?71 8-7t Toao gal
Contaminated Water From Tank Cleaning fr-,0,"L^r 1).r azl,ke P/?rf-Ps-rL F-78 tlA gal
Sludge f1*,ltrr,v 0rz 2lrkn tu?r a"S sal
Contaminated Water From Excavation A)D ilF gal
Contaminated Soil ctx:r fffy I)dL ^{lI,noo
y-rr 3OO vd3
Address City.State_ Zp
Thesiteplatmustbedrawnto**o,o,n"bcations,substancesstoredintanks,and
other relevant informatir
closure notice on' Tank and lle identification numbers must be consasteni^f, the infornation given on p. r and 4 of the
:' Facility-lD *-faal/tLDrawn Date ? -/f' - 7,
\ /+eal6o G-r^J* t
\ fii A'r.tEi NoRrH
Scale: 1" = ?? Feet I
I
I
I
I
t0
Fts1.-\-i rr\-I\.*
--,nit ff
gtrl t
Sc*l
\
\stC\
\U
\
st7
\ur. ,*,,g
(.{'
'Atp
Paop*rveTfra'l'
X = Sarnple locations (SS+, WS-#, USC-I)
1= Monilorhg Wclls (MW+,)
o = Soil bodrg (SB#), or Geoprobe Boring (Gp+)
a = Water Wolls (&m€stic. li\r€siloch etc.)
Slope ol Surface Topograph),: (N, uW, W, SW, S, SE, E, NE)
Land Use At Sito: _R€sid€ntial _ Commercial _ lndusfiial
Surounding tand: _Residcntial _ Commercial _ lndusfial
-- u. olet $*o*,<y' Fanrrr,,t
g4 at l Bq $*o*J d'rS
-f Urr A-t*l- '
Slb Plat lluC hdice!.Actnl l-ocdom Oft
r/ Cunent & formrr tanks, piFing & dispensers/ Excavatims, GW moniuirg wslls & soal stodgil.s/ Localirn & d€plh o, aI saflpEs aken/ BuitsingB, l€nccs, & prqerry boundades
r/ t lility clnduiB (s6ryers, gEs, mt6r, sbrm
drains, electical e!c.)
i/ Dopth to groundwaEr (it encornrered)
Complete table for all samples thh,{L
'rce)
on the table must be consistent with
the sample lD numbers given onthe site plat and in the lab analysis report.
Sample #/Lab lD Substance
stored in
tank
Sample
type'
Depth2 Compoundsg Analysis method(sla
5s#/-9/ *-COiL t2l fllt + Bfsu fu)rf d *oea
<< #l 9*,(,/l/t/l/
99bs V t/r l/(/
C9 #q Dhzsn/t/l/l/./l/
39 t g gOtL 3t't'V t/l/
<< #l €o tL 2+vl t/t/t/
q< *?3si L fni, I l/V l/
I J<r # /\ot'L€truB l&t
aQct2 goi L
CtDr,i,z'<,1,
S9T P HK sdl b/l/t/l/?-3-?r
Soil (SS), Grounctwater (cW), or Unmed Soil Classificaton (USC).
Final dep(h (in ,eet) below grade at u,hidl sarnples were tjaken.
1
2
33 contarninant compound(s) allred br eacfi sample (IpH, BTEXN, o&c, etc).4 ApprcPriale analysis methods for contaminant compound(s) in eacfi sampie (g015 mod., 8020, 413.1, etc).
State Certified Laborato ry ur"d,
Address ci1_sau_U<s-E+State_/zll zp_Z/Jtl_
contact peEon phone # (9t4 | ;LL/- 7? 7tr
Please explain any unusual or extenuating circumstances encountered the site assessment or closure:
Signaturc of UST
Full name of Owner Date '3 - / f- c?
Retum completed Closure Notice form, Facility Site Plat and Sample lnformation Table, SoiUGroundwater sample lab analysis
results, USC sample results, and Chain of Custody form within g0 days of UST Closure to:
State of Utah Dept. of Environmental eualitv
Division of Envir<inmental Response and Rrimediation UST sectionP.O. Box 14,1840
168 North 1950 West
Salt Lake City, Utah 84114-4A40
a CHEMTECH.FORD
& Equipment
CERTIFICATE OF ANALYSIS
8/L7/e8
e/L7 /e8
Approved
Page
.4i\]..- '-:C;:--.tEAF,tf,:AieS
NOTE: Sample received on ice.
Note: TPH values reported do nots include oils.
To: Petroleum Maintenance
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #: 24642
Lab #: 98-U006712
Project: ELLIS PIERCE
Sample Desc: SS #1
Sample Matrix: SOIL
Date Sampled: 8/13/98
Date Submitted: 8114198
Lowest leveI detectable
RECEIVING TEMPERATURE:12.3 C
PARADIETER
BTEX/TPH
Analyst: AC Date Analyzed:
ExtracEed by:AC Date Extracted:
Benzene, mg/KS
Ethy1 Benzene, mg/Kg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-Eert-butyl ether, mSlKS
Total Petroleum Hydrocarbons, mg/Kg
TPH Identity:, GASOLINE
Date: 8121198
Time Sampled: 12:OO
Time Received: 13:30
RESI'LT
MINI![U!!
RBPORTING
I.IMIT
(}IRL) I{ETIIOD
Time:19:30
Extraction Method: 8015M
< 0.1 0.1 sw-845 8260A
< 0.1 0.L sw-845 8250A
< 0.1 0.1 sw-845 8250A
< 0.1 0.1 sw-846 8250A
< 0.1 0.1 sw-845 8250A
< 0.L 0.1 sw-845 8250A
L220 10 SW-845 8015M
6IOO SOUTH STRAILER
SALT LAKE CITY UTAH 84107 6905
801 262 i299 PH0NE
801 262 i378 tAX
Eory Director
{generic.rpt}
\-,
To: Petroleum Maintenance & Equipment
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #: 24642
Lab #: 98-UO06713
Project: ELLIS PIERCE
Sample Desc: SS #2
Sample Matrix: SOIL
Date Sampled: 8/13/98
Date Submitted: 8114lg9
Date: 8121198
Time Sampled: 12:00
Time Received: 13:30
UTNIMI,!I
REPORTING
IJIIIIT
(![RL) !,IETHOD
Time: 19:30
Extraction MeEhod: 8015M
< 0.1 0.1 sw-846 8250A
< 0.1 0.1 sw-846 8250A
< 0.1 0.1 sw-845 8250A
< 0.1 0.1 sw-845 8250A
< 0.1 0.1 SW-846 8260A
< 0.1 0.1 sw-845 8260A
1520 10 sw-846 8015M
6IOO SOUIH STRAILER
SALI LAKE CITY UTAH 84107 6905
801 262 7299 PH0NE
801 262 i378 tAX
CHEMTECH.FORD
,&
CERTIFICATE OF ANALYSIS
8/L7 /s8
8/L7 /e8
Approved
Page
4IUAL/TiCAL
\-/
L,4BoRATCBj.fs
.t. . .,.
RECEIVING TEMPERATURE: 11.4 C
PARADIETER
BTEX/TPII
Analyst: AC Date Analyzed:
Extracted by:AC Date Extracted:
Benzene, mg/Kg
EEhyl Benzene, mg/KS
Toluene, mg/Rg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tert-buLy1 eEher, mS/Kg
Total Petroleum Hydrocarbons, mg/Kg
TPE ldentity:, GASOLINE
NOTE: SampJ.e received on ice.
Note: TPII values report,ed do not include oils.
MRL - Lowest, Ievel det,ectable
{generic.rpt}
-'r ,-L -.i 8CR,a ttiRiES
^
RECEIV!NG TEMPERATURE:12.4 C
To: Petroleum Maintenance
attn. Gary Lce
P.O. Bcx 761
Price, UT 84501
Group #: 24642
Lab #: 98-U006714
Project: ELLIS PIERCE
Sample Desc: SS #3
Sample Matrix: SOIL
Date Sampled: 8/13/98
Date Submitted: 8114198
PARAUETER
BTEX/TPH
Analyst: AC Date
ExEracted by:AC Date
Benzene, mg/Kg
Ethy1 Benzene, mg/Kg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/Kg
& Equipment
CERTIFICATE OF ANALYSIS
Date: 8121198
Time Sampled: 15:OO
Time Received: 13:30
RESITLT
UINIMIn[
REPORTING
LIUIT
(tlRL) I{ETIIOD
Time:19:30
Extraction Method: 8015M
< 0.1 0.1 sw-846 8250A
< 0.1 0. r- sw-845 82504
< 0.1 0.1 sw-845 8260A
< 0.1 0.L sw-846 8260A
< 0.1 0.1 sw-846 8260A
< 0.1 0.1 sw-845 8250A
33.0 10 SW-845 8015M
61OO SOUTH STBATLER
SALI LAKE CITY ITAH 84107 6905
801 262 7299 PH0NE
301 262 i378 FAX
Analyzed:
Extracted:
8/L7 /e8
8/L7 /e8
Methyl-t.ert.-buty1 ether, mg/KS
Totat Petroleum Hydrocarbons, mg/Kg
TPE ldentitsy:, GASOLINE
NOTE: Sample received on ice.
Note: TPII values reported do not include oi1s.
MRL - LowCSI
(generic.rpt)
Approved
Page 3
atsory DirectorFuller,
level detectable
,'i ri/,i, '/'-i t' '. !F. l',1 ll !- ; . .-.i. L
\-,
,-,i8A RATA R IE S
\1
\./
To: Petroleum Maintenance & Equipment
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #:24642
Lab #: 98-U006715
Project: ELLIS PIERCE
Sample Desc: SS #4
Sample Matrix: SOIL
Date Sampled: 8/13/98
Date Submitted: 8114lg9
Date: 8121198
Time Sampled: 15:00
Time Received: 13:30
NOTE: Sample received on ice.
Note: TPH values report.ed do not include oi1s.
RECEIVING TEMPERATURE: 1 1.6 C
PAR.B}TATER
BTEX/TPrr
Analyst.: AC Date Analyzed:
Extracted by:AC Dat,e Extracted:
Benzene, mg/Kg
Ethyl Benzene, mS/RS
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mS/Kg
Methyl-terE-butyl ether, mS/KS
Total Petroleum Ilydrocarbons, mg/Kg
CERTIFICATE OF ANALYSTS
8/t7/e8
8/L7/e8
Approved
Page 4
UINI!fiM
RBPORTING
ITIITIT
(URI,) I{ETEOD
Time: 19:30
Extraction Method: 8015M
< 0.1 0.1 SW-84o E25OA< o.L 0.1 sw-846 8250A< 0.1 0.1 sw-846 8260A
< 0.1 0.1 sw-845 8250A< 0.1 0.1 sw-845 8250A
< 0.1 0.1 SW-846 8250A
< 10 10 sw-845 8015M
61OO SOUIH STRATLEB
SALI LAKE CITY UTAH 84107 6905
801 262 7299 PH0NE
801 262 i3i8 FAX
MRL - Loerest level
{generic.rpt}
ratory Directordetectable
CHEMTECH.FOND
@
i
) !'i,- .-
To: Petroleum Maintenance & Equipment
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #: 24642
Lab #: 98-U006716
Project: ELLIS PIERCE
Sample Desc: SS #5
Sample Matrix: SOIL
Date Sampled: 8/13/98
Date Submitted: 8114198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 13.5 C
PARADIATER
BTEX/TPH
Arralyst: AC Date Analyzed: 8/L7/98
Extracted by:AC Date Extiacted: 8/17/9e
Benzene, mg/rg
Ethyl Benzene, mg/Kg
Toluene, mg/fg
Xylenes, mg/Kg
Naphtshalene, mg/fg
Methyl-tsert-butyl ether, mS/Kg
Total Petroleum llydrocarbons, mg/Kg
NOTE: Sample received on j-ce.
Note: TPH values reported do not include oi1s.
Lovrest leveI detectable
Approved
Page
Date: 8121198
Time Sampled: 13:30
Time Received: 13:3O
I{INI!,II'M
REPORTTNG
tI![IT
(!dRI.) }TETHOD
Time:19:30
ExtracEion Met,hod: 8015M
< 0.l_ 0.1 sw-846 8250A
< 0. r- 0 . 1 sw-846 8250A
< 0.1 0.1 sw-846 8250A
< 0.1 0.1 sw-845 8250A
< 0.1 0.1 sw-846 8260A
< 0.1 0.1 sw-845 8260A
< 10 10 sw-845 8015M
raEory Director
SIOO SOUIH STRATLER
SALT LAKE CITY UIAH 84IOi 6905
801 252 ;299 PH0NE
801 252 :3;E FAX
By:
-[ri.""
5
{generic.rpt}
ANAL'/TiCAt
\-/
-,)ECRATCRIES
\,,
To: Petroleum Maintenance & Equipment
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #: 24642
Lab #: 98-U006717
Project: ELLIS PIERCE
Sample Desc: SS #6
Sample Matrix: SOIL
Date Sampled: 8/13/gB
Date Submitted: 8l14lg8
Date: 8121198
Time Sampled: 13:30
Time Received: 13:30
NOTE: Sample received on ice.
Not,e: TPH values reported do not include oils.
RECEIVING TEMPERATURE:12.4 C
PARAIIETER
BTEX/TPH
Analyst,: AC Date Analyzed.:
Extracted by:AC Dat.e Ext,ract,ed:
Benzene, mg/Kg
EEhyI Benzene, mg/Kg
Toluene, mg/KS
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tert-butyl ether, mg/KS
Total Petroleum Hydrocarbons, mS/Kg
TPH ldentity:, GASOLINE
CERTIFICATE OF ANALYSIS
8/t7 /e8
s/L7 /ea
Approved
Page
RESI'LT
MINI![U![
REPORTING
IJIDTIT
(I[R,I.) MBTIIOD
Time:19:30
Extraction Method: 8015M
< 0.1 0.L sw-845 8250A
< 0.l_ 0. L sw-846 8250A
< 0.1 0.1 sw-845 8250A
< 0.1 0.1 SW-845 8250A
< 0.L 0.1 sw-845 8250A
< 0.L 0.1 sw-845 8260A
6420 10 sw-846 8015M
6IOO SOUTH STRATLER
SALT LAKE CIIY UTAH 81107 6905
801 262 7299 PH0NE
801 262 7378 FAX
MRL - Lowest level detsect,able
(generic.rpt)
To: Petroleum Maintenance & Equipment
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #: 24642
Lab #: 98-U006718
Project: ELLIS PIERCE
Sample Desc: SS #7
Sample Matrix: SOIL
Date Sampled: 8/13/98
Date Submitted: 8114198
- t C;L -.- 3,-1 i,qTC RI E S
Date: 8121198
Time Sampled: 13:30
Time Received: 13:30
RESIIIJT
un[I!rlr![
RBPORTING
I.IUIT
(URI.) IIETIIOD
Time:19:30
Extraction Method: 8015M
< 0.1 0.1 sw-845 8260A
< 0.1 0.1 sw-845 8250A
< 0.1 0.1 SW-845 8250A
< 0.1 0.1 sw-845 8260A
< 0.1 0.1 sw-846 8260A
< 0.1 0.1 sw-845 8260A
2t9. r-0 sw-846 8015M
.,i, : :4iu/i.t.1
NO'IE: Sample received on ice.
Note: TPH values report,ed do not include oils.
Approved By:
RECEIVING TEMPERATURE: 1 3.1 C
PARAIIETBR
BTEX/TPH
Analyst: AC Date Analyzed:
Extracted by:AC Dat,e Extracted:
Benzene, mg/Kg
EEhyl Benzene, mg/Kg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tert-butyl ether, mg/KS
Total Pet,roleum Hydrocarbons, mg/Kg
TPH ldentiEy:, DIESEL
MRL - Lowest.
{generic.rpt}
CERTIFICATE OF ANALYSIS
8/L7/e8
e/fi /ee
k'*""t l.r
61OO SOUIH STBATLER
SALT LAKE CIIY UIAH SIIOi 6905
801 262 7299 PH0NE
801 262 7378 tAX
Ful1er, Laborat.ory Director
level detectable
\-/
To: Petroleum Maintenance & Equipment
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #z 24642
Lab #: 98-U006719
Project: ELLIS PIERCE
Sample Desc: USC #1
Sample Matrix: SOIL
Date Sampled: 8/13i98
Date Submitted: 8114198
CHEMTECH.FOND
,&
ANALYTi CAL
:\.,
,iB0RtTiRiES
Date: 8121198
Time
Time
Sampled: 12:00
Received: 13:3O
CERTIFICATE OF ANALYSIS
MINTMI'!{
REPORTING
ITIIIIT DATE
RESITLT (![RL) A!{ALyZED ![ETHOD A}IALYSTPARAIIETER
INORGAIVIC PARAITTETERS
Sieve, ? Rock,
Sieve, t Sand,
Sieve, tSilE&Clay,
NOTE: Sample received on ice.
MRL - Lowest level detectable
(generic.rpt)
4.3
38.4
57.3
0.1
0.L
0.1
s/20/e8
s/20 /ee
8/20/e8
CAL
CAL
CAL
RBH
RBII
RBH
Approved By:
p(
Page , \-
61OO SOUfH STNATLEB
SALT LAKE CITY UTAH 84107 6905
801 262 i299 PH0NE
801 262 73i8 f AX
Ron Fuller, Laboratory Director
,4 /tlA. r .1
t-;CAL
-.-i B0 r|,-. i ,; R iES
To: Petroleum Maintenance
attn. Gary Lee
P.O. Box 761
Price, UT 84501
Group #: 24642
Lab #: 98-UOO672O
Project: ELLIS PIERCE
Sample Desc: USC #2
Sample Matrix: SOIL
Date Sampled: 8/13/98
Date Submitted: 8114198
PANTUETER
INORGAIiIT C PARAITIETERS
Sieve, !& Rock,
Sieve, ? Sand,
Sieve, ?SilE&elay,
& Equipment
CERTIFICATE OF ANALYSIS
Date: 8121198
Time Sampled: 13:30
Time Received: 13:30
MBTIIOD I}IALYST
0.1
0.1
0.L
a/20/ee
s/20/eg
8/20/e8
CAI,
CAL
cAJ,
RBH
RBH
RBH
NOTE: Sample received on ice.
tfirNruml
REPORTING
IJIITIT DATE
(URIr) ANALYZEDRESI'I.T
8.7
73.3
18.0
Approved
Page
Ron$r
F
By
9
Fu11er, Laboratory Director
MRL - Irowest level
(generic.rpt)
61OO SOUTH STRATLER
SALT LAKE CIIY UTAH 84107 6905
801 262 i299 PH0NE
801 252 i378 FAX
detectable
Io fr*N lh
l
LI
t$I It
r
lu l'i*
o =!Dz ooz{I
!voLmoJ
I =!,-xj o oo!oomoI o o:!
.===rc
t Eql o
o !t-m a !t-m @ 3Tt-m
!oI o oI6
zom-
{ms=gB
!!

aIo
s.
d
s0
=o =s
)
I
O
=@ri
9VE
mog
,
{+og
-9D^
aoG,
E
m=
==s9
P!ze
ts
6SCC
ut
{
oe
9
=3mo
v{
o7m83
-.
9od
t@Do 8H
tr
{
hH
{9[
8q
(n
N
ui
g
2d Bd
1ovzm o 'l
lmmo
€--{!I ol,0zr mr-of oCaio =m!!z5 It-m
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t
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i9
=
=
r"

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ee
a
9f
;
Bf
r
svmg
ox E'on oo.*,D 3,q.2 :[DI,Dt-*t,,L itI Dt D
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toF =o z o'n oco o tr
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"-:a , "*9H
To: Petroleum Maintenance & Equipment
attn. A. Ward Pierce
P.O. Box 761
Price, UT 84501
Group #: 25038
Lab #: 98-U007436
Project: CENTER TEXACO
Sample Desc: SS #8
Sample Matrix: SOIL
Date Sampled: 91 2198
Date Submitted: 9/ 3/98
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 13.0 C
PARAIIEIER
BTEX/TPII
Arralyst: AC Date Analyzed: 9/LO/98
Extracted by:AC DaEe Extractedz 9/ 9/98
Benzene, mg/Kg
Ethyl Benzene, mg/fg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tsert-buty1 etsher, mg/fg
TotsaI Petroleum Hydrocarbons, mg/Kg
MRL - Lourest, Ievel detecEable
{generic.rpt}
I ALYT I CAL LAB O R AT O R I E SfT-:"'--- - ' '. .' .*41r? rlipt
NOTE: Sample received on ice
Note: TPH values report,ed do not include oiIs.
,"" tQ)--
Ron Fuller, Laboratory Direct,or
Date: 9/1 1/98
Time Sampled:
Time Received: 1O:50
MINIMT,M
REPORTING
I.IMIT
(!tRr.) !.tErEoD
Time: 9 :50
ExEraction Method: 8015M
< 0.1 0.1 sw-846 92504
< 0.1 0.1 sw-845 8250A
0.200 0.1 sw-845 8250A
0.700 0.1 sw-845 8250A
1.50 0.1 SW-845 8250A
< 0.1 0.1 sw-846 8260A
< 10 10 sw-846 80t5M
61OO SOUTH SIRAILER
SALI LAKE CIIY UTAH 8]I07 6905
801 262 7299 PH0NE
801 262 7378 FAX
=E
,
C
l
df
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i
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vg,llcqt(t +lr o6'
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a 3T|-m a =!rm a 1'
rm
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-\

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=
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Cen*rn
SOLD TO
PRICE METAL
"Y ou r Recycl i ng Headq u arterc"
P.O. Box 673
Telephone (801 ) 637-8609
Prlce, Utah
/ t xt2.(o ,t Qe
Customer's Signature
I
i
t
[,
I
i
;
;i:!*irtiii.
A 333-5 Slgnature Acknowledges Ownership of Material
\-/
Date 3-lf -77
To Whom it MaY Concern:
The purpose of this letter is to
removed from
P.0. Box 761 . 332 West Railroad Ave. . Price, Utah 84501
Telephone (801) 637-TES[ . FAX (801) fr176628
that the contaminated soil
in?reica , Utah, ownedbY, Vz/is ,==,t
was OisposeO of at the Carbon County Landfill.
The date of disPosal was
Petroleum Mai & Equipment RePresentative,
PETROTEUDI
Equipment . Installation' Remoual
Maintenance . Soil Sampting ' State Certilied
ENTER TEXACO
Add'"*,m
counry: lc-!SFN:-l
zlr: I aasor-l l
Fociffiy lD: I -*Q0""Qs0l0r Operolor: IELLIQ PIERCE iffi- e
Ar.lD: L_*99991?I Phone: I _|jffiil
Conrmenls:
Cily':
St<$s:
ENTER IEXACO
\
/b"
Cexr€R Texnu til Ps,cc,
5.1Sf€/\ eLGC-rRo^J tL tttopfioRtN6 Oetrc€
TnNt(, t^rtiu PRoA€S d- VA4)R- A.{6r'rrT0RS
t9,lQ18
a
P.0. Box 761 . 332 West Railroad Ave. . Price, Utah M501
Telephone (801) 637-TESI . FAX [phone]
/0 -/b'qg
A # Zoucs s'rqt€s
HAI B€€^) /Ns?/tu-LO
a
Dena
€€ Lo
taJ €ac{
o^J Oc.i '
G,i-c,
( o-c*-R xt tNG
D
A - t rlorzo
PETROLEUDI
Equipment . Installation . Remoual
Maintenance . Soil Sampling . State Certilied
fr., r,..rr=R€ TeSr€D
SlpCeR€eY
Owner Name
Facility lD #
PETROLEUM STORAGE TANK FUND APPLICATION
{c,lo iz /
LOCATION OF TANKS
Facility Name
Address L, lJ. tlaRiD :T
City FRrc.G City Pr.tr.-?.
