Document MJ960DyYeQM6dk5vk0L3bXLaa
U.S. Environmental Protection Agency
Region 7 11201 Renner Blvd., Lenexa, KS 66219
Date: 4-24-24
NOTICE OF INSPECTION
Resource Conservation and Recovery Act (RCRA) Public Law 94-580, as amended.
Subtitle I Underground Storage Tanks
Inspector: Brian D'Alfonso, Joseph Heafner
Facility Name: Resurrected Farm, LLC
Agency Facility ID# EPA-TrUSTd-2315
Street Address: 2936 M Avenue
Facility Representative(s): [sign and date] See Original
City: Walthill
State: NE
Zip Code: 68067
Reason for Inspection: __Scheduled_________ Entry by
Consent (X)
Warrant ( )
To determine the extent of compliance with the above referenced law, which may require the collection
of samples, documents and/or photographs.
Other (Specify)__________________________________________________________________________
Does EPA have access to this facility for the inspection? Yes (X) No ( )
Name and title of person granting access___ ______________________________________
Facility
Compliance Documents Received Log
Document Description, e.g., ATG tapes, CP tests, SIR reports, Line tests, etc.
Representative Initials
Photos
See Original
The facts established by this inspection will be reviewed by personnel in the EPA Regional Office. A
final determination of your facility's compliance with the EPA regulations will be made as a result of
this review. The review may reveal additional deficiencies.
Signature of Inspector:
Date: ECAD RCRA Section Chief: Date:
BRIAN D'ALFONSO
Digitally signed by BRIAN D'ALFONSO Date: 2024.05.31 12:09:10 -05'00'
Whisnant, Amber
Digitally signed by Whisnant, Amber Date: 2024.05.31 16:31:04 -05'00'
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 1 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
REPORT OF OPENING AND CLOSING CONFERENCES
Opening Conference
1. Give time of and list attendees of Opening Conference__Brian D'Alfonso, Joseph____ Heafner, Angela Sena, Kent Stanek ______________________________________________
_ ____________________________________________________________________________
Circle Yes or No
2. Were UST Inspection Credentials presented?
Yes No
3. Was the statutory and regulatory purpose of the inspection explained?
4. Were areas of the facility being inspected noted?
5. Was a list of records being reviewed provided?
6. Was an opportunity given to claim confidential business information (CBI)?
7. Was the approximate duration of the inspection noted?
8. Were operators at the facility notified they have the opportunity to fix areas of concern identified during the inspection?
9. Was equipment used during the inspection noted?
Yes No Yes No Yes No Yes No Yes No Yes No Yes No
Closing Conference
1. Give time of and list attendees of Closing Conference Brian D'Alfonso, Joseph____ Heafner, Angela Sena, Kent Stanek____________________________________
____________________________________________________________________________
Circle Yes or No
1. Was the purpose of the inspection restated?
Yes No
2. Was what happens with photos taken during the inspection explained?
Yes No
3. Were areas of concern and inspection observations discussed? Note: Compliance is the responsibility of the operators and any potential deficiencies or areas of concern are not the final determination of compliance.
Yes No
4. Was EPA's right to bring an enforcement action pending review explained? Yes No
5. Were any "fixed" deficiencies or areas of concern noted in the report?
Yes No
6. Were photos and copies of documents itemized on the report?
Yes No
7. Was the time frame for receiving the completed report given?
Yes No
8. Was the Small Business Resources Information Sheet provided?
Yes No
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 2 of 24 Pages
Initial/Date: 4-24-24
1 Facility Name: Lakeview C-Store
I. Ownership of Tank(s)
Tribal
Agency Fac. ID: EPA-TrUSTd-2315
II. Location of Tank(s) same as owner location (I.)
Owner Name:
Resurrected Farm
_____________________________________________________________
Street Address
2936 M Avenue
______________________________________________________________
County
Thurston
______________________________________________________________
City
State
Zip Code
Walthill
NE
68067
______________________________________________________________
Phone Number
402-241-8390
______________________________________________________________
Owner Contact Person
Marjane Stanek, kmjstanek@abbnebraska.com
______________________________________________________________
Facility Name or Company Site identifier, as applicable
Resurrected Farm, LLC
___________________________________________________________
Street Address or State Road, as applicable
2936 M Avenue
___________________________________________________________
County
Thurston
___________________________________________________________
City (nearest)
State
Zip Code
Walthill
NE
68067
___________________________________________________________
Contact Person(s) at Facility
Phone Number
Kent Stanek
402-241-8391
___________________________________________________________
Latitude
Longitude
42.102374
-96.475645
___________________________________________________________
Do you own UST(s) at other UST Facilities Yes/No
If Yes, how many facilities______0________ How many USTs____ _____0_____________
Datum
WGS 84
___________________________________________________________
ICIS/FERS Number:
Date entered:
3601331735
8-25-2021
___________________________________________________________
III. Notification (280.22)
Notification to implementing agency; name __US EPA_______________________[280.22(a)]
Agency Facility ID # _EPA-TrUSTd-2315 ___; Agency notified? Y N Unknown NA [280.22(b)]
Has ownership changed in previous 30 days?
