RA-6716_33873_I_UST-10B_20180628_00-0-0000015461

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North Carolina Department of Environmental Quality
Underground Storage Tank
UST-10B

Printed: 6/28/2018 2:08 PM
Inspection Result: Passed Inspection Date: 6/28/2018
Partial Inspection: No Arrive and Depart Times: 11:10 AM-11:20 AM
Facility ID: 00-0-0000015461 Inspector Doug Mustian
Facility Name CHEEK RD. GROCERY Insp. Type Compliance
Facility Address 5801 CHEEK RD
DURHAM, NC 27704
Durham County
Located facility, USTs removed
Reason(s) Routine Compliance
Location 36.02919, -78.77323
Permit Exp.
Facility Phone

CONTACTS
Contact Type Contact Information
Owner
since 2/1/1997
JERRY HINESLEY , 5803 CHEEK RD DURHAM , NC
27704 , Phone: [phone]
Manager
since 7/30/2010
MARSHALL M. BOON, 5801 CHEEK RD DURHAM, NC 27704, Phone: [phone]

OWNERSHIP CHANGE
New Owner Change Date Basis Transfer of Ownership Form (UST-15) Submitted

EMERGENCY RESPONSE
Emergency response placard with emergency response operator contact information is
posted in the dispensing areas if the dispensers are left on without an attendant present?

OTHER PARTICIPANTS
Name Organization

INSPECTOR COMMENTS
Type Date Comment

ADDITIONAL INSPECTOR COMMENTS
USTS REMOVED IN JULY 2010; RUST #RA-6716

TANKS AND PIPING INFORMATION
Tanks Tank #1(1) Tank #2(2) Tank #3(3)
Tank ID 1 2 3
TIMS Tank ID 1 2 3
Is tank registered? Yes Yes Yes
Date tank installed 4/21/1978 4/21/1978 4/23/1971
Capacity of Tank in Gallons 8000 4000 1000
Diameter (Inches)
Tank / Product use Motor Fuel Motor Fuel Motor Fuel
Product stored in Tank Gasoline, Gas Mix Gasoline, Gas Mix Gasoline, Gas Mix
Product Detail
If hazardous substance, CAS# or description
If other, description
Tank status Removed Removed Removed
Tank closure report submitted
Date tank last operated
Inches of product in Tank
UST-10B Facility ID: 00-0-0000015461
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Tanks Tank #1(1) Tank #2(2) Tank #3(3)
Compartment tank No No No
Base compartment
Other compartment(s)
Manifolded tank No No No
Master manifold tank
Manifolded with tank(s)
New Tank System installed in accordance with
NC or MI

Tank Construction Material (DW required after
11/1/07)
Single Wall Steel Single Wall Steel Single Wall Steel
If other, description
Tank Manufacturer/Model Unknown Unknown Unknown
If other, describe
Tank material verified by
Date Pipe Installed
Was UST Piping Installed on or after 11/1/2007?
Piping Construction Material (DW required after
11/1/07)
Other Other Other
If other, description
Pipe Manufacturer/Model Unknown Unknown Unknown
If other, describe
Pipe material verified by
If E-blend > 10% or Biodiesel Blend > 20%; Was
UST-20 completed and approved?

CP Conclusions
CP Requirements Met?

Issues

SPILL PREVENTION
Has DWM been notified of spill methods? Yes

OVERFILL PREVENTION
Has DWM been notified of overfill methods? Yes

REPAIRS
UST-10B Facility ID: 00-0-0000015461
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Repairs
Any Repair Issues?

Issues

UST-10B Facility ID: 00-0-0000015461
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SITE DIAGRAM 1