County ('County (ArGs,)
State Urad _ Zip Code a,"," Ur,s n, Zip Code t,/i A iphone y_1:-- (J*7- /S-7:-
Contact Person €LLt5 f r€Rr.€
Phone v3-G /J7- 3 Z t.l
contact Pe:(Son €cuJ pl€RL€
TYPE OF FACILITY
lXf l/tarlret% or non-marketer with facility average monthly throughput greater than 10,000 gallons.
i' ' i 1.ron-marketer w1h facitity average monthly throughput less than 10,000 gallons (must verity).
Tank #
lnstall Date q-z.t- Q8,
CapacitY 64N tku '
Substance Stored pfv r.AS
,?-2t-98 ci-tr-18 4-Ll'4t8
qooo UAL ,/oao (a.. L/ala fiAt-
Nfc. PcuS ufc- fr<ea ' CtC>*
)ffiI .-r lu
Tnod Cne
/4A (.*L
TANK/LINE TIG}ITNESS TEST - , 77-? v=
Pass/Fail ,PRS-I fFtJ PfrSJ PRSS ffrst
CERTIFICATE OF REGISTRATION .
@ageTanks(USTs)atthisfacilityhavebeenregistered.
i X I nff UST registration fees and Petroleum Storage Tank Fund fees have been paid.
PREVIOUS POLLUTION INCIDENTS
ffas a poffution incident ever occurred at your facility?
I X I Ves lf .yes, please provide LUST (Leaking Underground Storage Tank) information on the Previous
Pollution I ncidents lorm -
I I No lf 'NO,' please attach a letter stating that under customary business inventory practices standards
you are not aware of any release from any tank(s) at this facility. fhe Previous Pollution lncidents
form maY be used.
INDEPENDENT FINANCIAL ASSURANCE
@financialresponsibilityrequirementformyshareofeligiblecleanupcostsbythefollowing
method:
[ ] Self lnsurance
[ ] Risk Retention GrouP
[/]Trust Fund
[ ]Other
I certify under penalty of law that the above made by me are true and correct.
X
[ ] Commercial lnsurance
[ ] Letter of Credit
ls the applicant currenily in compliance with atl Federal, State, and Locai UST regulations?
[ ,i6 ] Yes [ ] No lf "No" please describe items of non-compliance:
Owner/OPerator si gnatu re Datesignea zo-ls-z''7
PETROLET]M STORAGE TANK
FINAI\CIAL RESPONSIBILITY DECLARATION
FACILITY D# {CCOI Z. (
FACIUTY OWNER
FACILITYNAITIE
FACILITYADDRESS
Check Onlv One
Etct s Fr €Rt-G
OERc€ cic Ca,
(o tJ. ntn't,o ff
Pr<tc1 Urau . ,g'/{a I
EI t choose to participate in the PST Trust Fund.
Submit this Financial Responsibitity Declaration form and obtain a Certificate of Compliance
before the tanks are put into service.
Alt petroleum storage [anks located at the facility, including unregulated underground lanks
and above-ground tanks, may be required to participate in the PST Trust Fund.
Indicare thJnumber of abovi-groun-d petrolerrm tanks located at this facility 4
Indicarc the number of unregulated underground petroleum tanks located at this facility
o
a z
o
a
n I eloose another Financial Responsibility Mechanism
The financial responsibility mechanism to be used is
Submit acceptable financial responsibility documents using the fonnat and exact wording
specified in 40 CFR Part 280 Subpart H for the chosen mechanism and include a processing
fee of $420 for each mechanism used; or if this mechanism has already been approved for
other facilities and the processing fee for the curent year has been paid, submit an amended
list of the facilities covered by this method and check here: E
Submit this Financial Responsibility Declaration form and obtain a Certificate of Compliance
before the taoks are Put into service.
Indicate your Company's Fiscal Year ending date
Name of person authorized by owner or operator to demonstrate financial responsibility as
requircd by Utah Admin. Code R311-206-2(d).
Name of pcrson authorized by owner or oPenrtor
o
a
\, €i.rs ,4ur-
/ Print nasre of owner/operalor or authorized
Signature
&ru L,s 4sS_637 3zltxTitle
/O- /b-. ,P
To:
Facility lD # .s'C$c l2- |
This tetter, or an equivalent, must be signed and submitted as a requirement for receiving a Certificate
of Compliance.
PREVIOUS POLLUTION INCIDENTS
Mr. Kent P. Gray
Executive Secretary (UST)
Utah Solid & Hazardous Waste Control Board
Dear Mr. Gray:
As required by paragraph 19-6-413 of the Utah Underground Storage Tank Act, I have perlormed a tank
and line tightness telt on each tank at my facility. Based on this test, there has not been a release of
petroleuml Additionally, based on "customary business inventory practices standards" I am not aware of
any release of petroleum from my tanks.
Or, if a release is known to have occurred at this facility:
I have had the following releases of petroleum (detailed below; also indicate the aclions you have taken
to clean uP the release):
tusT #KfK Rrtuc€ <
Failure to report previous releases could invalidate your Certificate of Compliane.
ppt97.fm9l25,l97
I
trhoolor lenl lcstins
lerin Uficolol
2517 South 2nd Apt. A
Pocatello Id, 83201
Phone 1-800-35G2883
Home Phone [phone]
Email [e-mail] o^t".h'//'78
U,uba(r1 */t_? Z
Product Llnc Tert Report
Hotner Efl Ghek
ddress: f Gz&wr .4ra
2z. df
Product #
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silq"
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uf-ozi:l
Kevin Wheeler
Wheeler Tank Testing
-{%
INCHES OF PFODIJCT X
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GASOUNE
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RSOUIHED PHESSURE gY ULIIGE CAPACITY
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lF IA IS I€SS TIIAN 13.01}IE MII{rtr,,U DE EFMINED PRESIiURE 9IAII EE I3O. D€ Tt^}
r,t,M OETEFMINED PFESSUAE S}IAII EE 2E O FC'B C! OF I.EAVIER AID 2IO FOF
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tA?tr lttut? rerr:a
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15 PRESSUAE
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tr,,lcHEsoFffinNT^r{,( x .tr!
TOTAL POSTTVE HEAD PBESSilJFE INTAN(
+
MINIMUM DETEBMINED PFESSURE
Aoo ro oB ls oEPENoING ot{ pioouct
r/t )(|MUM DETERIINED PBESST RE
. /./3
t-tr
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TNCHESOFWATEFOTISTOETANI( X .Gl . -- PSI
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WATEF OAT^
.lc nPH OAIA -lc .^.L,O px
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+/.ltUC OO
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o)
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@
(3)
PSr
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IF
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IS LESS TI{AN T&O THE i'IMIilJT' DETEFI'TNED PBES!ilJFE S}'AII EE t3.O
'IG
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ffiil.it *TTNEDPRES',BE X? ,*
MINIMUM OETERMINED PFESSURE _Ef4
rm^r^n,/,-* Tzsar*
Hoeracn Ezrrr r.rnorfDaE3aTESt
PRESSUaE At ENO AT W^ttltlo t€to_
OIFFEiENCE OURING THE WAIT
TIME BLOWEFT ON
fIME CLOVVET OFF
PF|€SSUAE AF EA ALOWEn n ai.ED OFF
PRESSUBE A' ENO OF WAI?|IIO PI
oIFFEnENCE OUR|NG tH€ WAlt
IIME SLOWEN ON
TIM€ ILOIYEN OFF
PAESSUtE al coilcLu3ro|._
w TER3Ex30ficlulnlnox
CALIoiATION tl CALtEeAiOit tZ CAL|BeAnOil 13
ilr trl Dtrt.rrrGD erctturcW-.
itrtrr oar3utrtD lrrsrnl@
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ort
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It€r THE u.3.8.P.A. ?il(
sTABI_
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AVERAGE
-
rECHNrCtar N ME e TJMBEn OF
orF
*llfpzzj
F IL I OfiPY
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. Leavitt 168 North 1950 WestGovcmor P.o. Box 144840
Dianne R. Nielson, Ph.D. Salt t-ake City, Utah 841144840
Exrcutive Dirctor (gol) 5364100
Kent P. Gray [phone] FaxDircct* (8ol) 536-4414 T.D.D.
www.deq.state.ut.us Web
EFIRU-650-98
September 25,1998
Mr. Ellis Pierce
Pierce Oil Company
PO Box 792
Price, Utah 84501
RE: Underground Storage Tanks (USTs) One-Time Drop
Located at Center Texaco, 6 West Main, Price, Utah
Facility ID #5000121
Dear Mr. Pierce:
According to the provisions of the Utah Underground Storage Tank Act (Act), Utah Code
Annotated (UCA). Section 19-6-412, all owners and operators of petroleum underground storage tanks
must have a Certificate of Compliance by July l,l99l. Any peroleum distributor who delivers to a tank
that does not have a Certificate of Compliance will be subject to a civil penalty of up to $500 per
occurrence (19 -6-416, UCA).
The Division of Environmental Response and Remediation (DERR) has received your request
to receive one delivery of fuel to test your tanks at the above reference facility. This letter is NOT a
Certificate of Compliance, but allows you to obtain petroleum products for testing your tanks.
This letter applies to fuel being delivered from Pierce Oil on or between September 29,1998,
through October 6, 1998. A Certificate of Compliance cannot be issued for the non-complying tanks.
If after our review, your tanks are found not to be in substantial compliance with federal and state rules
and regulations, a certificate cannot be issued.
If you require further assistance, please contact William Moore at [phone].
Sincerely,
Kent P. Gray, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
KPG//Kf
QaYear l, t USTs
FAcrlrry a Sw)tzl
Certificate of ConpLiance PROCESSING CHECKTJIST
Previous Pollution
- LUST File
- Form Included
Incident
d'
6A
s
-,2
/
-r/
nfir
$u"rify tank/1inesvs registered A)N
€,,4
5rr?T":r::,"'i'n 'k?
@r
Financial
-FY91.FY92
-FY93-FY94-FY95_FY95_ .EI J9
-FY97-FY99
Assurance Fund Paid
Q1_Q2_Q3_Q4_Q1_Q2_Q3_Q4_Q1_Q2_Q3_Q4_Q1_Q2_Q3_Q4_Q1_Q2_Q3_Q4_Q1_Q2_Q3_Q4_-FY98-FY20
Alternative?
Pass Review?
@ft€o.a)
4+t Q.,T,b
frT-
Fees Paid
-FY88-FY89
-FY90-FY91-FY92-FY93-FY94
FY 95
FY 95
FY 97
FY 98
FY 99
FY 20
FY 2L
5 g. t5o.oo
=
Compliance
- Compliance Outstanding? V,M
\ - f,eak detection requirede efr V\ - Spi1l/overfi11 reguiredz AtN T/ - corrosion protection requiredz @n
-
,)trf - Notification up to date & completeZ fr)N t
^\rur1qL - Applicat,ion submittedz U1N-,Z-
\(/)t' '
-
Date QualifiedDate Issued
pstproc. frm 08/28/97
Review completed and certificate issued by
4,1
P.0. &tr761 . ilil2 WcrtReilrcad Att . ftice, UtahSdi0l
Tdcphonc (801) 637.TESI . FAX (801) Og7{fl2t
/ 0 -tb'?8
DeeP-
€€Lo
i^l aa.,tt
OA, OC-i .
l31cc,
Cr-c*-a ntiNd Cu,utu< fexau t^)
5.r Sf€lt eL€ctRont tc u,ott(lo R(N6
TANK- , t^rriu pk)e8 * vAtun
tS, tQ?E.
Pp,ec,
o€tltc€
A # Zorx, s€R,.--.s
HAS O{4{ llsTRUt?.
PE:TNOI,EU}I
Equipnunt . Instalhlion. Remoaal
llainbtune . Soil&ngling . S|aitc Aeilified
8299 Ztg rA8 ANVdNOC -1IO 3CU3Id htOUJ
,\,(0N rf0RS . fi., r"..reR€ Te S1ED
L'd NVgS=t I 8651-9t-At
JUST THE FAX PLEASE!!!!!I
DATE IIIISTTMEj!tYn^
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t-d 8299 Ztg tE8 ANvdl,,0C -1IO 3CU3Id NOUJ l^lvEs: I t 865t-91-At
Owner Name
Address ,e0 -
City
County
Stale ' Urait Zp Code
Faciiity tD #
PETROLEUM STOBAGE TANK FUND APPLICATION
LOCATION OF TANKS
{oqn/
Facility Name .CerorCR- ,TexAtl)Address b Lt . s*i*t ff.City Pr<rcE
Counry C-arcer)
State U:r A3 Zip code S (iC /Phone lsft 4-n'/{tf
.
Contact Person €ccis fEec€
TYPE OF FACIL]TY
[{] Marketer, or non-marketer with facility average monthly throughput greaEr than 10.000 gallons.
[ ] Non-marketer with lacility average monthly throughput less than 10,000 gallons (must verify).
Tank #
lnsatl Date
CapaciU
Substance Stored
I
q-Z(-4?8
/-ocrt (*L.@
4-2t-98</* 6ec
*t/c pcus
1'zr'18
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too L*L
?-ry98 q-u-sa
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CERTIFICATE OF REGISTRATION
t h Atl Underground Storage Tanks (USTs) at this tacility have been registerecl.
I X J etl UST registration fees and Petroleum Storage Tank Fund fees have been paid-
COMPLIANCE WTH UST REGULATIONS
ls the applicant currently in compliance with all Federal, Strate. and Locai UST regulations?
I X] Yes I J No lf 'Noo please ciescribe items of non-compliance:
PREVIOUS POLLUTION INCIDENTS
Has a pollution incident ever occurred at your facility?
I X ] Yes lf 'Yes" please provide LUST (Leaking Underground Storage Tpk) information on the Previous
Pollution lncidents torm.
I J No lf "No' please atach a letter stating that under customary business inventory practices standards
you are not aware of any release trom any tank(s) at this facitity. The Previous Pollution tncidents
form may be used.
I have met the financial responsibility requirement for my share of eligible clcanup costs by the following
method:
d4s"r lnsurance
[ ] Risk Retention Group
[ ] Commercial lnsurance
[ ] Letter of Credit
[rfJTrust Fund
[ ] other
I eniy under penatty of law lhet the above
Owner/Operator signature
made by me are true and correct.
Datesignect /5'??
.z'd az99 L€9 tA8 ANvdNO3 "lIO 3CU=Id y{OUl r^1v87:6 865t-9t-Ar
FACIUTY OWNER
FACILITY NAME
FACIIITYADDRESS
CluckOnly One
^)rrnor,Et M sroRacE Taa
FINAI{CIAL RESPONSIBILITY DECL^A,RATION
FACILITY TD* {ACOILI-
trtcis Pr€Bce
Pr;<ce a ic Co.
(- C\J . /,.!A'ttg 57.
o
o
E f choose to participate in the PST Trust Fund.
o Subrnit this Financial Responsibility Declaration form aud obtain a Cenificate of Compliance
bcfore ttre taaks are Put into service.
o Atl peuoler:m storage tanks located at ttre facility, including unregulated undergrouad tasks
and abovc-ground ta*s, may be rcquired to participatc io the PST Trust Fund. /o Indicarc rhe number of above-ground peuoleumunks locarcd at this facility 6 ?o lodicue the number of unregulated undergxound petroleum rar*s located ar ttris faciiity -d-
X I choose another Finaaciat Responsibility Mcchanism
The finaucial responsibility mechanism to be used is
Subtnir acceptable fraancid responsibilitv documents using the fornrat and exacr wording
spccificd ia 40 CFR Pan 28O Subpan H forthe chosen mechanism and ioclude a processing
fcc of $420 for each mechanism uscd; or if this mechanism has already been approved for
othcr facilities and thc proccssing fee for the current year has been paid, submir an aurendcd
list of the facilities covercd by this method and check here: E
Submir rhis Financial Responsibility Declaration form and obtain a Certificare of Compliance
beforc rhe tanks arc put into servicc.
lnd,icarc .voru Compauy's Fiscal Year ending date
Nasre of person authorized by owner or operator to demonstrate financid responsibiliry as
required by Uuh Admin. Code R3tt-20G2(d).
Nane of gcrson authcizcd by ownci or opcrator
a
o
x Alrl *1.-/?Es-63z.3zrt
y': /O-ta'- ?.7A---DatcSignauxe
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Faciriry tD* ,{o&tz/
This letter, or an quivaleflt, must be signed and submitted as a requiement lor receiving a Ceftilicate
of Compliane.
PREVIOUS POLLUNON INCIDENTS
To: Mr. Kent P. Gray
Exccutive Secretary (USf,)
Utah Sotid & Hezardous Waste Control Board
Dear Mr. Gray:
As requirect by paragraph 19-&413 of the Utah Underground Storage Tank Act, t have pertonned a tank
and line tightress test on each tank at my facility. Based on this test, there has not been a release of
petroleum. Additionally, based on "customary business inventory practices standards' I am not aware of
any release ol petroleum from my tanks.
Or, if a release is known to have occurred at this facility:
t have had the foltowing releases of petroleum (detailed below; also indicate the actions you have taken
to clean up the release):
cusT f KPx Spuc€ kkaes
Failure to regort previous releases could invalidate your Certificate of Compliane.
poil9T.tntt9t}5t/l
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2517 South 2rd Apt. A
Pocatello I4 83201
Phora l-E00-356-2Et3
Honp Phone 20&l235-1ffi2
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FSC1XTED PBEISI,,'IE EY UU'6E G^F^glTY
HNN'UU 9ETE,ITilT{ED'IIESSUTE
^DD
rOOt rS OEPerronro on prooucr
lqxluJx DErEnr.riEDrGsiJnE .
cnY.
JU5T THE FAX PLEASEIIIII
DATE-ro*aTMEj!:Yn^
.Y at,4 - A, - t! d.v.).r4.yarQr^rltrt^, ar-4,v,ld.a a, d 4_4 rty.4_ __ryi,rtrrv rl,
TO:8,i., illooaa
FROM: L)aRa Pt€p.c€
l[tSSAEl n-r " t,"n ,*, nutt* n"
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(aol) 617.r:ll
p€rRoLEUx xAIrrrElAr.cE a Klutriefi(!ol) 637-IESI (rt?!)ccttDEi wesT tigusrues. rn<.(100)t 95060 sWlFTsIOP r $rOP(coll637-0o0,,4?2.E?a'
ouR EA]( NrTggl _!8o!> 637_6528
r,0['Y ii) lt)ltQW lN MAi[ 'tf *fi:CKt.D U -
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Facility .J NO.
Owner
Name:
Street:
City:State Lff- zip
K r.r,r/Business
Longitude
Cert. # 2.t \
zip
Substance
Type: FRP, Steelwith ,CP, Composite
New or Used*leJ
*Note: Used tank must be recertifiedFinancial Responsibilitv
SeIf insurance
Commercial fns. (
by the manufacturer before installation.
Exp. Date
)...
original #Tank 4 - Removed Tanks 4 + Nel, Tanks 5 = Current 5Nc;. s _J 7 -_g_ _L-
Capacity
Risk Retention Group
Guarantee.
Surety Bond.
Letter of Credit.
State Fund.Environmental..Ltllr\
3rd Party Liab. $/MOther
/ TNSTALLATTON INSPECTION
rnspector hl , r ^ rnsrarl D^8"6/26hV
rnspector cert# 2-l T
tirI lTank only fif anX/Property r-.t prop"rty only
Tank Location I rBusiness only
Name:P- .I -Q
Street:
City:\C-e County
Phone:* 67V7> ((Latitude
Certified Tank Handler
Name:e14*--
Company:
Tank Information
AllT. REQUIRED by Date:
Per Occurrence:
TotaI
Aggregate:
fl suoo* Ejryi1 Esrrir. E $r*r,
\/Facility rD No . gOCXSl,Zl
Pre- Insta I lation
Y-Nfs the equipment adequate size to tift and lower tank? ,./
Has a visual inspection of the tank been made checking ,for scratches and other damage? /'
#a::" tank or piping has been damaged, have repairs been
4L
Has the tank been air-tested at 5 PSIG (3 PSIG for all FRpexcept Owens Corning) while applying soap solution onto
seams and fittings to check for leaks and found tight?
Has the piping been air-tested at 150? of operatingpressure for t hour.
Is the excavation free of all debris?
Is the excavation area subject to traffic?
\-,
,,/
Has sufficient depth of the excavation been allowedtaking into consideration traffic, ground waterconditions and piping runs with L/9" per foot slope backto tank?
If anode, has it been checked to see and have theplastic wrapper has been removed?
BackfiIlincl
Has at least one foot of backfill material been allowedto act as a bedding material for the tanks? Depth rr.
Type of bedding and backfill:
P"u Gravel (L/8, to 3/4u size)
il'+
ncrrr=hed Rock (t/8u to Ll2' size)
E
"t.u' washed sand E o.n"t
Has the backfill been compacted to ensure full supportalong the tank 5 & 7 o'cIock points on the sides?
Anchorinq
rs the excavation subject to ground water? Antrift-lcl"+--
I f So , Method of Anchoring , E Deadman f] ,.u
Other
E[overuurden
6096 Di--
Are the hold-down straps in place according to
manuf acturers specif ications?
Facility ^D No. Soellz_t
fnsta 1 1at ion
te/l> tt.
7cJ * rt.
Y./N
,
rf unstable walrs, are tanks spaced at least r/2 times ,the diameter of the tanks from- "..h oinerz ' -----o l/*
Does depth of installation,conform to_planned Anchoring,surface and Traffic conditrons, ground water qonditions -/and pfpins run slope requirem"ntiz df?Ir^- Z'ofu"ffi"*dt Z
Has Tank and piping cathodic pror""tiorruJv€'##u=.2rr l^sfr.checked to see :.r .[ney are-worki"g-;;;;eriy? ZruDoes the amount of Tank Deflection meet specs.
Ecoated Steel with Cathodic protection
Type of Release Detection for Tank (at time of installation):
4*tomatic Tank Gauging
I
".orrndwater Monitoring
f rr,a"rstitial Monitoring
E soi:. vapor Monitoring Erinnaness Test with rnventory
E r.rrr.1 Tank Gaugingf o.n..
Distance from Tank(s) to Nearest property Line(S'min. ) :.. . lrrJ I *.
Distance frorn Tank(s) to Nearest Structure:(5' plus 45o from surfaceio tank)
Estimated depth to Ground Water:....
Do tanks have at least lgrr spacing between tanks? 7'(stable conditions)
Type of Spil1 and Overfill control:
Type of pump System:
Common Suction n
""r". suctionfir..=sure
Type of pip
Type of Release Detection for
tr
"ro,rndwater Monitoring
E roir vapor Monitoring
Piping (rnark a1l that apply) :
fi* rrntness Test (Annual-pressure)
fl rinnaness Test ( 3yr-suction)
n*on"(Safer suction systern)
E oan",
f rr,a..stitial Monitoring
Leak Detector
\-,
Facility -D No.
\-,
rf any of the above is contrary to proper installation procedures asoutlined in the manufacturers guiaelinls or other guidairce, ptease explainwhat and why:
ID No.