Y N Unknown NA [280.22(b)]
Have substances stored changed in the USTs?
Y N Unknown NA [280.22(b)]
Do newly stored substances include blends greater than E10 or B20? Y N Unknown NA [280.32(b)]
IV. Financial Responsibility (280.93)
Is documentation of financial responsibility available?
Y N Unknown NA
Does Wording Follows 40 CFR 280 Subpart B
Y N Unknown NA
Does FR mechanism cover cleanup of releases from USTs?
Y N Unknown NA
Does FR mechanism cover damage to property and third party liability caused by releases from USTs? Y N Unknown NA
Is amount of FR coverage adequate based on number of facilities?
Y N Unknown NA
$1,000,000 for less than 200 facilities
$2,000,000 for more than 200 facilities
Is amount of FR coverage adequate based on monthly throughput? $1,000,000 if through put greater than 100,000 gallons $50,000 if throughput less than 100,000 gallons
Y N Unknown NA
Does the FR mechanism list the covered facilities as registered by EPA on the Declaration Page? Y N Unknown NA
Does the FR mechanism provide first dollar coverage without self-insured retention?
Specific Financial Mechanism used - check below:
State Fund _NE Title 200___ Private Insurance: Insurer/Policy #______________ Guarantee Surety Bond Letter of Credit Self Insured Local Government Not Required (Federal & State government, hazardous substance USTs)
Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 3 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
V. Operator Training (280.240) [List names, certificate numbers, expiration dates, trainer, and state]
A Operator(s): No Trained A Operator Certificate
__________________________________________________________________________________________
B Operators(s): No Trained B Operator Certificate
__________________________________________________________________________________________
C Operators(s): No Trained C Operator Certificate
_________________________________________________________________________________________
Does the owner have a list of designated operators currently trained at each facility?
Y N Unknown NA
Does the owner have evidence of operator training or retraining?
Y N Unknown NA
Were any of the designated UST Operators on duty during the inspection?
Y N Unknown NA
VI. Proximity of Groundwater Wells and Release History
Drinking water wells within 1,500 feet of the tank basin; is so note how many and list what types:
__No drinking water wells within 1500 ft from tank basin_______
Evidence of release or spills at facility Greater than 25 gallons (estimate)
Releases reported to implementing agency; if so, date(s)
[280.53]
Release confirmed; when and how
Initial abatement measures and site characterization Free product removal
Soil or ground water contamination Corrective action plan submitted
Remediation ongoing
Remediation completed, no further action;date(s)
Unknown
VII. Tank Information (give numbers)
Tank 1 Tank 2
Tank presently in use
Yes
Yes
If not, date last used If empty, verify 1" or less left
(see Section IX.) (see Section IX.)
Most recent M/Y tank installed/upgraded (mm/dd/yr) 9-16-98 9-16-98
Material of Construction: steel, impressed current, sacrificial anodes, composite, FRP,, internal lining, excavation liner
single-walled (SW), double-walled (DW)
Capacity of Tank (gal) Substance Stored
E-15, E85 labeling correct? Are Compatibility Records available? [280.34(b)(3)] Is compatibility demonstrated? [280.32(b)(1) and (2)]
Yes No NA UNK Yes No NA UNK
Yes No NA UNK
Contained Submersible Turbine Pump (STP) Sumps Yes No NA UNK If yes, give installation date___________________
Is STP used for release detection? Yes No NA UNK
SW
SW
ACT-100 ACT-100
10,000 Farm Diesel
NA NA
NA
6,000 Road Diesel
NA NA
NA
No
No
Is STP double-walled?
Yes No NA UNK
If Double-Walled (DW), Date of Last Monthly Integrity
Check of Annular Space? [280.35(a)(1)(i)] Note: only
No
No
applies to interstitial spaces under pressure or vacuum
or filled with brine.
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 4 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
VII. Tank Information (give numbers)
Contained Submersible Turbine Pump (STP) Sumps If DW, are the last 12 months of records available? Yes No NA UNK
If non-DW, Date of Last 3-year Containment Integrity Test? [280.35(a)(1)(ii)] Note: Triennial Sump Testing is required if sumps installed on or after April, 11, 2016. Special Configuration Manifolded/Compartmentalized - Describe using tank numbers Field-Constructed/Airport Hydrant System FC or AHS
Tank 1 NA NA NA
Agency Fac. ID: EPA-TrUSTd-2315
Tank 2 NA
NA
NA
VIII. Piping Information
Piping type
Pressurized
Suction
Piping Material: steel, copper, impressed current, sacrificial anodes, FRP, flexible nonmetallic single-walled (SW), double-walled (DW) Under Dispenser Containment (UDC) Yes No NA UNK If yes, give installation date___________________
Is UDC used for release detection? Yes No NA UNK
X
X
Flexible Flexible DW Flex DW Flex
Yes
Yes
No
No
Is UDC double-walled?
Yes No NA UNK
If DW, Date of Last Monthly Integrity Check of Annular
No
No
Space?[280.35(a)(1)(i)] Note: only applies to interstitial
spaces under pressure or vacuum or filled with brine.
