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Home My WebLink About5756 006292 081 05-12-2020 REGINP ALC COMPLIANCE INSPECTION 57644.79 FACILITY I.D.NUMBER: S - 091 - o562 I2 J ILD't`t, 1 REGINP ADEM NOTICE OF UNDERGROUND STORAGE TANK US COMPLIANCE INSPECTION AOEMaOmroixlnMa eab RWe.VSblS Cwn ie torn Xon AUMMmNan 99Sb1S.G0Acressb Remtls. AnY4w/b/O/opA'eb/W en uMegmuntl RweOe feNMNlupn rtpuval Ne eulyauMcnml npnanleWe o/Me CepeRmmf,gmMllre�aprtmnreMa,of W nedMBOM LYM& vro ail re�oms roaromia ma o/n ware9.amr.�aas.ae sax ma rwero seu,aroms. s.srsa/EmN am msoasr wFaaaxiaa. ear o'..'aaro/opaaro/olaa aaeaga�am uo,.p.reaxanW apoa,spaudew.waammmtl npnaameare ollMwpMareM parnaY are mpasaarwem.aMr, 1 Ireawaa0br x aspeiti swnare aria muntlmLj riot 4kCBlp nMaXawteem sanlaTrero leu'xes ate mmtection un xMw outine Com lianm ins action ❑Poor Notice ins n F.h. Ins ion hom: / / Owner Name #of LISTS 2. MailingAddress il Z Facility Name Ci A State N= Zi Street Address 1,520 U Owner Email Address I Count Uu- City(Nearest) v. Submit Desi natetl Nott Ions Suspected Pomanem Temporary ❑New installation Transfer of Notification Other: Release(forth 480) of (fine 422) closure(form 310) or upgrade(form 423) ownership(tern 469) I (form 279) Submit Designated Regulatory Fees UST regulatoryfee paymamdua for. ❑Cumentfiscalyear ❑Priorfiscalyears,specify: Submit Designated Delinquent Test Reports Annual line tightness test (0A GPH)(form 477) UAnnual test of automatic line leak detector(form 551) ❑Annual SIR 30 day results summary(Mon 326) ❑3 year Catchment basin(spill bucket)test(form 20) ❑3 year UST impressed current cathodic protection test,(form 332) ❑3 year containment sump integrity test(farm 557) 03 year Piping impressed current cathodic protection test(form 332) ❑Annual probes and sensors test(form 560) ❑3 year galvanic cathodic protection test form 545 ❑Other: Submit Most Recent Design Additional Test Data 0 day ATG 0.2 gph lest printout 30 day tank interstitial sersor printout 030 day CSLD test prM out_ ❑30 day manual interstitial monitoring log(form 406) 030 day SIR report log(forth 326) ❑Electronic line leak detector 3.0 gph test printout ❑Annual release detection equipment testing log(form 561) ❑Monthly electronic line leak detector 0.2 gph test printout ❑30 day containment sump sensor printout ❑Annual electronic line leak detector 0.1 gph test printout 030 day manual tank gauging log(form 563 ❑Other: Submit Designated Operation and Maintenance Inspection Results 60 day impressed Current CP Inspection Log(forn 400) ❑Annual vallithrough inspection bit(form 19) 03 year overfill prevention inspectim(form 559) ❑Monthl waIkthmu h inspection log(form 558)_ Operatilon and Maintenance Needing Immediate Action Containment Sumps Containment Sumo Equipment Ooandor Training ❑Empty water 8 properly maintain sump(s) ❑Properly position sump sensor(s) ❑Submit A-B operator training record ❑Empty fuel or fuellvater mix,dispose of Properly 8 [_]Sump sensor must shut of sub Pump ❑Submit C operator training record properly maintain sumps) ❑Clear fuel alarm from sump sensorial Compadbllity El Repair sumps and/or sump equipment as necessary ❑Replace missing line leak detectors) ❑Submit missing compatibility logs to prevent liquid from entering sumps ❑Replace deteriorated flexible piping Tampons"Closed Tanks Tank Cathodic Protection Rectifier Spill Prevention Equipment ❑Pertom leak detection ❑No amps or vote—restore power or fix meter ❑Remove fu.W ter—dispose of properly ❑Monitor corrosion protection every 60 days ElAmpis reading too low—repair s tem 8 retest ❑Re air dam ad ill cabhprent basins ❑Remove remaininq contents to 1 inch or less Inspector Comments: w 4it LeaDdAvc Submit any requested information to the attention of the inspector at the address indicated below,fix to die Inspector's attention, or e-mail to the inspector at: J"- ib�faiaNW gadem.alabarmigov [ADEMp)FieM Operations❑Land A E ❑Bi rig m Id ce D ❑ 'I Fiel M tur DivisroroFh--OKxw, 301463 1 0 Ice 2 Po e Rd. 2 5 rd R d S. —Morugome,Alabama 36130-1463 i h la e 5 0 I'e I b a 6 1 c Is ma 33 hon.