Li nes :
Orawn By outr,44W-
Bui'lding, etc. outlines
Tank & Line outlines
Potenti ometri c Surface
Creeks, Rivers
-s-s-s- = Sewer; -p-p-p_
-hr-h,-w- =tr,later; -d-d-d-
l.lonitoring lrlells (MW-#, VW-#, pZ-#,)
Sample Locations (SS-#, WS-#, VS-#: AS-#)Bore Hole (BH-#)
Water lrlells (domestic, livestock, etc.)-t-t-t- = Telephone; -g-g-g- = Gas;
Drai ns ;
0=[=!=
E=
Power;
French
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BSHW-7767U-8
wa3/9F3 16:19 ^DEPT t $fl.rIRUN GURI-ITY ) 96376628
gST Inst,allaEion/Upgrade Pernrit
,E lt roolllo.clco
hE.a13 ow
i..rlt, !tt3
8.t 22= ztq,
Crr!. I IJ.-EE date-
crr!. I D.9. daBs
t I UDEr.ds
,X r' t'rrB
rtcco I
c.ttltt.affii'I*5ubEoncrrGE€dco.Erri.'covgrcdun.l38Ehiopeadtaaciasuzerrcc,:a--F! 4-tooz " 7)2il))"""' ":;';-''a'-a
=:::3
D.ta tg8t rll,l clrrl
lrcltlcr tDt (lt E: ! !t'
Lal lh'll
Coalact
slzlt lBf
eoniect
gooo/2 /D< tatcall/BrPL:t.
u.-&zo-4-enfr-,*Zt 637-314
CrP.cit, (gBlloarl
tlDt IPBD. stol, etc'l
Piping tYD. aPr.'a"
suctloa. CsaYlt,)
tBrBtll/UPgrtdt tOrE?
TCB'I
E!.rsrt. ca st,E|otlte alt1Blrl'C'!o" G)'st"l
I.ll sqrt.3.a tlc to'utab D.lr.rtn rtt of 8lvlrglaanB8l quallty
Div{rion o! EmriscnEaoBal i'r9osr!! ond
15! North 1930 BG!E' IEt 'Ioo!Sart t,"kc_ "tWYi"lrr.
sGotc g.c oaltr: Dat. APProved & Pd
-crr JX:2581-
Brro Vofqw>
rc>aslLt. L<?<
oE/@3/98 lEt: 19 DEPT IAFUIRON CUfl.IW ) 963?E628
UST Inst.allat.ion/Upgrade Permit
bE.413 w2
tX t' "rds
tE lru.clq sololrr
rtcoo I
G.rcltl.a
!fiurra
6-7-qr,.rrl3 !c:
cctceJllf- ztsl
ffiaEEd core.ni.r covrrqd- undcg rhir perait and ineurucc,:
..- *- -I;;.-r *. a^---z ue. aav-@
Cr8t, I
Cert, I
DrP.6tt€-
D.t,- 6aEe
I 1 UDgride
?rclttErt,(ltltl'!T- -3.//'_f ./
5000,/2 /
clByl'rf mt
eooD.ct
G--ar-zv 4a9--- iafr-,*zt 632-3zzt
I I ts.ltEolllo'clor
eontacE Dcl
Tcl.l
InsEall/upgraOc
CrE tit, (gr.llontl
,YDt (FBt. St..l" elc'l
Pi,piag tYI,3 (Pr..a"
succioa. GraYl t-Yl
tnrtrll/UP9rad. ThaE?
racat e8 (Etrrrrathe clrqlotucrr
I.rll otIrtatoo lea tot UBclr D.,parE rtrt ot EavlrgsurenBal (lulllty
Divl,sron of ltrvitonaartBol RelDoalt ald
::l.T'J:1:o
*"'' rrt troot
sgote u.G Grnlv. orto rpprol-e-rt- ;-'; *ftF+d"'lnn' "cs'r JX25EJ-
UTAH UST PROGRAM
Permanent Gtosure Inspr
Facility lD No. S:O0 O l>4
n
l. Ownershio ol Tank(s)ll. Location of Tank(s)
ownerName El li', Ds "r.q
Facility Namq- I' """"'''""'T <'lc*-e.r @aat oooo'"\< z tu. D-,^\u,tJ. Q-o. 0,n aq>Street Address'"'"' ^7i"" r, I t,tlA.t,'
?,,rb e , r*ff-- *W*ot
RreiCoae Fr'onefi er Contact Person Surrounding neighborhood: (check the best description ol land use)
_ residential _ industrial/commercial Other
TAI{X8 CLO8Eg Tant< No. I TankNo.2 TankNo. j Tank No. '/Tank No.
1. Estimated Capacity (gallons)Txhu-
2.Type (Steel, FRP, Composite)sr-\
3. Substance Stored 6,,.G.q
"b
4. Date last used s/ rt/e*
4. Date Closed r lnlqG \----
5. How closed (Rmvd, inplace, CIS)D w"d.
4 Orioinat# of tanks L{ - C,or"d tanks f7 + New tanks 6 = # of tanks remaininn
'l'' ' I
TAilK CLEANI}I€. AND REMOYAL:
I
GW & Soil Sampler: GgrV-> La,e Cert. #:GS Expiration Date:
UST Remove r, (--l c,--! P r*-c*Q Cert. #: TR Expiration Date:
1. Owner/Operator has an approved closure plan: @N Copy of closure plan is on Site: C ru
2.Productremoved: Y N ey, D1=,l,4.Q () tl Disposedat: ()6eA
3. Sludge removed: Y N By : f4g.Sh/ Disposed ^t, fu2,1L - A )l
4. Tanks cleaned: Y N By: I L Rinsate disposed ^t,
U u1
5. Non-explosive atmosphere inside tank obtained by:- Purging Knerting. LEL or % Oxygen obtained: Se.<. d;-
6. Product lines were: D4CteaneO, secured in place, and capped ( Removed, disposal site: fu-1p*+-=<
7. Tank disposalsite: flr^e.,,5<.e-- 8. Soil disposalsite: ,/k
slrE AssE$sf;ilf:
PlDorFlDmeterreadings(indicatelocationonthesiteplat.):-
Meter Type:Gain or span:_ Calibration specs:
1.Soil contaminationisevident: O * Depthof contamination: 0-3 feet- greaterthan3feet-
2. Water contamination is evident: Y 6) Depth to water table>6/ S,op" direction of surface topography
3. # of samples collected:- GW TSoit Z-USC 4. Certified Lab:
5. Analysis Methods: TPH BTEX C rrB O&c TRH HOC Other:
6. lnspector observed collection of samples: O N lndicate location and depth of samples on the site plat
7. lnspector collected duplicate samples and submitted them to the State Lab for analysis: Y ,(D
8. Contaminated soil overexcavated: v /fi/ Nte lf yes, confirmation samples were collected: y N
c*ffc|&>D" o^'"tY/z
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner Revised 1 2\95
CLOSURE INSPECTION SITE PI F lD No
' e-:- .
NORTH.'L G
,*."@
,-. hotq
gSz
.\
Show locations of all buildings, streetrs, tanks, piping and dispenser islands.
t
/1 ;*fr2: --4''
5
\1
L
1
I
I,'
t1
- -n ', dz-t,
,K*trroggi,
lr,!. ^-.
r-- |
,' &t- ,
,rq$ttzW
L--,
|, \Ln *.t
'orol
'1-t)7'r*
l.(r-- J
'i sAxqvzqr
I o'"', 1
r----x
6s
rdicate location and deptt of all samples collected by the sampler and the inspector. Also indicate the
Potential R.qqqltors: Distance (in feet) to the nearest:' ,.'&!.
:' ;i{:i::..
mdffinbbs yk commercialbuitdinss dUl Propertytinelg(I1
Surface waar y'l+ Underground: Sewer Z'Clw-zwatertineTolV
Active water wett flfA
Natural gastineZOtA/il
Other (specify)Telephone line-O 'Ll- Electricaltine O F(51orrn 6r";n tS(E
c",t* NL7 o*\." YYi''y?/
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner Revised 1 2\95
, Jii ]
,,,,,,,,::,..,.
DEPARTMENT OF ENVIRONMENTAL QUALITY
TILE COPI
Michael O. [.eavin
Covcmor
Dianne R. Nielson, Ph.D.
Exeutive Dirator
Kent P. Gray
DiElor
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 Nonh 1950 West
P.O. Box l448zt0
salt I*e ciry, utah 84114-4840
(801) s364100
[phone] Fax
(801) 5364414 T.D.D.
www.deq.state.ut.us Web
RE:
ERRU-476-98
August 7,1998
Ellis Pierce
P.O.Box792
Price, Utah 84501
Closure Plan Approval for Underground Storage Tanks (USTs)
[.ocated at Center Texaco, 6 West Main Street, Price, Utah
Facility ID #5000121
Dear Mr. Pierce:
The Closure Plan for the above-referenced facility, received by the Division of
Environmental Response and Remediation (DERR) on August 3, 1998, has been approved subject
to the noted modifications, if any. The DERR office and the local fire department must be notified
72 hours before beginning closure activities. Local agencies may have additional requirements for
closure or may charge inspection fees.
The Closure Plan approval is effective for a period of one year from the date of approval.
If closure does not take place within one year, submittal of a new Closure Plan will be required,
unless othenvise approved by the Executive Secretary (UST).
Any change to the approved Closure Plan must be submitted, in writing, and approved by the
Executive Secretary (UST) before implementation. If contamination is suspected or found during
closure activities, you must report it to the DERR at [phone] within 24 hours of discovery.
Enclosed is a copy of the Closure Notice form, which must be completed and submitted to
the Executive Secretary (UST) after the closure is performed. Please submit the Closure Notice as
soon as possible, but no later than 90 days after tank closure.
If during upcoming closure activities, it appears that a confirmed petroleum release has
occurred, then the conditions, as explained in the attached notice, may apply to your site, provided
the facility complies with all of the applicable rules and regulations.
Yq$il I Jil
Facility ID# 5000121
Page2
v \
If you have any questions, please contact William Moore at (801) 5364100.
Sincerely,yrW
Kent P. Gray, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
t<PGft@fitis
Enclosutps
cc: Chief Kent J. Boyack, Price Fire Department
Garry I-ee, Peholeum Maintenance & Equipment
8-A:-rse8 2:s6PM
t7
FROM PIERCE OIL COMPANY 8AI 637 6628
AA
P. I
$ooo l2{
JUST rHE FAX PLEASE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
DATE IAfl E
N X X ry 4^rArArararararararrw ar at 4 4 xr\r4yryryA, 4N a 4 a rlr,tir, tX N.y.y.y 4 ay 4
NO. OF PACE' TO FOLLOW COVER LETTER
TO:
FRoM, 0,+KR f
,IlRCe 9-lLCorPrrY ?EltouEur{ tt liflllt^f,Cc l Eeurpftg{t(tsr, 6it2.t2rr (ror) srz-16sr(g2, -60tDE ( IYEST IilOUSIIIES IXc,(too)!.5-so.o sillflf?:s!oP a sHoP(l0rl er-ooo.-.72-37a7
ouR Fex lrutdBER (801)
CoW to follow in rrailif
8-43-1998 2:57PM FROM PIERCE OIL COMPANY 8AI 637 6628 P.2
LHD
mailcd to State
CtosurePlanprcparedattheEquestof theowner/opcrator(identifiedbelow) W 4aney Zet ' .
of (company Phone * ("3s1637'A372
Address ,?przc- stxeAZZp 8?tor
A Contrastor may preparc this Closure Phn as the owrr/opeab/s agent. ln preparing the Oosurp Ptan, the Cont actor musl
act wilh thc owner/operato/s knowledge and apppval. The owner/opeator must sign the Closure Plan.
Thb Clqsure Plan b submited in compliance wtth the requirenrents contairrd in 831 1-2O2 Subpan G and R31 1'2CIt (U-A"C.)
FACLITY |NFORIIATION
Tank Chmer F.lzrt ?raz".-Phone * (/3s\437-32//
I lpartnership I lcorporation
Sratel2/Zp-A"So t
FaciliU na*. Za.Yr) 2t ..
auress 6 1/a-< 7 Z-aiu sr CW Z "ce S^retLap-Cq-rel-
Contact Phone * t/3s1437'32//
Totaf number of regutatcd underground tanks at dris site I
Total number of regulated underground tanks al thb site to be closed ?
. lnolcab [ra ap.d[c $bstar€a storld ln cadr tank to ba dosd ('ogt at, utf..d€4 desoa. Ulsle oll, eE )
For wasle oil ttnks: Hcve degreasing or othertlpes of solvents been stored or mixed with the waste oil?
Yes 0dentify if known)No- Not knorn
Analpis for lead may be requircd prior to disposal of contaminated soil or other matedal.
' t.
TANKS tO BE CLOSED
Tank #/J _7 /
Date lnstalled 4?2Ay,/?3 -{,/?z(/?z (./qz_(
CapactU Cooo 6 ooo 6 ooo 6 ooo
Substarce stored'Ulactoco lrv<€ro€o/*s U/VZ€re€aZn*
p/€5€/
.ttt?L
Date last oo€Eled /.1/ /rs.-),v U;a ./p zts{,.u ,u1d
8-43-1998 2:57PM FROM PIERCE OIL COMPANY 8AI 637 6628 P.3
TANKREitovEHwrre /' ^ /tipcr*(Jetl * TR 02 9S Ery. date-7tlt ct
?,Phone # (?3{r Z i z- 93 7A
Addrcss- /SZ z/a-sf Z-ar>u gaezzT,ZpS-Ysot
SoIJGROUNDWA?ERSAMpLER\Iatg 6 -t /c-a cFJrt.*Gsoq?" 4.ctrrlr-_6!-oocolpny?aZo/:o- %rrur-o-u.r * €aru--.uz phone *(qsg eS7- g3zg
'lddr.* /sz UarT *a)o cty4tsg-gile-a,z-zp-W-
Before tlrr c{ocun Phn ls rybmittcd for approval, the local health and tire departments wtrere the facility is locatedmust bc contacted.
coNTAcr LocAL HEALTH DtsrBtcr Name of DisL - Sourt €/rsz;pn/oate-4/38
Contact Ttle OYU €4At*ecn Phone * 63-7- 267/ -@itTACT LOCAL FIRE OEPT. Nanr of Dept - /,-rn -rr. ,t -oae_HZ?Z,
@ntaa .(€*7 dory.tc,( rae /4?e' c.f ts-Phone# 234'3t87
DISPOSAL INFOFMATTON
Tanl(s)witlbcdisposeO at' Facittty '' - - .4/t/zaa-
Ndress *fr/O €as, t2sz -(.,City.?zrzr Statetzzzp-?'/sal-
Contactperson Z ,{4.t*<,^.rt phone#(?Yr Z-37' 84oq
Product lincs will eitrer oe: l- removed or- cleaned, secured in place, and capp€d.
Vent lirres will either be: --d- renroved or_ cleaned and seanred open.
Pipingwillbedisposed at, F*itity_ , -S..4ne
Addt€$ city- state- zo-
Contad pcrson Phone# ( )
Tank(s) wiltbe emptied by: company a;Z <'o phone * l4ztL63z- 3ett
Tank(s) will be clcaned by: company -Ttz o .c 3o Phone * (%ll7.?l- tS22
Contrmlnated water in lhc tanurimete will be disposed at Facitity -Ta.zar' D, I Za
Contactparson 7 Fhone*tgot\ -'s-g-f22Tan(s)willbc: purgcdor X renderedinertbythefollowing metlpd: 2<v -rr- _.
Residual sludges will be disposed at the fofiowi ng lacihtrs -.yot.a,u O t' z ?a
AV Zkaaze- srate z,L zp-? r/da3
Phonc*(80t| 7.95- 8s22Contact pe6on .7 ' <2.*z_
FOR CLOSUBE I]i}PUTCE ONLY
I J Facility Slte Plat, Sarnpte lnfonnation Table, sample results and Chain of Custodyforns are included.I I. Approval for in'place closure has been granted by thc Local Fire DepartnrentFireDe9t- Ptrone#-contaLDate-
I Approval for ln-place closure has been granted by tfre tocal Health Departmenr
Hodth I Phone#-comacLDate-
[ ] Subsrarrce to be used to fitt
8-43-1998 2:58PM FROM PIERCE OIL COMPANY 841 637 6628 P.4
CO}ITAUTNATED TIATEHIALS MUSTEE DISPOSED ATAN ACCEPTABLE FACILITY:
All maerEb goncntcd from UST chsures must be managcd and disposed in a manner that doe not place those rnatedaE
in dircc{ contact rritr the cnvircnnrent On-sile stodgiting of ontaminais soils rnay be required trior to arry soil rtrnagement
acfulies. Any abrtctmnl gr remedhl activitles irrluding otrercrcavation and aeration can only be pe(omed under direction
ol a @rtTied UST @nsufbnt
Contaminated soils generated as part of tank removal are to be disposed at the follotving facility:
AnZeu 4u.r?r./,tzo-zz ti*lpu -?r"?.er ?aaz cty 4zo'
$atelZiZAp-?lPt-Conracl p"r"on 2r/ Zhuz:o ptrone #("in d37- 77oe
Sl?E ASSESSMENT
A site asscssmcnt must be pedormcd for ell UST dosuree and c{rarrgre.in-servioe. Site assessments must be
pcrtormed rc outlined in 8311-202, Pail 2lE(i,.711and R3t1€05 (UA,C); !l contaminalion is suqlected. additiona!
samPlcs rnust bo collected at lfrc locatlon *lhere contaminatlon Is most likety to ba oresent fie. lf grroundwater is
contarninated, soil samphs silpultl bc colleeted in addition to grcundunter samples). Soil and groundwatr samples
murt bo analyzcd for the compounds cho*rn in the lollowing tabb, uslng the eppropriate lab nethcds.
SUBSfAITIG CPITTTAMINAIIT COMFCX'IIIDS TO BE AITIALY:ED AI{ALYTICALI,EIIIODS
soIL eoul{DurAlER,
sSIIIF.{CEWATER.
GlroEE toul Ptcrolcno Hydrerfioor fipH)
Bcaax- Toltrcae. Ednrlbanzrna Xvtmc fElEft
t0l5Mcdificd!d
EPA tDO
80lSMdifrdId
7!P EAA**IA
Dlcs.l Tcrrt Peaolann l{valqftcnr CI"}D
Bcr!&r. fot'-c, EnylDcrcm. Xyleoc* Nrohlelcnc (BIEXM
t0l5ltlodifcd1tr!
EP T()2{)
t0ISErdifedrd
futd|}2a6?A
U*dOU Ot Dd Gtra.a (O&G) or Tal Rcoovcttlc Hydrertms (1"H)
Bctlra. Totrp. EhyDcrc, Xykacs, Nrplrbtcac GTm0
Illlocctrrad Orcrdc Conar4r
EPAal3.l or.It.l
odEPAt020rd
EP-{ lOrO
EPA.l3.r c4lt l gqi
EPA602or6ll
tadEPA60l
NcurOil )il rad Gnesa (OlDGl or Tclrl Rxscrrbla llrdirErtr. rrErrt EPAal3-l o.ttl8-l EPltll3.1 or418-t
OGrra
Ualoon
Tool Pctotaun Hytocrrtoas (TPII)
Ol ad Gras. (O&G) c tcel RovcnDlc Hydncubor GRII)
VoLdb Ggrdc Crnprodr (VOCI)
Or otLcr EPA oc6o& g oorovod bv rhc Erpcuriva Sanarv
tOU Modificdld
EPA413.t or4lt.l
radEPA t2l0s&160
t0l5 r!odi6.dtg[
EPA4l3.l crrlt.l sd
EPA 62'
Conplete the Facility Site Plat and Sample lnlonnation Table on pages 4 and 5 to provide site assessmentinformation
CONTAMINATION INFOPMATTON
lf contanrinatlon at lhe facility b susoeaea or confitmed, the information musl be reportecl to rhe Execulive Secretary (UST).t (801) 5i,&410O within 24 hours. The DMsion of Water QualiV m.rst be notneO at (8Or) $&6146 if contaminatedgroundtf,ateror sufaco watcr is found. lf contamination b confirmcd, a Cerrified UST.Consuhant must asslst in the remedation
Prooess.
.a-43-199a 2.59PM FROM PIERCE OIL COMPANY 8At 637 6628
, .
FACIUtY SITE PIAT ,i ,ile siic Flat mus be drawn to an approfide ideilifted scah. lt rrlrst sfiow planned sampling locations, sub$ances sbted
in to;'!ks. erd othsr r.le\ran: infonrarion. Tank and sarplc idenUficdftxr nurapers must Ds consistedt wilh the infonlalidr gh,€n
P.5
X . Sample loiatiors (SS+, WS+, USC4)
c = Monitoiing Wells (lvtW+,)
O =Soitboring @.*)
O . rWaterWdts (dome$ic,livesiloclq etc.)
- euoe<lpol^ta ?oi:a
f-- L,uoq, ieoouo .' 6,rs'
oae-47- 7*
SIt! PH i,krst lndlcatcs
r/ Cuncnt & fonncrtanks, piping & dispensers
t/ Location qf all samples to bc Eken
r/ Buiklings, f6nc6, & proporty boundaries, Utility@nd;its (saen, gas, urder, stotm dtains,elect*:al) --t bN use (resideniid. 6ommerciat6r industrial)
on p. 1 and 5 ol thc Gosure Phn.
Facility lO #599a/.2/-Dravrn By.
sc {l l.bss.J
Ss 'q
sc t2
J'5 (.f
ss 44
ss 17
ss rt8
s'7
se t3
---{
7
'lI
'$*U.+C,JU
8-43-1998 2:59PM
o'
FROM PIERCE OIL COMPANY 8AI 637 6628 P.6
SAMPLE INFORMANON TABLE
Complete tabte for dt samptcs to be taken for ctosue.
r sol (ss), €rcuno,rtor (Gw), o, udtcd sor cEssiicdon (USc).
2 Appror. chgD ln ied bcbw gn6a Al s8md.s arg b Dc Ekon irl OZ t€et bslou me bacldlhatt e soil hE raoe-
3 ContmhrncDlnpol,ds fo b..n ryz.., lore..tr safllC. (,!om tabb on p. 3).
4 ApPt€Pttlls anafds meho<b for cornanlmd coBpouno(s) ln €aci sarnplo (flom tau6 m p- O-
Approximate depth to groundwater in the vicinrty of the tanks: 2O t*t.