If DW, are the last 12 months of records available? Yes No NA UNK
NA
NA
If non-DW, Date of Last 3-Year Containment Integrity
Test? [280.35(a)(1)(ii)] Note: Triennial Sump Testing is
NA
NA
required if sumps installed on or after April, 11, 2016.
Tank or piping properly designed and constructed according to a code of practice developed by a nationally recognized association or
independent testing laboratory [280.20(a), 280.20(b)] Y N Unknown NA
IX. Repairs
NA
Repairs are conducted according to a code of practice [280.33(a)] Y N Unknown NA
Metal piping sections/fittings that are damaged and have released product are replaced manufacturer's specifications.
Non-corrodible pipes and fittings may be repaired in accordance with the manufacturer's specifications.
[280.33(c)] Y N Unknown NA
Repairs to secondary containment areas of tanks, piping, and containment sumps are tightness tested within 30 days of repair completion. All other repairs to tanks and piping are tightness tested within 30 days of repair completion (except when internal inspection conducted or
monthly monitoring is conducted) [280.33(d)] Y N Unknown NA
CP systems are tested/inspected within 6 months of repair of any cathodically protected UST system [280.33(e)]
Y N Unknown NA Internal linings repaired following standard code or practice [Citation needed] Y N Unknown NA
Repaired spill or overfill prevention equipment are tested or inspected within 30 days, as appropriate, in accordance with 280.35 to ensure
it is operating properly. [280.33(f)] Y N Unknown NA
Records of repairs are maintained [280.33(g)] Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 5 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
X. Temporary Closure NA CP is continued to be maintained [280.70(a)] Y N Unknown NA
Agency Fac. ID: EPA-TrUSTd-2315
Release detection is being performed and UST system contains > 1 inch of product [280.70(a)] Y N Unknown NA
Vent lines left open and functioning [280.70(b)] Y N Unknown NA
Lines, pumps, manways, and ancillary equipment capped and secured [280.70(b)] Y N Unknown NA XI. Corrosion Protection (CP)
Tank and piping components are constructed of or jacketed with non-corrodible materials, e.g., FRP, dielectric coatings,
plastic, etc. [280.20(a)(1), 280.20(a)(3), [280.20(b)(1)] Circle one or both: Tanks Pipes Y N Unknown NA
Implementing agency has determined that tank and piping construction and corrosion protection are designed to prevent releases in a manner
that is no less protective of human health and environment [280.20(a)(5), 280.20(b)(4)] Y N Unknown NA
Owners and operators have maintained records by corrosion expert to document that CP is not necessary [280.20(a)(4)(ii), 280.20(b)(3)(ii)]
Y N Unknown NA
Steel tank or piping coated with suitable dielectric material and cathodically protected [280.20(a)(2)(i), 280.20(b)(2)(i)]
Y N Unknown NA Field-installed CP system designed by a corrosion expert [280.20(a)(2)(ii), 280.20(b)(2)(ii) Y N Unknown NA
CP system tested and documentation maintained every three years or a time frame established by implementing agency [280.31(b)(1),
280.31(d)(2)] Y N Unknown NA
Criteria used to determine that CP is adequate was in accordance with a standard code of practice developed by a nationally recognized
association [280.31(b)(2)] Y N Unknown NA
CP system did not meet acceptable criteria at last test and action was taken by owner/operator to correct problem [280.31(b)(2)]
Y N Unknown NA
Metal components in sumps NA
Tank numbers: Tank 1 Tank 2
Are the metal components at the tank and dispenser isolated (e.g. booted),
cathodically protected or isolated? [280.20(b)(4)] Yes No NA UNK Notes:
Yes Yes
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 6 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
XI. Corrosion Protection (CP) Tank numTank 1
Lining: [280.21(b)(1)]
NA
Periodic lining inspection requirements for tank met
[280.21(b)(1)(ii)]
Yes No
NA UNK
[10 years after installation, every five years
thereafter]
Documentation that lining was installed [280.21 (b)
(1) (i)] Yes No NA UNK Shell integrity tested and passed? NA UNK
Yes No
Internal inspection test result - Pass or Fail
If Fail, is tank still in service? [280.21(b)(1)(ii)] Yes No NA UNK
Tank 2
Agency Fac. ID: EPA-TrUSTd-2315
Sacrificial Anode:
NA
CP system operated and maintained continuously. [280 Yes No NA UNK
Tested Six Months after repair
Last 3 yr test results show a voltage of at least -850mV [280.31(b)(2)] Yes No Dates of last two 3 yr test results available? [280.31(d)(2)] Yes No
Every Three Years after installation [280.31(b)(1)]
List Dates:
Impressed Current:
NA
Is the Rectifier on a dedicated power circuit? Yes No NA UNK CP system operated and maintained continuously. [280 Yes No NA UNK
Tested Six Months after repair
Last 3 yr test results show a voltage of at least -850mV 100 mv shift [280.31(b)(2)] Yes No NA UNK CP inspected and rectifier log maintained every 60 days to ensure equipment is running properly. Last three test results available? [280.31(d)(1)] Yes No NA UNK Dates of last two 3 yr test results available? [280.31(d)(2)] Yes No
Every Three Years after installation [280.31(b)(1)]
List Dates:
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 7 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
XII. Spill and Overfill Protection [280.21(d)] Indicate any USTs filled by transfers < 25 gallons For transfers greater than 25 gallons
Spill Prevention
Tank numbers: Tank 1 Tank 2
Device is present and functional? [280.20(c)(1)(i)] Yes No NA UNK
Yes
Yes
Spill bucket free of water, debris, etc. Yes No NA UNK
Yes
No
Double walled? Yes No NA UNK Note: only applies to
NA
NA
interstitial spaces under pressure or vacuum or filled
with brine.
