DERR-2024-006793

Underground Storage Tank Inspection Verification Form
Facility ID:9000221
Owner Name:WIND RIVER PETROLEUM Facility Name:TOP STOP C-40
Owner Address:5097 S 900 E, SUITE 200 Street Address:1355 E HWY 40
SALT LAKE CITY, UT 84117 VERNAL, UT 84078
Operator A:JESSICA KUDDES / [phone] / 1/20/2025 Operator B:DUSTI BURTON / [phone] / 1/20/2025
Owner Email:[e-mail] UTM Coordinates X/Y:627047 / 4478736
Disp ID/Alt
ID
Substance UDC Pipe Flex Loc Install Date UDC Install Date Fire
Valve
Sat
Present
UDC Test Disp Flex CP
Test
1 - 1/2 Gasoline No Booted Steel Flex Yes No
2 - 3/4 Gasoline No Booted Steel Flex Yes No
3 - 5/6 Gasoline No Booted Steel Flex Yes No
4 - 7/8 Gasoline No Booted Steel Flex Yes No
5 - 9/10 Diesel Yes Steel Flex in Sump Yes Yes
6 - 11/12 Diesel Yes Steel Flex in Sump Yes Yes
7 - 13/14 Diesel Yes Steel Flex in Sump Yes Yes
8 - 15/16 Diesel Yes Steel Flex in Sump Yes Yes
9 - 17/18 Diesel Yes Steel Flex in Sump Yes Yes
Tank ID/Alt ID:1 / 2 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel - None
Siphon/Compart:No / No PVV/StageI:Yes Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use Co-axial STP Flex Connectors:
Installed/Cap/Loc:6/1/1950 / 17000 / North Center LLD Model:
Substance Stored:Gasoline / Regular Spill/Overfill/Sm deliv:Dry Connect Fitting / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - None PST Fund/Other Type:No / Insurance
ATG:Veeder Root / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:2 / 1 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel - None
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:
Installed/Cap/Loc:6/1/1950 / 10000 / North LLD Model:
Substance Stored:Diesel / Diesel #2 (U.L.S.)Spill/Overfill/Sm deliv:Dry Connect Fitting / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - None PST Fund/Other Type:No / Insurance
ATG:Veeder Root / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:3 / 4 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel - None
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:
Installed/Cap/Loc:6/1/1950 / 12000 / South LLD Model:
Substance Stored:Gasoline / Premium Spill/Overfill/Sm deliv:Dry Connect Fitting / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - None PST Fund/Other Type:No / Insurance
ATG:Veeder Root / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:4 / 3 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel - None
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
4/30/2024 Page 1 of 2
Tank Status:Currently In Use STP Flex Connectors:
Installed/Cap/Loc:6/1/1950 / 12000 / South Center LLD Model:
Substance Stored:Diesel / Diesel #2 (U.L.S.)Spill/Overfill/Sm deliv:Dry Connect Fitting / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - None PST Fund/Other Type:No / Insurance
ATG:Veeder Root / Tank/Pipe Rel Det:OTHER / OTHER / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
Tank ID/Alt ID:5 / 5 EGen/AST/Stat
e:
No / Yes /
Yes
Pipe Material-Mod:Galvanized Steel - None
Siphon/Compart:No / No PVV/StageI:Pipe Type/STP Cont:Pressurized / No
Tank Status:Currently In Use STP Flex Connectors:
Installed/Cap/Loc:6/1/2002 / 9600 / East LLD Model:
Substance Stored:Diesel / Off-road Diesel Spill/Overfill/Sm deliv:Containment Sump / Overfill alarm / No
Tank Material-Mod:Asphalt Coated or Bare Steel - None PST Fund/Other Type:No / Insurance
ATG:Veeder Root / Tank/Pipe Rel Det:OTHER / LTT / NONE
ATG Specs: / / STP Sump Test:Spill Bk Test:
ATG Test:Overfill Test:
LTT Test:LLD Test:CP Tank Test:CP Pipe Test:
4/30/2024 Page 2 of 2