Regional grcundwaterfbwdirection: Sootl
State Geffied Laboratory to be una' Zrla* -rzrl Foaa '/.rJ-
eun"" Zfu $a Src.rzn< ,Ozluc ctty lzzz Zzr- ?;? aatc-4-zp$/toZ-
Contact person v i*! Phone * f ?ot I 262 - 7J ?e
Please erplain any unusual or ericnuating circumstances erpected regarding the site assessment or closure:
- ,-, ..,/;LL 3a t?,sn Z-a-o Z./.-.72 /F,-/ s2 .ZZ-t c c
Semple#Substencc
stored in
tanlr
Sample
tyPel
DcpUf Compoundd Anatysis method(s)'
5s n/l*.Soil t)'7?r/ *37an got;'+ .Qo2o
<s *2 At<Sar'Z t2'
-s--r t3 Att 9.>t'L ,2'
<-s *4/D'er-l 1;i 1 /2'
5.' 5s-eor'I ?i't/
_<s *6 lar'Z j. -r'
-s.' 'z 7 *>;/.3. ( '
<<Eg <r\,'z ?. 5'//
ss47 So;1 -3. -s'
1c.-s c o/-fu2
-S.tp'tz-z.s'
?sc *2 So.'<
at?Lte'?. s'
usc o3 Sot'1
Sl€t .'3.5'
t cDrtfy undcr pen lty of law that I am the orrner/operator of the tank(s) referenced above and that t am tarniliar with
the inlonnatien on thls form and that it ls accunte and complete, and furthr, that thc procedures described
henin will be followed duringre
wtpaA- o;-q,
08/33/98 tE: 19 DEPT OF EI.SJIRON GUfl-ITY ) 963?6628
uST InsEallation/UPgrade Permie
N0.613 oaz
tX Dtt tosds t I t't'lt Dcttlo'clc'
rE r.rr."r. cile.Er 4* : - 7 :" ' ;* 'r:-a'tt "*: "",'
6-7-q
@**eJ2LC-zte'
cc!E. I g+- D(9' oat'e
-t : UDsrads
"r"* a r-z$-@
- tdo" , ,235t 632-3Ztt
Z:zz-<frr.+co a4€!',*Zi-@t732-=-
t ol1lBr tlrt (lt !!G . !.t r'ellllr' SOOO '/2 /
r* **. ZZ/'a /J/*ca- -
rlpeo I
CosBacE
ErEltl?r. Eeei',
contact
Barat c8 stru|.the cl8@'t'8o" lErt33"t
clEy
TcBal rnrG.llaBioa Tlrrk EeelPr8dr'fu{:
_
8a8l? taiolt'C la r!'t'lt'rlca / uDqardr '
Tenk I s (.1 a q
IRsEaL I / IrPgradc Z/-*-.?n-obn ,/*/*,.,?sz/.a*'fz<razt
ClF.citY (9i.I1on3l Z ooo laoo 4oao 4aao R aoo
rlpe (FRt. St..I, etc.,FZ r-z ,F,4 FZ FZ
subEBaDcr to be Storcd 4r Zzr /.1.t'-2,'"^r.-z .az./,qs
Piping t)tDi (Pre.c'
suctioa. Gravli- l ,4.r-u z/4?Z/z-
tnrtall/UPgrtdc $baE?
r.Frnk- Lr,naB, g.P.' !
I
II
I
I
I
Ir1l oqrlatoC toa tot UB.h D€partstt tt of EnvlrgnlBenBal guallEy
Divieion of gnviacDltaoEel R€!gon!! and Rgltl.dt
I53 North 1950 w3!t. lst ,lool
sslt L8t! clEy,,gSih ca116
sEarc urc only; D.t€ lPProved & Pd g(6ftK APp' Bv
cxr -cI:zsBL
Michael O. LravinGomr
Dianne R. Nielson, Ph.D.
ExccutiE DiEor
Kent P. Gray
DiEtor
"ii,.,"1,,,.,,...,,
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 1zl48zt0
salt Lake city, utah 841144840
(801) 5364100 Voice
[phone] Fax
(80r) 5364414 T.D.D.
?7aK
From:
Dear Underground Storage Tank Owner/Operator:
1.
2.
3.
The Division of Environmental Response and Remediation (DERR) has recelyed notification that one or
more undergrolnd ttorage tanks (usrs) (tanks / associ4ted lin"r'/^(6rll-!]@) will be f@i@l
upgraded) ai 6 6 I 1 f l4r{erh Pytc? ,Utah,
facility D#SA))\LJ . Before regulated USTs can receive ddtveries of fuel and be put into operation,
they must qualify for the Petroleum Storage Tank (PST) Fund, or prove alternative financial assurance, and
receive a Certificate of Compliance. To qualify the tanks for the Fund and receive a Certificate of
Compliance or maintain your current Certificate of Compliance, you must do the following:
Register the changes in the tanks using EPA form 7530-1, Notification for Underground Storage Tanks
(Enclosed). Tanks installed after December 1988 must have the following in place when installed: leak
detection on tanks and piping (including automatic line leak detectors on all pressurized piping), spill and
overfill devices, and corrosion protection. The Utah Certified Tank Installer must sign page 5 of the
forrr to certify a proper installation. All supporting documentation (lining reports, cathodic protection
reports, site plats, "MTCI" or "TEP" reports, etc.) must also be submitted.
New Tanks or Systems participating in Utah's PST fund Only: Complete the PST Application (yellow)
and Previous Pollution Incidents (green) forms from the enclosed PST Fund application packet. You must
indicate on the PST Application form the type of financial assurance you will use for your share of eligible
cleanup costs for each release covered by the Fund, and declare your Financial Responsibility type(s).
Where applicable, conduct a tank and line tightness test and send a complete copy of the results to the
DERR. The tightness test must be conducted by a Utah certified UST Tester for any new tank, line or system
installed.. A list of certified UST Testers is included in the PST Fund application packet. All portions of
the tank and piping system which could contain product must be tested. If the specific UST does not yet have
aCertificate of Compliance, toreceive adelivery of fuel fortestingorballastingpurposes, youmustcontact
DERR for authorization of a one-time delivery for these new USTs. Contact the DERR office at (801)
5364100, 24 hours in advance, to arange for this authorization.
New Tanks or Systems Only: Pay UST registration fees. In addition, tanks participating in Utah,s PST
Fund must pay new tank PST fees for all new tanks installed. These are: registration fee- $150 per tank per
4.
\-.v
8fltl/00 lrlls&$iluouces {rI3I aE?Jols PmoJArePun
'suoqsenb fue e,ruq no,(g g9I79SS (tOg) tu ecIJIo ISn m1gq e$ rcc eseold 'esn
o1q pd ere ,(erp 3roJeq $fml
^\eu
roJ pens$ eg ecuuqduroCJo epclJ[ueC s tutp sarnber ('bes re W}4-:6l
.uuv apoC rpln) tcv {usl eEurotg prmo.drepun r{ut1 eql 'qusr rno,(go asn eqlJo ssol plo^u no{d1eq puu
ssecord arp slslglc"J III,$ slueuarrnhar repo pu? struoJ pap€u eqlJo uoqeldruoc f1anrryelqecllddu usq,n
acuuqduo3Jo e1ecr,;rgaCe enssr 111n\ UUg61 eW'peArecoJ sr uoqsruJoJur dlussaceu eql ueqtqysseJppa e oqu
eql 19 Ultgo eql ol slueu{ud ee; fue pue 's{nseJ gsel'surog eql pues 'pelelduoc eJ? $uell e^oqB eI0 ueQut
'uonerado
otur (s)1gn ,nep mo,{ tnd ot lue,$ nof eJuo sludussasse esoql JoJ Sulnlq B aAIeceJ nof Intm l["Ar ol
qq^. rou ir,r, no{ og 'penssr aq u?c ecuullduro3Jo eturlJ[ueC e eroJeq 'elqucqddu sreef pcsg p rol pr.ed
aq isfiiii see.J eseq.r. '[1ddu futu pupyur-lueurecqder E 'ISrl tqlsrxe flsnor,rard u pecqder ISn ^\eu
sIWJI
mdqEnorql r(tmcuJ sruaf roFd aqt uo turpuedep luq red OSt$ ol 9l$ -oal Pm{ ISd {ut'l me1,1 !rea,( pcsg
.A\
UNDERGROUND STORAGE TANK CLOSURE PLAN (rev. 5/1/96) FACLITY O* soo o / 2 t
LHD
mailed to State
Closure Plan prepared at the request of the owner/operator (identified below) OV /"nBy 2..
of (company name Phone # (%4637'A378
Address /.f'/ Ue-sZ Z.ttLsT: Za dox 76t ,Crty ,?rrz.- statetZlZZp 8?-ro t
A Contractor may pr€pare this Closure Plan as the owner/operato/s agent. ln preparing the Closure Plan, the Contractor must
act with the owner/operato/s knowledge and approval. The owner/operator must sign the Ctosure Plan.
This Closure Plan is submitted in compliance with the requirements contained in R311-202 Subpart G and R311-204 (U.A.C.)
FACILITY INFORMATION
Tank owne, {zzrt Prarra Phone # (/3516 37-32 //
Pprrr StatelLAp-?"So I
Facility Nane Zr.<z.rr,e 7,ou ^
eaaress d 4/€s 7 Tziv Sr Ctry .2zr'za Stateg|Zp-?zso r-
Phone # (/3s1637-32//
Received From l.l{l " M I W
[ ]soleproprietorship [ ]partnership I lcorporation
Contact
Total number ol regulated underground tanks at this silre 4
Total number of regulated underground tanks at this site to be closed 7
. lnd,cale the specific substanca storsd in each tank to be clos€d (regular, unleaded, diesd, waste oil, etc.)
For waste oil tanks: Have degrcasing or other types of solvents been stored or mixed with the waste oil?
Yes (identity if known)
Analysis for lead may be required prior to disposal of contaminated soil or other material. !
!
I
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No- *ot Tl*1----rr- '{-p.',rr ,1,'.'. : -''--1
I
Ati6-5tS i
I
t
TANKS TO BE CLOSED
Tank #J _7 /
Date lnstalled
.?Z/eo)/
./ ?S .{/q/- (/?z {./qz_(
Capacrty Gooo 6 aoo 6 ooo Z ooo
Substance stored'UrY{€ro€oZz<
U.Vl€rO€o1,*.UlVZ€rOeoZ--A)t€5€z
Fztc-L
Date last operated /rW /./</r /.Y //\€./,/Y US{./, usd
IANKEEU9YEB Name 1- /zn - ,/re,er r--
Company
Ct-.. #TR 0285 W.date 74Zz
Phone #l?3{l 632- 937A
Add'e* /s/ z/qsz z-zr>z - cty-?aziz-$aterz:7zp-pzsor-
soluGRouNDwATER SAMPLER Name 4 , /c-r @ft. # csoqgg Ery. date-/-/-oo
Company.
Address /5/ UasT *-zr'u citv &z6_Stae_aZ_7,p_gqfat
Before the closure plan is submitted lor approval, the tocal health and firc departments wtrere the facility is tocatedmust be contacted.
coNTAcr LocAL HEALTH DtsrRtcr Name of Dist. 5ot.-l ea-s-r Date-7-2/-gpcontact Tile €.vz €-t/6t*tc-c-r phone * 637-367/
CONTACT LOCAL FIRE DEPT. Name ot Dept.Date-22/32.
Contact a11E,4Pc: c.lrz-r Phone# 434-3t87
DISPOSAL INFORMATION
Tank(s) willbe disposed ^t FuiLty
Address .r/O €asz /2So Sc,CiV-?.etZr.StateltT-ZpE/seJ-contactperson phone#("3d\2.77- g60g
Product lines will either be: k removed or- cleaned, secured in ptace, and capped.
Vent lines will either be: X removed or_ cleaned and securcd open.
Piping wilt be disposed at Facility
Address city- state- zp-
Contact person
ampany ' 22,'Z (a Phone # (13{1637- 32tt
company -7,<zz ' O, z Ca phone * (gotl ZgS- gs.22
Contaminated water in the tanUrinsate willbe disposed at Facility -7nzzr> O,., aoContactperson Fhone#(goll -\^<-g.fJa
Tank(s) willbe: purged or X rendered inert bythefoilowing methd: Z-z v zrn
Residual sludges witl be disposed at the foftowingtacility: T.yottclz O iz (a
Address cityH<'vzaza slatel?t zp-*?aa3-
contact person phone # ( Ro) l 7gs, gs22
Phone # Las$ e 3 7- 83 73
Phone# ( )
Tank(s) willbe emptied by:
Tank(s) will be cleaned by:
t
t
FOR CLOSURE II{.PLACE ONLY
I Facility Sile Plat, Sample lnformation Table, sample results and Chain of Custodyforms are included.
l. Approval for in-place closure has been granted by the Local Fire Department.
Fire DePt'- Phone#- contact Date-
I Approval for in-place closure has been granted by the Local Health Department.
Health District Phone#- contact Date-[ ] Substance to be used to filltanks
All materials generated fiom UST closures must be managed and disposed in a manner that does not place those materials
in direct contact wtth the environment. On-site stoclgiting of contaminated soils rnay be requircd pdor to arry soil management
activities. Any abatement or remedial activilies including over-excavation and aeration can only be performed under direction
of a Certified UST Consuttant.
Contaminated soils generated as part of tank removal are to be disposed at the following facility:
SITE ASSESSMENT
A site assessment must be performed lor all UST closures and change-in-service. Site assessments must be
performed as outlined in R311-2011, Part 280.72 and R311-205 (U.A.C.). lf contamination is suspected. additional
samples must be collected at the location where contamination is most likely to be present (ie. lf groundwater is
contaminated, soil samples should be collected in additlon to grounduatcr samples). Soil and groundwater samples
must be analyzed forthe compounds shown in the following table, using the appropriate lab methods.
SIjBSTANCE,CONTAMINANT COMFOI.'NDS TO BE AI{ALUED AI.IALYTICAL METIIODS
soIL GROTJNDWATER.
oTSURFACEIYATER
Gasolirc Toat Fcirolcrrn Hydrcca6oas (IPH)
Rgncrc- Tolmc- Edrvlbcnzcnc- Xvlencs (BTE)0
8015 Modificd31C
Fpa llt o
8015 ModifidrDC
EFAfi2or624
Dicscl Total Petrolcum Hydrccaftons (TPII)
Benzcrc. Toluoc. Ethvlbenzanc. Xvleocs, NaDhthalcoc GTEXN)
8015 Modificdrltl
FPA I'Y'O
8015 modificdi[d
EPAffi2or624
Uscd Oil Oil aad Qcaso (O&G) or Total Rccoverablc Hy&oca6ons (TRH)
Bcazerc, Tolrrap, Ehylbenzcaa Xyleocs, Naphthalmr (BTE)(ltI)
ltraloecrr:rd Orcanic Cornmunds
EPA4l3.l u4l8.l
elCEPA t020sod
FPA TOTO
EPA4l3.l o4l8.l4!
EPAff2or624
and EPA 601
NcwOil Oil and Grcase (O&G) or Tcal Recoverable Hvdrocarbons ffRH)EPA 413.1 m4l8.l EPA 413-l or4l8.l
Ohcror
Untnown
Total Pttrolqm Hy&ocarbons (IPH)
Oil and Grcasc (O&G) or Toal Recovcrable Hydroca6ms (TRII)
Volatilc Organic Compouods (VOCs)
OrothcrEPA rdods as aoorcvcd bv tbc Exeortivc Sec'rttarv
t0l5 Modificded
EPA4l3.l or4lt.l
3rytEFA 8240or 8260
8015 rnoditudlld
EPA4l3.l or41t.l 3qd
EPA 624
Complete the Facility Site Plat and Sample lnformation Table on pages 4 and 5 to provide site assessment
information.
CONTAMINATION INFORMATION
ll contamination at the facility is suspected or confirmed, the information must be reported to the Executive Secretary (UST)
at [phone] within 24 hours. The Division of Water Quatity must be notified at (801) 538€146 if contaminated
grcundwaterorsurfacewaterisfound.lfcontaminationisconfirmed,a@mustassis[intheremediation
process.
'y'ri'-''"''
FACIUW S|TE PLAT I
Thri siie piat must bc drawn to an appropriafie identified scale. lt must shor planned sampling locations, substanoes stor€d I
in terks, and other relevant information. Tank and sarple identificdion numbers must b,g consGtent wtilr frre iniorrdion given '
on p. 1 and 5 of the Ciosure Plan.
Facility n*S7Qcz{-Drawn Av / I Zo. oate-H?- 78
5C *l l55.J
Ss "tt
sc {3
SS 4'
s5 46
ss E7
s5 ng
S*?
sc *3-'-0
ie Uns I
lv)*I U.+C UuInS
.i-p/*arcra
X = Sample locations (SS+, WS+, USC+)
e = Monitoring Wells (MW+,)
O = Soit boring (B+)
O = Water Wells (domestic, livestocK etc.1
Z.vOr* f:po rl *to po uc- a
A,voti0Cortua. 4,tS
rr r i/our eaou^to Po,!c-e
Slte Plat ltlust lndlcate:/ Cunent & lormertanks, piping & dispensers
r/ Location of all samples to be taken
r/ Buildings, fences, & property boundaries/ Utility conduits (se.wers, gas, water, storm drains,
electri,cal)t unause iresidenf, ,, @r industrial)
SAMPLE INFORMATION TABLE
Oomplete table for all samples to be taken for closure.
I Soil (SS), Groundwater (GW), or Unifed Soil Chsslfcation (USC).
2 Appror deplh in feet b€low gfrade. All samples at€ to be taften al G2 reot below the bacldlltrative soil interface.
3 Contaminant compounds to be analyzed lor 6ach sample (fiom table on p. 3).4 Appropd'ate analyt$s methods lor contaminant compound(s) in each sampe (fiom table on p. 3).
Apprcximate depth to groundwater in the vicinity of the tanks: 2O teet.
Regional groundwater flow direction: 5oo t4
State Ceilified Laboratory to be used: Z/.- z c-ct/ f- a,ea /-/-
Sample #Substance
stored in
tank
Sample
Upet
Depth2 Compounds3 Analysis method(s)'
55 */l*Sar'Z ,r t 7r1/ *87t*n Sotr * .Qo -2. o
.<-s u2 y'.e<So;l t2'
5J *3 l.e t lz)L /2'
<5 +7 0),sro(9.t)1 /2'
5-' +s-Cai Z ?g'/
s.5 #6 Sor I -3. S'
-st 27 Sr>;l 3. s '
s<#g <r\,'z 3. s'r
<-s*.?So;1 3.-f'
4sc */$/z
Sttsrtt'z.s'
?sc *2 Sot'z
-7/€ut-'3. S'
USC O3 So;L
S/€LrC-3.5'
cry {.tZz /ar< 3.? state-C_ap-&//o z
Contact person Phone#(?ot) 262- 7J?r
Please explain any unusual or extenuating circumstances expected regarding the site assessment or closure:
- at)LZ- ,8a- 7 ./z r -p At,'-fl F;Z -* y'Z , ,
I certify under penatty of law that I am tlre owner/operator of the tank(s) relerenced above and that I am famitiar with
the information on this lorm and that it is accurate and complete, and further, that the procedures described
hercin wi!! be followed during
*ffi
ffi Z/? ZJ-
"-l$ r\u*!,,,,:;Sji,il PROGRAM
I
Facility lD
Checklist
L Ownership of Tank(s)II. Loe*tionofTank(s)
Address
AreaCode r Phone NumberL3,ot ) 13+ -32 tl
ownerNamPt l ,\ Pr.o.o-
Zip Code
Contact Person AI,UST Location Phone #
civ B.ra,, sl%,[^ z&?Bol
Countv - I'<JtWx-t
t"""t oot" L.J.r+ M, ,i^ s+rej'
lll. Tank Gomplete lor each tank. It taclllty.has morc than 4.,Enlc, comphb Infprmatlon for addtilonal tanks on gcgant*.furr.
Number of tanks at facility:
lf not in use, date last used
lf noi in use, depth of product in tank (in inches)
Month and year tank installed
Material of construction of tank (steel, FRP, etc.)
Material of construction of piping (steel, FRP, etc.)
lV. Belease Detection For Tanks hdlcafic rnailrod(s) uced fw each isrlc Comphtr t{re lpproprlata cfiscldlrt ror oach
Generator tank (leak detection
Statistical lnventory Heconciliation (SlR)
Other approved method (indicate name of method)
V, Release Detection For Piping Gomptete piplng checldlst and approfiate tank checklis{a) toreach me$od rrtittsod.
Other approved method (indicate name of method)
certify that I inspected the above-named facility on T I'st1/
lnspector's Signature:Date:
lmonth, day, y€er, tre)< /r-t/4 i(
Distribution: mite-DERR, Yellow{nspector,Revis€d O8/Ogl97
( ?onlr\,(*^r r)6-"*-)(o"n)\
The UST system is filled by transfers ol 25 gallons or less. lf yes, spill
and overfill prevention is not required.
Yes I Yes @ Yes @ ves Gi-\
ls there a spill containment bucket or another device that will prevent
release of product into the environment?
Yes @ Yes @ Yes @ Yes @
ls there an overfill prevention device installed on jbe-tank .e-.fi lree ---_
indicate the type of device: Ball float (in vent lin\lpmalic rry
(in fill pipe), Alarm, or Other (specify)
@No @No -hc, No
For overfill alarm only: ls the alarm located where it can be easily
seon and heard by the delivery driver?
ves
,)to
Yes Y Yes No Yes No
For overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
YK No ves / No Y{ No Yes No
j ji.. r.,.nr:riiiiiLiliiiiiliiiiiij :iil$ii ; :iliiiTii
.r.i.....iiri;.ii+ii,.4iik$rifi',iiii'!ir!+,iir!
;::;liiii.liilirLt:r:i.lr-Iilliiiilillltili:iiii*liijl*Eri!.{,#E-tiI
Tank 1 Tank )Tank 3 Tank d
lndicate the type of corrosion protection: Nonconodible material (FRP),
Composite steel (CS), lnteEallining4l)J.oruessed Cunent (lC),-s#-t ,ur *ln l l'-ttr -1l,-\ ^1"
s[Lr Aln
Sacrificial Anode (SA), orftq[gElected NPYI FRP or CS do not
complete the remainder of this sEtffi Sl"-l ,^.1,r
Um
S+r,/Nn sid
^/.
S*,4 1r1.
lf the UST is not protected, was the tanMine installed before May 7,
1985? lf yes, corrosion protection is not required until Dec. 22,
1998; do not complete the remainder of this section.
Gi\ No @No @No 9No
The results of the last two cathodic protection tosts are available.
(within 6 months of installation and every 3 years thereafter).
Yes
Y
Yes No
I
Yes
Y
Yes
fl"
Results of the most recent cathodic protection lest.
Name of tester:
Test Date:
r*I
/votts
ta* I
/otts
lanr I
/o',"'),ort.
7 volts /vorts
''lro,,.f ""n"
For impressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
60 days.)'"{
No '""1 No Yes No
/Yes No
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the retrofit was completed.
t
HilE*$#lrfi+iixiiii rffiii$*riltxfl+niifl:iliffiiiififniiiiriiilfjixifi*itiiiiffixiiiliii';fi'iiliixiiiii,iffiili'iti,1ffi
uommenls:
f) ,11,
rnspecto/s
",rn
ru,", - l/a*J,/Lldld*'
-
,^r",
rrF.GR EiirLnO,TlFIG l N
(idillme)
understand that th€ following marked items must be completed by
December 22, 1998 in order to meet th€ 1998 upgrade requirements: .d Spilr prevention tor tanXls;* I , Z, -i V
-
E Overfill prevention for tank(s)# AZ fi.Conosion protection fortank(s) # Lt Z, 3. U
$conosion protection for piping assoc. with tank(s) * t ) .), 3 u . _L--Eacrtity meets 1998 upgrade requirements.
Signature of Owner or Owne/s Representative present Ouring tnspect,o", h U. \ #,/
Distribution: White-DERR, Y
]:
!i*!.:a
This method of leak detection requires both monthly inventory control reconciliation and tank tightness testing. lf the UST has not been upgraded
(upgraded means that the tank and piping are protected from corrosion and that spill and overfill prevention devices have been installed) the tank
needs to be tightness tested annually. lf the UST is upgraded the tank needs to be tested every five years. lnventory records must be kept for
each operating day.