If Yes, Last Monthly Check? [280.35(a)(1)(i)] List date:
NA
NA
If No, Date of Last Triennial Containment Integrity Test [280.35(a)(1)(ii)] List date:
Unk
Unk
Overfill Prevention
Device is present and operational? [280.20(c)(1)(ii)]
Yes
Yes No NA UNK
Date of Last Triennial Inspection? [280.35(a)(2)]
Unk
Ball float valve riser present:
[280.20(c)(1)(ii)(B) Yes No NA UNK NA Ball float valves are not suitable on suction systems,
with coaxial drop tubes, or pressurized deliveries.
Ball float valve installed or replaced after October 13, 2015?
NA
[280.20(c)(3)] Yes No NA UNK
Flapper valve Operational: [280.20(c)(1)(ii)(B)]
Yes
Yes No NA UNK
Automatic shutoff: Operational: [280.20(c)(1)(ii)(A)]
NA
Yes No NA UNK
Automatic shutoff: Operational: [280.20(c)(1)(ii)(A)]
NA
Yes No NA UNK
Alarms Operational: [ 280.20(c)(1)(ii)(B)]
NA
Yes No NA UNK
Visible and/or audible to jobber/driver?
NA
Yes No NA UNK
Location(s) of overfill alarm(s): South of Tank, North side of Building
Yes Unk
NA NA Yes NA NA NA NA
Failure to take necessary precautions to prevent a spill or overfill during product delivery [280.30(a)] Y N Unknown NA
XIII. Tank and Pipe Release Detection
Release detection present [280.40(a)] Y N Unknown NA Note: Emergency Generator Tanks installed on or before 10/13/2015
must have release detection by 10/13/2018. Emergency Generator Tanks installed after 10/13/2015 but before 4/11/2016 must have release detection installed during installation. Emergency Generator Tanks installed after 4/11/2016 must have secondary containment and use interstitial monitoring.
Release detection system operating properly (i.e., system must be able to detect a release from any portion of the tank and piping that
routinely contains product) [(280.40(a)(1)] Y N Unknown NA
Release detection system meets the performance requirements at 280.43 or 280.44 [(280.40(a)(3)] Y N Unknown NA
Implementing agency has been notified of a suspected release as required, or when a release detection method or device alarms or fails a test
[(280.40(b)] Y N Unknown NA
Tanks and piping are monitored monthly for releases and records available (must have records for the two most recent consecutive months
and for 10 months of the last 12 months). [280.41(a), and 280.45(b)] Y N Unknown NA
Meets performance requirements for tank and line tightness test and maintains records.[280.43(c), 280.44(b), and 280.45(b)]
Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 8 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
XIII. Tank and Pipe Release Detection
Hazardous Substance UST Systems: NA
Release detection requirements are complied with for UST systems containing product. [(280.42)(b)]
Tanks and all piping systems equipped with secondary containment Pressurized piping w/ ALLD Monitored for a release every 30 days
Y N Unknown NA Y N Unknown NA
Y N Unknown NA
Pressurized Piping Set 1
TWO METHODS MUST BE SELECTED; ONE FROM EACH SET.
Tank numbers: Tank 1 Tank 2
Automatic Line Leak Detector (ALLD) installed (give date last tested/checked) Yes No NA UNK 4/8/2021
NA
NA
Annual function test of the operation of the leak detector
NA
NA
within last 12 months [280.44(a)] Yes No NA UNK
* In accordance with the manufacturer's requirements
NA
NA
Does the owner/operator have ALLD function tests available
for the last 3 years? Yes No NA UNK
Operating so as to alert the operator to the presence of a leak
NA
NA
(see 280.44(a) for description of ALLD) [280.44(a)]
Yes No NA UNK
Is the ALLD appropriate for the fuel stored in the UST? Yes No NA UNK
NA
NA
Automatic Shut-off Device
NA
NA
(Electronic line leak detector (ELLD))
NA
Continuous Alarm System (sump sensor/double-walled
NA
NA
piping) Must meet leak threshold for large and small releases.
NA
Set 2
Tank numbers: NA
NA
Annual Line Tightness Testing -- give date 4/8/2021 Is the last Line Tightness Test within the last 12 months? Yes No NA UNK
Does the owner/operator have line tightness test reports available for the last 3 years? Yes No NA UNK
Secondary Containment with Interstitial Monitoring Yes No NA UNK
Other (SIR, etc.) Yes No NA UNK
ALM:IM
Suction Piping
Line Tightness Testing (required every 3 yr) Yes No NA UNK
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Indicate date of most recent test
Secondary Containment with Interstitial Monitoring
NA
NA
Yes No NA UNK
Other (SIR, etc.)
