Document MVMqvvZ2pBZR22OapM6D4O29
&203/,$1&((9$/8$7,21,163(&7,215(3257
81'(5*5281'6725$*(7$1.6
(3$5HJLRQ)HGHUDO)RUP
),' P013NM )$&,/,7<1$0(M ichaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
3K\VLFDO$GGUHVV &LW\6WDWH=LS 0DLOLQJ$GGUHVV
)DFLOLW\5HSUHVHQWDWLYH 7LWOHDQG(PDLO
15066 Highway 75
3KRQH
Penasco, NM 87553
&RXQW\
P.O. Box 250
$GGUHVV
Penasco
&LW\
Michael Pacheco, Owner/operator
575-587-2570
Taos
NM
6WDWH
87553
=LS
8672SHUDWRU
Michael Pacheco
3KRQH 575-587-2570
)D[
0DLOLQJ$GGUHVV
15066 Highway 75
Penasco
NM 87553
$GGUHVV
&LW\
6WDWH =LS
867&RQWDFW 0DLOLQJ$GGUHVV
Michael Pacheco 15066 Highway 75
3KRQH 575-587-2570 Penasco
)D[
NM
87553
$GGUHVV
&LW\
6WDWH =LS
8672ZQHU
Michael Pacheco
3KRQH 575-587-2570
)D[
0DLOLQJ$GGUHVV
15066 Highway 75
Penasco
NM 87553
$GGUHVV
&LW\
&RQWDFW1DPHDQG(PDLO Michael Pacheco, pacheco87.mp@gmail.com
6WDWH =LS 3KRQH1XPEHU 575-587-2570
)DFLOLW\/DQG7ULEDOO\2ZQHG<HV 1R )DFLOLW\3ULYDWHO\2ZQHG/HDVHGRQ7ULEDO/DQG<HV1R
/HDG,QVSHFWRULarry L. Thomas $GGLWLRQDO,QVSHFWRUV DQG2WKHUVSUHVHQWChris Hamilton, NMED PSTB; Leonard Sabatino, ENIPC OETA
6XPPDU\RI)LQGLQJVDQG)DFLOLW\&RPPHQWV
Faciltiy and land owned by Michael Pacheco, but within Pueblo of Picuris's jurisdictional boundary. No changes to equipment or faciltiy layout, so no pictures taken and no faciltiy diagram added.
(3$5(*,21867&(,&+(&./,67 1RWH$OO TXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYHVXPPDU\
RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(M ichaels Self-Service
6HFWLRQ$ 5HJLVWUDWLRQ5HTXLUHPHQWV
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
)XUWKHU([SODQDWLRQ$WWDFKHG
$UHDOO1HZDQG([LVWLQJ3HWUROHXP867V\VWHPVUHJLVWHUHG"D
<HV1R 1$
$UHDOOQHZ867VWKDWFRQWDLQUHJXODWHGKD]DUGRXVVXEVWDQFHVUHJLVWHUHG"
<HV 1R 1$
3OHDVHLQGLFDWHWKHQXPEHUVL]HSURGXFWVWRUHGLQVWDOODWLRQGDWHDQGXSJUDGHGDWHIRUDOOWDQNVDWWKHIDFLOLW\"
7$1. 6,=(RI7$1.352'8&7 7$1.7<3( 12 *$//216 6725(' 6:':
1 10,000 Regular SW Steel
2
6000 Regular SW Steel
67$786 $FWLYHRU7&
Active
Active
&RPSDUWPHQW RU0DQLIROG
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
,167$// '$7(
1979
1979
83*5$'('$7(
est. 1998
est. 1998
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
&RPSDUWPHQW 0DQLIROG
/DWLWXGH
'HJUHHV0LQXWHV
36.171273
6HFRQGV
/RQJLWXGH
'HJUHHV 0LQXWHV -105.687561
(14.FBTVSFE"U
6HFRQGV *OQVU5BOLGJMM # 1
QPSU
1XPEHURI'LVSHQVHUV4 single sidedGHWDLOKRZWKLVFRXQWZDVPDGHEHORZ
6HFWLRQ$&RPPHQWV "EEDPOWFSUFE(14NFBTVSFNFOUJO%FDJNBM%FHSFFT Note only 3 dispensers were being used, the 4th was capped off.
(3$5(*,21867&(,&+(&./,67
1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH
VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(M ichaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
&RPSOLDQFH3HUIRUPDQFH0HDVXUHV&30 LQ7HFKQLFDO&RPSOLDQFH5DWH7&5
&30&RUURVLRQ3URWHFWLRQ
6HFWLRQ%6WDQGDUGVIRU1HZ8QGHUJURXQG6WRUDJH7DQNV
7DQNVLQVWDOOHGDIWHU
7DQN&RQVWUXFWLRQ
)XUWKHU([SODQDWLRQLQ1DUUDWLYH 6HFWLRQ%1RW$SSOLFDEOH
645DB
6: ':
D ,VHDFKWDQNSURSHUO\GHVLJQHGDQGFRQVWUXFWHGWRSUHYHQWFRUURVLRQLQDQ\SRUWLRQRIWKH WDQNWKDWURXWLQHO\FRQWDLQVSURGXFW"D
<HV 1R 1$
C *GJOTUBMMFEBGUFSJTUBOLTFDPOEBSJMZDPOUBJOFE
<HV 1R 1$
:KDWLVWKHFRUURVLRQSURWHFWLRQPHWKRGIRUWKHWDQNV"
645DB
D )LEHUJODVVUHLQIRUFHGSODVWLF)53D E 7DQNFRQVWUXFWHGRIPHWDODQGFDWKRGLFDOO\SURWHFWHGHJJDOYDQWLF67,3PHWDO
WDQNZLWKLPSUHVVHGFXUUHQWV\VWHPD 6SHFLI\
<HV 1R 1$ <HV 1R 1$
F 0HWDOILEHUJODVVUHLQIRUFHGSODVWLF FRPSRVLWH $&7 D
<HV
G 5HFRUGV DYDLODEOH WR GRFXPHQW WKDW &RUURVLRQ 3URWHFWLRQ LV QRW QHFHVVDU\ D
<HV
H 2WKHUFRUURVLRQSURWHFWLRQD 6SHFLI\
+DYHUHSDLUVEHHQFRQGXFWHGRQDQ\WDQN" <HV 1R 7DQN5HSDLU'DWH
D :HUHUHSDLUVWRWDQNVFRQGXFWHGLQDFFRUGDQFHZLWKDFFHSWHGFRGHVDQGVWDQGDUGV" D
E :HUHUHSDLUVWRILEHUJODVVUHLQIRUFHGWDQNVFRQGXFWHGE\ PDQXIDFWXUHU VDXWKRUL]HG UHSUHVHQWDWLYHVRULQDFFRUGDQFHZLWKDFFHSWHGFRGHVDQGVWDQGDUGV"E
<HV <HV
F :HUHWKHUHSDLUHGWDQNVWLJKWQHVVWHVWHGZLWKLQGD\VRIWKHFRPSOHWLRQRIWKHUHSDLU G XQOHVVLQVSHFWHGPRQLWRUHGRURWKHUZLVHWHVWHG"G
6HFWLRQ%&RPPHQWV
<HV
1R 1R
1R 1R 1R
1$ 1$