Record of last Tank Tightness Test available on-site A Ct'us: No <fes\ No 1[e-\ No (Ye\ No
Date of last Tank Tightness Test t /< lqx t l*/4 *r /< lqx t/s/cs
Result of last Tank Tightness Test. lf fail, specify in comments section what
actions have been taken to correct the problem' Has DERR been notified?@ r"it 0aBs. Fail @r"it Fail
Type / Brand of test equipment used:il+..cr E>-^ c-btn k
Name and company of tank tightness t"tt"r, \6ly<1 k ta-<tefS,Ze^t,V dt **yire"ter Certification Number: UT 23J
Documentation of performance claims for the Tank Tightness Test method is available and shows the ability to detect leaks of
0.1 gph with 95% or greater probability of detection and 5% or less probability of false alarm (3rd party certilication)
Yes No
lnventory volume measurements for regulated substance inputs, withdrawals,
and the amount still remaining in the tank are recorded each operating day
No @No @No G No
lnventory is reconciled monthly (sum of daily over and short for each mopttl
is compared to 1o/o ol tank's f low through volume + 1 30 gallonsl fpf
yes @ Yes @ Yes @ Yes ,ffi,-.<-/
Which months exceed the allowable over-short? (specify month and year)
lnventory Control records are maintained and available for the past 12-
months for each tank {-A
Yes I Yes @ Yes @ Yes @
Records include monthly water monitoring to the nearest 1/8'Yes .6"\Yes sb'Yes dtr-Yes G
Monthly water readings are used to adjust monthly inventory balances Yes 6-0>Yes CN;Yes CG)Yes (F\
Appropriate calibration chart is used for converting product level
measurement to gallons and is available for review
G\ No\-/No nD Nov @*"
Dispenser pump has a current calibration sticker or appropriate
documentation R - ql_.@ No @No @*"No
A drop tube is present and it extends to within one foot of tank bottom GD No rfeb No 6No (vb r,lo
udr;
Owner/operator can explain inventory control methods and demonstrate acceptable gauging techniques C";)No
The volume of product in the tank is measured using a:@ ATG
lf a gauge stick is used, it is long enough to reach the bottom of the tank 6p No
lf a gauge stick is used, the bottem of the gauge stick is:Acceptable ..Worn
lf a gauge stick is used, it is marked legibly and the product level can be determined to the nearest 1/8 of an
inch over the full range of the tank's internal height
,-Ye?)No
comments: -l< a:'^ C,l+, b aftQ & l.Jzuu"-#t bur-,t <tVvz. dlt'tt)stqAr
rnspector'ssin^r"r., I l/,rrJ4-L.- - - ,^r., f llSU(
Signatureofownerorowner,sRepresentativePresentDuringlnspect,"^,hu.H
Automatic Flow Rostrictor (if yer, indicate model in commonts soctionl
Automatic Shut-off Device lif yes, indicate model in commonts seaionl !
Continuous Alarm Syatem (if yes, indicete modsl in commonts loctionf
Records of laet Line Loak Detector porformance tost aro available on-thc
Dat6 of last Line Leak Detector pe.formanco to8t
Resuh of last Line Leak Dotoctor performance test
Records of last Line Tightneee Tost are available on-she
Det6 of last Line Tiohtness Test
Resuh of last Lino Tightnoss Tost
Neme 8nd company of certified tester: 'Trea k Utah Tester Certification Number: UT
Groundwater Monitoring (if yes, uee Groundwater M9nitoring checklietl
lnter8titial Monhoring (if yes, use lntor8tatisl Monitoring checklistl
Statistical lnventory Reconciliation ISIRI (it yos, uso SIR checklist)
Other approved method (if yes, use othor method checkliatl
Records of last Line Tightness Test 8re available on-ehs
Date of last Line Tiohtness Test
Resuh of last Line Tightness T€st
Groundwater Monitoring {if yes, use Groundwater Monitoring checklistl
lnterstitial Monitoring (if yes, use lntorstatial Monitoring checklistl
Statistical lnventory Reconciliation lslRl (if y6s, uso SIR checklist)
Other approved method (if yes, use bther mothod checklist)
Operates at l6ss than atmospheric
Slope of piping will allow ALL product to drain into tank when suction is
released
Has only OllE check valve, located
All above information on suction piping is VERIFIABLE, uso comments
section bolow to documont how it is verifiable.
Signature of Owner or Owner's Representative Present During lnspection:
Date: TlBlqg
Distrihrtion: Whitc-DERR, Yellow-lnspector,
1
ELLIS PIERCE
P O BOX 792
PRICE
March 17, 1998
ur 84501_
Re: December 22,1998 upgrade deadline for Underground Storage Tanks
Division of Environmental Response and Remediation (DERR) records show you have one or more underground storage tanks
(USTs) which have not met the December 22, 1998 UST upgrade requirements. These tanks are located at CENTER TEXACO,
6 W MAIN ST, Price, facility ID# 5000121.
Under Federal regulations issued in 1988, UST owners and operators have until December 22, 1998 to upgrade, replace, or
permanently close USTs that do not meet the requirements for protection against spills, overfills, and corrosion.
This deadline will not be extended. If your tanks are not in compliance by the deadline, they will not be able to receive
deliveries of fuel.
The DERR encourages owners and operators to meet the 1998 upgrade requirements as soon as possible before the December 22,
1998 deadline. It can take several months to upgrade, close or replace an UST system. Delays are not unusual, and contractors
may not be available if you wait. Start planning now!
Our information shows these requirements have not yet been met:
Tank ID Substance Tank Capacity Spill Protection Overfill Protection Corrosion Protection
I Diesel 6000 No Yes No
2 Gasoline 6000 No Yes No
3 Gasoline 6000 No Yes No
4 Gasoline 6000 No Yes No
Any metal flex connectors connected to fiberglass reinforced plastic (FRP) piping at the submersible pump or dispenser must be
cathodically protected or taken out of contact with the soil.
USTs filled by transfers of less than 25 gallons at a time (usually used oil tanks) are not required to meet the spill and overfill
prevention requirements as part of the upgrade requirement.
If you have questions about which requirements you still need to meet, or would like to have someone visit your site to help assess
your needs, please call Alan Jones at [phone].
CENTER TEf,ACO
T'IAIN AND CASBON AVENUE
PAICS UTAE
TANK TESIEB VER 2.01
FUEL TYPE:
CAPACITY ?ANK I:
TEMPERATUN,E COETF ICIEM:
TEST CRITERIATp
PREI{IU}' UNLEAI}ED UNDERFIIJTD
6000 oAtLoNs
700 ppn/deg F
+0.050 6H T0 -0.059 gPH
SOOot2l
i:,pst1K
-.__a
t":-! -d ,\,nll C r- .
^
..i,\ .\ c'
0l/05/93 TEST TII{E FR0t{ 16:42 TO 17:15
DATA ANALYSIS INDI0AIES:
A CNOSS VOTUUE CBANSE OF:
A VOTUHE 0EANGE DUB TO TEUPENAfl]RE OF:
A LIQOiD VOLU}IE RATE OF CHANOE OF:
ilITH A 95 ? CONFIDENCE INIERVAL OF;
+0.010 gAltot{s
-0.010 gALt0NS
+0.037 GPH
+/-0,003 6tts
(+0.040 T0 +0.035 cPHl
L-. -- _-J
Wfiai*o DELtvEREDIILV I
t
I
I
Lf-oz7)
cusr0!48R.
.7ra-,,2 f{%Z/
/t ez'r"e( fuz7ec7;!c/ fuf?</d"4
1
Tank Testing - Kevin Wheeler
2517 S. 2nd Apt. # A
Pocatello, ldaho 832M
(208) 23s-1662
1-800-356-2883
PRODUCT LINE TEST REPORT
HORNERE T CHEK
STATION NAT,IE L
ADDRESS ,^4c.irv ..nA l.*/b,,r A,,t.
CITY, STATE
DATE OF TEST
PRODUCT ID NI,JIVIBER
T1?E oF sysrEM s@E6ucrloN To t-h-ci.t.., ,,; I RTr 0
APPLIED PRESSTJRE 3o ?:I
LINE START LINE EI{D
7o
7q
'79
-)g 1{
FINAL RESULT - -:c:14 CRITERH Y/N
-t
RESI,'LT
- , Ctc l'1
- O-'
-,co)'7
-o-
TIME
It, t{
I b3o
tu'l{ ,
)loo
t1t f
+l-
?q
1i
x0037
x;n37
x0037
xigc37
)t0037
r0(B7
K0037
r0037
-.111
REIvIARKS ----bnl, fh,lc 'tef o L
--02
l"s€BsonFArL
?-;;Z,zTESTING OPERATOR NAIVIE
UENTEtr IEIIACO
MAIN AND CARBOR AVENUE
PRICE UT*H
TTNT IESTER YEX 2.01
FIIBL TI?E:
CTPACITI TA![K 2r
.\
UNISADED PIUS UNDEEFIIIED
6000 GALLONS
^
TEHPERSITRE COBFFICIENT: 685 ppu/deg F
IEST CEITERIA:+0.050 0PH TCI -0.050 cPH
1")0l/05/98 TEST TItE FR0M 1e:23 T0 1e:57
DATA ANALYSI$ INDICAI?S:
A gSOSS \OTUIIE CHANSE OF:
A VO[.E}IE CHANEE DUE TO IEUPERATIIRE OF:
A LrquID 9OlrluE RATE oF CEANGE OF:
$ITN A 95 1 CONFIDENCE INTERVAL OP:
-0.005 GAt[oNs
+0.002 GALL0lls
-0.016 oPff
+/-0.001 6PH
*d* uf-czr';
015 To -o'or7 GPH)
CUEIO}TEB
7a?,, / 75/'421
Ot-l*ra.a'y'/z7a'/ ol fintxt*4
TankTesting - Kevin Wheeler
2517 S. 2nd Apt. # A
Pocatello, ldaho 83204
(208) 23s-1662
1-800-356-2883
PRODUCT LINE TEST REPORT
HORNER EUT CHEK
STATION NAI\,IE te_rdcC Te
ADDRESS r4\p-;"r a J (.-r5. .. A rre-.-
CITY, STATE Or,,., , OiAl.-
DATE OFTEST
PRODUCT ID NT,JMBER
TNE OF SYSTEM 1? kr.., ,,"" ..: / r(iu-O
APPLIED PRESST,JRE { D f5 I
LINE START LINE EI{D
3t
3c-3e,
3a 37
3a
?)
FINAL RESI,JLT - , 6.> 3.1
-4-TESTING OPERATOR NAIUE
+l-RESI'LT TIME
i8 co
)tt{
/sb
/ g,i{
/lc<:
-
)t0037
)t0037
)c0037
)tm37
]t0037
)tOG'?
r0$7
K0037
- D'
^ b-
jt -/', co71
3r
CRITERH Y/N /.5
REN,IARKS ce--ls Qatl Llc( - o L
z /z/-OZ;
1^
rtEr,iT'!lF''r'l:i'i.i lr,arir.,Ei.li JraL,r$ii.ir.+
MAIII A}ID CARBON AVENTIE
PRICE UTAE
rANX TESTER VEB 2.OI
FUEL TYPE: REGELAR IINIEADBD 0I{OERFIILED
CAPACITI TAHK 2: 6000 0ALLoNS
TEHPEBAIUBE C0EFFICIENT: 680 ppnides F
TEST CBIIEBIA: +0.050 GPti To -0.050 GPI{
la
01/05/9t TEST TII{E FRO}, 15t12 TA 17:4e
DATA ASATTSIS INDICATES:
A 0BOSS VOIUI{E CttAN0E OF: -0.030 GAILONS
A VOLTUE CHANGE DOE 10 TEUPERATURE 0F: +0.006 CATLONS
* LIQUID votUtE RATE 0F CHAI{GE 0F: -0.04i cPH
I+ITII A 95 % CONFIDENCE INTERVAT OF:+/-0.004 GPH
(-0-037 TO -0,045 6PH)
TES Uf-:tZ|J
eugltuEB.
/aa-r..' ?,g2 Vae:(
O//*t,2.1. /.2a2A..-,c, J )E-?t 5';-*o(*-/
a
Tank Testing - Kevin Wheeler
2517 S. 2nd Apt. # A
Pocatello, ldaho 83204
(208) 23s-1662
1-800-356-2883
PRODUCT LINE TEST REPORT
HORNERffiCHEK
STATION NAI,IE l' , f, .'z -l-erhA..,
ADDRESS ,Ylr,i,,-: rn,c-0 ['rv [,.,^ 4,t-.
CITY, STATE Prir,, , r rr4\
DATE OF TEST
pRoDUcr ID NUMBpj R".r, i .- tr r.)." I , . ,0,& .
TrEorsvs@ucrloN T^1. he,w.\ ,../ fTco
APPLIED PRESSI.'RE SC
'2S
I
LINE START
)t0037
x0037
)t0037
)t0037
)10037
r0()3?
x0037
,t0037
RESI,'LT TIME
/b/:'
t(;9"
it, 'ti .
/1ou
-D-
-'.ao)7 t7t{-
9o
to
?,0
?1
LINE EI{D
Ai't
Co
"/1
7or
+l-
-t
CRITERH Y/N Yes
t.Z/'- OZ??
REN,IARKS I eo- l. Oc-lt Ll of - O lr
1
+0,018 0ALtoNs
-0.005 cAIJoNg
+0.004 6PE
+1.O.007 GFH
(+0.011 r0 -0.003 0Pfl)
CEi$IER IETACO
},AIN A}ID CABBOTI AVBNUE
PRICE OTAH
TA}IK ItsSIER VER 2.01
FUEL TIPE: DIESET FUE! $IDERFIILED
CTFACIIY TANK 1: 6000 GALIONS
TEUPEAAItRE COEffICIEt{f: 480 p'pn/des F
TEST CRI?ERIA:p)
+0.050 cPE I!0 -0,050 GPB
01/05/98 TEST TIIIE FROU te:23 To 19:57
DATA AIIALYSIS ITIDICATEE:
A GROS.S VOLOUE CIIAN&E OF:
A VOLIIUE CHANEE DUE IO fEItrERATI'RE O8:
A LIQUID VOII'UE RATE OF CHANGE OF:
TiITH A 95 B 0ONFIDENCE IITTERfAL OF:
,orrfuzrolry
CUSTOMER.
-Taza+11 ztZy'-4
t7--r7<:Fc',+l frm 7 7*'c
(v/
Ot-c*r14
1
TankTesting - Kevin Wheeler
2517 S. 2nd Apt. # A
Pocatello, ldaho Bg204
(208) 23s-1662
1-800-356-2883
PRODUCT LINE ]EST REPORT
HORNER EZT CHEK
STATION NAI\48 G,NI C/ TUxC*tO
ADDRESS
cITy, srATE €r t u- , u.l a \
DATE OF TEST
PRODUCT ID NI,JIVIBER Oie* (
TY?E OF SYSTEM S ToLh, ,',,^ ,. ,,,t / KFt- f\----'
APPLIED PRESSI,JRE {o ?<I
o-)il .^&
LINE START
bcl
Gq
bE
LINE EI{D
Lt =
(./
l"l
REST'LT
- D.n
NME
I loo
)8 t{
/73o
:
l8 v{
/ leo
+l-
("q
-t
x0037
)t0037
x0037
rc(xET
r0037
x;0xE7
r0037
]t0037
-t
61
FINAL RESLJLT -, dx1
TESTING OPERATOR NAI\,IE
b'l
REI,IARKS L*.-L Dclttlut -AL
ORE CRITERH Y/N leS
Distribution: White-DERR, Y Pink-Facility/Owner
.,,,ii,,,,,:i1, ri::ii;iisjiii:iiiiji,IEifiiiiiiiiiiilii..i,i,-ii ii#ili'iEg,.lxXl+ li:,,. ,.*i}.i,,ffi*''\
.i:i::::::i:::::::::i,:#::i::::::::::iiiitri':liil#*#t'+fuii#i#'fiffillLt+t111.ll.1..1:::iiiiiiiffiffll ,
i:;i#iit,lrii:i::;::ii:iii.,iri,=i##
iii::rlliiiii{iiiiijii4i4lii+
I'l+'l::;;:;ilii#ilil
;tttiifti #.,ffi;X;iffi,,ffi,ii+i:illiiijj,iiiiiii:i::i,iit,rii;iiirrri,,,,,,...
insffi
;;jj;jii1}},11i,1t,1,,,,:,,,,:i,::::jj:jr,1rjj:i::j::1 li:j:::jJi*irliiii:
l: ititlj,,,,,, i ,j,j,j,jjji.jjj,,.jrli,f, l: i i i: i::l: i:: i:l i:r., .:
Tank 1 Tsnlr 2 Tank 3 Tank ll
The UST system is filled by transrers of 25 gallons or less. lf yes, spill
and overfill provention is not required.
Yes @ ves (x-o)Yes @ Yes
ls there a spill containment bucket or another device that will prevent
release of product into the environment?
Yes @ Yes a@ Yes @ Yes I
ls there an overfill prevention device installed on the tank? lf yes,
indicate the type ol device: Ball float (in vent line),. Automalic-sbr.rlofl
-
(in fill npe), Alarm, or Other (specify)
atE> No\<-
Auttr- S-*rt-f'
@No c@ No @No
For overfill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
Yes
/.YYes Yes No Yes No
For overfill alarm only: ls the alarm cleady marked to indicate what is
meant when the alarm sounds?'"/
No ves /No ves i/ No ,"d No
:iiiii:liii:iilitji!!:.i.1llrj.j.irii:::::il-j...illrj.j*:i:r:lrjjjj:i.rr.' :i1::!...:.:i:i
r.ijjiiiEi]nitiiiiilli!!::11!!i{itil:l'i::li:l:l:::1:::l::::::it:irrt:i r.ii :j:.:1:.. : . r:ti
Tank'l Tank 2 Trnk 3 Tanlr !
lndicate the type ol corrosion protection: Noncorrodible material (FRP),
Composite steel (CS), lntemal lining (lL), lmpressed Cunent (lC),
Sacrificial Anode (SA), or Not protected (NP). l, FRP or CS do not
complete the remainder ol this gection.
?h':, ur <L,i tlt st-<;i il(<i-it4
NP
UT
t,) P ^)p
Llm
l,{ p
lf the UST is not protected, was the tanMine installed before May 7,
1985? It yes, corrosion protection is not required until Dec.22,
1998; do not complete the remainder of thig section.@No @*o @ruo @No
The results of the last two cathodic protection losts are available.
(within 6 months of installation and every 3 years thereafter).
Yes No Yes ""/Yes "Y Yes No
Results of the most recent cathodic protsction test.
Name of tester:
Test Date:
'* "fi
Te* I
/o,,.'^*
/on"uod
u*/
/volts volts f ,ort.7^*
For impressed current system: The results of the last three
equipment op€ration checks are available. (Equip. check required every
60 days.)'*/ *","/ No Yes I No ,d No
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the retrofit was completed.
I
comments: 3eirr C{rl- S} 11.?f or-:{r,c-tr c4l
t,
rnspector's sisn^tur"t '- l(*L fr&4 o*", I C '' 7f - Q{
URGNADE I{OTTFIGAirION
t ' / ' t Zf{kfZ understand that the following marked items must be completed by
December 22,'lgggin order to meet the 1998 upgrade requirements: $Sniff prevention for tanX(s)* i ,2, S, {
! Overfill prevention for tank(s)#{ Conosion protection for tank(s) *L!-tl
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
Automatic Flow Restrictor (if yes, indicate model in comments section below)c/t/1--
Automatic Shutoll Device (if yes, indicate model in commonts section below)
Continuous Alarm System (if yes, indicate model in comments section below)
Records of last Line Leak Detec'tor performance tost available on-site rae=$ No -CfP No @No 2fgs\ No
Dats ol last Line Leak Detector perlormance tesl 5+fr<c+-\-g ({-2s-.tr F-23-Ls
Result of last Line Leak Dstsctor performance test (p.? rair zPct Fail (@ Fair z@) Fail
Set 2
Rscords of last Line Tlghtness Test available on-site fV€? No fi;? No GNo zfeD ruo
DatE of last Line Tighhess Test T-23-nn-i-ts*g 5-)3-e <*I5-?f
Result of last Line Tightless Test G? rair 3?b Fail @rait y''FS)>Fail
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation [SlR] (if yes, use SIR checklist)
Other approved method (if yes, use other method checklist)
Records of last Line Tightness Test available on-site Yes No Yes No Yes No Yes No
Date ot last Line Tiohhess Test I
Result of last Line Tiohhess Test Pass Fd Pass Au Pass V*,,Pass Fail
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
II
Groundwater Monitoring (il yes, use Groundwater Monitoring checklist)//
Interstitial Monitoring (if yes, use lnterstitial Monitoring checklist)//
Statistical lnventory Reconciliation tslR] (if yes, use SIR checklist)I
Other approved method (if yes, use other method checklist)
Operates at less than atmospheric pressure Yes / t'to Yes / No Yes ,/ No Yes No
Slope ol piping will allow ALL product to drain into tank when suction released Yes / No Yes/ No v"{ No Yes r' No
Has only ONE check valve, located direcdy under pump v"/ No vls No y'",No YA No
All above inlormation on suction piping is VERIFIABLE, use comrnents section {",No rt", No ./v., No Yes No
lnspector's Signature:
Signature of Owner or Owne/s Representrative Present During
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
This method of leak detection requires both monthly inventory control reconciliation and tank tighhess testing. ll the UST has not been upgraded
(upgraded means that the tank and piping are protected from conosion and trat spill and overfill prevention devices have been installed) the tank needs
to be tightness tested annually. ll the UST is upgraded the tank needs to be tested every five years. lnv€ntory records must be kept for each operating
day.
Record ol last Tank Tightness Test available on-site 6D No (reD No 6") rlo @r.ro
Date of last Tank Tightness Test E lzelq;5/zg lq t {/zs/,( e /zs/a
Result of last Tank Tightness Test. lf fail, specify in comments seclion what
actions have been taken to conect the problem. Has DERR been notified?.(aB> rait @",P f.ifS/
Tank Tighhess Testing mothod:[&)tw, Vz.u oL"-"
Name and company of tank tightness tester: D,ar[< VL*il2J Utah Tester Certification Number: UT OO S<
Documentation of performance claims lor the Tank Tightness Test method is available and shows the ability to detect leaks of 0.1 gph
with 95% or greater probabili$ of detection and 5% or less probability of false alarm (3rd party certilicatlon)
Yes (Tdr\=_
lnventory volume measurements for regulated substance inputs, withdrawals,.