NA
NA
Yes No NA UNK
No Leak Detection Required (must answer yes to all of the following questions):
Operates at less than atmospheric pressure Yes No NA UNK
Yes
Yes
Has only one check valve which is located directly under pump Yes Yes (dispenser) Yes No NA UNK
Slope of piping allows product to drain back into tank when suction released Yes No NA UNK
Yes
Yes
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 9 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
XIII. Tank and Pipe Release Detection
Tank Numbers: Tank 1 Tank 2
Under Dispenser Containment (UDC)
List dates installed
9-16-98
Note: Triennial Sump Testing required if sump installed
9-16-98
on or after April 11, 2016.
Are UDC Monitored? Yes No NA UNK
NA
NA
How are UDC Monitored? Visual or Electronic
NA
NA
Are records of inspections available? Yes No NA UNK
NA
NA
UDC Monitoring Notes: (Records of release: State the past 12 months monitoring records)
Tank Release Detection Summary
Mark Tank numbers with an "X"
Automatic Tank Gauging (ATG)
Automatic Line Monitoring (ALM)
(refer to appropriate detailed RD form) Pages 13-18
X
X
Interstitial Monitoring (IM)
Statistical Inventory Reconciliation (SIR)
Manual Tank Gauging (MTG)
XIV. Walkthrough Inspections [ 280.36 - Subpart C]
Owner and operators must conduct walkthrough inspections of the following: Must have records for inspections performed every 30 days
Y N Unknown NA
Date of last 30-day Walkthrough Inspection__No Walkthrough Available_____
Spill Prevention Equipment - must be checked for damage, remove liquid or debris, and check
Y N Unknown NA
fill cap. [If deliveries occur at intervals greater than every 30 days, spill prevention equipment
can be checked at the time of delivery]
DW spill prevention equipment with interstitial monitoring - must check for leak in interstitial area. [Only applies to DW spill prevention equipment with vacuum, pressurized or brine-filled interstitial spaces]
Y N Unknown NA
Release detection equipment - must check to ensure operating with no alarms and review records of of release detection testing.
Y N Unknown NA
Do the 30-day walkthrough inspections follow a nationally recognized standard code or practice?
Y N Unknown NA
Are records of 30-day walkthrough inspections available for the two most recent consecutive months and for 10 of the last 12 months?
Y N Unknown NA
Must have records for inspections performed each year
Y N Unknown NA
Date of last Annual Walkthrough Inspection ___No Walkthrough Available____
Containment sumps - must check for damage, leaks, remove liquid or debris.
Y N Unknown NA
DW sumps with interstitial monitoring - must be checked for leak in interstitial area.
Y N Unknown NA
Hand-held release detection equipment - must check tank gauge sticks or groundwater bailer.
Y N Unknown NA
Does the annual walkthrough inspection follow a nationally recognizes standard code or practice? Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 10 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store SITE DRAWING
Agency Fac. ID: EPA-TrUSTd-2315
DATE: 4-24-24 WEATHER:
TIME ON SITE:
14:45
TIME OFF SITE: 16:00__
ENVIRONMENTALLY SENSITIVE AREA : Y N
If "Yes", please describe:
Resurrected Farms, 2936 M Ave., Walthill, NE 68067 EPA-TrUSTd-2314
Pictures
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 11 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
NOTES:
Personnel present at inspection: EPA: Brian D'Alfonso Joseph Heafner Angela Sena
Resurrected Farm: Kent Stanek
ATG Model: TS 1001 Tank Sentinel Incon Environmental Control Division - Alarms: Low Product Limit Alarm (see photos) - ATG was unable to print tapes, so no ATG tapes were collected.
Dispenser Observations (Safe Suction) 1: Contained. Filled with water. 2: Contained. Filled with water.
Spill buckets: Both spill buckets have been replaced since last inspection. Fill tubes with overflow protection (flappers) were also installed with new spill buckets.
ATG riser caps Tight for Tanks 1 and 2
Piping Sumps were both confined spaces. Inspectors could not go down to open the lid. Contained piping sumps.
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 12 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Automatic Tank Gauging (ATG) NA
Manufacturer, name and model number of system: : INCON TS 1001
Third-party evaluators: Ken Wilcox and Associates
Agency Fac. ID: EPA-TrUSTd-2315
Unknown
NOTE: Most ATGs are not certified for use with used/waste oil tanks
ATG checking portion of tank that routinely contains product [280.40(a)(1)]
Device documentation is available at site (e.g., manufacturer's brochures, owners' manual, third-party certification)
Checked for presence of monitoring box and evidence that device is working.
Checked documentation that system installed, calibrated, & maintained according to manufacturer's instructions [280.40(a)(2)] ATG must be set for 0.2 gal/hr minimum
Monitoring (includes inventory) and testing records are available for the past 12 months
Year
Month
Tank #2
Tank #2
Tank #3
Tank #4
Tank #5
January
February
March
April
May
June
July
August
September
October
November
December
Yes No Yes No Yes No Yes No
Yes No Tank #6
Non-passing results reported and resolved in accordance with implementing agency's directions. [280.40(b)]
NA Yes No
Annual Release Detection Operability
Test Date: __No Test______
1. Automatic tank gauge and other controllers: test alarm; verify system configuration; test battery backup. 2. Probes and sensors: inspect for residual buildup; ensure floats move freely; ensure shaft is not damaged; ensure accessible cables are free of kinks and breaks; test alarm operability and communication with controller.