* # 334 Ph n horre/Fax 2 i Phone/Fax# 256 Compliance Inspection Results No Action Rhi wired—Thank youbr your continuing efforts to comply with the ADEM UST regula tions. .Additional Information Requested ❑ Delinquent Information Required Immedlab Action Required within 24 boon S limit requested information/confinnation to ADEM within 7 days. Failure to submit the requested information could result in enforcement actions and Penalties,as well as this facility being prohibited from delivery by the Department through placement on the Department's Delivery Prohibition Website. NOTE: THE ABOVE FACILITY WAS INSPECTED TO DETERMINE COMPLIANCE WITH ADEM ADMINISTRATIVE CODE RULE 335-6-15. THE STATUS OF COMPLIANCE IS INDICATED ABOVE. Receipt of this'ADEM UST Compliance Inspection"is hereby acknowledged by the facility owner or representative. tt other than the owner receives this notice,it should Immediately be forwarded to the owner of the USTs. h Ponied Name D.Ie Nae g• h4Sa2 Dal. ADEM FORM 286 712 m2tviiRldify TO OPY-FILE BOTTOM COPYsupplement Page 2 Compbted kac� D. 23346-081 -006292 ADEM LIST INSPECTION CHECKLIST Printed rr Owner Name: BEN F PRESTON Page 1 Owner Type : P 3811 LEE RD 249 SMITHS STATIO AL 36877 Owner Phone: 3342972484 Fax Phone: OPERATOR TRAINING: Owner Contact Name: BEN F PRESTON lip'( , YES Owner Contact Phone: M44�dlc Email (verified from web): Email(OLD unverified) Numberof Sites: 1 The Fiscal Account information is proAded Owner Fee Information FY 2019 2018 GSA ID: to aid in the inspection process only. It reflects the Ownefs account status as of the Billed Amount 60 60 Bad Address: printed date and is subject to change on a daily basis based on payments made and Paid Amount 60 60 No Bill: number oftanks in service during the year. SITE DATA--•---••-••••-------••--•-••-•Date of last walk Thru 9/27/2019 Cannot locate Site: Site Name: FRANK'S DISCOUNT GROCERY Abandoned Site: 1520 LEE CO RD 379 Adjacent to residence SMITHS STA. AL 36877 Within 300 feet of residence: Site Contact Name: FRANK FULLER 334/297-2212 ' „O Located within Indian Lands: Site Contact Phone: 2052986281 Located within Wellhead Protection Area: Email (verified from web): Email(OLD unverified •----.._..._........_._._...._......GPS Data..................................................... Location: Decimal Deg Degrees Minutes Seconds ..............Verified.............. Latitude: 32.580633 32 34 50.279000 Code: Longitude: -85.114236 -85 6 51.250000 Date: Stagel facility number: 206-G-040 Number of USTs: 5 Number of ASTs: 0 Currently in use: 2 Active ASTs: 0 Temporarily Closed: 0 3 YR Insp tanks: 2 NOTE. Site has no tanks with compatibility Permanently Closed: 3 demonstration needed. Retired: 0 Contested: 0 Date Last Inspected: 8/10/2017 Inspector Comments: �" 7I L 4,vfd& 'Q Len�� '^k )I' Te1.+ 2+4-o - SPIWT Jt al c'iv C Arc- . o U 1 33d 0 2.6/ x � N Printedrr Owner Name: BEN F PRESTON Site Name: FRANKS DISCOUNT GROCERY 1. Description A.Tank status(Mark all that apply) TANK ID NO: 0515681.104 ! 051569 U 05 I_Currentlyin Use % % 2.Temporarily Closed a.Estimated date last used b.Estimated quantity of substance remaining t ed Ownershipner contested ownershi of tank Locate Tanktalled a126%996 aIam"aated Total Capaciy allons) 8000 0000 of compartments If compartmented tank 1 1 of maniidded tanks ti manadded 0 0 a.Unleaded Gasoline b.M'KI-Grade Gasoline c.Premium Gasoline d.Diesel e.Kerosene 1.Aviation Fuel(1P-4).etc.) g.Used Oil h.Virgin Oil 1.E-85 L Biodesel I.Other.Please specify 2.Nazarl Substance a Please all Name of Pdecipal CERCIA Substance or b.Chemical Abstract Service(CAS)No. 1.Emergency Power Generator(Pan IV not requked) 2.Ratan X % 3.Bulk Facility 4.Industrial 5.Local Government 6.State/Federal Government 7.Farm 8.Heating Oil(Notification not Required) Fee information for this FY as of date pnnte ! Fees billed 30 Fees palQ 30 PLUS NONECqrsi EIFHANr Tank SimFOR Tank CommentREGULAR TANK for Tank 3NET PLUS NONE ETWINOL TANK USES SIR FOR LEAK DETECTION REGULAR TANK USES ATG AND ANNUAL LINE TESTING FOR LEAK DETECTION