.,;rnd the amount still remaining in the tank
"r"
r.""orO"il#-Jplrai;;U"*@No @No @No rf6) No
lnventory is reconciled monthly (sum of daily overages and shortages for each
monh is less than 1% ol tank's flow through volume + 130 gallons)
Yes qp Yes &Yes @ Yes Clvorr
ll no, which months were not? (specify month and year) nrtL re1,o1 ,A\d --)
lnvsntory Control records are maintained and available for the past 12 months
6for each tank 9No @No .{9No /1b NoEJ
Records include monthly water monitoring to the nearest 'll8' &b Yes 6d Yes (fi'd Yes GD Yes fsd'>
Monthly water readings are used to adjust monthly inventory balances Yes (1VO Yes /,ffd)Yes 6tq Yes @\
Appropriate calibration chart is used for converting product level measurement to
gallons and is available lor review @No @No @No t@No
Dispenser pump has a current catibration sticker or
"ppropr{iYf,fi:i,t5"6ttt#1 GD No dtq No dD No Y,i}) No
The drop tube in the fill pipe extends to within one foot of tank bottom @No CY;) No r1D ruo (-Y;D No
Owner/operator can explain inventory control methods and figures recorded 6eD No
Books appear used and evidence of recsnt entries is apparent ?q>No
Owner can demonstrate acceptable gauging techniques /t@ No
The gauge stick is long enough to roach the bottom of the tank 6)No
)Tne enOs of th€ gauge stick are flat and not wom down {e Yes aND
\t" g"rg. stick is marked legibly and the product level can be determined to the nearest 1/8 of an inch over the full
range otlne hnk'rinr"r"t hdi9* - LJuL ,^- 1. l^,r,\# r*
Yes (@
Comments:
Distribution: White-DEBR, Yellow-lnspector, Pink-Facility/Owner
FB
$q5
(\
7 F 7 (^f 6 l\Y
<r
n
C
R
EO
TE
E
l
To: State of Utah \From: Lloyd Vance 1-801 -472-3440 5112197 16:14:46 Page 3 of 9
FACIUTYW sfrq!21
r-STROLEUM SIONAGE TANtrt
NNANCIAL RESFONSIEIIT,rT DECTANATIOH
Coopla: oot fotu fr mh trdlttY
n lurnoryht dlcu bYM[ l, 1997
7-ctttn T'etdca
4 r,r/t.r/ rtlait .9n
FACILItrH^T
FACI.I TADDIESS
clul,*,firdryOnc
[E f cfoilG to coutlnuc to plrfidpttc h thc PST Trult Frlnd.
a Subtnir &b Fhadrl n4otfflity Drslrrrtiu fottn by Mry I' 1997.
I Suburir fiG Flrcd Ycu l99B F*ility ThlulStp1t Dcclrmion lbtrn fom) W May I' 1997.
I All ELD imlgdiry rbwcarcuna $on8E rralr (ASTI) lcrld * rbtr f*iury Dry bc rcqnild
loptHpdr ia tht P$f Trurt Rtsd.
t lrdicrtG runbtt of ASTr, if uy, lcatEd at rhit frility
tr I rDooffi rnothcr llnrndrl Aflunnor nreoUtiUty Meahrniru(s)
O Sutuit tLh Fintri.l n:qon*tnfry Declrntim fco by Mry I' l9II.
t Ey trua 15, 1997. nrbmit *cEptrblc frursirl rrsutiEEc doctrnsuts rna tlfp pruceuing fcr
eJr rctruiun (Ura rt cxut foruu rcquirEd by ft&rd rcgrlrtion, ll(} CIR Prrt 2fl1'
SSETfiK).
e IndicilE yutt Connw's'Fitctl Ycad'odlry dric
ou,tlrfi,a lo l - tA7' .rZil
Tfile Ptors
D{-Ol- ?7
. SI{D NO T YMENT AT TIUS t:ME'
ffi&m** *f, €-}*mRx
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 We.st lst Floor
salt L:ke city, utah 84116
[phone]
[phone] Fax
(80r) s35-4414 T.D.D.
Scoo tzl
Michael O. Leavitt
Govenof
Dianne R. Nielson, Ph.D.
Exrcutivc Direto
Kent P. Gray
. DiE!tr
November 2,1995
Ellis Pierce
Pierce Oil Company
P.O. Box 792
Price, Utah 84501
Non-compliance of underground storage tanks at Center Texaco, 6 West
Facility I.D. #5000121.
Main Streef Price, Utah;
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke a
Certificate of Compliance if it is determined that a facility is not in substantial compliance with all state and
federal UST statutes, rules and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and Remediation
(DERR) performed a compliance review for the underground storage tanks at the above facility. The
compliance review, performed on October 25r 1995, indicates you have not satisfied the requirements of the
Act and are out of compliance. To achieve compliance you must submit evidence that proper Inventory
Control is performed on USTs #1, Y2, #3, and #4 by:
.^ ^ l(t,t *. ". Documenting that inventory records are reconciled monthly to determine the total overage
$'ttt n "o ' r or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
vLqgL af u. ffi:#:Tll;ilf,H:H#:l'lllJtH*nJi;,""d to within one.eighth inch, at reast once
per month, and the water measurements (converted to gallons) are used to correct the
,,lqb , monthly inventory reconciliations.
tl2-l f X ". Documenting that you have obtained a gauge stick which is capable of measuring product
level in one-eighth inch increments, is legible, is long enough to reach the bottom of the tank,
and is not worn on the end.
Please return a copy of this request with the above items to speed processing. If the above information is
submitted to this office by January 5r1996, and substantial compliance is achieved and maintained, no further
action will be taken on this matter. If it is not received by the date specified, we will commence the
revocation process of your Certificate of Compliance. If you need any assistance concerning this issue please
contact PauI Harding at [phone].
DEO / DERR
E HAND DELIVERED
TO:
RE:
Printed on recycled paper
November 2, 1995
\-,
'f/rS S th atl (t,n pErE
CrU'rEL Tz,f,4L"
-
332 West Railroad Avenue
P.O. Box 792
Price, Utah 84501
[phone] . FAx [phone]RCE
DtsIt[VERY MICKET,Lrjv
9255
ln Case of Emergency Contact Office [phone] or
Personal Emergency Response Service 1 -800-633-8253
Sord to: {,' f m'za "li rfur r.' Date:,,/ 4 ,.{
Shipped to:
P.O. No.: RE- l.lo.:
R&MzOctane Ralirgb
Unleaded_
Srrper
UNT."EADED PLUS GAsouNE FUMMABLE uoulD
BEGULARGAsoLTNT tt*ffiil*''
DIESELFUEL CoMBUSTTBLEUoUID
DIESEL R EL coilBUSrBrE r."r,ourD
tN12ts
LUBE OILS, GREASE & OTHER PRODUCTS
RECEIVED BY:
DRIVER SIGNATURE: UNII#-
BOL#
BOL#
Am. ol
chk._c.c._
Cash-
FAcrurY NAME: 4^* 6t-t-
DArE oF wArER "^".*;
/' /'?6 ..r.. oI*** ttNcHE$''f{
I
TOTAL GAIIONS PUMPED >TOTAL GALLONS OVER OR SHORT >
DROP THE I ST 2 DIGITS from the I TOTAL GALLONS
PUMPED number and entor on tho Y line below Cornpars theso f numbers
I.EAK CHECK:vo +130 = /d i? gatlons
Is .ToTAL GALLoNS OVER OR SHORT" LARGER than 'LEAK CHECK. result? YES @ ICITCIE ONEI
lf answer is 'YES' lor 2 MONTHS lN A ROW, notify regulatory agencv as soon as possible.
KEEP TI.IIS PIECE OF PAPER ON FILE FOR AT LEAST 1 YEAR
MONTHI INVENTORY RECORD
rANKrDENrlFrcATroN"t *",* n, 1 fr*u y'frg
MoNTH/YEAR ,-Lt ?6-
DAILY OVER I+I
ORSHOBT I.I
fEd' -'Eoof'l
7zr'd (+t C/a e{LO t=t /,'i i
Wt.t g to \t-1 4 (-l pq
/o ? 8 , l+l rtt '" (-)t/ j,66=t 2eay't
/i5?J+r l-l 111 .60l=l v!i-!:
200 0,?'t f / '5 t+l l-l ft t '4/ l=l 2'o o4 '
2000, (+l (-l q7.971=t tg C2-*
tzeZ-.4t trZS (+t t-t ig6'l l:!13!6 ,
+ t 5z.l?7A2,5 t+t t-t t$T'Fl l=116,!0.11
l'?62,5 l+l l-l 160 , X01=1 f"ol.7ir.:.i.,i$frl:.i
- 1/1.67?? (+)l-l t02,i / l=l .- 17.?o/a? 6. {+} (-l lt?,lo 1=172.16
lWrazoo ' t-t zlo '701=1lC?2.?
2, (+l (-!l'J.Lh=t t651.1
krz, (+) t-t a6'?bt-t /65 0
16?1 . t+t l-l ltl,t'll=l t$12.
f, (+l l-l Ztl
1, (+l t-l il5 (=l
Ft 235. t=t 702,
, (+) 20Ao, Fl /57. p'1/.4tf ,
262r, (+l l-l /r1, t=t2!3?
2-7TT ta Ft /7. t=t2'//o'
46A. (+t t-t /rA, t=trtz/u'
22 r 7, ( +l t-t /ZZ . 1=1fu/7'1t
(+l (-l (=l
(+l (-l (=l
(+l (-) (:)
(+l (-l (-)
(+) (-l (=l
(+l (-) (=l
(+l (-) (=l
(+) (-) (=l
TOTAL GALLONS PUMPED >
DROP THE IAST 2 DlclTS from the
PUMPED number and onter on the
1EAK CHECK:
MONTHI/'\INVENTO^RY RECORD
TANK IDENTIFICATION & TYPE OF FUEI.:
FACILIW NAME:
TOTAL GALLONS
lino belowj2- +
Cornparc those
130 gallons
ls 'TOTAL GALTONS OVER OR SHORT" LARGER than 'LEAKCHECK' result? YES l@ {circte onel
!f answer is -YES' for 2 MONTHS lN A ROW, notify regulatory agoncy as soon as possible.
KEEP TH]S PIECE OF PAPER ON FILE FOR AT LEAST 1 YEAR
MoNrH/YEAR ,-L ,9-L
DATE OF WATER CHECK: /.C - 1 C I.EVELOFWATER
TOTAL GALLONS OVER OR SHORT >
DAI.Y OVER I+I
OR SHORT I-I
fEtd' -'Boof'l
/ f ?5 (+l
--
l-l - l=l,tf?f
/{?, (+t (-l t=t ti?f.
t-t /lj.(8427r2.
21q1. (+) ,060 t-t tt4. 1=11015.
t-t lL?, t=tj?L
(+t t-t 232, 1=t'tG€1.
1'loj (+) (-) Zt, l=l iG'l
'1683 (+t (-)
Ft "?lf t p1'7237.
i 106, t+t (-t t?fr. t=t 3/09,
Ft l{c{, Ft e6?
Ft ?OE, r=t X 11l+ltrOO l-l 7ua. l=l 7l1br
'rlfL (+l t-t t411 l=11oo
(-l n5' Ft a ol
'l o9cl r l+l (-l t1'l , l=l 2? / /
l-l i11, 1=1 /.6?6.
2777 (+t t-t /7(, t-t257
2{17, (+l t-t /70, t=t 2?
t+t /2OO. t-t /76, 1=1J70 P ,
t-t /go. t=t 4/6
(+l l-l 14 l=19o9?,
Ofl6, et t-t //J. t=t2
26f 7, (+t t-t/f Z t=tZG?7,
MONTHL^VUVENTORY RECORD
TANK loENrlFlcArloN & TYPE oF FUEL: tl j Ml'
.? oNTI{/YEAR ,J,-9 L.
FAcruw NAME: b-lu -77o*
t,
DA,E oF *or.*il , /- 6-1L ,*u*ffi
222 galtons
ls "TOTAL GALLONS OVER OR SI{ORT" LARGER than 'LEAK CHECK' resutt? yES @ lcircte onel
lf answer is 'YES" for 2 MONTHS lN A ROW, notify regulatory agency as soon as possible.
KEEP THIS PIECE OF PAPER ON FILE FOR AT LEAST 1 YEAR
9ATE.
START STICI(
ItrtvE,lToRY
loALLOarsl
oAtLo,ls
DELlvERED
oALLOtiS
PUMPEO
BOOr
rtvEtuToRY
loALtot{sl
ETD SNCT |IVETTONY DAI.Y OVCR I+I
oR 8HO87 t-t
fEnd'-'bot.l IilIItAL80rrGHCstiGALLOXSt
t E?7. (+l - (-l=l fi'7'7 /f 'h-v7-7 ?a4
2 €z't, (+t (-l=l +,/'?'t /?'/z-fl77 -*ffi331-? . t+t 4401 (-4f br Gt 4c4/L?tla u6-5cf .+ 17.
I 1ot4 (+) (-dE?, t=t lggl b0 t/4-jq?L,+ //,/,4
5 it c1- (+t t-bfo, t=t i34?6 l',/o j246.- 4/^.</
6 ?236 t+t (-257. (=1177/,47//z-zVZF,- )2,.-l
7,,'.,,2761 (+) (-l't, {r 209/.4 /t/o-rt QQt/+j,,'-- ,.a
I 23!lf t+) (-7/L (| 2/69,A7r/z-4/ 7/+6 -vf
9'2/74 (+t (-///1 (I l-?j4,jz 1/z-/77/+ 5-/,r<.fi_
t0 /'), / (+) (-1j7. r | /22r.z r'/-/2'7a.I q'i :\/
It /277, (+t (-/'10, (I gi?,t 17ft rJ6.-j.4l'^
t2'5'1L, (t /30J, (-6zz-, 1 t /r/4,o4t/o /lo o *l 4(.r-
l3 r(?'L. () (-tj3n, 1 I //j {,z 3a/+// ,7,1?i 7-F^
,1,// {1, ((-) /,/, (I ta7?,z? 1/q //,r7,+6y'4(t
I5 1161 r (t-t ,5 /, t=t Lc L ,rl3/t ,c-- 1/,4lh
ter:r.,'?e.).+cil, t-t /,1e. (=) 7PZ lzls 72-/,* /',
f7:.vz1 .+86 o t_t ,/ 2, p1 16./ 5 ,2J'/fr /0L7 {?
!8 pa?,+Gt fe /, et /6 6,/3-',/4 2') u,62, :?n
t9i 510.+ffl 7 , t-t 5?8, t=t y'lor,6B {g ,1167,*/r7,<
.,2(}r.416Z +t t-t io/, t=t/%/,6Olu j77"-%7,K(w2t,SVrz +r (-) 7f, t=tflr6.lf 7/a 7fo5,-71.u v{6 7,+t t-t 77O. 1=13/35,{574 i/6,6 aa /,#2l ?/( 6,+) (-) {6r. 1=yl7 f/,v5 7,Zi /'- /67,
21 +)((=)
26 +)I l=l
26 +l l (=l
2l +)I (=l
?g (+)t-)l=l
29 (+)(-t ( =)
30 (+)(-l ( =)
3t (+l (-)(=l
TOTAL GALLONS PUMPED > IL
DROP THE IAST 2 OlclTS from tho
PUMPED number and enter on the
LEAK CHECK:
t7{'L TOTAL GALLONS O vER oR sHoRr > | /3O.
cornparc*"".-T;
13O = ?-i- .2
TOTAL GA
line bolow
LLONS
+
MONTHL'\VENTORY RECORD
TANK lDENTrFrcATroN & TypE oF Fu& 4 / 'r. /
MoNTHTYEAB ,-L,31
FAcrury NAME: t z"e T:-."
oArE oF wArER cHEcK.F 6 f L TEVEL OF WATER ttrCXeSt:7
.,,,PATF,:,t
START ANCI,
IN'EISTORY
toAtLoilsl
oAtLotls
DELlvERED
oAtIoJ{s
ruMPED
EOOK
IIS'ETUTORY
loAtloilsl
ETD STICT ITVflTORY DAI,Y OYEB I+}
oi SltoiT t-l
I'Ed- -'Boot'l nruLa0ilcHEslloArrorasl
t 1A/7, (+t (-r t=t /4//Lfi'/+/4?4 ,<.;.a.r'
3 ./... ,-- (+) (-l l-l /-",J o 3',/-t .a:' t V fr-./-^
Siii ,'- (+l t-t 4/, t=t //30,27 //z-/12/-7.'{//-
...lt,.t::.,'...'t //27 (+r t-t/27, t=t /Z?/,26'h /1Zi /27 ;11r/
:.:..,....8.''..,:/37i (+) t-t 4?, t=t /2?f.2, "/"/27O,-q *,'^
,.:E:::,::/27 o. t+t t-t (0. t-t /222.2/'/z-/2oy -/4, ,,, 2/7/o
,:t't't:::::I:l:.::.:./zt!, t+t t-t .za, t=t //i/,2ia/t /o7 g -0i, u ,</<
,8:il',',,/lf / (+l t-t /? g. (-l ?c,t.2/'ft /77,+7?41't/,nq77. t+t t1J t-t 24. et //of,2j t/s 17.Y Zz/'/ r/-i -
10 /// f' (+l t-t -70, Ft /o{/,22r//0rr,f //.'vH
t,l /116 (+t H /r/, Ft ?e/,/??h '? !1,-6 ,/,<:4
{? 1 t+t 'j' ', (-} /'1, t=t /6!5 4/ /A /6 77.,,{
bi7 (+t t-t 5d. 1=1 7b//2/7//677 +y'6 4.1',/f,r1 *t ( -t €- 1=1 7ri7 t/ 7//6?7,
---
:'. 1('.
ir'il5 /677 (+l (-t 72, t-t /62,27//z-/ f67 -Lr(A 7*/:
l!!?1 (+t t-t 27, t-t //f 3,29 r/s /Ec'i.+ E,<7
4/€o3, (+t t-t 4f, tq//f7,277/6 /45 0
,,.:,:,:::lSi /f ,o (+t Ft a5, Ftt//T 27 -/4 /f?/.f25 ,C.2.
,:i::.'19:i;:i //{0, (+l t-t /0f, eBtz.2ltt /260,- 77,fg
l:2(},i:/2A6, t+t t4 /3f, H// /r,z///r // 62.*2?g
,l!://f 2, (+l H A t=t //f 2-zl//6 // tz,€4/-
,.,,,,:24,.,//7'L (+l tt? r, t-t /6E, t=t2./?2,211/*?73,+l ZZ
,..,,,.ea11.1:1,q?'5 (+t t-t r'r, t=t 2J40,iGTa 4J27.-/7,'r<3-
,::ll'(+l (-t (=l
,:':,t25 (+,(-t (=l
26 (+l (-l (=l
!t.::r:::::(+l (-t (=)
:e8,.:,,,',(+)t-)(=)
(+)(-)(=)
ao::(+l (-)(=l
:::::::st::l:(+)( -)(=l
TOTAI
DROP'
PUMPI
GALLONS PUMPED >l5o0 I ToTAL GALLoNS oVEBORSHORT >
|
\LLoNs
conrparo+13o=
/6
fHE LAST 2 DIGITS from th
Il nurnber and cnter on thc
TEAK CHECK:
r I TOTAL Gr
f line belovr
t4 thesc nun6ors
gal lons
ls 'TOTAL GALLONS OVER OR SHORT' TARGER than 'LEAK CHECK' resutt? ,rS @ (circte onel
lf answer is 'YES' for 2 MONTHS lN A ROW, notify regutatory agenq, as soon as possible.
KEEP Ti{IS PIECE OF PAPER ON FILE FOR AT LEAST 1 YEAR
Sflats *f W*eh
DEPARTMENT OF ENVIRONMENTAL QUALMY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
Salt llke City, Utah 84116
(801) s36-4100
[phone] Fax
(801) 536-,1414 T.D.D.
ralct z (
Michael O. I-eavitt
GovcmG
Dianne R. Nielson, Ph.D.
Exccutivc Dirrctc
Kent P. GraY- Dirtd
August 15, 1995
TO: Pierce Oil ComPanY
Attn: Shane Brog
P.O. Box 792
Price, Utah 84526
RE: -Larej*voices for six Pierce Oil facilities; Facility ID. #5000117, #5000118, #5000120,
Dear Mr. Brog:
Enclosed are the invoices for fee and fund payments, now past due, for the six facilities referenced
above.
please note that payment must be received before 5:00 pm on September 1, 1995, in order to prevent
the lapse of the certificates of compliance at these facilities.
All communication including invoices are presently directed to the address as listed on the invoice
for owner. If this is incorreit please provide a written correction for the owner listing and address
for these six facilities.
If you have questions concerning this matter or need assistance, please contact me at [phone].
Sincerely,
Paul Harding,
UST Section/Utah DERR
Enclosure
Printed on recycled paper
UTAH DEPABTMENT OF ENVIROT"..TENTAL OUALITY
]IVISIONTOF ENV!RONMENTAL RESPONSE AND REMEDIATION
STORAGE TANK PROGRAM
INVOICE DATE:15 AUG 1?95
OWNER
ELLIS F,IERCE
F.0 " E'lX 7?e
F.ftICE. UT 84501
(FOR STATE USE ONLY)
DATE REGEIVED:
FACILITY t.D. t{O:
FISGAL YEAR:
INVC||CENO:
FEE PMTAMOUNT:
FUND PMTAMOIJNT:
96
LOCATION TANK
]IUFRAY'S CENTEF: TEXAf,O
6 ttl. I'IAIN ST.
FRICT" UT A4501
PAYMENT DUE BY 5:00 P.M. ON 01 sEF 1??s PAYMENT DUE:$468.00
THE F.AY FOR THE C HE TIIT
SAVE TIUAFSEEL-Y_-F'RNNtrSS N}.IARGFS EY F.AYThIG THF ANNIIAI AITIOIINT DUF '.rri: .l:ewr'leyc!i:3c ltalmiEr:.lcu:iecf,J-!.::(siuclo nsutgproce:a3si.:Ei;rouraccclnl Paasea- -:::r.a j:,!i) jJiar!.ii
:^l:LS nv::g i ca ra:tarea l1 ?cu:l: ":,..a:a:: ar :a,._eat
PENALTIES & INTEREST WILL BE ASSESSED ON BALANCES PAST DUE ACCOBDING TO UTAH CODE ANN. 19-6-401 et seq.
IF FEES ARE NOT PAID, 60 DAYS AFTER DUE DATE, YOUR CERTIFICATE OF COMPLIANCE I-APSES WITHOUT FURTHER NOTICE.
PAYMENTS ARE APPLIED AS FOLLOWS: (1) PAST DUE BAUNCES (2) CURRENT BALANCE (3) PROCESS CHARGES, (4) PENALT|ES (s) tNTEREST
"' For more lnformatlon. refer to the revetse side ol thls lnvolce. ...
iYl,!Etii l.rUST BE RECEIVED BY 5:00 P.!.,1.. il'.1 OUR CFFICE. ON THE DUE DATE TC AVOTD PENALTIES & I.ITEHEST
DlRECT OUESTIONS TO:536-4100 - Accounrs Receivabte
REMIT PAYMENT WITH INVOICE TO:
ENVIRONMENTAL RESPONSE & REMEDIATION
168 NORTH 1950 WEST. 1ST FLOOR
P.O. BOX 144840
SALT LAKE CITY, UT 84114.4840
^'q
UUBNAI'S CENTBN TEXACO
T{AIN AND SABBON AVE
PRICB UTAE 8+5OI
TA}IT TESTER VER 2.01
PUEI TIPE: DIESEL FOEL UNDERFILLED
CTPACIIY TAIII l: 6000 0ALrcNS
BUpEmnng COBFFICIET{f: 480 ppu/der F
TB9I CBITERIA:+0.000 gPE It +0.000 gPH
,A_"r
ol,3,ats*TEsT TIUE FROU l4:t5 TO 15:21
DATA AIIALISIS INDICATES:
A CROSST YOtna CEAN08 0F:
A VOLUUE CHANOE DCIE 11) TEIIFEBATUBB OF:
A TIQUTD V0rIrEE RATE 0F CEA[{0E 0F:IIIXI A 95 f, CONFIDBNCB ITTfEBVAL OF:
FEts 1 0 t;;rr
,000 /e I
4.12.2?/ilra*
+0.100 cAtlots
+0.067 GALIXM'
+0.029 ePH
+/-0.001 gPH
(+0.030 lE +0.020 oFE)
/-/Eeae3-
cusTouEB.
sIATl0lr
AUURTSS
clTY,.s
DATE OF
PNOUUCI
I YPE OF
TNIX nisTlllo rllc. ^Dlck erd Krvlr hhcrlor
P.0. Box tl6
F.rrnnllnrr Colorrdo BC/t59
TolI Frac 1-400-156-28tll Ext. 4
iJLeh Ccrttflcaticn I UT-0055
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IP.OWCT LINE TESIII|G
TEsT /-=cs *"4
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UUNRAT'S CEITEN TEIACO
UAIN AND CABEON AVE
PRICE UTAH 8450I
TANT TESItsN VER 2.01
FUEI ITPE: UNLBADED PLUtt IIWERFILLED
OAPA0ITI TANK 2: 6000 GAIJOIU!
TEUPEBATORE COEFFICIEIII: 705 ppn/dcl F
TBST CBITEBIA:01,+0.000 oPH rc +0.000 cPE
cusrffiEB
ful,t
oLt3ots+rEsr TIuE FR0U 14:15 TO 15:21
DATA ANALTSIS IMICATtrS:
A CBOS$ VOLUUE CEANGE 0F: -O.0OZ 6AIJ.ONS
A V0ilntE CEANSE DUE T0 TtsUPEnAfinE 0F: -0.007 OALIOMT
A tIqUID VOLUIIE nAlE Or CHANGE oF: +0.013 0pH
IIITH A 95 I COIFIDENCB IMERVAL 0F: +t-0.002 cpH
(+0.016 T0 +0,011 oPE)
*swd*d/ZlZa- A-62ass-
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DATE OF IE5 / *12 'q4
i'nouucI Iu nunumJ/n//' '"- '*"6lsz,/tle
IYPE OF SYS
APPLIEU PNE
LIIIE. SIAIII
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+/-
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UBIITNGE ucI10il
SSUNE
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UURXAYIS CEillm TEXACO
UAIN E CABBON AVE
PRICE ITTAE 84I'OT
TAIIT TESTBR VEB 2.OI
FUEL TIPB: PBEUIUU OMAADBD UNDEBFIT-IID
CAPACITT TAilK 2: 6000 GAtIOf,S
TEUPERATURE COtsFFICIEIfT: 710 ppntdcl F
TE$T CBITERIA: +O.OOO sPH TO +o.OOo OPH
ott3ots*TEsT TruE FRou 12:12 1! 13:18
DATA ANALTSIS INDICATES:
A 0ROSS VOIIUE CEA!|0E OF:
A VOTUIIB CHIIIOE DOE TO TEUPEMTUBE OF:
A trqrrD v0tuuE IATE OF CEAI|GE 0F:
I'ITH A 95 1 CONFIDENCE II{TERUAL OF:
**&d/rZz^-
ct EfoHEB.
+0.019 0[IJ0N8
-0.002 cAttoils
+0.030 gPH
+/-0.002 OPH
(+0.032 T0 +0.028 oFB)
/,-r7=ru.g-T
fra.t lu4fie/
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TUI'( TiISTUIO I}IC.
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P.0. Box tl6
F.rrnrllnrr Colorrd o 84t59
TolI Frac 1-Roo-J56-28tt3 Ext. 4
Uteh Ccrtt(lcatlcn # UT-0055
HOtUiFIt EZI CIiEK CcrLlflcetlon f C0 U0u9
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TEST /- 312 - q'*DATE OF
PNUUUCI I U ltuil0ER
r ypE 0F sysrcu@sucr ton /a/7H r-rLD -
APPLIEU NNESSURE
LIIIE EIIU
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nEilAnKS
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OPERAIOR
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UUNnAT'S CEilTEN IEXACO
UAIN E CANBON AVE
PRISE UTAH 84501
IANT TESTEN VEN 2.OI
FUBI TI?E: UHLEADED 0AS U!|DEBFILLED
CAPACIIT TANI l: 6000 GAUINS
TEUpEmruntr C0BFPICIENI: 700 ppn/dcg F
TBST CBITERIA: +0.000 OPH T0 +0.000 cPE
ott3on/.TEgf ?ruE FBou 12:12 1o 13:18
DATA ANALTSIS II{DICAT?9:
A GROSS VOtUtlE CHAI|GE OF: -0.0t4 sAU.OtS
A VOLO}IE CAANOE DUE TO TBUPEBATINE OF: +O.OO7 GAIJ,OIIS
A TIQIJID VOTUUE EATE Or CEANGE OF: -0.029 0pB
I{ITE A 95 t O0NFIDBNCE IMERVAL oFr +t-0.001 OpH(-0.029 1'r0 -0.030 gPE)
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P. o. Box tl6
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TolI Frac 1-8OO-156-28tll Ext. 4
Uteh Ccrttflcatlcn I UT-0055
HOru;FJl EZI CtiEK Ccrtlflcetlon I C0 U0U9
FP.OWCT LI}IE TEST]-IIG
A U U R tSS ///*l ' " ,r't 4. ", .t .4C6'
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sIATl0il ItAHE
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APPLIEt TNESSUNE
LlilE SIAtTI
IYPE oF sYsrrr,t@sucrlon
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nE,lrARKS
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Leak Detection lnspection Checklist
t.Ownership of Tank(s)ll. Location of Tank(s)
Owner Name (Co.poratlon, lndivldual, Publlc Agency, or othot ontlty):
Q;or.e o; | 6*o.**,
(ll samc ar Sectlon l, check herc _ )
Faclllty Name or Company S.lte ldentitler, ar appllceblc
{A^tt r u L ?o^-ta* ta *o "nStreet Address ' I(>r< 11U Streel Addrosr dr State Road, lr eppllcable
(^ d v*r+rJcounty o^twJcitv Oc.,t< sraro .^- ggrT\""0"clty(noarost) ?r;.< state .rf- tue3flo.Area Code Phone Numberg7 -72r\
Contact Porson At UST Locetlon lr r{.rt Phone J
Number ol Tankr rt Thlr LocaUon:
Faclllty tO*. 5ooa 1?-\
lll. Tank lnformation Please compl€te all inlormation lor €ach tank. It this racility has more then 4 tenks.
ploaso pholocopy this page and complete the iniormation tor all additional tanks.
Tank presently in us€Tank 1 Tank 2 Tank 3 Tank 4
lf not, date last used
lf emptied. verify 1' or less of producl in lank
Month and Year Tank lnstalled (E-estimat€ or K-known)3-v{<-t s < -L<<,br
Malerial of Construction (E-estimate or K-known)'>T 1T aT 11-
Capacity of Tank (in gallons) (E-estimate or K-known)l-\'{*LrZ-t^t<..tot<
Substance Stored (E-estimale or K-known)s;a aa \4'a^t rJ^.rL, G<1 P. ., -t- .
tV. A. ReleaSe DeteCtiOn FOf TankS Check the reloaso delecuon melhod(s) ueed lor each tank or N/A ll none requlred.
Manual Tank Gauging (only for tanks under 1'000 gal.)
Manual Tank Gauging and Tank Tightness T€sting
(only lor tanks under 2,000 gal.)
Tank Tightness Testing and lnv€ntory Control ><>-*x
Auomatic Tank Gauging
Vaoor Monitorino
Groundwater Monitoring
lnterstitial Monitoring
Other approved method (write in name of method)
lV. B. ReleaSe DeteCtiOn FOr Piping Check iho release detection method(s) used lor piping.
Check One Typ€ of Piping lor each Tank PrButlrod Plgltrq r ><x x
Suctlon Plphg
Automatic Line Leak Deteclors, and
(check one of the following)
Vapor Moniloring
Groundwaler Monitorinq
Secondary Containment with Moniloring
Line Tightness Testing I -t O ].lt )
@i/bverf ilt Protection
Conosion protection installed (indicato dato)
Spill/Over{ill protection installed (indicato date)eJc z Cr r\ -l^9t.rLj -1 ,t, (o;,
V. Site tnformation C \\1a'7- ->
General site observations and comments (vicinity observations. ground water level. etc.)
certify that I have inspected the above named lacility on
mooltrr d.y. Iaa. lttr.
Date: ?z ) -< '1 3
sl7@-t
-and Tank Tightness Testing
Facirity rD ,- *Sll)
Mothod ol tank Ughfiesc b6dng:
Narno end address o, tank Ughho.s bsror
f thls lecllity has more then 4 tankt. pleeso Phobcopy thlr page and
'complete the lnfrcrmaton lor dl addldonal bnks.
Please complete all information for each tank
Tank t Tank 2 Tenk 3 Tenk tl
Date of lasl tank tightn€ss lesit. ----3J-)-0*\r^- !-*--lT.---
Did tank pass tesf? lndlcate yes or no. ll no' speclfy ln
comments s€ctlon bolow the status of the tank or what
actions have besn taken (e.9.. has stale been notifiedfl-^lc
Oocumontatlon o( dellved6 and sales balances wilh
dally measursmenB ol llquld volume ln tank are
malnlalnod and avallable.
)o ),>)o
Overages or shodag6 are l€ss than 1% + 13O gals o,
tank's tlow lhrough volume.
ll no, which monfrs were no(? JofF "A*\A ?*J c-.^^Der-- La
ory conlrol m€tlrods and llgurdt us€d and rocorded'y6 no
Becords lnch.rde rnathly wal€r monltorlng.ye8 no
Eooks agpar us€d anc, evldence ol recerrr enfies ls apparent.ycl m
Books are reconclled rnmthlY.yes I m
Approprlate catlbratlql cfiart lg tJs€d rtr calculatlng volume-y6 mI
Dlspenser pumps have cunent callbratlon stlckere.1-\>yel tx,
The drop tube in lhe flll plpe exlends to wilhln one toot ol tank bottom.ye3 noI
Owner can d€monstrate conslstency ln dlpsllcklng l€chnlquB.ydi no
Monthly waler readlngs ara us€d ln calctrlatlng monlhly lnventory balanCes.y6 no
Ths dipsllck ts long enorrgh to reach th6 botlom ol lhe tank.ydr no
The ends of the gaugo sllck at€ tlat and not wom down.yes rl(,
uci level can be determlned lo lhe near6t me-elghlh
ol an inch.
yssl /noI
The tank has been tested withln tha y€ar and lras pass€d the tlghtness tesl (ll necessary).y€s no
A third-party cortilicallon of the tank tlohtness tost melhod ls available.ydi no
Tank tsslsr complled wllh all cerlltlcatlon requlremenls.yes rx,
Monitoring and tsstlng aro maintained and avallable lor lho past 12 rnonlhs.yes no
a^rl. t-
^*J,
lcn.L ('
-Ti _ \)r
; i\\ 9*t.r*
&<^n)->
lnspoctor'3 Signature:
)"e\-
i,v(t
Dz--- 1-L
)-*
Dau: Z t. D'"c '1.1
srGe-3
A
Facility lD #:*-\2-\
Pressurizgd Piping A method must be s6loc{6d from each sel. where appllcable indlcate date ot last test. ll thls lacility h8s moro than 4
tanks, please photocopy lhis page end complete lhe information lor alt addilional piping.
Set 1 Tank 1 -.,,Tank 2 Tank 3 Tank 4
Automatic Flow Flestriclor
Automatic Shut-off Device
Continuous Alarm System
and
Set 2
Annual Line Tightness Testing ttur - 1o 6110*.\<.- I tr \
Vapor Monitoring
lf Vapor Monitoring, documontation o, monthly
moniioring is available
lnterstitial Moniloring
lf lnlerstitial Monitoring, documentation of monthly
monitoring is available
Ground-Water Monitoring
lf Ground-Water Moniioring. documentation of monthly
monitoring is available
Other Approved Melhod (sp€city in comments section)
SuctiOn Piping lndicate date ol most recent test.
Line Tightness Testing (required every 3 years.)
Vapor Moniloring r
Secondary Conlainment with lnlerstilial Monitoring
Ground-Water Monitoring N
Other Approved Methoc, (specity in comments seclion)
No Leak Detectlon Bequlred
(must answer yes to all of the lollc;ring questlons)
Op€rates al less than almospheric prossure A
Has only one ch6ck valve, which is localsd directly
under pump t,
Slope of piping allows product lo drain back into tank
when suction released
All above information on suction piping is veritiable
On ths back of this she€t, Plqasg sk€tch-tho slt6, notlng all.piping runs, tanks (lncluding size & substances storsd)and localion of wells and their distance from tanks and piping.
U)rhl nlm,
certity lhat I have inspecied the above named lacility on
lnsp€ctor's Signature:? z, i>z- 'i 1tr\i --.
sr7@-5
Co'b.4
Aue .
Nl
T
EH
nn
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5"un
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LJNI-TrTRGROLJND STORAGE TANK PT.JGRAM
trnent Tracking Form
OWNER:
Reasonfor : ADIUSTMT*'*;ffi*' rrrffirs Re-bill -v.Xorvint f€cv'd q. | .q3 . P e.a.Se
ALSo r r Gctrctzo
4 Scoo lzl
{J r)cn Lzz-
@cv'd, Aat:-L )fi 60oo2(e
^
UBRRAT'S CEf,TEN 1EXACO
UAIN AND CABBOII AVB
PRICE MAE
TA[r TE!,TEB vBB 2.OI
FgE! ffPE: DIEIIEL FUEL UilDEiFIIJ,ED
CAPACITI TAllf 2: 6000 0AIJOilS
TEUPERATURE COEFFICIEIfI: 180 pnn/drr F
TEttT CBIIEBIA: {.0.000 CPE !0 +0.000 CPE
l2ll+192 ItsSf TIUE FKXI 1{:28 1O 15:35
DATA ANALISIS INDICATE9:
A CBOSS V0UIUE CEAIIGE 0F: +0.090 GAIJOISI
A VOL0UE CEAtl0B DUB !0 IEUPEBAIURB 0F: *0.086 0ALLONS
A LIQOID VOLUUE RA1E 0l CEAN0E OF: -0.012 gPB
TIIE A 95 3 COUFIDENCE IMBYAL 0F: +r-0.005 OPB
5 ct:'c \7- (
CUS80UER..... o..... o. .
(-0.007 !0 -0.016 GPE)
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F.rrnnllnqr Coloredo 8dt59
ToII Frac 1-800-156-28,13 Ext. 4
Uteh Ccrttfleatlon rl Ut-0055
HOru;ER EZI CIIEK Ccrtlflcetlon I C0 0009
FROIXJCT LINE TESTU{G
IAIE
TEST /,;l-/3-./J
lrA HEsIATl0il
AUURtSS
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DAIt 0r
PNUUUCI
IYPE OF
APPLIEU
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IIURRAY'S CE}ITER TEXACO
UAIN AND CARBON AVE
PRICE UTAH
TANK TESTEB VER 2.01
FUEL TIPE: REcUL/n GAS OIDERFIIJ.ED
CAPACITY TANK 1: 6000 GALIONS
TE}rPEBAflnE COEFPICIENT: 682 ppn/da3 F
TEST CBITERIA: +0.000 CPH T0 +0.000 GPH
lztL3t92 IEEI TIUE FROM 14:45 M5:51
DATA ANALTSIS INDICATES:
A GROSS VOil'UE CEANGE OF:
A VOLUUE CHANCE DUE TO 1EUPERATTIRE OF:
A LIQUID VOUruE RATE OF CHANGE OF:
9IITH A 95 1 CONFIDENCE INTERVAT OF:
+0.011 cAIJOt{s
+0.084 GALLONS
-0.043 GPE
+/-0.008 cPts
(-0.036 T0 -0.0s1 GPE)
T/.*Za kzazvl,-{TESTER
cusllluER.
/4 7772h,
kl *Z
TA}IK BSTUIG IIIC.
Dlck erd Krvlr lthcrlrr
P.O. Box ti6
F.rrnn1ln(r Coloredo 84t59
ToII Frac 1-ROO-156-Z8tl] Ext. ll
Uteh Ccrttflcatlon f UT-0055
HORIiFA EZI CHEK Ccrt1flcetlon I C0 00u9
IROMCT LINE TESTI.}IG
sIAIl0lt ilAHE /Ev
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PNUUUCI I U IIUIIUER
IYPT OF SYSIEII BIIE NGE U
APPLIT.U TNESSUNE
LIIIE SIAIII +/-LIIIE EIIU
t/q
NESULI IIIIE
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FIIIAL RESULT.-,L,4
rESr ING 0PERAI0R n lr
nEil^RKs L D o<
x.u03
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M'RBATIS CENTER TEXACO
UAIN AND CABBON AVENI'E
PRICE UTAH
TANT TESTER VEB 2.OI
FUEL TYPE: ITNLEADED GAS UNDERPIIJ.ED
CAPACITY TANK 1: 6000 GALt0NS
TEUPERATT BE COEFFICIEM: 685 ppu/dcg F
TEST CRITERIA: +0.000 CPH TO +0.000 GPH
l2tl3t92 TEST TIUE FROU ll:28 T0 12:34
DATA ANALISIS INDICAT'ES:
A CROSSI VOtUltE CEANGE 0F: +0.035 GAI.LONS
A VOLITUE CEANGE DtE T0 TEUPERATURE 0F: +0.055 CAIJONS
A LIQUID V0LUUE RATE 0F CEANGE oF: -0.027 CPE
nITn A 9s I CONFIDENCE INTERVAL oF: +/-0.004 GPH
(-0.023 TO -0.031 GPH)
/tT ?a s3-TESf,ER
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TAIIK fiiSTUIO I}IC. A
Dlok erd Xovh llhcrlor
P. o. Box tl6
F.rrnn11n(' Colorrdo 84t59
Toll Frac 1-800-J56-28'13 Ext. 4
Uteh Ccrttfleatlon # Ut-0055
HOIUiER EZI CIIEK Cartlflcetlon I CO U0u9
PROUUCT LI}IE TESTU{G
sIATI0il ItAHE
AUUnESS
crTY,.srArE futre i/fu4
DAIE oF TEsT /2--/3 -'/z
PNUUUCI IU IIUIIUER
IIPE OF SYSIEII
APPLIEU TNESSUNE
LIIIE SIAIII LIIIE EIIU
UBIIENGE
F I llAL RE SU LT 44*
r Esr t ilc 0PERAI0R lrE
nEilAnKS.
+/-RESULI
x.003
x.003
T.UO3
x.003
I.003 -
x.003
I.OOJ
x.003
PAS
/<.e. !
'<')t- ,
/3>
IIITE
/ /czct
ltt{- /42
/32_
E>_
/3'7
) 3"2--t/.-:=.a-._ tt{{
/*oc'/3>
L2ll3l92 TESI TIUE FROU 14:45 T0 15:51
DATA ANATTSIS II{DICAIES:
A GROSTI VOLI'UE CEAT{GE OF:
A VOLUUE CHANGE DT'E TO 1EUPERAIURE OF:
A LIQIIID VOTUUE RATE OF CEANGE OF:
IIITH A 95 1 CONFIDENCB INIERVAL OF:
cusfouER.
+0.I48 CAIJpNST
+0.115 GALLoM!
+0.069 cPH
+r-0.016 OPE
(+0.085 t0 +0.053 GPE)
?7eas{
a
UT'RRAI'S CE}ITtsR 1EXACO
UAIN A}ID CARBON AVE
PRICE OTAH
TANT TESTER VER 2.01
FIrEt TIPE: PnEUIt U UNLEADED UI{DBRPIIJAD
CAPACITT TANK 2: 6000 GAItrONS
I'tsUPERATIIBE COEFFICIEM: 689 ppn/dca F
TEST CRIIEBIA: +O.OOO GPE TO +O.OOO CPH
3-rr Hu /L-,. /qZ/4,,r/, h/#, i
^TUIK TiisTrrlo lllc.
Dlok erd Krvlr !'Ihcrlrr
P.o. Box tl6
F.rrnrllnqr Colorrdo 80tt59
ToIl Frcc 1-800-156-28ttl Ext. ll
Uteh Ccrttfleetlon f UT-0055
HolUiER EZI CHEK Ccrtlflcetlon I C0 00u9
PROUUCT LINE TESTING
sIATI0il ilAHE
OATE OF IEST /,)- /3 -?>
AUURTSS ' i e' (*."/a/,/ ier,ry,
cITy,.srArE ParcL //q4, _
_ /3s_Dr /3<
,3{ !
. NESULI
I.003
IIIIE
_tu_
-ztu{-
-g_7-1d_.2?/{
I.00 3
I.003
I.003
I.003
T.OOJ
x.003
x.003
/t;lt<
_13{);
FI'IAL RESULT -O.-
IESI IIIG OPE I0R 0(Art
nEHAnKS.
s /Oac)
r.4r L c IER.^ ttn Ya--
-ol
Pnuuucr ru nunum kerquu ,/ 4, "n
rrpE 0F sysrr@ucrrou 4'7 or-'-RZ-?--.--
APPLITU PNESSUNE
L I ltE SiAtr I LIIIE EI{U
/3-{ ,'
+l-
lY'
nENUqf{: ' \. Complete items t and/or . additionll leivica!.. Comploto itoms 3, and 4s & b.. Print your name and addross on the roverso of this fofm ro that we crn
return this card to you.. Attech this form io th6 front of tho mailpioco, or on tho hck if cpacc
doos not p€rmit.
. Write "Rotum Roc8ipt Requ68t6d" on tho meilpiece bclow the
. Th6 Return Receipt Fee will provids you tho 3ignaturc of tho person
3. Article Addressed to:
ELLIS PIERCE
BOX 792
PRICE UT 84501
I alao v, to recoive tho
following services (for an extra
fee):
1. E Addresseo's Address
2. D Restriaed Delivery
Consult for fee.
4a. Article Number
1
E Registered
El Certified
E lnsured
tr coo
E Express Mail ! Return Receipt for
#s00
8. Addreseee'e Address (Only if requested
and fee is paidl
(Agent)
7. Date " nilv5.I lgu
, November 199O *u.8.opo:1s01-28ru06 DOMESTIC RETURN RECEIPT
UNITED STATES DOSTAL SERVICE
\,
Official Business
Print your name, address and ZIP Code here
DEPARTHEIT OF EHVIRONMENTAL QUALITY
DERB UST ERANCH
I95O WEST ilORTH TEMPLE
SALT I.AKE CIW, UT 8411 :
.- Certified Mail Receipt
T No rnsurance uoverage rrovroerl
'-4," Do not use for lnternational MaiL
(See Reverse)
Street & No.
x 792
PO., State & ZIP Code
Certified Fee
Restricted Delivery Fee
Fleturn Receipl Showing
to Whom & Date Oelivered
Return Receipt Showing to Whom,
Date, & Address of Delivery
TUrAL Postage
& Faes
oO)o)
(Dc
-oo
@c)
E
otI-
a(L
Postmark or Oate
State *i llte-:r I iLI UUPY
DEPARTMENT OF ENVIRONMENTAL QUALITYDTVISION OF E\T\TIRONMEIVTAL RESPONSE A}ID REMEDIATION
Norman H. Bangerter
Govemor
Kenneth L. Alkema
Executive Director
Kent P. Gray
Director
1950 West No(h Temple
salt Lake crry. utah
[phone]
(801)53aaoeeFax NOvembef 9,1992
Reply to: State of Utah
Divrsjon of Envrronmenlal Response and Remeoralron
Department of Envtronmental Ouahty
satt Lake city. utah a4114-4840
ERRU-0806-92
CERTIFIED MAIL
RETURN RECEIPT REOI'ESTED
Ellis Pierce
Box 792
Price, Utah 84501
RE: NOTICE OF INTENT TO REVOKE CERTIFICATE OF COMPLIANCE NO.4g34-1.Facility ID# 5000121
Dear Mr. Pierce:
The Utatr Underground Storage Tark Act (Act), Utah Code Ann., Section lg-6/tr.l etSgg., requires thatevery owner or operator of a petroleum storage tark have a Certificate of Complianc. aner luty t, t9et.
Section L9-6412(2) of the Act identifies the requirements which must be satisfied before a Certificate ofCompliance may be issued, including:
' The owner or operator has a valid certificate of registration;. The petroleum 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.
The Division of Environmental Response and Remediuion (DERR) recenfly completed a compliancereview of its records regarding a facility located at Murray's iente, Service, price, utalr, and designuedfacility identification number 5000121 (the "Facility"). Based upon a review of the records for thisFacility, DERR has detennined that:
l' Ellis Pierce owns or operates four underground storage tanks (USTs) located at the abovefacility, which are regulated under Subtitle I of the R.rou... Conservation and RecoveryAct (RCRA), 42 USC Section 6991(c) -g!!9q., and the Act.
2' A Certificate of Compliance (No.4934-l) was issued to the Facility on or about June 10,1991.
3' The records establish thu after the Certificue of Compliance was issued, the followingconditions necessary to continue the Certificate of Compliance have not been satisfied:
Pnnted on recycled paper
Facility ID# 5000121
Page 2
Ellis Pierce, as the owner or operator of the facility identified above, has failed to:
1. Submit a copy of a precision line tightness test for tark #4-6000 gallon diesel performed in
accordance with the requirements of the Act, for the tank found in non-compliance on October
7, 1992, as required by Utah Code Ann., Section 19-6412.
2. Submit proper documentuion verifying the installation of a line leak detector on tank #4-6000
gallon diesel, as required by Utah Administrative Code, (UAC), R3l1-202, Subpart D, Section
280.40.
Section L9-6-414 of the Act provides that a Certificue of Compliance may be revoked if the Executive
Secretary (USD determines that any of the requirements listed above have not been satisfied. This letter
will senre as WRITTEN NOTICE to you, the owner or operator of the Facility described above, that:
1. Your Certificate of Compliance may be revoked.
2. You are violating the eligibility requirements for the Petroleum Storage Turk Fund.
3. You have sixty (60) days following the receipt of this letter to demonstrate compliance
with the requirements of the Act or your Certificate of Compliance will be revoked and
you will be ineligible to receive payment for claims against the Petroleum Storage Tark
Fund.
If the Executive Secretary (UST), determines that the compliance problems described above have not been
satisfactorily resolved after the sixty (60) day period, you will receive a Notice of Agency Action or Order
stating thu your Certificue of Compliance is revoked for tank #4-6000 gallon diesel, and that you are no
longer eligible for payment of costs from the Petroleum Storage Tark Fund or will be able to receive
delivery of petroleum to the USTs u this facility.
Please contact Mark Crim at [phone] at your earliest convenience to discuss this notice.
Utah Solid and Hazardous Waste Conrol Board
KPGrr{EC/m* 0(lo rlq/
Fred Nelson, Attomey General's Office
Mark Crim, DERR, District Scientist
Wr,'7-1t-
Norman H. Bangerter
Govemor
Suzanne Dandoy, M.D., M.P.H.
Exeutive Dir$tor
Kenneth L. Alkema
DirEtor
DTVISION OF EI{VIRONMENTAL HEALTH
Bureau oi Environmental Response and Remediation
288 North '1460 West, P.O. Box 16690
Salt Lake City, Utah 841 16-0690
(801 ) 538-6s38
June 10, 1991
Ellis L. Pierce
P.O. Box 792
Price, Utah 84501
Re: Potential Release at Facility
Identification No. 5000121 at Murry's Center Texaco
Dear Mr. Pierce:
Enclosed you will find a Certificate of Compliance for the facility identified above. The
Certificate of Compliance allows access to The Petroleum Storage Tank (PST) Fund, subject
to certain terms and conditions contained in the Underground Storage Tank Act ("ACT').
A review of the Bureau's file for this facitity has disclosed evidence of a 0.06 gallon per hour
leak rate from the 6,000 gallon diesel tank. This evidence may indicate the presence of a
slow or intermittent leak which over time, will contaminate the surrounding soil. The ACT
requires the owner or operator of the underground tank to pay the first $25,000 of costs
associated with a release. In order to reduce your potential clean up costs, appropriate
action should be taken to eliminate leaks.
If you have a pennanent form of leak detection installed, the fuel system should be
monitored monthly under R45l-202 subpart D, and the data submitted to this office if the
levels increase.
If you have any questions, please call Jim lhiros between 8:00 am and 12:00 pm at
(801)s38-6338.
Sincerely,
iltP q
Kentf P. Gray, ilrW
Bureau of Environmental Response and Remediation
cc: Gary Angott, M.S.P.H., Director, Southeastern Utah District Health Department
Dave Ariotti, D.E.H. District Engineer
KPGfiUI/cc
err\support\crc\rel-wrn.4
"\.)
,^
PST PROCESSING
FACILITY ID.
HECKLTST
Year q I
Unacceptable
NotAcceptable Applicable
Non-Marketer Discount
Previous PolLution fncidence
LUST File y/N
_
fncluded
TTT
- Verify tank/Iinesvs registered
Documentation
- Rate ok?
vY"/N
ok? Y/N Y
FY 90?
FY 9L?
c./
1
Y/N Y
Fund Paid
FY 9L
Fees paid (iltw ,/\-/' /
FY 88? /
-
FY Bg? /
Compliance
Compliance Outstanding?
- Leak detection required?
Y@
O*
{odtication up to date & complete? Or.l
/ epplication?oa
Date Qualified
Review completed and certificate issued by
SUPPORT \ CE \ CI{ECKI.T ST . PST
PETHOLE,dM STORAGE TANK
FACIUW INFORTATION:ownerNanr@
FUND APPUCANON
Street
City:
Ccunry.
State:
Phone:
Contact
TYPE OF OWNER:
LQe|nON OF rANKS:
Faoli$ Name: ,
Suest Addressi
Ctty:
-fuitttv@
Eqsar.ozrZ Stdg: T
Phone:
Contaa
'- 6'J7 - /s 7f,
ffi Marketer, or no$rnafl,i I Non-marK€tar wiUr annral mornnry thEriil"ffi tran 1o,mo galons (Mus vetfy).
PESCRIPT|ON OF UNDERGBOUND STORAGE TANKS:
Tank #
Age
Capacrty
Substance
./z
-a
6.Aoo 6000
STzea €reiae -
2o y'rt.
6ooow
TANK TIGHTNESS TEST flAY23ffilytt
CERTIFIC.ATE Q!: REGTSTRATTON
ffi tii'u.tdi#[3
coMPLhNqE wlTH UST REGULATTONS:
ls the aoplicant currenily in complian
r><l yes i I No --'rr.No,, fleise oi-diiiol iffii5'bii.,6n'-Jiirp-ri'alnie,
PREVTOUS PO!!.unoN tNctDENT
Have you everhadSpo
1 1 Yes - lf 'Yes' pleise provioe t-0SrlLealii6-unt"rgiolf,o stor"ge Tank) rnformation:
D< No - lf 'No' please enach a le{e^1gt9ti!g trat uldg cu$omary business inventorypractice stanclards you are not Eware otlny rEieasitiom lny tank(s) at this facitity.
I N p E P EN DEI{TJI NANCTAL
I I I have obtained financd
ft.Selt lm,urncr II Gu.nril.o
tl LrorotCrrrfit t I Commrrcbl lnlnncr I I Surety gono
I J nirf rrtrrtbo group ll (xhr:.
I I I h?ye offiinad idopctdort third-oartv finanajat ooo,,,-^
ni i'rri6 .,r.
Icat{y@fib*efr
owner/operetor sL..tlrs A %
rrrr*brt:latudora,;
Iha S6rdr
\r./
1. CERTIFICATE OF REGISTRANON:
oeen reg islgleo'. lorm Z€0. ti gvisecl
-9-89 )',
t j ilgisnrat6n ianf-Fees-frave beeh paid - 1988/1989 ; SZSnanx fr, 1990/1991 = $45/tanK/vr
2. COi,IPLIANCE WTTH UST REGUI-ATIONS:
Xl l * in compliance with release detoction requirements.
I t Tenrr mrd Ddo!. tact a dtprrr rtbrltoJon by D.G. tete.
m Ttnlr h.trld leG$le!!: rllcr drbcJon io b. contplllt l by my compllencr dete.
I I Rel..l. ddtc0on compldod uPoo lnlrfldtqt
ffi I am in compliance with allother Federal, State, and Local UST regulations.
3. PST FUND FEES - ANNUAL FACILITY MONTHLY THROUGHPUT:
m t aira rna*aer, or I am non{narkstsr with annual facility rnonthly througnput greater than
10,000 gallons.
I I t250 paymenUtank: Fiscal year (July 1, 1990'June 30' 1991).
!i[ Quarteay payments @ $62.5onenk (Due the lst day ot Jul, Oct, Jan, and Apr).
[ ] I am a non-marketer with annual fFcilU qonlhly th1ggglgullefqllq 19_090 gallons.
I j r nave compteted the APPLtcATtoN FoR NON-MARKETERS DISCOUNT torm.
I I $125 paymentltank: Fiscal year (July 1, 1990 - June 30, 1991).
I I Ouailedy payments @ $tl.2s/tank (Due the lst day ol Jul, Oct, Jan. and Apr).
4. TANK & LINE TIGHTNESS TEST - ACTIONS REQUIRED ArrEE-Ei
D{ All systatns pass tho tank and line tighhess tests.
tX t am submiiung the results of the tanf tigfrtness test and a copy of the field report.
t I All tanks do not meet the req_u{eqlents seJ b.y rup rggar.ding tank tightness testing.
I i t nave contacted the State USt omce and will submit evidence of a plan ior review.
5. PREVIOUS POLLUTION INCIDENTS:
INGIDENTS form which states whether
ffi;;Anomfit businessirventory piaaice standards, t am awaro of any release from the
tank.
6. INDEPENDENT FINANCIAL ASSURANCE:
responsitrility requirernenB for the first $25,000lrelease:
t I Commcrdel lnlnncc I I Sucry BondI I Sell lnlruu
I I Rirf rrtailoll grcuP
I Cil.nnt .
t I Loucr ol Credlt ll othr:
1 i I naye o|bEf5 irOprUtrirdfarty finrrcaal ErrsEo by my confirrca oate.
r -r r rrrcllElaalt ifr'Ef IllfiE! EL r-r* ffi
€r@rtid?'
PREVIOUS POLLUTION INCIDENTS
Mr. Dennis Downs
Executive Secretary
Utah Solid & Hazardous Wastes Committee
Dear Mr. Downs:
fu required by paragraph 26-L4e-404 of the Underground Storage Tank Act, I have
performed a tank and line tightness test on each underground storage tank at my facility,
and based on this test, there has- not been a release of petroleum. Additionally, based
on "customary business inventory practices standards", I am not aware of any release of
petroleum from my tanls.
ture of owner/operator
a&
I have had the following releases of petroleum (detailed below; also mention any action
you took to clean up the release).
signature of owner/operator
Failure to report previous releases could void your coverage under the Petroleum Storage
Tank Fund.
rjqoury w, * €@o /Z /
,Fi,is:.,lelI$qi"q_t+i#,X,*H *$liF ltit'9#;$L!Li##sii,{#"H
To:REffEIVED
HAY 2 3 l$f/rt
UTAH DFPT. OT HfiALfi
EUREAI", C}F Ei.JVI iIft H il{HNTAL,11'{a1;-i.44.4'iJ:
.;. tr:ll;- - it ,'. iiATlt}i,l
.
MURPY'S CENTER TEXACD
MAIN AND CAREL]N
PRICE UTAH 84501
TANI: TESTER VER 2. O 1
FUEL TYPE: UNLEADED GAS UNDERFILLED
CAPAI:;ITY TANK 1: 6000 GALLONS
TEMPEHATUEE COEFFICIENT: 685 ppm/des F
TEST CRITEHIA: +(j.Ootr GPH To +O.OOO GPH
07/25/s0 TEST TiHE FROM 0Zz2O TO 08:3?
DATA ANALYSiS INDiCATES:
A GKOSS VOLUME CHANIJE OF:
A VOLUI'IE CHANC.IE DUE TO TEMPERATURE OF:
A LIQUID VOLU},IE RATE CIF CHANGE OF:
I^IITH A 95 % CONFIDENCE INTERVAL OF:
^
-0.058 GALLONS
-0.092 GALLONS
+O..IAE GPH
+/-0.005 BPH
( +0.033 TO +0 .024 GPH)
RECEIVED
l,rAY 2 3 lsl?fl)
_ yTAHDEPT.OFHEALTH
p_u! Ej{U O F ENV| RON MENiALacnn^hrRe iir{[', F tru F,r,AiiiiN
?-g
A
TAIIK TlisTrllo lllc.
Dlok rrd Krvh Y/hcrlor
P.O. Box t16
Kronr.llnrr Coloredo BOtt59
To11 Floc t-8OO-356-28ti') Ext. 4
Utrh Ccrttflcatlon f Uf-0055
tiORllER EZI CHEK Cortlflcatlon I C0 U009
PROI"RJCT LINE TESTI.IIG
sIATl0lr
ADDRESS
ltA t.rE
CITY..STAIE
DAIE OF TEST z-*{-an
PNOUUCI I O IIUIIUER
I Y PE OF S Y SI EI,I SUOIIE RGE U/SUC
APPLITU INESSUNE
LIIIE SIATIT LIIIE EIIU
/>z
/>7 /27
/>7
/?^
. nEsuLT llllE
x.oor __ _fiea_-_-
J?I-(
/-7-=z-.
/?q(
Z-Da a
lL cnrIERtA \|il
/PaesT
U*44+<'I I OII
+/-
/zt
_ f'?_
-Ja-a -Jez_'
x.003
x.003
x.003
x.003
x.003
x.003
x.003 L_FlltAL Rt
IE5l IH.G
n[[1ARKS.
S U LT-d
oPERAIoR
>at'
1
{.
MUEBY'S CENTEB TEXACO
MAIN AND CABBON
PEICE UTAH 84501
TANK TESTEE VER 2.01
FUEL TYPE:
CAPACITY TANK 1:
TEI'IPEHATUBE COEFFICIENT: 685 ppn/dec, F
TEST CRITEHiA:+0.000 GPH To +0.000 ePH
$7/25/90 TEBT TIl,lE FBOtt 07229 TA 08:32
DATA ANALYSIS INDICATES:
A GROgg VOLUME CHANBE OF: -0.058 GALLONS
A VOLUME CHANGE DUE TO TEMPERATURE OF: -0.092 GALL0NS
A LiQUID VOLUME EATE OF CHANGE OF: +0.(}..9P11
HITH A 95 % CONFIDENCE iNTEEVAL OF: +/-O.OO5 6PH
( +0.033 TO +0.024 GPH )
RECEIVED
nAY 23 WtW
#.fftstiffiffnr
'Hh f fEX' l$fi *usu*F
i L L ED
TESTER.
1 A
TANK fiiSTUIO I}IC.
Dlok rrd Kovh Whcrlor
P.O. Box tl6
Krrnrllngr Coloredo 80459
To11 Flcc t-8OO-356-28ttl Ext. 4
Uteh Ccrttflcatlon # Uf-0055
HORNER EZI CHEK Ccrtlflcetlon I C0 0009
PROM'CT I,INE TESTING
sIATl0lr
ADUnESS
clIYr.s
DAIE OF
P NOUUC I
IYPE OF
APPLITU
il A t.rE
TEST z-*{-4a
LIilE SlAtrT
I D IIUIIl1ER
SYSIEH 5UB'IENGEU/SUCI
tnEsSunE
LlltE Elru
/>z
1Ilrt
/?aa
*Jzz_
/2t
127
/27
x.00 3
x.003
x.003
x.003
x.001
x.00J
x.003
,-Jfu-
-/-7"=a-__/%{
Z-oo a
{
RT lL cRtIERIA \lil L
rEsl lN.c 0PERAI0R
nEHAnKS.
5t
- /:l- tz?-E
_JaZ_ tR? -
FIIIAL RESULT
+/-
I 0lr
. NESULT
x.0u3
l.''
UURRYIS CB}ITBR IEXACO
}IAIN AND CABBON
PRICE UTAE 8450I
TATIK TBSTEB VBB 2.01
FUEL TIPE:RECUI.AN GAS I'NDERFIIIAD
CAPACIIY TANK 2: 6000 GAIJ.ONS
TEIIPBRAI0RE C0EFFICIEM: 682 ppu/drg F
TEIIT CRITTBIA: +0.000 cPE 1O +0.000 GPE
RECEIVED
t'lAY 2 3 W7{)
s.,#nFiff8,rdtrhunl
07t24l90 TtsST TIUE PROU 18:42 TO 19:49
DATA ANATISIS INDICAIEII:
A OROSS VOLUUE CHANGE OF:
A VOLUUE CEA}IOE DITE TO TEUPBBATTIBE OF:
A LIQUID VOLUUE RATE 0F CHANOE OF;
T'ITE A 95 1 CONFIDENCE I}ITEBVAL OP:
-0.0t5 cAIJoNs
+0.037 GAIJINS
-0.077 GPH
+/-0.002 GPE
(-0.075 TO -0.079 OPH )
ZFZaS
CUSTOUBR.
Td truruq< r'fu ?s/-4 //'>a
V/-/-f6a kt*Zlfu,z-L- *Jzuzta.-ta%fu,fuzzafu
S TAT I OH I{AHE
ADDRE SS
CITY,.STAIE
DATE OF TEST
PROI)UCT ID I{U}II}ER
IYPE OF SYSTEH
APPLIED PNESSUNE
LIIIE START
a
TTilT IESTII{G INC.
Dlek erd Krvln WhorLer
P.g. Box 86
f,rcru.Llng, Colorrdo 80t+59
ToIMae 1-800-356-2883 Ext. 4
Utrh Ccrtlflcatlon # UI-0055
H0R!{ER }:ZI CIIEK Ccrtlficetlon f, CO 0009
PRODI'CI IINE IE'STING
suc
I
---€&fl-Bi_- " -*
LllrE Et{0
?z- !,
RESUTT IIHE+/-
-**?z:* 7z- - E
?z-
*32-?7
4z-?)-
FIIII\L RESULT
I EST I ilG 0f ERAT0R t{AHE
RE}'ARK
x.003
x.003
x.003
x.003
x.003
x.003
x.003
x.003
I
-?fu
- Qgs{
. o%ra
o? >{
894o
F,AIL CRITERIA I/N
uuRRYrs cElmR IEXACO
UAIN AND CASBON AVE
PRICE UTAH
TA}IK TESTEB VER 2.01
FI,EL TYPE: PNEUII,U UNLEAD MIDERFIT.LED
CAPACITY TANK 2: 6000 0AIJONS
TEUPERATURE COEFFICIEM: 689 ppn/dol F
TEST CRITEBIA: +0.000 GPE TO +0.OOo GpE
07121t90 lESf TIUE FROU 12:10 T0 13:17
DATA AITAIYSIS INDICAIES:
A GROSS VOLUUE CEANGE OF:-0.011 cAIJoNs
A V0LUUE CHANGE DUE TO TEUPERATUBE 0B: -0.024 GAIJINS
A LIQUID YOLIUE RAIE 0P CHANGE OF: +0.091 CPE
I|ITE A 95 I CONFIDENCE III]EBVAL 0F: +/-0.002 CPB
(+0.024 Ip +0.021 GPE)
,/
*r* ffi*Z/fu // 7-- o o s3-
cusTouEB.
1
RECEIVED
nAYZslgglWu
srflIii"EtHtfif;&ffi*t
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TAIII( IESTINO INC.
Dlck erd Krvlr Whcoler
P.o. Box tl6
f,rcnnllng, Color*do 80b59
TolMce 1-800-356-2883 Ext. ll
Utrh Ccrtlflcatlon # UT-0055
f,0RNEA, EZY CIIEK Certlficetlon # CO 0009
PRODUCT LINE IESfING
s TAI l0r{
ADORTSS
I{AHE
CITY,.STATE
DATE 0F TE'T 7-et4- 7A_._. -- _ . _-_
PROOUCT ID IIUHBTR
IYPE OF SYS ucT t 0tl
AP P L I r u P n E ssun r__-*- _9a44_%
L I I{E START L ll{t Et{t)+/-RESULT IIHE
**J4_lU*_ r
-J4* /4_*:
/>rL
h",/- 14_ =
I.003
I.003
x.003
x.003
x.003
x.0ul
x.003
x.003
///{
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_/z/4,{*
/_{DA
F I IIAL RE SU LT
IESTII{,G OPERA
REI,IARKS,
F.AIL cRtTERIA Y/N
ToR l{
UURBITS CET{1EB TEXACO
UAIN AND CANBON
PBICE T'TAE 8450I
TAIIX IESTEN VBB 2.01
FUEL TIPE: DIESEL FT,EL UIDEBFII.LED
CAPACIT! TANX l: 6000 GAI.LONS
TEUPERATUBE COBFFICIEM: 509 ppo/dor B
TEST CRITERIA: +0.000 cPH 1O +0.000 cPE
07t21t90 TESI TIUE PBOU 18:42 lD 19:49
DATA ANALTSIS INDICATETI:
A GROSS VOLUUE CEANGE OF:
A VOLI'UE CHANGE DUE lP TEUPBRATURE OF:
A LIQUID VOLOUE nAlE OP CEAN0B OF:
UITH A 95 1 COIFIDENCB IT{TERVAL OF:

-0.020 cAltoNst
-0.131 oAtIoNs
+o.0ll oPg
+/-0.008 oPE
(+0.071 TO +0.056 GPE)
RECEIVED
llAY 2 3 W?1,
&'flill"ffHl{us,friHnt
TESTEN
CUEfOUEB.
2Vzz{i
'/. /L t,/>fr;**il ofury
^'TA}IK TIISTI.}IO INC.
Dlok erd Kovh Hhcrlor
P.O. Box tl6
Krrnrllnll Coloredo 804J9
TolI flcc 1-nOO-356-28tli Ext' 4
Utrh Ccrilflcatlon # UT-0055
IIORNER EeI CHEK Cortlflcetlon I CO o0o9
PROM'CT LINE TESTING
.<
sIATl0lt
ADURTSS
ilAHE
D^TE OF TEST 7- }4_q2
PNOUUCI ID IIUIIUER
Ezz*-r+f
x.003
x.003
NESULI 1 I lrE
- //oo-
OR T.AIL CRIIERIA ttny*---
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APPLITU INESSUNE
LIIIE STAIIT LIIIE TIIU +/-
BoE
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- />t - /32- E +/I
X.00 J t, Ua 3 //4{
l=-t3z x.003
x.0u3
x.003
x.003
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