1$ 1$ 1$
6HFWLRQ&
8SJUDGLQJ([LVWLQJ7DQNVWR1HZ6\VWHP6WDQGDUGV )XUWKHU([SODQDWLRQLQ1DUUDWLYH
7DQNVLQVWDOOHGRQRUEHIRUH
6HFWLRQ&1RW$SSOLFDEOH
'RWKH([LVWLQJ7DQNV FRPSO\ZLWKRQHRIWKHIROORZLQJUHTXLUHPHQWV
867FD
D $UH DOO H[LVWLQJ WDQNV XSJUDGHG WR PHHW WKH VWDQGDUGV RU GR WKH\ DOUHDG\ PHHW WKH VWDUGDUGV IRU 1HZ 867 V\VWHPV"
<HV 1R 1$
,I\HVVSHFLI\WDQNW\SHSteel tanks with impressed current
E $UH DOO H[LVWLQJWDQNV XSJUDGHG ZLWKFDWKRGLF SURWHFWLRQ"E ,I\HV FRPSOHWH <HV 1R 1$
:KDWPHWKRGRIFRUURVLRQSURWHFWLRQLVXVHGIRUHDFKWDQN"
645DF
D 0HWDO WDQN UHWURILWWHG ZLWK LQWHULRU OLQLQJ E 'DWH /LQLQJ ,QVWDOOHG <HV 1R 1$
E ,VOLQLQJLQVSHFWHGSHULRGLFDOO\"E LL 'DWH RI /DVW /LQLQJ ,QVSHFWLRQ
0HWDO WDQN UHWURILWWHG ZLWK FDWKRGLF SURWHFWLRQ E F 7\SH RI &3 impressed current
,I WDQN ! \HDUV ROG ZKHQ &3 ZDV DGGHG ZDV D WDQN LQWHJULW\ WHVW SHUIRUPHG"
G E L
645DF
<HV 1R 1$ <HV 1R 1$
<HV 1R 1$
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
7\SHRILQWHJULW\WHVWSHUIRUPHG
'DWH
H ,QWHUQDO/LQLQJFRPELQHGZLWKFDWKRGLFSURWHFWLRQE ,I &3 ZDV QRW LQVWDOOHG DW VDPH WLPH DV WKH OLQLQJ FRPSOHWH VHFWLRQ &G DERYH
I 2WKHUFRUURVLRQSURWHFWLRQ6SHFLI\
6HFWLRQ&&RPPHQWV
<HV <HV
1R 1$ 1R 1$
6HFWLRQ' 6WDQGDUGVIRU1HZ([LVWLQJ8673LSLQJ6\VWHP 3LSLQJLQVWDOOHGDIWHUPXVWEHVHFRQGDULO\FRQWDLQHG
3LSLQJLQVWDOOHGDIWHU
D )RUSLSLQJLQVWDOOHGDIWHULVLWVHFRQGDULO\FRQWDLQHG"
C'PSQJQJOHJOTUBMMFECFGPSFJOEJDBUFEPVCMFTJOHMFXBMM
)XUWKHU([SODQDWLRQLQ1DUUDWLYH
6HFWLRQ'1RW$SSOLFDEOH
<HV 1R 1$ %PVCMF8BMM4JOHMF8BMM
,VSLSLQJWKDWURXWLQHO\FRQWDLQVUHJXODWHGVXEVWDQFHVDQGLVLQFRQWDFWZLWKWKHJURXQGRUZDWHU
<HV
GHVLJQHGFRQVWUXFWHGDQGSURWHFWHGWRSUHYHQWFRUURVLRQ"E QHZF H[LVWLQJ 645DB
:KDWPHWKRGRIFRUURVLRQSURWHFWLRQLVXVHGIRUWKHSLSLQJ"
645DB
D )LEHUJODVVUHLQIRUFHGSODVWLFSLSLQJ)53E
<HV
E 1RQPHWDOOLFIOH[LEOHSLSLQJE 7\SH
<HV
F &RQVWUXFWHG RI PHWDO DQG FDWKRGLFDOO\ SURWHFWHG HJ FRDWHG ZGLHOHFWULF PDWHULDO
PHWDO SLSLQJ ZLWK DQRGHV RU PHWDO SLSLQJ ZLWK LPSUHVVHG FXUUHQW V\VWHP
E
6SHFLI\
<HV
G 0HWDOSLSLQJZLWKRXWDGGLWLRQDOFRUURVLRQSURWHFWLRQPHDVXUHVE
6SHFLI\
<HV
H 5HFRUGV DYDLODEOH WR GRFXPHQW &RUURVLRQ 3URWHFWLRQ LV QRW QHFHVVDU\
E LL
<HV
$UHDOOPHWDOFRPSRQHQWVIOH[LEOHFRQQHFWRUVVXEPHUVLEOHWXUELQHSXPSV WKDW
URXWLQHO\FRQWDLQUHJXODWHGVXEVWDQFHVDQGDUHLQFRQWDFWZLWKWKHJURXQGRUZDWHUGHVLJQHG
FRQVWUXFWHGDQGSURWHFWHGWRSUHYHQWFRUURVLRQ"
645DB
D &RQVWUXFWHG RI PHWDO DQG FDWKRGLFDOO\ SURWHFWHG HJ FRDWHG ZGLHOHFWULF PDWHULDO
<HV
PHWDOFRPSRQHWVSURWHFWHGZLWKDQRGHVRUDQLPSUHVVHGFXUUHQWV\VWHPFRQWDLQHGLQ
GU\VXPSVE
6SHFLI\ impressed current E 0HWDO SLSLQJ FRPSRQHQWV ZLWKRXW DGGLWLRQDO FRUURVLRQ SURWHFWLRQ PHDVXUHV
<HV
E LL
6SHFLI\
<HV
$UHDOOLPSDFWYDOYHVVKHDUYDOYHV SURSHUO\LQVWDOOHGPRYLQJSDUWVXQREVWUXFWHGVKHDU YDOYHSURSHUO\DQFKRUHG "1)3$$&KDSWHU3DUDJUDSK
<HV
1R 1$
1R 1$ 1R 1$
1R 1$ 1R 1$ 1R 1$ 1R 1$
1R 1$ 1R 1$ 1R 1$
+DYHUHSDLUVEHHQPDGHWRDQ\SLSLQJ" <HV 1R$VVRFLDWHGWDQNBBBBBBBB'DWHRIUHSDLUBBBBBBBBBBBB
D:HUHDQ\PHWDOSLSHVHFWLRQVRUILWWLQJVWKDWUHOHDVHGSURGXFWUHSODFHG"
F
<HV 1R 1$
F :DV WKH UHSDLUHG SLSLQJ WLJKWQHVV WHVWHG ZLWKLQ GD\V RI WKH FRPSOHWLRQ RI WKH UHSDLU G XQOHVV LQVSHFWHG PRQLWRUHG
RU RWKHUZLVHWHVWHG"G
<HV 1R 1$
6HFWLRQ'&RPPHQWV
E :HUH ILEHUJODVV SLSHV DQG ILWWLQJV UHSDLUHG LQ DFFRUGDQFH ZLWK
PDQXIDFWXUHU VVSHFLILFDWLRQV"F
<HV 1R 1$
G :DVSHUFHQWRUPRUHRIWKHSLSLQJUHSODFHGZLWK':SLSLQJGXULQJWKH
UHSDLU"
<HV 1R 1$
(3$5(*,21867&(,&+(&./,67
1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH
VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
6HFWLRQ( 6SLOODQG2YHUILOOIRU1HZ([LVWLQJ8676\VWHPV
)XUWKHU([SODQDWLRQLQ
867V\VWHPVLQVWDOOHGDIWHUDUHFRQVLGHUHGQHZ
1DUUDWLYH6HFWLRQ(1RW$SSOLFDEOH
,VHDFKWDQNHTXLSSHGZLWK6SLOO3UHYHQWLRQ(TXLSPHQWWRSUHYHQWDUHOHDVHRISURGXFW
ZKHQWKHWUDQVIHUKRVHLVGHWDFKHGIURPWKHILOOSLSH"F L G BB <HV 1R 1$
D 'RHVWKHVSLOOSUHYHQWLRQHTXLSPHQWKDYHOLTXLGWLJKWVLGHVDQGERWWRPQRWFUDFNHG
RUEURNHQ "F L
645BB <HV 1R 1$
E 6SLOOHTXLSPHQWFRQVWUXFWLRQ
':6:
F )RUGRXEOHZDOOHGVSLOOEXFNHWVLVWKHVSLOOSUHYHQWLRQHTXLSPHQWLQWHUVWLWLDOO\
PRQLWRUHG"
645BC
G ,IQRWLQWHUVWLWLDOO\PRQLWRUHGRULIVLQJOHZDOOKDVWKHVSLOOSUHYHQWLRQHTXLSPHQW
<HV 1R 1$
EHHQWHVWHGZLWKLQWKHODVW\HDUV"5HTXLUHGDIWHUIRUQHZUHSODFHGE\
IRUH[LVWLQJ 'DWH05-11-180HWKRG hydrostatic
<HV 1R 1$
H ,VWKHVSLOOEXFNHWIUHHRIOLTXLGVVRWKDWLWZLOOFRQWDLQDQ\RYHUILOO"
<HV 1R 1$
I +DVWKHVSLOOEXFNHWFKHFNEHHQFRQGXFWHGHYHU\GD\V"D L
5HTXLUHGE\8QOHVVH[FHSWLRQXVHGH[SODLQLQFRPPHQWV 645BC <HV 1R 1$
J +DVWKHVSLOOSUHYHQWLRQHTXLSPHQWEHHQUHSDLUHGUHSODFHGVLQFHWKHSUHYLRXV LQVSHFWLRQ"5HSODFH5HSDLU7HVW'DWH 03-31-19
<HV 1R 1$
,VHDFKWDQNHTXLSSHGZLWK2YHUILOO3UHYHQWLRQ(TXLSPHQW"F LL 645CB <HV 1R 1$
,VWKH2YHUILOO3UHYHQWLRQ(TXLSPHQWGHVLJQHGWR
645CB
D $XWRPDWLFDOO\VKXWRIIIORZWRWKHWDQNZKHQWKHWDQNLVQRPRUHWKDQIXOO"HJ
EXWWHUIO\YDOYHF LL $ GHYLFHQRWWDPSHUHGZLWKRULQRSHUDEOH
<HV 1R 1$
E $OHUWWUDQVIHURSHUDWRUZKHQWDQNLVQRPRUHWKDQIXOOE\UHVWULFWLQJIORZLQWRWKH WDQNEDOOIORDWYDOYH RUWULJJHULQJDKLJKOHYHODODUPRYHUILOODODUP ",VWKHDODUP
#BMM'MPBU"MBSN
QHDUWKHILOOSRUW"'RHVLWZRUN",I1RH[SODLQLQ&RPPHQWV F LL % F 5HVWULFWWKHIORZPLQXWHVSULRUWRRYHUILOOLQJRUDOHUWWKHRSHUDWRURQHPLQXWH
<HV 1R 1$
EHIRUHRYHUILOOLQJ"F LL & G ,IEDOOIORDWYDOYHVDUHXVHGLVWKHSLSLQJV\VWHPSUHVVXUL]HG%DOOIORDWYDOYHVDUHQRW
<HV 1R 1$
DOORZHGIRUXVHRQVXFWLRQSLSLQJGHOLYHU\V\VWHPV3(,53&KDSWHU
IRU1HZ6\VWHPV3(,53&KDSWHUIRU([LVWLQJ6\VWHPV $OWHUQDWLYHW\SHRI6SLOORU2YHUILOO3UHYHQWLRQ(TXLSPHQWEHLQJXVHG"F LL
<HV 1R 1$
6SHFLI\ +DVWKHRYHUILOOHTXLSPHQWEHHQWHVWHGZLWKLQWKHSDVW\HDUV"5HTXLUHGDIWHUIRU
<HV 1R 1$
QHZUHSODFHPHQWLQVWDOODWLRQIRUH[LVWLQJLQVWDOODWLRQV 'DWH 3-29-19
<HV 1R 1$
6HFWLRQ(&RPPHQWV
Spill bucket 2 was tested and failed May 2018. The contractor attempted repair on 3-31-19, but the bucket still failed after new hydrostatic test. However, the contractor billed for the repair, but did not inform facility that spill bucket had failed. Also State of NM PSTB provided oversight of test, but had not notified facility of failure and need to replace spill bucket .
6(&7,21)LQVWDOOHGDIWHU
6HFWLRQ)8QGHU'LVSHQVHU&RQWDLQPHQW 8'&
'LVSHQVHUVLQVWDOOHGDIWHU
645EB
)XUWKHU([SODQDWLRQLQ1DUUDWLYH 6HFWLRQ)1RW$SSOLFDEOH
)RUGLVSHQVHUVLQVWDOOHGDIWHUI RUWKRVHLQVWDOOHGDIWHUZLWK,0
D ,VHDFKQHZGLVSHQVHUDWDQHZIDFLOLW\HTXLSSHGZLWK8'&"
E ,VHDFKQHZGLVSHQVHUDWDQH[LVWLQJIDFLOLW\ZKHUHQHZSLSHRUJUHDWHU ZDV DGGHGWRFRQQHFWWKHQHZGLVSHQVHUWRWKHH[LVWLQJV\VWHPHTXLSSHGZLWK8'&"
<HV 1R 1$ <HV 1R 1$
$*TFBDISFQMBDFNFOUEJTQFOTFSBUBOFYJTUJOHGBDJMJUZXIFSFQJQJOH PSHSFBUFS UIBU DPOOFDUTUIFEJTQFOTFSUPUIFFYJTUJOHQJQJOHJTSFQMBDFEFRVJQQFEXJUI6%$
<HV 1R 1$
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(M ichaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
'RHVHDFK8'&VXPSVXEMHFWWRWKH8'&UHTXLUHPHQWVRULQVWDOOHGXWLOL]LQJ,0DIWHU KDYHOLTXLGWLJKWVLGHVDQGERWWRPDQGLVLWPDLQWDLQHGIUHHRIVWRUPZDWHUGHEULVDQG UHJXODWHGVXEVWDQFHV"I
<HV 1R
*G6%$JTCFJOHVTFEGPS*. IBWFUIF6%$hTCFFOUFTUFEXJUIJO UISFF ZFBST &GGFDUJWFGPSOFX 6%$BOEFYJTUJOH6%$hT/P-BUFS5IBO
<HV 1R
6HFWLRQ)&RPPHQWV
1$ 1$
6(&7,21*LQVWDOOHGDIWHU 6HFWLRQ*6XEPHUVLEOH7XUELQH3XPS673 6HFRQGDU\&RQWDLQPHQW
867GD
)XUWKHU([SODQDWLRQLQ1DUUDWLYH 6HFWLRQ*1RW$SSOLFDEOH
)RUVXEPHUVLEOHWXUELQHSXPSVLQVWDOOHGDIWHU
D ,VHDFKQHZ673DWDQHZIDFLOLW\HTXLSSHGZLWKOLTXLGWLJKWFRQWDLQPHQW" E ,VHDFKQHZ673DWDQH[LVWLQJIDFLOLW\ZKHUHDQHZSLSHUXQZDVDGGHGWRFRQQHFWWKH
QHZ673WRWKHV\VWHPHTXLSSHGZLWKOLTXLGWLJKWFRQWDLQPHQW"D F ,VHDFKUHSODFHPHQW673DWDQH[LVWLQJIDFLOLW\ZKHUHRUPRUHRIWKHSLSLQJLV
UHSODFHGWKDWFRQQHFWVWKH673WRWKHV\VWHPHTXLSSHGZLWKOLTXLGWLJKW FRQWDLQPHQW"D
<HV 1R 1$ <HV 1R 1$ <HV 1R 1$
'RHVHDFK673FRQWDLQPHQWVXPSVXEMHFWWRWKH6736HFRQGDU\&RQWDLQPHQW UHTXLUHPHQWVKDYHOLTXLGWLJKWVLGHVDQGERWWRPDQGPDLQWDLQHGIUHHRIVWRUPZDWHU GHEULVDQGUHJXODWHGVXEVWDQFHV"'E
<HV 1R 1$
$UHWKH673VXPSVXVHGIRUSLSLQJ,QWHUVWLWLDO0RQLWRULQJ"
+DYH673FRQWDLQPHQWVXPSVXVHGIRU,0EHHQWLJKWQHVVWHVWHGLQWKHODVW\HDUV
QHZ1R/DWHU7KDQH[LVWLQJ
645EE
6HFWLRQ*&RPPHQWV
<HV 1R 1$ <HV 1R 1$
6HFWLRQ+2SHUDWLRQDQG0DLQWHQDQFHRI&RUURVLRQ3URWHFWLRQ6\VWHPV
)XUWKHU([SODQDWLRQLQ1DUUDWLYH 6HFWLRQ+1RW$SSOLFDEOH
,VWKHFRUURVLRQSURWHFWLRQV\VWHPFRQWLQXRXVO\RSHUDWHGDQGPDLQWDLQHGWRSURYLGH
FRUURVLRQSURWHFWLRQWRPHWDOFRPSRQHQWVRIH[WHUQDOSRUWLRQVRIWKHWDQNVDQGSLSLQJWKDW URXWLQHO\FRQWDLQUHJXODWHGVXEVWDQFHDQGDUHLQFRQWDFWZLWKWKHJURXQGRUZDWHU" D 645DD
<HV 1R 1$
$UHWKHFDWKRGLFSURWHFWLRQV\VWHPVLQVSHFWHGE\TXDOLILHGWHVWHUV"E
<HV 1R 1$
E 'DWH :DVWKHFDWKRGLFSURWHFWLRQV\VWHPWHVWHGZLWKLQVL[PRQWKVDIWHULQVWDOODWLRQ" 645DC <HV 1R 1$
,VWKHV\VWHPWHVWHGDWOHDVWHYHU\WKUHH\HDUV"
E 'DWH 05/14/2017
645DDBOEDE
<HV 1R 1$
'RHVWKHLQVSHFWLRQPHHWWKHUHTXLUHPHQWVRIDFRGHRISUDFWLFHGHYHORSHGE\DQDWLRQDOO\ UHFRJQL]HGDVVRFLDWLRQ"E
<HV 1R 1$
$VRXWOLQHGLQE GRHVWKHIDFLOLW\KDYHFRSLHVRIWKHODVWWZR&3LQVSHFWLRQV" G
<HV 1R 1$
,IWKH867V\VWHPKDVDQLPSUHVVHGFXUUHQWLVWKHUHFWLILHULQVSHFWHGHYHU\GD\VF 645DE <HV 1R 1$
$VRXWOLQHGLQ(3$UHJXODWLRQVGRHVWKHIDFLOLW\KDYHFRSLHVRIWKHODVWWKUHHUHFWLILHU
LQVSHFWLRQV"G $1.SFRVJSFT NVTUIBWFMBTU645DE
<HV 1R 1$
(3$5(*,21867&(,&+(&./,67
1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH
VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(M ichaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
:DVWKHFDWKRGLFSURWHFWLRQV\VWHPWHVWHGZLWKLQVL[PRQWKVRIDUHSDLU"H FE
6HFWLRQ+&RPPHQWV
<HV 1R 1$
62&5HOHDVH'HWHFWLRQ
6HFWLRQ, 5HOHDVH'HWHFWLRQ5HTXLUHPHQWVIRU8676\VWHP
EBEC .VTUIBWFSFDPSETPGNPOUIT XIJDIJODMJVEFTNPTUDVSSFOUNPOUIT
)XUWKHU([SODQDWLRQLQ1DUUDWLYH 6HFWLRQ,1RW$SSOLFDEOH
'RHVWKHIDFLOLW\SHUIRUPDPHWKRGRIUHOHDVHGHWHFWLRQ"&KHFN1RLIQRUHOHDVH GHWHFWLRQFRQGXFWHGD
,VWKHPHWKRGRIUHOHDVHGHWHFWLRQFDSDEOHRIGHWHFWLQJDUHOHDVHIURPDQ\SRUWLRQRIWKH WDQNWKDWURXWLQHO\FRQWDLQVSURGXFW"D
<HV 1R 1$ <HV 1R 1$
ZLWKWKHPDQXIDFWXUHUVLQVWUXFWLRQVLQFOXGLQJURXWLQHPDLQWHQDQFHHWF"D ,VWKHUHOHDVHGHWHFWLRQV\VWHPLQVWDOOHGFDOLEUDWHGRSHUDWHGDQGPDLQWDLQHGLQDFFRUGDQFH <HV 1R 1$
'RHVWKHUHOHDVHGHWHFWLRQV\VWHPPHHWWKHSHUIRUPDQFHVWDQGDUGVRXWOLQHGLQRU "&KHFNWKLUGSDUW\FHUWLILFDWLRQDJDLQVWHTXLSPHQWRUPHWKRGSUHVHQW D <HV 1R 1$
$UHDOO867VPRQLWRUHGDWOHDVWHYHU\GD\VIRUUHOHDVHV"D
<HV 1R 1$
,V867V\VWHPVVXEMHFWWRWKH6HFRQGDU\&RQWDLQPHQW5HTXLUHPHQWV ,QWHUVWLWLDO0RQWRULQJ
<HV 1R
D 3RUWLRQVRI867V\VWHPXVLQJ,0
7DQNV 3LSLQJ 6SLOO%XFNHWV
E $UHPRQWKO\UHFRUGVDYDLODEOHWRYHULI\QROHDNVWRLQWHUVWLFHRUWKHHQYLURQPHQWIURP WDQNV"
<HV 1R 1$
F $UHPRQWKO\UHFRUGVDYDLODEOHWRYHULI\QROHDNVWRLQWHUVWLFHVXPSRUWKHHQYLURQPHQW IURPSLSLQJ" GG
<HV 1R 1$
+DV$QQXDOWHVWLQJLQVSHFWLRQRIUHOHDVHGHWHFWLRQHTXLSPHQW$7*SUREHVVHQVRUV $//'VLPXODWLQJOHDGYDFXXPSUHVVXUHJXDJHVKDQGKHOGHTXLSPHQW EHHQ
<HV 1R 1$
FRQGXFWHG"D UHTXLUHG1R/DWHU7KDQ 645EDZSSFDPSET3%$L"--%TJNVMBUJOHMFBL
6HFWLRQ,&RPPHQWV
Tank1 did not have PASS for Jan 2019 and Tank 2 no PASS for May or Sept 2018.
6HFWLRQ- 5HOHDVH'HWHFWLRQ5HFRUG.HHSLQJ
)XUWKHU([SODQDWLRQLQ1DUUDWLYH 6HFWLRQ-1RW$SSOLFDEOH
$VRXWOLQHGLQGRHVWKHIDFLOLW\PDLQWDLQDOOZULWWHQSHUIRUPDQFHFODLPVDQG GRFXPHQWDWLRQSURYLGHGE\WKHUHOHDVHGHWHFWLRQYHQGRUIRU\HDUV"D
<HV 1R 1$
$VRXWOLQHGLQGRHVWKHIDFLOLW\PDLQWDLQDOOPRQLWRULQJUHVXOWVVDPSOLQJUHFRUGV 645EB
HTXLSPHQWWHVWLQJFDOLEUDWLRQDQGPDLQWHQDQFHUHFRUGVRUOHDNGHWHFWLRQHTXLSPHQWUHSDLU <HV 1R 1$ UHFRUGVIRUDWOHDVWRQH\HDU"E DQGF 6SHFLI\ ATG printouts
$VRXWOLQHGLQF DUHDOOWDQNWLJKWQHVVWHVWLQJUHFRUGVUHWDLQHGXQWLOWKHQH[WWHVWLV
FRQGXFWHG"E
$VRXWOLQHGLQDUHVFKHGXOHVRIUHTXLUHGFDOLEUDWLRQDQGPDLQWHQDQFHIRUUHOHDVH
GHWHFWLRQHTXLSPHQWUHWDLQHGIRU\HDUVIURPGDWHRILQVWDOODWLRQ"F
"SFSFDPSETBWBJMBCMFUPWFSJGZXBUFSMFWFMTJOUIFUBOLTBSFDIFDLFENPOUIMZUPUIJODI
B
GD
6HFWLRQ-&RPPHQWV
<HV 1R 1$ <HV 1R 1$ <HV 1R 1$
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
6HFWLRQ. 5HOHDVH5HSRUWLQJ 6XVSHFWHG5HOHDVHV
645EF
)XUWKHU([SODQDWLRQLQ1DUUDWLYH 6HFWLRQ.1RW$SSOLFDEOH
:KHQDUHOHDVHGHWHFWLRQPHWKRGLQGLFDWHVWKDWDUHOHDVHPD\KDYHRFFXUUHGKDVWKH
IDFLOLW\QRWLILHG(3$6WDWHRIDVXVSHFWHGUHOHDVH"E DQGF 4%
<HV 1R 1$
+DVWKHIDFLOLW\QRWLILHGWKHGHSDUWPHQWRIDQ\RWKHUVXVSHFWHGUHOHDVHUHJXODWHG VXEVWDQFHGLVFRYHUHGXQXVXDORSHUDWLQJFRQGLWLRQV "D RUE
)DFLOLW\KDVUHVROYHGVXVSHFWHGUHOHDVHVLQDFFRUGDQFHZLWKSURFHGXUHVRXWOLQHGLQ " 4% 6SLOOVDQG2YHUILOOV
+DVWKHIDFLOLW\UHSRUWHGLQYHVWLJDWHGDQGFOHDQHGXSDQ\VSLOOVDQGRYHUILOOVDV UHTXLUHGE\WKURXJK 6HFWLRQ.&RPPHQWV
<HV 1R 1$ <HV 1R 1$
<HV 1R 1$
6HFWLRQ/ 5HOHDVH'HWHFWLRQ0HWKRGVIRU7DQNV
GD
)XUWKHU([SODQDWLRQLQ1DUUDWLYH
)LOORXWRQO\WKHDSSOLFDEOHVHFWLRQVDOORWKHUVFDQUHPDLQEODQN
6HFWLRQ/1RW$SSOLFDEOH
,QYHQWRU\&RQWUROZLWK7DQN7LJKWQHVV7HVWLQJD 867GD
,167$//('21RU%()25(
D $UHLQSXWVZLWKGUDZDOVDPRXQWVLQWDQNUHFRUGHGGDLO\RURQHDFKRSHUDWLQJGD\" D
<HV 1R 1$
E ,VWKHPHDVXULQJHTXLSPHQWFDSDEOHRIPHDVXULQJWKHOHYHORIWKHSURGXFWRYHUWKH IXOOUDQJHRIWKHWDQNVKHLJKWWRWKHQHDUHVWRQHHLJKWKRIDQLQFK"D
<HV 1R 1$
F $UHLQSXWVUHFRQFLOHGZLWKGHOLYHU\UHFHLSWV"D
<HV 1R 1$
G $UHGHOLYHULHVPDGHWKURXJKDGURSWXEHZKLFKH[WHQGVWRZLWKLQIRRWRIERWWRP" D
<HV 1R 1$
H $UHPHDVXUHPHQWVRIZDWHUOHYHOPDGHWRWKHQHDUHVWLQFKDWOHDVWRQFHD PRQWK"D
<HV 1R 1$
I ,VWKH777FRQGXFWHGHYHU\\HDUVDVUHTXLUHGDQGLV777PHWKRGFDSDEOHRI
GHWHFWLQJDJDOKUOHDNUDWHIURPDQ\SRUWLRQRIWKHWDQNURXWLQHO\FRQWDLQLQJ SURGXFW"D
<HV 1R 1$
'DWHRI/DVW7DQN7LJKWQHVV7HVW
J 777FRQGXFWHGIROORZLQJWKHPDQXIDFWXUHUVLQVWUXFWLRQVRUWKLUGSDUW\FHUWLILFDWLRQ F
<HV 1R 1$
K :LWKLQWKH\HDUWLPHIUDPHIRUXVLQJ,&777"D ([SLUDWLRQ'DWH
<HV 1R 1$
0DQXDO7DQN*DXJLQJ07* WDQNVJDO E GD'HDGOLQH GDWH
D ,IWDQNLV!JDODQGJDOLVWDQNWLJKWQHVVEHLQJFRQGXFWHGHYHU\\HDUV" D 'DWHRIODVWWDQNWLJKWQHVVWHVW
E 7DQNVL]HLVDSSURSULDWHIRUXVLQJ07*E
F 0HWKRGLVEHLQJFRQGXFWHGSURSHUO\E WKURXJK
G 1ROLTXLGLVDGGHGWRRUWDNHQRXWRIWDQNGXULQJWHVWE
H (TXLSPHQWLVFDSDEOHRILQPHDVXUHPHQWE
I :LWKLQWKH\HDUWLPHIUDPHIRUXVLQJ07*777IRUWDQNVEHWZHHQDQG JDOORQV"D ([SLUDWLRQ'DWH
<HV <HV <HV <HV <HV
<HV
1R 1R 1R 1R 1R
1R
1$ 1$ 1$ 1$ 1$
1$
(3$5(*,21867&(,&+(&./,67
0DUFKWK1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWH
XQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYHVXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
$XWRPDWLF7DQN*DXJLQJ$7* D G GD ,167$//('21RU%()25(
0DNHDQG0RGHO Veeder Root 300C
3UREH7\SHMagnetostrictive
D ,VWKH$7*FDSDEOHRIGHWHFWLQJDOHDNRIJDOKUOHDNUDWH"G 4% <HV 1R 1$
E $VWKHVROHPHWKRGRIUHOHDVHGHWHFWLRQWKH$7*PXVWWHVWWKHWDQNDWOHDVWRQFHSHU <HV 1R 1$ PRQWK LQ D PDQQHU WKDW FDQ GHWHFW D JDOKU UHOHDVH ZLWK D SG ! DQG D SID
D F 7KH$7*ZLOOJHQHUDWHDKDUGFRS\ZKLFKFRQWDLQVWKHIROORZLQJ
4%
L WKHWLPHDQGGDWHRIWKHWHVW
<HV 1R 1$
LL WKHWDQNLGHQWLILFDWLRQ LLL WKHTXDOLWDWLYHUHVXOWHLWKHUSDVVRUIDLO
<HV 1R 1$ <HV 1R 1$
E 5ZQFPGUFTUDPOEVDUFE static
([WHUQDO5HOHDVH'HWHFWLRQ'HYLFHVGD
D *HQHUDO5HTXLUHPHQWVIRU5HOHDVH'HWHFWLRQ'HYLFHV
,167$//('21RU%()25(
L 'RWKH5''VPHHWWKHJHQHUDOUHTXLUHPHQWVIRUFRQVWUXFWLRQ"H DQG
I LL 5''VVFUHHQHGIURPIWEHORZWKHVXUIDFHWKURXJKRXWWKHHQWLUHH[FDYDWLRQ]RQH"
<HV 1R
H I
<HV 1R
LLL $UHWKH5''VVHDOHGDQGORFNHG"H DQGI
LY $UHWKH5''VLQVWDOOHGLQEDFNILOO"H DQGI 7\SHRIEDFNILOO
<HV 1R <HV 1R
Y $UH5''VLQWKHFRUUHFWQXPEHUDQGSURSHUO\SRVLWLRQHG"H DQGI
<HV 1R
YL 'RHVWKHIDFLOLW\KDYHWKHSDSHUZRUNWRFRQILUPWKDWWKHUHOHDVHGHWHFWLRQPHWKRG ZDVSURSHUO\DVVHVVHG"D 5HTXLUHG$IWHU2FW
<HV 1R
E 9DSRU0RQLWRULQJ H
GD ,167$//('21RU%()25(
L ,VWKHUHJXODWHGVXEVWDQFHRUWUDFHU VXIILFLHQWO\YRODWLOHWRDOORZYDSRUVWREH GHWHFWHGE\WKHPRQLWRULQJGHYLFH"H
LL 9DSRUPRQLWRULQJLVQRWDIIHFWHGE\KLJKJURXQGZDWHUUDLQIDOOHWFH
LLL 'RHVEDFNJURXQGFRQFHQWUDWLRQLQH[FDYDWLRQ]RQHLQWHUIHUHZLWKPHWKRGXVHG" H
LY ,VWKHPRQLWRULQJGHYLFHGHVLJQHGDQGRSHUDWHGWRGHWHFWDQ\VLJQLILFDQWLQFUHDVHLQ FRQFHQWUDWLRQDERYHEDFNJURXQG"H
<HV <HV
<HV
1R 1R
1R
<HV 1R
F *URXQGZDWHU0RQLWRULQJ I
GD ,167$//('21RU%()25(
L ,VUHJXODWHGVXEVWDQFHLPPLVFLEOHLQZDWHUDQGKDYHDVSHFLILFJUDYLW\OHVVWKDQRQH" I
<HV 1R
LL :DWHULQWKHPRQLWRULQJZHOOLVQHYHUPRUHWKDQIHHWIURPWKHJURXQGVXUIDFH"
I
<HV 1R
LLL 'RHV5''SUHYHQWPLJUDWLRQRIVRLOVLQWR5''DQGFDQUHJXODWHGVXEVWDQFHHQWHU 5''LQERWKORZDQGKLJKZDWHUFRQGLWLRQV"I
<HV 1R
LY ,I5''LQVWDOOHGLQQDWLYHVRLOLVK\GUDXOLFFRQGXFWLYLW\JUHDWHUWKDQFPVHF" I
<HV 1R
1$ 1$ 1$ 1$ 1$ 1$
1$ 1$ 1$ 1$
1$ 1$ 1$ 1$
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0(Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
Y &DQFRQWLQXRXVPRQLWRULQJGHYLFHRUPDQXDOPHWKRGGHWHFWLQRIIUHHSURGXFW" I
<HV 1R 1$
,QWHUVWLWLDO0RQLWRULQJJ GD 5(48,5(')257$1.6,167$//('$)7(5
D 'HVFULEHWKH867V\VWHPZKLFKXVHV,0HJGRXEOHZDOOHGWDQNVHFRQGDU\EDUULHU
([SODLQ
<HV 1R 1$
E &DQWKHPHWKRGGHWHFWDUHOHDVHWKURXJKWKHLQQHUZDOORIWKHWDQN"J RU
4% <HV 1R 1$
F &RQWLQXRXVLQWHUVWLWLDOPRQLWRULQJE\DQDXWRPDWLFOHDNVHQVLQJGHYLFHWKDWVLJQDOVWR WKHRSHUDWRUWKHSUHVHQFHRIDQ\UHJXODWHGVXEVWDQFHLQWKHVSDFHRUVXPS$D
<HV 1R 1$
0HWKRG
25
LL 0DQXDOLQWHUVWLWLDOPRQLWRULQJHYHU\GD\VE\PHDQVRIDSURFHGXUHFDSDEOHRI
GHWHFWLQJWKHSUHVHQFHRIDQ\UHJXODWHGVXEVWDQFHLQWKHLQWHUVWLWLDOVSDFHRUVXPS
$D 6SHFLI\0HWKRG
<HV 1R 1$
6WDWLVWLFDO,QYHQWRU\5HFRQFLOLDWLRQ6,5 K GD)RU7DQNV,167$//('2125%()25(
D &DQWKH6,5PHWKRGGHWHFWDUHOHDVHRIJDOKUIURPDQ\SRUWLRQRIWKH8676\VWHP WKDWURXWLQHO\FRQWDLQVSURGXFWZLWKDSG!DQGDSID"K 'LGWKHRZQHURSHUDWRUUHFHLYHWKHPRQWKO\UHSRUWV IURPWKH6,5SURYLGHU
E YHQGRUZLWKLQWKHGD\PRQLWRULQJSHULRG"K
F 'LGWKH6,5DQDO\VLVUHSRUWLQFOXGHWKHIROORZLQJLQIRUPDWLRQ L WKHQDPHRIWKH6,5SURYLGHUDQGWKHQDPHDQGYHUVLRQRIWKH6,5PHWKRG
LL WKHQDPHDQGDGGUHVVRIWKHIDFLOLW\DWZKLFKWKHDQDO\VLVZDVSHUIRUPHG
LLL DGHVFULSWLRQRIWKH867V\VWHPIRUZKLFKWKHDQDO\VLVZDVSHUIRUPHG LY DTXDQWLWDWLYHVWDWHPHQWLQJDOORQVKUIRUHDFK867V\VWHPPRQLWRUHGIRUWKH PRQWKRIWKHOHDNWKUHVKROGPLQLPXPGHWHFWDEOHOHDNUDWHDQGWKHLQGLFDWHGOHDNUDWH
Y DTXDOLWDWLYHVWDWHPHQWRISDVVIDLORULQFRQFOXVLYHIRUHDFK867V\VWHP PRQLWRUHG
<HV 1R 1$
<HV 1R 1$
<HV 1R 1$ <HV 1R 1$ <HV 1R 1$
<HV <HV
1R 1R
1$ 1$
E .FUIPE/BNF
7FSTJPO
2WKHU0HWKRGK 6SHFLI\0HWKRG
D 0HWKRGFDQGHWHFWJDOKUOHDNUDWHRUDUHOHDVHRIJDOZLWKLQDPRQWK PHHW WKHSUREDELOLW\UHTXLUHPHQWK 25
E (3$KDVDSSURYHGWKHPHWKRGDVEHLQJDVHIIHFWLYHDV7DQN7LJKWQHVVWHVWLQJ$7* YDSRUPRQLWRULQJJURXQGZDWHUPRQLWRULQJRULQWHUVWLWLDOPRQLWRULQJDQGRSHUDWRU FRPSOLHVZLWKDQ\FRQGLWLRQVLPSRVHGE\WKHDJHQF\K
6HFWLRQ/&RPPHQWV
<HV 1R 1$ <HV 1R 1$
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
,163(&7,21'$7(6
05/08/2019
)$&,/,7<1$0( Michaels Self-Service
5SJCBM-BOE Pueblo of Picuris
6HFWLRQ0 0HWKRGVRI5HOHDVH'HWHFWLRQIRU3LSLQJ
6HFWLRQ01RW$SSOLFDEOH )XUWKHU([SODQDWLRQLQ1DUUDWLYH
,V UHOHDVH GHWHFWLRQ SHUIRUPHG RQ WKH 867 V\VWHPV SLSLQJ" E &KHFN %R[ WR WKH ULJKW DQG WKH DSSURSULDWH SLSLQJ V\VWHPEHORZSUHVVXUL]HGRUVXFWLRQ
<HV 1R1$
3UHVVXUL]HG3LSLQJ
GD
D :KLFKRIWKHIROORZLQJPHWKRGVRIOHDNGHWHFWLRQGRHVWKHIDFLOLW\XVHIRUSUHVVXUL]HGSLSLQJ"E
L $XWRPDWLF/LQH/HDN'HWHFWRUV$//' LQVWDOOHGRQHRIWKHIROORZLQJPHWKRGVLVUHTXLUHG RQDOOSUHVVXUL]HGOLQHVUHJDUGOHVVRIOLQHOHDNGHWHFWLRQPHWKRGXVHG E LL <HV 1R 1$
02'(/Red Jacket
$XWRPDWLFIORZUHVWULFWRURU $XWRPDWLFVKXWRIIRU
0(&+$1,&$/ (/(&7521,&
<HV 1R 1$ <HV 1R 1$
$1' 25
&RQWLQXRXVDXGLEOHRUYLVXDODODUP
<HV 1R 1$
,VDWHVWFRQGXFWHGHYHU\PRQWKVRQWKHOLQHOHDNGHWHFWRUZKLFKVLPXODWHVDOHDN
DFFRUGLQJWRPDQXIDFWXUHUVUHTXLUHPHQWV"D 'DWHRIODVWWHVW 05/11/2018
"SFSFDPSETBWBJMBCMFGPSQFSGPSNBODFUFTUGPSQSFWJPVTZFBST TUBSUJOH
ZFBSTSFRVJSFE
ED
,I(OHFWURQLFDJDOKUWHVWZLWKD3$66RURWKHUUDWHDVVSHFLILHGE\0DQXIDFWXUHU
DQQXDOO\1RWDFFHSWDEOHDIWHU
<HV
<HV <HV
1R 1$
1R 1$ 1R 1$
LL 2QHRWKHUPHWKRGE 2QO\DSSOLDEOHLILQVWDOOHGRQRUEHIRUHPXVWXVH,0DIWHUZDUGV
$OLQHWLJKWQHVVWHVWFRQGXFWHGHYHU\PRQWKVE 'DWHVRIODVWWHVW
GE
05/11/2018
<HV 1R 1$
,V/77PHWKRGFDSDEOHRIGHWHFWLQJDJDOKUOHDNUDWHIURPDQ\SRUWLRQRI WKHSLSLQJURXWLQHO\FRQWDLQLQJSURGXFW"E
<HV 1R 1$
,I(OHFWURQLFLVDWHVWZLWK3$66FRQGXFWHGDQQXDOO\E
<HV 1R 1$
0RQWKO\PRQLWRULQJ"F 6SHFLI\7\SH
<HV 1R 1$
,I(OHFWURQLFLVDWHVWZLWK3$66FRQGXFWHGPRQWKO\ E
<HV
5(48,5(')253LSLQJ,167$//('RU5(3/$&('!727$/ $)7(5
E ,V,QWHUVWLWLDO0RQLWRULQJ6HFRQGDU\&RQWDLQPHQWUHTXLUHPHQWVXVHG'IL E\HLWKHU
L &RQWLQXRXVLQWHUVWLWLDOPRQLWRULQJE\DQDXWRPDWLFOHDNVHQVLQJGHYLFHWKDWVLJQDOVWR
WKH RSHUDWRU WKH SUHVHQFH RI DQ\ UHJXODWHG VXEVWDQFH LQ WKH LQWHUVWLWLDO VSDFH RU VXPS % 0XVWKDYHPRQWKO\GRFXPHQWDWLRQ
<HV
6SHFLI\0HWKRG
25
LL 0DQXDO LQWHUVWLWLDO PRQLWRULQJ HYHU\ GD\V E\ PHDQV RI D SURFHGXUH FDSDEOH RI
GHWHFWLQJ WKH SUHVHQFH RI DQ\ UHJXODWHG VXEVWDQFH LQ WKH LQWHUVWLWLDO VSDFH RU VXPS %
<HV
6SHFLI\0HWKRG
F )RUSLSLQJVXEMHFWWRWKH6HFRQGDU\&RQWDLQPHQWUHTXLUHPHQWVLVDOOSLSLQJ
LQWHUVWLWLDOVSDFHDQGRUDUHDOOVXPSVPDLQWDLQHGIUHHRIZDWHUGHEULVRUDQ\WKLQJWKDW FRXOGLQWHUIHUHZLWKWKHOHDNGHWHFWLRQFDSDELOLWLHV"%D
<HV
6XFWLRQ3LSLQJ
D :KLFKRIWKHIROORZLQJOHDNGHWHFWLRQPHWKRGVGRHVWKHIDFLOLW\XVHIRUVXFWLRQSLSLQJ"E
L 6DIH 6XFWLRQ 1R UHOHDVH GHWHFWLRQ LV UHTXLUHG LI SLSLQJ LV VORSHG WR GUDLQ SURGXFW EDFN LQWR WDQN DQGRQO\ RQH FKHFN YDOYH LV SUHVHQW DQG ORFDWHG GLUHFWO\ EHORZ RU DV <HV FORVH DV SUDFWLFDEOH WR WKH VXFWLRQ SXPS E PXVW KDYH GRFXPHQWDWLRQ
25 LL /LQHWLJKWQHVVWHVWHYHU\\HDUV"E 'DWHRIODVWWHVW 25LLL 0RQWKO\PRQLWRULQJ"E 6SHFLI\7\SH
<HV <HV
1R 1$ 1R 1$
1R 1$ 1R 1$
1R 1$ 1R 1$ 1R 1$
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREH DQVZHUHG ,I XQDEOH WR GHWHUPLQH ZULWH XQNQRZQ DQG H[SODLQ LQ QDUUDWLYH 8VH QDUUDWLYH VXPPDU\ RI ILQGLQJV DUHD WR GHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0( Michaels Self-Service
6HFWLRQ0&RPPHQWV
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
6HFWLRQ1 5HTXLUHPHQWVIRU7HPSRUDU\&ORVXUH
)XUWKHU([SODQDWLRQLQ1DUUDWLYH
6HFWLRQ11RW $SSOLFDEOH
)RU867V\VWHPVLQWHPSRUDU\FORVXUHKDVWKHIDFLOLW\
D ,I JUHDWHU WKDQ LQFK RI OLTXLGV UHPDLQ LV PRQWKO\ UHOHDVH GHWHFWLRQ FRQGXFWHG"
D 6SHFLI\7\SHRI5'SHUIRUPHGWDQNVDQGSLSLQJ
E ,IDSSOLFDEOHLVWKH&DWKRGLF3URWHFWLRQEHLQJPDLQWDLQHG" D
GD DD
<HV 1R 1$ <HV 1R 1$
6HFWLRQ1&RPPHQWV
1216LJQLILFDQW2SHUDWLRQDO&RPSOLDQFH&RPSRQHQWV
6HFWLRQ27HPSRUDU\&ORVXUH&RQWLQXHG
)XUWKHU([SODQDWLRQLQ1DUUDWLYH
1RW$SSOLFDEOH
)RU867V\VWHPVWHPSRUDULO\FORVHGIRUPRQWKVRUPRUHGLGWKHRZQHURSHUDWRU
D /HDYHYHQWOLQHRSHQDQGIXQFWLRQDO"E
<HV 1R 1$
E &DS DQG VHFXUH DOO RWKHU OLQHV SXPS PDQZD\V DQG DQFLOODU\ HTXLSPHQW" E
<HV 1R 1$
F 1RWLI\ WKH (3$ RI WKH WHPSRUDU\ FORVXUH VWDWXV 8675(* IRUP " E
<HV 1R 1$
G 3HUIRUPDWDQNWLJKWQHVVWHVWZLWKLQILYHGD\VDIWHUWKHV\VWHPZDVEURXJKWEDFNLQWR VHUYLFHDIWHUEHLQJLQWHPSRUDU\FORVXUHPRQWKVRUPRUH"(
<HV 1R 1$
)RUDQ\QRQXSJUDGHG867V\VWHPWKDWKDVEHHQWHPSRUDULO\FORVHGIRUPRUHWKDQ PRQWKVKDVWKHRZQHURSHUDWRUSHUPDQHQWO\FORVHGWKHV\VWHP"F
<HV 1R 1$
6HFWLRQ2&RPPHQWV
6HFWLRQ3 $GGLWLRQDO3DSHUZRUN5HTXLUHPHQWV
1RW$SSOLFDEOH )XUWKHU([SODQDWLRQLQ1DUUDWLYH
,VWKHLQIRUPDWLRQRQWKH1RWLFHRI5HJLVWUDWLRQIRUPFXUUHQWDQGDFFXUDWH"
<HV 1R 1$
+DVDQDPHQGHG5HJLVWUDWLRQIRUPEHHQVXEPLWWHGZLWKLQGD\VRIDFTXLULQJD867"
<HV 1R 1$
,VDFRS\RIWKHFXUUHQWUHJLVWUDWLRQIRUPNHSWRQVLWHRUDWWKHQHDUHVWVWDIIHGIDFLOLW\" 1RW5HTXLUHG
<HV 1R 1$
+DVWKHRZQHURSHUDWRUVXEPLWWHGWKHIROORZLQJLQIRUPDWLRQWRWKHGHSDUWPHQW
D 5HJLVWUDWLRQIRUPIRUDOO867V\VWHPVLQFOXGLQJLQVWDOODWLRQFHUWLILFDWLRQDQGLQVWDOOHU YHULILFDWLRQIRUQHZWDQNV\VWHPV
<HV 1R 1$
E 5HSRUWVRIDOOUHOHDVHVVXVSHFWHGUHOHDVHVVSLOOVDQGRYHUILOOVDQGFRQILUPHGUHOHDVHV
D
DF
<HV 1R 1$
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0( Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
F 'HVFULSWLRQVRIFRUUHFWLYHDFWLRQSODQV VLWHFKDUDFWHUL]DWLRQV IUHHSURGXFWUHPRYDO
LQYHVWLJDWLRQ RI VRLO DQG JURXQGZDWHU FOHDQXS DQG FRUUHFWLYH DFWLRQ SODQ D
G 1RWLILFDWLRQEHIRUHSHUPDQHQWFORVXUHRUFKDQJHLQVHUYLFHD D
H ,IQHZRZQHUVKLSKDVDQRWLILFDWLRQRIRZQHUVKLSFKDQJHEHHQVXEPLWWHGZLWKLQ
GD\VRIDFTXLULQJD867"E
I +DVQRWLILFDWLRQRIDFKDQJHRIVWRUDJHWRUHJXODWHGVXEVWDQFHVEOHQGHGZLKJUHDWHU
WKDQHWKDQRORUJUHDWHUWKDQELRGLHVHOEHHQSURYLGHGWRDJHQF\GD\V
EHIRUHEHJLQQLQJVWRUDJH"E
+DVWKHRZQHURSHUDWRUPDLQWDLQHGWKHIROORZLQJGRFXPHQWV
D 5HVXOWVRIVLWHDVVHVVPHQWFRQGXFWHGDWSHUPDQHQWFORVXUHD
E 'RFXPHQWDWLRQRI867V\VWHPUHSDLUVE
F 'RFXPHQWDWLRQ RI WKH W\SH DQG FRQVWUXFWLRQ RI WKH WDQNV SLSLQJ OHDN GHWHFWLRQ
HTXLSPHQW FRUURVLRQ SURWHFWLRQ HTXLSPHQW DQG VSLOO DQG RYHUILOO SURWHFWLRQ
HTXLSPHQW"
G $VVHVVPHQW RI VXLWDELOLW\ IRU JURXQGZDWHU RU YDSRU PRQLWRULQJ DV UHOHDVH GHWHFWLRQ PHWKRG5HWDLQZKLOHLQXVH&RS\RIDVVHVVPHQWPXVWEHDYDLODEOHDVRI
D
H 7KUHH \HDU WHVWLQJ RI UHOHDVH SUHYHQWLRQ HTXLSPHQW DQG FRQWDLQPHQW VXPSV DQG LQVSHFWLRQDQGRUWHVWLQJEDOOIORDWVDQGRYHUILOOSURWHFWLRQGHYLFHV 5HWDLQIRUWKUHH
\HDUVF 645BCCCEDEE I $QQXDOWHVWLQJRIUHOHDVHGHWHFWLRQHTXLSPHQW5HWDLQIRU\HDUVE GD
J &KHFNOLVWVIRU0RQWKO\ZDONWKUXLQVSHFWLRQV&KHFNOLVWVFRQWDLQGDWHVILQGLQJVDQG
DFWLRQVWDNHQ5HWDLQIRU\HDUE
645|
K $QQXDOZDONWKUXLQVSFKHFNOLVWVIRUVXPSVHTXLS5HWDLQ\HDUE 645
:DVWKHIDFLOLW\DEOHWRSURYLGHWKHUHFRUGVLQDWLPHO\IDVKLRQDVUHTXLUHGE\WKH
LQVSHFWRU"F
6HFWLRQ3&RPPHQWV
<HV <HV <HV <HV
<HV <HV
<HV
<HV
<HV <HV <HV <HV <HV
1R 1$ 1R 1$ 1R 1$ 1R 1$
1R 1$ 1R 1$ 1R 1$
1R 1$
1R 1$ 1R 1$ 1R 1$ 1R 1$ 1R 1$
6HFWLRQ4 *HQHUDO5HTXLUHPHQWV
1RW$SSOLFDEOH
)XUWKHU([SODQDWLRQLQ1DUUDWLYH
$UHWKHSURGXFWVEHLQJVWRUHGFRPSDWLEOHZLWKWKHPDWHULDOVRUOLQHULQWKH867V\VWHP"
<HV 1R 1$
'RFXPHQWDWLRQRIFRPSDWLELOLW\IRUIXHOZLWK!HWKDQRO!ELRGLHVHORUDQRWKHUIXHO GHVLJQDWLRQE\LPSOHPHQWLQJDJHQF\5HWDLQDVORQJDVIXHOLVXVHGE
<HV 1R 1$
6HFWLRQ4&RPPHQWV
6HFWLRQ5 )LQDQFLDO5HVSRQVLELOLW\ 645
1RW$SSOLFDEOH
)XUWKHU([SODQDWLRQLQ1DUUDWLYH
LQFOXGLQJUG &DQWKHRZQHURSHUDWRUVGHPRQVWUDWHILQDQFLDOUHVSRQVLELOLW\IRUWDNLQJFRUUHFWLYHDFWLRQ SDUW\OLDELOLW\"LHKRZLVKHJRLQJWRSD\IRUWKHFOHDQXSRIDUHOHDVH" <HV 1R 1$
5HFRUGV:KDWW\SHRIILQDQFLDOUHVSRQVLELOLW\LVXVHG"([SODLQ commercial
,I,QVXUDQFHOLVWFRPSDQ\DQGFRQWDFW Great Americam Alliance *OTVSBODF.BJMJOH"EESFTT 1600 West seventh street, Fort Worth, TX 76102
3ROLF\1XPEHU9987052
&RQWDFW1XPEHU
(PDLO
(IIHFWLYH'DWHRI&RYHUDJH6-1-18
([SLUDWLRQ'DWHRQ3ROLF\6-1-19
5HWURDFWLYH'DWH
&RQILUPHG5HOHDVHG3ROLF\ 6XVSHFWHG5HOHDVH3ROLF\
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0( Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
'JOBODJBM"TTVSBODF%PDVNFOUBJPO D &RS\RI6LJQHG&HUWLILFDWLRQRI)LQDQFLDO5HVSRQVLELOLW\DYDLODEOHDQGFXUUHQW C $PQZPGTJHOFE$FSUJUGJDBUFPG*OTVSBODFPS&OEPSTFNFOU
<HV 1R 1$ <HV 1R 1$
6HFWLRQ5&RPPHQWV
6HFWLRQ6 3K\VLFDO'RFXPHQWV2EWDLQHG
1RW$SSOLFDEOH )XUWKHU([SODQDWLRQLQ1DUUDWLYH
*GBOZEPDVNFOUT QSJOUPVUTPSPUIFSNBUFSJBMTXFSFPCUBJOFEGSPNUIFGBDJMJUZ PXOFSPSPQFSBUPSFYQMBJOCFMPXXIBUXBT
PCUBJOFEBOEBEEUP*OTQFDUJPO1BDLFDUBOEEPDVNFOUJOBUUBDINFOUT 6HFWLRQ6&RPPHQWV
4FDUJPO5"EEJUJPOBM$PNNFOUT
/PU"QQMJDBCMF
Missing Release Detection records 1 month for tank 1 and 2 months for tank 2 as noted earlier in this report. Review of bill from contractor for repair of spill bucket, only noted that the spill bucket was repaired and did not mention the fact that a hydrostatic test ran after the repair showed that the spill bucket was not tight and needed replacing.
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
,163(&7,21'$7(6
05/08/2019
)$&,/,7<1$0( Michaels Self-Service
2SHUDWRU7UDLQLQJ
5SJCBM-BOE Pueblo of Picuris
'(6,*1$7('&/$66$$1'&/$66%86723(5$7256)257+,6)$&,/,7<645 /"
2SHUDWRU &ODVV $ 867 Michael Pacheco
0DLOLQJ$GGUHVV EPA test
$GGUHVV
3KRQH
&HUWLILHG 'DWH 9/20/18
&LW\
6WDWH =LS
2SHUDWRU &ODVV % 867 Michael Pacheco
0DLOLQJ$GGUHVV EPA Test
$GGUHVV
3KRQH
&HUWLILHG 'DWH 03/28/19
&LW\
6WDWH =LS
2SHUDWRU &ODVV & 867 Jenn McIntosh
0DLOLQJ$GGUHVV Trained by Class A $GGUHVV
3KRQH
&HUWLILHG 'DWH 4/18/19
&LW\
6WDWH =LS
&ODVV & 867 2SHUDWRU
3KRQH
'DWH &HUWLILHG
0DLOLQJ$GGUHVV
$PNNFOUTPO0QFSBUPS5SBJOJOH
$GGUHVV
&LW\
6WDWH =LS
Have additional class A: Louis McIntosh 09/20/2018 and a number of other Class C operators.
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
'LJLWDO,PDJH/RJ
),'
P013NM
)$&,/,7<1$0( Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
$BNFSBUZQFBOE*% No pictures
,PDJH )LOH 'DWH 5JNF
$030
$0 30
$0 30
$0 30
$0 30
$0 30
$0 30
$0 30 $0 30
$0 30
$0 30 $0 30 $0 30 $0 30 $0 30
2ULHQWDWLRQ 1(6:'RZQ 3KRWRJUDSKHU
'HVFULSWLRQ
None Taken
*DFSUJGZUIBUUIFEJHJUBMJNBHFTGPSUIJTJOTQFDUJPOXFSFUBLFOBOEBSDIJWFEBDDPSEJOHUP&1"TUBOEBSEPQFSBUJOHQSPDFEVSFTBOE
QSPUPDPMT5IFEJHJUBMJNBHFTIBWFOPUCFFOBMUFSFEBOEBSFBGBJSBOEBDDVSBUFSFQSFTFOUBUJPOPGPCTFSWBUJPOTNBEFEVSJOHUIF
JOTQFDUJPO
*DFSUJGZUIBUUIFEJHJUBMNFEJBIBTCFFOJONZQPTTFTTJPOUISPVHIPVUUIFJOTQFDUJPOUSJQBOEUIBU*USBOTGFSSFEUIFEJHJUBMJNBHFTUPB
$%3
:FT/P
*OTQFDUPS
*OTQFDUPS4JHOBUVSF@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
(3$5(*,21867&(,&+(&./,67 1RWH$OOTXHVWLRQVDUHWREHDQVZHUHG,IXQDEOHWRGHWHUPLQHZULWHXQNQRZQDQGH[SODLQLQQDUUDWLYH8VHQDUUDWLYH VXPPDU\RIILQGLQJVDUHDWRGHVFULEHDOODUHDVRIFRQFHUQLQJUHDWHUGHWDLO
R6USTCEIForm-001-R04
),'
P013NM
)$&,/,7<1$0( Michaels Self-Service
,163(&7,21'$7(6
05/08/2019
5SJCBM-BOE Pueblo of Picuris
*OTQFDUJPO1BDLFU
"'JOBM*OTQFDUJPO3FQPSU "'BDJMJUZ%JBHSBN"UUBDINFOU "%JHJUBM*NBHFT"UUBDINFOU
"0CTFSWBUJPO3FQPSU
"
R6USTCEIForm-001-R04