3. Does the owner/operator have operability test records for the last three years?
Y N Unknown NA Y N Unknown NA
Y N Unknown NA
x
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 13 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store Automatic Line Monitoring (ALM) NA
Manufacturer, name and model number of system:
Third-party evaluators:
Agency Fac. ID: EPA-TrUSTd-2315
Unknown
ALM checking portion of piping that routinely contains product [280.40(a)(1)]
Device documentation is available at site (e.g., manufacturer's brochures, owners' manual, third-party certification)
Checked for presence of monitoring box and evidence that device is working.
Checked documentation that system installed, calibrated, & maintained according to manufacturer's instructions [280.40(a)(2)] ALM must be set for 0.2 gal/hr minimum
Monitoring (includes inventory) and testing records are available for the past 12 months
Year
Month
Tank #2
January
February
Yes No Yes No Yes No Yes No
Yes No
March April May June July August September October November December
Non-passing results reported and resolved in accordance with implementing agency's directions. [280.40(b)]
NA
Yes No
Annual Function Test
Test Date: _MM/DD/YYYY___________
1. Automatic tank gauge and other controllers: test alarm; verify system configuration; Y N Unknown NA
test battery backup.
2. ALM units: ensure accessible cables are free of kinks and breaks; test alarm operability and communication with controller.
Y N Unknown NA
3. Does the owner/operator have function test records for the last three years?
Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 14 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Interstitial Monitoring for: Piping / Tank(s)
NA
Agency Fac. ID: EPA-TrUSTd-2315
Manufacturer and name of system:
Date system installed:
Materials used for secondary containment:
Materials used for internal lining:
Interstitial space is monitored (Circle one): automatically, continuously, or on a monthly basis.
If tank is of double-walled construction, what is material of construction?
FRP
If piping is of double-walled construction, what is material of construction? FRP
Documentation of monthly readings is available for last 12 months.
Year
Month
Tank Pipe
#1
#1
January
February
March
April
May
June
July
August
September
October
November
December
Yes No NA
Monitoring method is documented as capable of detecting a leak as small as .1 gal/hr with at least a 95% probability of detection and a probability of false alarm of no more than 5%.
Yes No NA
System is designed to detect release from any portion of UST system that routinely contains product.
Yes No NA
Secondary containment tight as to direct a release to the monitoring point and permit its detection [280.43(g)(2)] Yes No NA
Sensor is positioned correctly and operating in accordance with manufacturer's instructions [280.40(a)(2)]
Yes No NA
Non-passing results reported and resolved in accordance with implementing agency's directions. [280.40(b)]
Yes No NA
Annual Release Detection Operability
Test Date: ___ _________
1. Vacuum pumps and pressure gauges to ensure proper communication with sensors Y N Unknown NA
and controller.
2. Sensors: ensure floats move freely; ensure accessible cables are free of kinks and breaks; test alarm operability and communication with controller.
Y N Unknown NA
3. Does the owner/operator have operability test records for the last three years?
x
Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 15 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
Inventory Control [for Compliance Assistance Purposes only] NA
Inventory Control data input: ATG Manual tank gauging (stick)
Leak Check Calculation is performed each month to detect a release of 1.0 percent of flow-through plus 130 gallons. [280.43(a)]
Inventory volume measurements for regulated substance inputs, withdrawals, and the amount still remaining in the tank are recorded each operating day. [280.43(a)(1)]
The equipment used is capable of measuring the level of product over the full range of the tank's height to the nearest oneeighth of an inch. [280.43(a)(2)]
The regulated substance inputs are reconciled with delivery receipts by measurement of the tank inventory volume before and after delivery. [280.43(a)(3)] Deliveries are made through a drop tube that extends to within one foot of the tank bottom. [280.43(a)(4)]
Product dispensing is metered and recorded within the local standards for meter calibration or an accuracy of 6 cubic inches for every 5 gallons of product withdrawn. [280.43(a)(5)]
The measurement of any water level in the bottom of the tank is made to the nearest one-eighth of an inch at least once a month. [280.43(a)(6)]
Inventory Control Records are available for the past 12 months
Operator or owner has access to correct tank charts to convert inches to gallons.
Leak Check Calculation Results: P = PASS
Year
Month
F = FAIL N=None
Tank #1
Tank #2
Tank #3
Tank #4 Tank #5
January
February
March
April
May
June
July
August
September
October
November
December
Yes No Yes No
Yes No Yes No Yes No Yes No Yes No Yes No Yes No
Tank #6
Non-passing results reported and resolved in accordance with implementing agency's directions. [280.40(b)] Notes:
NA
Yes No
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 16 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Statistical Inventory Reconciliation (SIR)
NA
Agency Fac. ID: EPA-TrUSTd-2315
Designer/Manufacturer and name of program: SIR Service Provider: Third-party evaluators:
SIR data input: ATG
* Manual tank gauging (stick) (Must follow the requirements for inventory control)
* Monthly water level readings recorded, drop tubes present, meters calibrated, and the dipstick is marked legibly and product levels can be measured to the nearest 1/8 inch
SIR documentation is available at site (e.g., designer's brochures, owners' manual)
Owner/Operator has documentation on file verifying method meets minimum performance standards of 0.20 gph with Pd 95% and Pfa of 5% for statistical inventory reconciliation (e.g., results sheets under EPA's "Standard Test Procedures for Evaluating Leak Detection Methods").
SIR results are available for the past 12 months
SIR Test Results: P = PASS Year
F = FAIL Month
INC = Inconclusive
N=None
Tank #1
Tank #2
Tank #3
Tank #4 Tank #5
January
February
March
April
May
June
July
August
September
October
November
December
Yes No Yes No Yes No Yes No
Tank #6
Non-passing results reported and resolved in accordance with implementing agency's directions. [280.40(b)] Receiving results within a time frame established by implementing agency [280.41(a) & 280.43(h)]
NA
Yes No Yes No
Annual Release Detection Operability
Test Date: _____________
1. If ATG used for data input, refer to page 12 for annual testing requirements.
2. If tank measuring stick used for data input: Hand-held sampling equipment (gauging Y N Unknown NA
sticks, etc.) to ensure proper operation.
3. Does the owner/operator have operability test records for the last three years?
Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 17 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store Manual Tank Gauging (MTG) NA
Agency Fac. ID: EPA-TrUSTd-2315
Manual tank gauging may be used as the sole method of leak detection only for tanks of 1,000 gal or less, or in combination with tank tightness testing for tanks 2,000 gal. or less. * Manual tank gauging must be used in combination with tank tightness testing for tanks over 1,000 gal.
Records show liquid level measurements are taken at beginning and ending of period of at least 36 hours during which no liquid is added to or removed from the tank. [280.43(b)(1)]
Yes No
Level measurements based on aver. of two consecutive stick readings at both beginning and end of period.
Yes No
Monthly average of variation between beginning and end measurements is less than standard shown below for corresponding size and dimensions of tank and waiting time.
Yes No
Gauge stick is long enough to reach bottom of the tank. Ends of gauge stick are flat and not worn down. [280.43(b)(3)] Yes No
Gauge stick is marked legibly and product level can be determined to the nearest 1/8 inch [280.43(b)(3)]
Yes No
MTG is used as sole method of leak detection for tank.
Yes No
MTG is used in conjunction with tank tightness testing.
Yes No
Are all tanks for which MTG is used 2,000 gal or less in capacity? [280.43(b)(5)]
Yes No
Operator or owner has access to correct tank charts to convert inches to gallons.
Yes No
Check One:
Nominal Tank Capacity (gal)
Tank Dimensions
Monthly Standard (gal) Minimum Test Duration
( ) ( ) ( ) ( ) ( ) Year
Month JAN FEB MAR APR MAY JUN
Tank #1
550
551 - 1,000
1,000
1,000
1,001 - 2,000*
Tank #2
Tank #3
Tank #4
Tank #5
NA
NA
64" diam. X 73" length
48" diam. X 128" length
NA
Tank #6
Year
Month JUL
AUG
SEP
OCT
NOV
DEC
Tank #1
5
7
4
6
13 Tank
#2
Tank #3
36 hr 36 hr 44 hr 58 hr
Tank #4
Tank #5
Tank #6
Are monitoring records available for the last 12 month period? Performing proper recording and reconciliation activities [280.43(b)(4)] Non-passing results reported and resolved in accordance with implementing agency's directions. [280.40(b)]
NA
Yes No Yes No Yes No
Annual Release Detection Operability 1. Hand-held sampling equipment (gauging sticks, etc.) to ensure proper operation.
Date: _____________
Y N Unknown NA
2. Does the owner/operator have operability test records for the last three years?
Y N Unknown NA
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 18 of 24 Pages
Initial/Date: 4-24-24
2 Underground Storage Tank (UST) Inspector's Observation Report
THE UNITED STATES ENVIRONMENTAL PROTECTION AGENCY (EPA) REGION 7
Tanks, Toxics, and Pesticides Branch
LCRD/TTPB 11201 Renner BLVD
Lenexa, Kansas 66219
913-551-7216
Facility Name: Lakeview C-Store
Agency Fac. ID EPA-TrUSTd-2315__
No areas of concern or deficiencies were observed at the conclusion of this inspection.
The above named facility was inspected by a duly authorized representative of EPA Region 7, and the following are the inspector's
observations and/or recommended corrective action(s):
Deficiencies or Areas of Concern Identified:
Regulatory Citation
Description
280.40(a)(1)
Not performing 2.0 gal/hr test monthly
280.40(a)(3)
Release detection not operating to meet requirements
280.45
No release detection documents being maintained
280.36(c)
No annual or monthly walkthrough inspections
280.40(a)(3)
Operability test of the ATG not completed
280.35(a)
No triennial inspection containment test for spill buckets or trienniel inspection for overfill protection
280.33(g)
Records of repairs were not available at time of inspection
Actions Taken:
Field Citation; # ___ Additional information required
Inspection Deficiency Summary/Due date _
Notes:
x Empty dispenser sumps - full of water at time of inspection
Name of Owner/Operator Representative:
Name of EPA Representative:
____________________________________________________________ (Please print)
____________________________________________________________ (Signature)
Other Participants: ___________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
_______________________________________________________ (Please print)
_______________________________________________________ (Signature)
______________________________________________________ (Credential Number)
______________________________________________________ (Title)
Date of Inspection _________ Time __________ AM/PM
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 19 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store Additional Inspector's Observation Report Notes
Agency Fac. ID: EPA-TrUSTd-2315
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 20 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
3 Underground Storage Tank (UST) Compliance Inspection Deficiency Summary
On
_______________________the United States Environmental Protection Agency conducted
an underground storage tank (UST) inspection of your facility to determine compliance with the Federal Underground
Storage Tank regulations, 40 C.F.R. Part 280. During the inspection, potential record-keeping deficiencies were
identified. You may resolve the below-cited deficiencies by providing documentation indicating that the facility had no
areas of concern at the time of the inspection with the items listed below. Please return the documentation within 5
business days. Failure to provide the requested documentation within the specified timeframe may result in the
issuance of a formal information request pursuant to Section 9005 of the Resource Conservation and Recovery
Act, 42 U.S.C. 6991d.
Notification
Document the notification to the state of a previously unregistered existing underground storage tank. Provide documentation of the notification and investigation of a suspected release to the state implementing agency
per the requirements defined in 40 C.F.R 280.50.
Cathodic Protection
Document the installation or repair and testing of a cathodic protection system for unprotected piping, flex
connectors, buried metallic components, etc.
Document the installation or repair and testing of a cathodic protection system for an unprotected steel or composite
UST.
Document an internal tank lining integrity test.
Document a field test of the cathodic protection (CP) system by a qualified protection tester to determine that the CP
system adequately provides the required corrosion protection for all components as required by 40 C.F.R. 280.31(b). (Required every 3 years following the initial testing after the CP system's installation)
Provide documentation demonstrating that the impressed current cathodic protection system has been inspected at
least every 60 days. Such documentation may be in the form of a system rectifier inspection log or other such record demonstrating compliance with 40 C.F.R. 280.31(c). Provide the records for the months of _______________________________________.
Release Detection
Document product line tightness testing using an approved method for annual line leak detection. Document an operational integrity test (annual) on line leak detector (LLD) in accordance with the manufacturer's
requirements.
Document a tank tightness test using an approved method. Document an approved form of monthly release detection monitoring, e.g., statistical inventory reconciliation (SIR),
automatic tank gauging (ATG), etc
Provide the following documentation that the leak detection method has been implemented: Automatic tank gauge data (e.g. CSLD, SCALD, "Leak Check"). ,QYHQWRU\&RQWURO SIRDocument monthly interstitial sensor/probe status data
Document the performance of a release detection operability test.
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 21 of 24 Pages
Initial/Date: 4-24-24
Facility Name: Lakeview C-Store
Agency Fac. ID: EPA-TrUSTd-2315
Spill and Overfill Protections
Document the installation or repair of an approved overfill prevention device(s), e.g., outside overfill alarm,
automatic shutoff device (flapper valve), etc.
Document the installation or repair of an approved spill prevention device(s), e.g., spill bucket, catchment basin, etc.
Document the performance of one or both of the following Triennial Spill Bucket Test Triennial Overfill Equipment Test
Temporary/Permanent Closure
Document placement the UST(s) in temporary out-of-service status, including documentation of the removal of all
product to below one-inch, in accordance with 40 C.F.R. 280.70.
Document the proper permanent closure of the UST(s) in accordance with 40 C.F.R. 280.71, and any applicable
state regulations.
Financial Responsibility
Provide documentation of financial responsibility for underground storage tank system in accordance with 40 C.F.R.
280, Subpart H.
Other
Under Dispenser Containment (Visual inspection or electronic monitoring) Documentation of Compatibility for UST Systems Documentation of Periodic Walk-through Inspection Walkthrough Inspection Records - Monthly and Annually Documentation of Containment Sump Testing ____________________________________________________________________________________________ ____________________________________________________________________________________________
Submit all documentation to: ________________________________________________
THE UNITED STATES ENVIRONMENTAL PROTECTION AGENCY (EPA) REGION 7 Tanks, Toxics, and Pesticides Branch LCRD/TTPB, 11201 Renner BLVD Lenexa, Kansas 66219
4 Underground Storage Tank (UST) Inspection Photo Documentation Log
Camera Type: ___ ____________ Camera S/N: __________________________________
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 22 of 24 Pages
Initial/Date: 4-24-24
Location (City/State)
Date Photos Taken: Photo No. Time Direction
Photographer: Description
Date and time will be imprinted on photo. Lat/Long retained in photo properties if GPS Camera used.
Photos Downloaded to_________________________________________________________________________________
Date:
Time:
Initials:_________________
UST Inspection Report USTREPORT-001-R07 v3.3/April 2021
Page 24 of 24 Pages
Initial/Date: 4-24-24