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Home My WebLink AboutRA-28474_47726_I_UST-10B_20210708Page 1 of 8 7/13/2021 7:46 AM North Carolina Department of Environmental Quality Underground Storage Tank UST-10BPrinted:7/13/2021 7:46 AM Inspection Result:Failed Inspection Date:7/8/2021 Partial Inspection:No Arrive and Depart Times:11:45 AM-1:05 PM Facility ID:00-0-0000030637 Inspector Charley Stangle Facility Name BEARPOND FRESH MKT.,INC.Insp.Type Compliance Facility Address 3963 RALEIGH ROAD HENDERSON,NC 27537 Vance County Located facility,USTs onsite Reason(s)Routine Compliance Location 36.277645,-78.405758 Permit Exp.9/30/2021 Facility Phone (252)438-6452 CONTACTS Contact Type Contact Information Owner since 2/1/1996 BEARPOND FRESH MKT.,INC.,3963 RALEIGH ROAD HENDERSON,NC 27537, Phone:(252)438-6452 Regulatory Operator since 2/1/1996 BEARPOND FRESH MKT.,INC.,3963 RALEIGH ROAD HENDERSON,NC 27537, Phone:(252)438-6452 Manager since 12/16/2002 BILLY T STANTON,3963 RALEIGH ROAD HENDERSON,NC 27537,Phone:(252) 438-6452,Email:BTSTANTON55@GMAIL.COM OWNERSHIP CHANGE New Owner Change Date Basis Transfer of Ownership Form (UST-15)Submitted Yes 5/26/2021 SALE TO NEW OWNER No 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? N/A OTHER PARTICIPANTS Name Organization Billy Stanton Bearpond AJ QAEMI BEARPOND INSPECTOR COMMENTS Type Date Comment Facility 7/12/2021 New owner,AJ Qaemi's email address:jnhinvestment4@gmail.com. ADDITIONAL INSPECTOR COMMENTS TANKS AND PIPING INFORMATION Tanks Tank #1(1-PREM)Tank #2(2-REG) Tank ID 1-PREM 2-REG TIMS Tank ID 1 2 Is tank registered?Yes Yes Date tank installed 1/15/1993 1/15/1993 Capacity of Tank in Gallons 8000 10000 Is tank regulated Yes Yes Diameter (Inches)96 96 Tank /Product use Motor Fuel Motor Fuel Product stored in Tank Gasoline,Gas Mix Gasoline,Gas Mix Product Detail Premium Regular UST-10B Facility ID:00-0-0000030637 Page 2 of 8 7/13/2021 7:46 AM Tanks Tank #1(1-PREM)Tank #2(2-REG) If hazardous substance,CAS#or description If other,description Tank status Current Current Tank closure report submitted Date tank last operated Inches of product in Tank Compartment tank No No Other compartment(s) Base compartment Manifolded tank No No Manifolded with tank(s) Master manifold tank New Tank System installed in accordance with NC or MI Yes Yes Tank Construction Material (DW required after 11/1/07) Single Wall Steel Single Wall Steel If other,description Tank Manufacturer/Model Unknown Unknown If other,describe Tank material verified by UST-7A/B UST-7A/B Date Pipe Installed 1/15/1993 1/15/1993 Was UST Piping Installed on or after 11/1/2007? No No Piping Construction Material (DW required after 11/1/07) Single Wall FRP Single Wall FRP If other,description Pipe Manufacturer/Model Smith Fibercast:Red Thread IIA Smith Fibercast:Red Thread IIA If other,describe Pipe material verified by Visual Visual If E-blend >10%or Biodiesel Blend > 20%;Was UST-20 completed and approved? N/A N/A CORROSION PROTECTION Tank Corrosion Protection Tank #1(1-PREM)Tank #2(2-REG) DWM notified of current CP method Yes Yes Integrity assessment performed after 3/1/06 No No CP Method 1 Sacrificial Anodes Sacrificial Anodes if other,Description CP Installation Date 1/15/1993 1/15/1993 CP Method 2 if other,Description CP Installation Date Flex Connector ,Piping Extensions,and/or other metal fittings Present Other Metal,Flex Connector,Elbow, Ball Valve Other Metal,Flex Connector,Elbow, Ball Valve Flex connector isolated from ground Yes Yes Source of verification of CP for Flex Connectors,piping extensions and/or other metal fittings Visual Visual if other,Description Submersible pump (STP)is isolated from ground Yes Yes Piping extensions and/or other metal fittings are isolated from ground Yes Yes Flex connector,STP and/or other metal fittings protected from corrosion N/A N/A Corrosion protection method Booted Booted UST-10B Facility ID:00-0-0000030637 Page 3 of 8 7/13/2021 7:46 AM Tank Corrosion Protection Tank #1(1-PREM)Tank #2(2-REG) Flex connector ,Piping extensions,and/or other metal fittings CP Installation Date Dielectric Coating Installed (If tank installed after 12/22/88 Unknown Unknown Pipe Corrosion Protection Tank #1(1-PREM)Tank #2(2-REG) DWM notified of current CP method Yes Yes CP method FRP Piping FRP Piping if other,Description CP Installation Date 1/15/1993 1/15/1993 Dielectric Coating Installed (If piping installed after 12/22/88 N/A N/A Dispenser Corrosion Protection Dispenser #1(1/2)Dispenser #2(3/4) Flex Connector ,Piping Extensions,and/or other metal fittings Present Other Metal,Flex Connector Other Metal,Flex Connector Flex connector isolated from ground Yes Yes Source of verification of CP for Flex Connectors,piping extensions and/or other metal fittings Visual Visual if other,Description Piping extensions and/or other metal fittings are isolated from ground Yes Yes Flex Connectors,Piping extensions and/or other metal fittings protected from corrosion N/A N/A Corrosion protection method Isolated Isolated Flex connector,Piping extensions,and/or other metal fittings CP Installation Date Source of Information for verification of corrosion protection for Riser pipe and other metal piping Visual Visual if other,Description CP Conclusions CP Requirements Met?Yes Issues CP Tests Test #1 Applies to Tanks #2(2-REG),#1(1-PREM) Portion of System Tested Tanks Date of last Corrosion Protection Test 4/18/2019 CP Test Result Pass Was CP Test done in accordance with National Standard?Yes CP Tester Name TED URCINOLA Certificate Number 100929-201R Certifying Organization SEE CP Testing Company Name NTM CP Testing Company Phone (800)643-8265 As Left Voltage As Left Current UST7 form for last CP test submitted to DWM Yes SPILL PREVENTION Has DWM been notified of spill methods?Yes Spill/Overfill Details Tank #1(1-PREM)Tank #2(2-REG) Is a drop tube present?Yes Yes UST-10B Facility ID:00-0-0000030637 Page 4 of 8 7/13/2021 7:46 AM Spill/Overfill Details Tank #1(1-PREM)Tank #2(2-REG) Type of Stage I vapor recovery?Dual Point Dual Point Local Fill Tank #1(1-PREM)Tank #2(2-REG) Does Tank have a Second Fill?No No Spill Protection Catchment Basin Catchment Basin Is spill prevention equipment provided and verified?Yes Yes Manufacturer/Model Universal Valve: 70C-XXXX-XX Series (SW) Universal Valve: 70C-XXXX-XX Series (SW) If other,describe Spill bucket is double-walled?N/A N/A Monitoring Type (UST-6B) Is spill bucket interstice monitored every 30 days?(If installed before 11/1/07) Spill bucket is isolated or made of non-corroding materials? (If installed after 11/1/07) N/A N/A Date spill prevention provided 1/15/1993 1/15/1993 Last 12 monthly spill bucket checks completed and all deficiencies corrected (UST-27)? Yes Yes Is spill prevention operating properly?Yes Yes If No,select all that apply If other,describe O&M walkthrough inspection completed in accordance with national standard (e.g.PEI RP 900)(UST-27)? Yes Yes 3 Year Tightness Test Date (UST-6D/23A) Primary Tightness Test Result (UST-6D/23A) Secondary Tightness Test Result (UST-6D/23A) Tightness Testing done in accordance with a standard? OVERFILL PREVENTION Has DWM been notified of overfill methods?Yes Overfill Control Tank #1(1-PREM)Tank #2(2-REG) Is overfill prevention equipment provided and verified?Yes Yes Date overfill control provided 8/16/2018 8/16/2018 Type of overfill equipment Auto Shutoff Device Auto Shutoff Device Source of information for overfill control verification Visual observation Visual observation If other,describe Manufacturer/Model OPW:71SO-XXXX Series (FV) OPW:71SO-XXXX Series (FV) If other,describe Is overfill control operating properly?Yes Yes If No,select all that apply If other,describe Overfill check date (UST-22A)4/13/2021 4/13/2021 Overfill check result (UST-22A)Pass Pass Capacity of Tank in Gallons 8000 10000 Diameter (Inches)96 96 Dispenser Sumps Dispenser #1(1/2)Dispenser #2(3/4) Are containment sumps present?Yes Yes Installation Date 1/15/1993 1/15/1993 UST-10B Facility ID:00-0-0000030637 Page 5 of 8 7/13/2021 7:46 AM Dispenser Sumps Dispenser #1(1/2)Dispenser #2(3/4) Sump Manufacturer Unknown Unknown If Other (Specify) Sump Construction Type Single Walled Single Walled Sump Construction Material Plastic Plastic If Other (Specify) Are containment sumps monitored?No No Is monitoring required per 2N .0900?No No Piping components and/or STP were installed/replaced on or after 11/1/07? No No Are spills or small weeps evident in sumps?No No Are single wall piping components located in containment sump?(If installed after 11/1/07) UDC Visual Inspection Date (annually)(UST-22C) 4/13/2021 4/13/2021 UDC Visual Inspection Results (UST-22C) Pass Pass Annual containment sump check completed in accordance with national standard (e.g.PEI RP 900)? Yes Yes Other Sumps Sump#1(PREM STP) Sump#2(REG STP) Are containment sumps present?No No Installation Date Sump Manufacturer If Other (Specify) Sump Construction Type Sump Construction Material If Other (Specify) Are containment sumps monitored? Is monitoring required per 2N .0900?No No Piping components and/or STP were installed/replaced on or after 11/1/07? No No Are spills or small weeps evident in sumps?No No Are single wall piping components located in containment sump?(If installed after 11/1/07) Sump Visual Inspection Date (annually)(UST-22C) 4/13/2021 4/13/2021 Sump Visual Inspection Results (UST-22C) Pass Pass Annual containment sump check completed in accordance with national standard (e.g.PEI RP 900)? Yes Yes SITING AND SECONDARY CONTAINMENT Siting And Sec.Containment-General Tank #1(1-PREM)Tank #2(2-REG) UST system upgraded with corrosion protection,spill and overfill before 1/1/91? N/A N/A UST system and/or piping are located within siting and secondary containment areas? No No LEAK DETECTION General Tank #1(1-PREM)Tank #2(2-REG) DWM notified of leak detection method?Yes Yes Piping Type Piping type Pressurized System Pressurized System UST-10B Facility ID:00-0-0000030637 Page 6 of 8 7/13/2021 7:46 AM General Tank #1(1-PREM)Tank #2(2-REG) if other,specify Suction check type Type LLD present.ELLD ELLD Tank Release Detection Primary leak detection method Automatic Tank Gauging Automatic Tank Gauging if other,specify Primary LD install date 1/31/1993 1/31/1993 Secondary leak detection method if other,specify Piping Release Detection Primary leak detection method Line Tightness Testing (LTT) Line Tightness Testing (LTT) if other,specify Primary LD install date 1/31/1993 1/31/1993 Secondary leak detection method if other,specify Equipment Checks Last 12 monthly RD equipment checks completed and all deficiencies corrected (UST-27)? Yes Yes if no,select all that apply Annual RD equipment operability check result (UST-22B)Pass Pass if Fail,select all that apply Annual RD equipment operability check date (UST-22B)4/13/2021 4/13/2021 RD equipment checks completed per national standard (e.g.PEI RP 900/1200)(UST-22B/27)? Yes Yes PIPING LEAK DETECTION Pressurized Piping Tank #1(1-PREM)Tank #2(2-REG) Last MLLD/ELLD Test Date 5/3/2021 5/3/2021 MLLD/ELLD Test Result Pass Pass Last LTT Test Date 5/3/2021 5/3/2021 LTT Test Result Pass Pass Does test result indicate suspected release? No No Number of MLLD/ELLD Types 1 1 MLLD/ELLD Equipment Tank #1(1-PREM)LLD #1 Tank #2(2-REG)LLD #1 MLLD/ELLD Manufacturer/Model V-R:PLLD Series 8484 (E)V-R:PLLD Series 8484 (E) If other,describe MLLD/ELLD Third Party Certified?Yes Yes MLLD/ELLD Testers MLLD/ELLD Tester #1 MLLD/ELLD Tester Name TED URCINOLA MLLD/ELLD Testing Company Name NTM MLLD/ELLD Testing Company Phone Number (800)643-8265 Pressurized Piping LTT LTT #1 LTT Manufacturer/Method AcuRite:Training &Serv If other,describe LTT Third Party Certified?Yes UST-10B Facility ID:00-0-0000030637 Page 7 of 8 7/13/2021 7:46 AM Pressurized Piping LTT Tester LTT Tester #1 LTT Tester Name TED URCINOLA LTT Testing Company Name NTM LTT Testing Company Phone Number (800)643-8265 AUTOMATIC TANK GAUGE ATG Systems ATG #1 ATG Manufacturer/Model V-R:TLS-350 CSLD If other,describe ATG Third Party Certified?Yes Is ATG console operational?Yes Tanks #1(1-PREM),#2(2-REG) ATG Monthly LD Tank #1(1-PREM)Tank #2(2-REG) 2021 Jul Pass Pass 2021 Jun Pass Pass 2021 May Pass Pass 2021 Apr Pass Pass 2021 Mar Pass Pass 2021 Feb Pass Pass 2021 Jan Pass Pass 2020 Dec Pass Pass 2020 Nov Pass Pass 2020 Oct Pass Pass 2020 Sep Pass Pass 2020 Aug Pass Pass ATG Conclusions Leak Detection Requirements Met?Yes Do the results indicate a suspected release? Issues REPAIRS Repairs Any Repair Issues?No Issues Delivery Information Tank #1(1-PREM)Tank #2(2-REG) All deliveries made to permitted tanks Yes Yes UST-10B Facility ID:00-0-0000030637 Page 8 of 8 7/13/2021 7:46 AM SITE DIAGRAM 1