osim E COMPATIBILITY_REOUIRED: E_COMPATISILITY_VERIFIEDE] 051569 E COMPATIBILITY_REWIRED: E-COMPATIBILITY_VERIFIEDE] Facility 1. D. 23345- 1 : 006292 ADEM UST INSPECTION CHECKLIST Printed511112020 Owner Name: BEN FPRESTON Page Site Name: FRANICS DISCOUNT GROCERY 11.Corrosion Protection dial Material I Mark all Single Wall X I X Double Wall _ I.Steel X X 2.Fiberglass Reinforced Plastic 3.Fiber lass Coated Steel 4.Other,Please Specify 1.Galvanic Cathodic Protection X X 2.Impressed Current Cathodic Protection Date cathodic protection installed 3 YR CP REVIEW P P 3 YR CP TEST DATE 3/212019 312l2019 3.Interior Dnin e. .,epoxy resins Date interior fining installed INTERIOR LINING INSPECTION REVIEW INTERIOR LINING INSPECTION DATE 4.Other,None"Pointed,Please Specify MatkWl that Single Wall _ __ X X _ Double Wall Installation Date -_ -� 1.Steel _ 2.Fiberglass Reinforced Plastic X X 3.Flexible Manufacturer 4.Other material a piping Information I.Impressed Cu ent Cathodic ProWfbn _ 2.Galvanic Cathodic Protection(e.g,socroficial anode) 3.Isolated a Above Ground Date protection installed 3 YR CP REVIEW _ 3 YR CP TEST DATE 4.None or N/A 5.Other. Please specify FLXS ISOLA PLXS ISOLA ro K.Tank Spill Prevention Equipment(Mark all that apply( _ 1 Catchmcrt Basin X X _ Test Date 711212017 7/1 V2017 Reviewed P P 2.Omer,Please specify 3.Not required_ MFWO,VMIIWevenibn Equipment Mark all that appl I I.Flow Restrictor at 90%full (e.g.,nall float vent valve) 2.Automatic Shutoff Device at 95%full(e.g.flapper X X valve) 3.High Level Alan at 90%full(must alert fuel deliverer) 4.Other,Please specify Connenemltc Facility 1. C. I ' 006292 ADEM LIST INSPECTION - l i Pa e4 1 0515O U 04 1051569U OS 1.Automatic tank gouge _ — �- 2.Continuous Automatic tank guage Probe Ted Date 9127/2019 Sensor Test Dale console Test Dab 9/27/2D19 9/2T/2019 IM Sensor Test Dab 3.Tight testing every 5 yrs for only 10 fins,w/inventory,control Date of Tank Tightness Test r M2009 5ISM009 4.Tank tighness testing once every 5 years for only 10 years with manual tank gauging(iny tanks 551-2000 gal.( S.Interstitial monitoring Monthly log date Type of IM method for above 6.VoW monitoring Vapor Approval Dote 7.Groundwater monitanng Groundwater Date 8.Manual tank gauging(only tanks 1000 gal.or lesg 9.Statistical inventory Reconciliation SIR 1 SIR Annn ual Re specif Date(Year only( 2015 2016 IT.OMer,Please y df Release Detecfionleast one ite, from BOTH I and [-I! must be nmi,� Containment Sum Sump Teal Dote Annual Inspection Date rilgROW1 sshe of the fog ..__.... a.Automatic Flow Restrictor(MLLD) Annual Test Date gW27120199/2712019 b.Automatic shutoff device(ELLD) ELLD Test Dote c.Continuous Alann System Sump Sensor Test Date d.Sump Sensor Relayed Sump sensor relayed Test Date d.Other,Please Specify 11111111 6fihe - a.Annual Une Testing X Une Test Dale 51512011 W2712019 b.Automatic electronic line leak detector c.Vow Monitoring SAME AS FOR TANKS) d.Groundwater Monitoring SAME AS FOR TANKS e.Statisfical Inventory Reconciiatbn(SIRI I x 1.Interstitial monitoring I Monthly Log Dote Type of IM method above .Other,Please Sped �Ilon(Mark one) 1.Une lightness;testing every 3 years Date of Une Test --- 2. Interstitial nlonito0 _ Type of IM method above 3.Vapor Mentioning SAME AS FOR TANKS 4.Groundwater Monitoring (SAME AS FOR TANKS) 5.Safe Suction _ 6.Statistical Inventory Reconciliation SIR 7.Other,Please Speciy _ __ P.Grav PiNo leak detec110 'V,UIC Of yes to the next question,send copy of this report to USTiUSi<CompOonce Section Chief j Are there floor chains in an automobile repair shop that discharge to field lines at this facility? YES NO r DRAFT Preliminary list of Deficiencies found during Site inspection Printed 5/1 112 0 2 0 02PELLD F-1 0_2T 279 3_OELLD ALARM CHIOWN CloRptEl CPLogE] CPTestF-1 ePwrF-1 FeesED INTLining El LTTF--j MLLDFF--j MLLDlnstallF-1 MLLDT[] OverFill E-1 SIRContract E-1 SIRMON O SIRROX O SPILLFF--j SPILLMTr--j SPILLR� SPILLTO SUMPIF1 SumpMTF-1 SUMPR� SumpSensorT[ TEMP r--j OPTRGN F--j WLKTHRU F7 Inspector Name: Inspector Signature: Inspection Date: