DERR-1991-017978 - 0901a0688092c63f

State:Ilse OnIx
Date Processed e
Date Mailed to LHD
Samples in LUST File #
Samples to LUST Review
UNDERGROUND"ThiRAGE TANK CLOSURE NOTICE (Rew--kk U2.1 I b/9"Z)
1-,acility ID # 3000324
SITE INFORMATION
Tank Owner Defense Mapping Agency Phone # (801 ) 777-4344
[1 dba (individual doing business as) [ sole proprietorship [ partnership [ ] corporation
Address Bldg D-5, Freeport Center Cfty Clearfield State UT Zip 84015
Slte Name Defense Mapping Agency
Address Bldg D-5, Freeport Center City Clearfield State UT Zip 84015
Contact person Harry Woodbury Phone # (801 ) 777-4344
TANKS CLOSED
Tank # 9999.6
Age of tank 5
Capacity 1000
Subs. stored* UNLEAD
Date last used 9 -92
* Indicate the specific substance stored in each tank closed (regular, unleaded, diesel, waste oil, etc.)
TANK HANDLER/REMOVER Name Randy Simms Cert. # TR-0075
Address P.O. Box 9365 City Ogden State UT Zip 84409
SOIL/GROUNDWATER SAMPLER Name Sandy Simms Cert. # GS-0537
Address P.O. Box 9365 City Ogden State UT zip 84409

TYPE OF CLOSURE [X] Permanent [ ] Temporary [ ] Change-In-Service
Permanent or Change-in-Seryice Date Closed 28 Sep 92 [ Removed [ In-place
tc] Fuel was emptied [x] Sludge was removed ky] Tank was cleaned.
Tank was: [ ] Purged [X] lnerted. Method Used: Dry Ice
Location of Closure Records CO-ALC/EMR, Hill AFB UT 84056 (Environmental Management Directorate)
For in-place closure: tanks filled with N/A
Substance to be stored for Change-In-Service N/A
Temporary
Date of Closure N/A [ ] Fuel was emptied.
Residue depth remaining in tank or, % by weight of total capacity of UST:
[ ] Corrosion protection equipment is operating. [ ] Release detection equipment is operating.
3 months: [ ] Vent lines open Cap/Secure: [ ] lines [ ] pumps [ ] manways
12 rnonths: [ ] Permanently closed [ 1 New/Upgraded [ 1 Extension request
DISPOSAL SITES USED:
Davis County Landfill 1 Tank: Date Number
ProdUct from Tank: Advanced Petroluem Recyclers Date Amount EST 30 "Gal
Sludge: . N/A Date Amount
Contaminated Soils: N/A Date Amount
Contaminated Water: N/A Date Amount
SITE ASSESSMENT (A copy of the lab analysis report and Unified Soil Classification (USC) sample results must be
attached to this notice)
Groundwater samples: Number of Samples N/A TPH (8015 modified) [ ] BTEX(N) [
Oil & Grease: [ ] 413.1 [ 1 418.1 Other:
Results:
Soil samples: Number of samples 2 -7H (8015 modified) [X] BTEX(N)
Oil & Grease: [ 413.1 [ 1 418.1 Other:
Results: See Attachments
Number of Unified Soil Classification (USC) samples 1
Certified Laboratory: Utility Testing Lab
Address 875 S. Chestnut Street City Salt Lake City State UT zip 84125

CHAIN OF CUSTODY FORM (A copy of the form must be attached to this notice)
Samples were properly: [x I Collected [x] Labeled [x] Packaged [X I Transported
[X] Samples were in sight c the person in custody at all times or in a securec. .ked place.
l certify under penalty of law that l am the Owner/Operator of the tank(s) described above and that l am familiar with
the Information on t• s form and that it is true, accurate and complete and further, that the procedures described
herein were followeu during tank closure.
Signature of UST Owner/Operator
Full name of Owner/Operator Date

sIGNzol,
(- ,
Return completed form, Groundwater/Soil sample results, USC sample results, and Chain of Custody form within 90 days
of UST Closure to:
State of Utah • Department of Environmental Quality
Division of Environmental Response and Remediation- UST Section
Salt Lake City, Utah 84114-4840
erAust\gary\cIplfrm3 Revised 02\1 5\2
?ft.1takir,o,ri
UTILITY "TIESTING1 L.A130RA -r CoRlr
875 SO. CHESTNUT ST.
P. O. BOX 25005
SALT LAKE CITY, UTAH 84125
PHONE: [phone]
October 16, 1992
Advanced Paving Corporation
P.O. Box 12847
Ogden, UT 84412
Attention: Mr. Jeff Hannes
Subject: TPH/BTEX Testing - P.O. #B0008
Sample Collected: 28 September 92
Sample Received: 30 September 92
TOTAL PETROLEUM HYDROCARBONS (TPH) - GASOLINE & DIESEL
(MODIFIED CALIFORNIA METHOD 8015)
METHOD DETECTION LIMITS: 10 ppm SOIL, .5 ppm WATER
Test No.
9-30-92-06
Date Analyzed:
02 OCTOBER 92
SOIL SAMPLE
9999.672
Test Results mg/Kg. mg/L (PPm)
< 10 mg/Kg Gasoline
< 10 mg/Kg Diesel
< 10 mg/Kg TPH
BTEX
SW-846 METHOD 8020 (SOIL), METHOD 602 (WATER)
USING PURGE & TRAP METHOD 5030
METHOD DETECTION LIMITS: 5 ppb SOIL, .3 ppb WATER
PRACTICAL QUANTITATIVE LIMIT: 5 ppb SOIL, 2 ppb WATER
Test No. SOIL SAMPLE
9-30-92-06 9999.6T2
Date Analyzed
13 OCTOBER 92'
UTILITY TESTING LABORATORY
D. M. Thorsen
Test Results pg/Kg. pg/L (PPb)
< 5 pg/Kg Benzene
< 5 pg/Kg Toluene
< 5 pg/Kg Ethylbenzene
< 15 pg/Kg Xylenes, Total
< 5 pg/Kg Naphthalene
UT' I L. I "TY -r ES -T I N ILABORATCPRY
875 SO. CHESTNUT ST.
P. O. BOX 25005
SALT LAKE CITY, UTAH 84125
PHONE: [phone]
October 16, 1992
Advanced Paving Corporation
P.O. Box 12847
Ogden, UT 84412
Attention: Mr. Jeff Hannes
Subject: TPH/BTEX Testing P.O. #80008
Sample Collected: 28 September 92
Sample Received: 30 September 92
TOTAL PETROLEUM HYDROCARBONS (TPH) - GASOLINE & DIESEL
(MODIFIED CALIFORNIA METHOD 8015)
METHOD DETECTION LIMITS: 10 ppm SOIL, .5 ppm WATER
Test No. SOIL SAMPLE
9-30-92-07 9999.671
Date Analyzed:
01 OCTOBER 92
Test Results mg/Kg, mg/L (Ppm)
< 10 mg/Kg Gasoline
< 10 mg/Kg Diesel
< 10 mg/Kg TPH
BTEX ,
SW-846 METHOD 8020 (SOIL), METHOD 602 (WATER)
USING PURGE & TRAP METHOD 5030
METHOD DETECTION LIMITS: 5 ppb SOIL, .3 ppb WATER
PRACTICAL QUANTITATIVE LIMIT: 5 ppb SOIL, 2 ppb WATER
Test Results wg/Kg. 1.1g/L (ppb)
< 5 pg/Kg Benzene
< 5 pg/Kg Toluene
< 5 pg/Kg Ethylbenzene
< 15 pg/Kg xylenes, Total
< 5 pg/Kg Naphthalene
Test No. SOIL SAMPLE
9-30-92-07 9999.6T1
Date Analyzed
13 OCTOBER 92
UTILITY TESTING LABORATORY
174
D. M. Thorsen
AIL CONSTRUCTION TESTING AND ENGINEERING, INC.
P.O. Box 271125 • Salt Lake City, Utah 84127-1125 • [phone] • FAX: [phone]
SIEVE ANALYSIS TEST REPORT
ASTM C 117 / C 136
September 30, 1992, Wednesday
Advanced Paving & Construction
P.O. Box 12847
Ogden, Utah 84412
Attn: Jeff Hannes
Re: DMA--Freeport West SS #: 9999 6 TG1
Washed Sieve Analysis
File #: 225-1
Work Order #: 12796
Sample #: B
Specification Requirement: NA: Reference/Identification Testing
SIEVE (WASHED) ANALYSIS RESULTS
Sample #: B
Accumulated
Sieve Size
1/2"
3/8"
#4
#10
#40
#200
% Retained % Passing
0 100
0 100
2.5 97.5
4.1 95.9
5.0 95.0
16.8 83.2
Total weight: 1008.4 grams
Remarks:
Sampled: 9-28-92/12:30 p.m. by Randy
See related aggregate gradation chart.
CONSTRUCTION TESTING & ENGINEERING, INC.
CERTIFIED TEST-i REPORT
David K. kegeath , Manager
Page 1 of 2
• QUALITY ASSURANCE • RESEARCH • SPECIFICATION COMPLIANCE •
SUBMITTED BY CONSTRUCTION TESTING & ENGINEERING, INC.
Aggregate Designations Based on ASTM D 2487
Advanced Paving & Construction
30 2.5" 2.0 I i.0 75
File #: 225-1
AGGREGATE GRADING CHART Work Order #: 12796
September 30, 1992, Wed. 5CRCEN OPENINGIN INCHES
.375 .25 187 0937 .0787 .04t59 0331 0232 .0155 0117 .007 .299 .00 2 9
PE
RC
E

N
T PA
S
SI
NG

.

„o 3

N
8 0

0 0
o 2i oa
9
8
_ i l 1 i i I 100
1 1 L 1 1 1 1 90 t t i
80
60
50
40
30
.
1 J /
1 t t
Finf. aralre (3 ) i
1 1 r I
Coar3 I
1 a*.d 1 I ) 1 Medi4 5 ) I t I ) 1- 1 T T i
1 T 1 i
I , 1 1 ,
1 f. 1 -2/16/--- 1
I ( Sample llt ' 1 ( , 2 0 No* Plaitke 1 .
) ) )
1 ) 1 L 1 i t t ; 1 1 1
1. 1 1 i i r 1 . i
1 1 _1
-1 i I 1 i 1 i i [ r i 1 • 1
1 1_
1 t i 1
1 1
) f i , ,
2).-2 2 1;1 1 3/4 1/2 3/8 1/4 4 8 10 16 20 30 40 SO SCREEN NUMBER 80 100 200
P.LOTTED BY C.T.E., T. Mark Megeath. SAMPLE IDENTIFICATION
DMA Freeport West SS #: 9999 6 TG1 / Sampled: 9-28-92/12:30 p.m. by Randy
WES FORM 886 .
AUGUST VS
Page 2 of 2
Relinquished by: (
v#46.2va.looki., IL.3.40410"01 0 y
875 South Chestnut Street
Salt Lake City, Utah 84104
Chain of Custody Form
Company Name
ADVANCED.PAVING & CONSTRUCTION
P. O. BOX 12847
OGDEN, UT 84412
c x 1,
') 62
Report To
•
Purchase Order
a ct....(2:78
/)
14
6
0)
Phone No '731 - 7&;'?—
Sample Identification - Remarks
c7c)(779. 4 'T a a 9
4,
—
_ "7 7.-<:, A z_-_ / 0 //-
c7 9 9 9 , c... 7- i q .V,•.'_ -L•._"/jc7 2.- / 2 • ' /‹.2 P/ L7
—
,
_ __......._
•
Immediate
Attention

Flush Standarc

(aignatuhe)
,414Vilt)
Received by: (aqnotwte)
Witnessed By: (6i9natune)
•
Received by: (aignalme)
Witnessed By: (aiguatiftel
913 Qi19 7._
Date Time
Date Time
Relinquished by: (6,ignatwLe) Date Time Received by: . •
Witnessed By: (big ttatuiLe)
Zama === —04— storm drain
electrical
connection
SSA9999.6T1
SS#9999,6TG1
BUILDING D-5
SS#9999 6T2
2, 6-(2-11."-A) tA•Yel.-
Lt

VCITI
pt,u
fill
disoenser .....4___concrete pad „
/51z 2a2"
Tank 9999.6
SAMPLING PLAN
UST #9999.6
DMA - Freeport Center
Clearfield, Utah
No rth
cc: JAM (Jim Tadje)
Davis County Health Dept
Attn. Richard L Harvey
Coordination
{ D
ate
:Pec-61
Org - Name
‘6,ug
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS OGDEN AIR LOGISTICS CENTER (AFMC)
HILL AIR FORCE BASE, UTAH

FROM: 00-ALC/EM 01 December 1992

SUBJ: Underground Storage Tank (UST) Closure Notice, Defense Mapping Agency, Clearfield, Utah
ID Number 3000324

TO: State of Utah
Department of Environmental Quality
Div of Environmental Response & Remediation - UST Section
1950 West 150 North
Salt Lake City, Utah 84114-4840
1. Attached is the Closure Notice for UST number 9999.6 located at the Defense Mapping
Agency in Clearfield, Utah. Also, attached are the analytical results with chain-of-custody for
the closure sampling.
2. In the original Closure Plan, we identified Durbano Steel as the site for disposal of this tank.
The tank was fiberglass rather than steel so it was taken to the Davis County Landfill for
disposal.
3. This tank was removed prior to formal approval of the closure plan. However, verbal
approval was given by Lewis Cooper of the Davis County Health Department. Mr Cooper was
present at the time of the closure sampling.
4. If you have any questions concerning the tank removal, please contact Mr Samuel Johnson,
00-ALC/EMR, 777-8790.
JAMES R. VAN ORMAN
Director, Environmental Management
4 Atch
1. Closure Notice
2. Certificates of Analysis
3. Chain of Custody Records
4. Site Plat

UTAH DEPARTMENT OF
ENVIRONMENTAL QUALITY
JAN 2 7
_DIV. OF ENVIRON'

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS OGDEN AIR LOGISTICS CENTER (AFMC)
HILL AIR FORCE BASE, UTAH
FROM: 00-ALC/EM 01 December 1992
SUBJ: Underground Storage Tank (UST) Closure Notice, Defense Mapping Agency, Clearfield, Utah
ID Number rk00824
TO: State of Utah
Department of Environmental Quality
Div of Environmental Response & Remediation - UST Section
1950 West 150 North
Salt Lake City, Utah 84114-4840
1. Attached is the Closure Notice for UST numbert99996 located at the Defense Mapping
Agency in Clearfield, Utah. Also, attached are the analytical results with chain-of-custody for
the closure sampling.
2. In the original Closure Plan, we identified Durbano Steel as the site for disposal of this tank.
The tank was fiberglass rather than steel so it was taken to the Davis County Landfill for
disposal.
3. This tank was removed prior to formal approval of the closure plan. However, verbal
approval was given by Lewis Cooper of the Davis County Health Department. Mr Cooper was
present at the time of the closure sampling.
4. If you have any questions concerning the tank removal, please contact Mr Samuel Johnson,
00-ALC/EMR, 777-8790.
JOA.Aeu,s R.(faArJawnhuvt -
JAMES R. VAN ORMAN
Director, Environmental Management
4 Atch
1. Closure Notice
2. Certificates of Analysis
3. Chain of Custody Records
4. Site Plat
cc: JAM (Jim Tadje)
Davis County Health Dept
Attn. Richard L Harvey
UTAH DEPARTMENT OF
ENVIRONMENTAL QUA
DEC 0 2 1992
DIV. OF ENVIRONMENT&
RESPONSE AND REMEDIATION
DISPOSAL SITES USED:
Tank: Davis County Landfill Date Number 1
Product from Tank: Advanced Petroluem Recyclers Date Amount EST 30 Gal
Sludge: N/A Date Amount
Contaminated Soils: N/A Date Amount
Contaminated Water: N/A Date Amount
SITE ASSESSMENT (A copy of the lab analysis report and Unified Soil Classification (USC) sample results must be
attached to this notice)
Groundwater samples: Number of Samples N/A TPH (8015 modified) 1 ] BTEX(N) [ ]
Oil & Grease: [ 1 413.1 [ ] 418.1 Other:
Results:
Soil samples: Number of samples 2 TPH (8015 modified) [X] BTEX(N) [N
Oil & Grease: [ ] 413.1 [ ] 418.1 Other:
Results: See Attachments
Number of Unified Soil Classification (USC) samples
Certified Laboratory: Utility Testing Lab
Address 875 S. Chestnut Street City Salt Lake City State UT zip 84125
CHAIN OF CUSTODY FORM (A copy of the form must be attached to this notice)
Samples were properly: [x] Collected [x] Labeled [x] Packaged [x ] Transported
[X] Samples were in sight of the person in custody at all times or in a secured locked place.
I certify under penalty of law that I am the Owner/Operator of the tank(s) described above and that I am familiar with
the information on this form and that it is true, accurate and complete and further, that the procedures described
herein were followed during tank closure.
Signature of UST Owner/Operator Jan,,,tsA.
Full name of Owner/Operator JAMES R. VAN ORMAN Date 1 December 1992
Director, Environmental Management
Return completed form, Groundwater/Soil sample results, USC sample results, and Chain of Custody form within 90 days
of UST Closure to:
State of Utah
Department of Environmental Quality
Division of Environmental Response and Remediation- UST Section
Salt Lake City, Utah 84114-4840
erewst\gary\c1p1frm3 Revtsed 02\15\92
UNDERGROUND ÇTORAGE TANK CLOSURE NOTICE (Revised 02/15/92)
\er, Facility ID # 3000324
State Use Only
Date Processed bv
Date Mailed to LHD
Samples in LUST File #
Samples to LUST Review
SITE INFORMATION
Tank Owner Defense Mapping Agency Phone # (801 ) 777-4344
[ 1 dba (individual doing business as) [ ] sole proprietorship [ ] partnership [ ] corporation
Bldg D-5, Freeport Center Address City Clearfield State UT Zip 84015
Slte Name Defense Mapping Agency
Bldg D-5, Freeport Center Address City Clearfield State UT Zip 84015
Contact person Harry Woodbury Phone # (801 ) 777-4344

TANKS CLOSED
Tank # 9999.6
Age of tank 5
Capacity 1000
Subs. stored* UNLEAD
Date last used 9 -92
* Indicate the specific substance stored in each tank closed (regular, unleaded, diesel, waste oil, etc.)
TANK HANDLER/REMOVER Name Randy Simms Cert. # TR-0075
Address P.O. Box 9365 City Ogden State UT Zip 84409

SOIL/GROUNDWATER SAMPLER Name Sandy Simms Cert. # GS-0537
Address P.O. Box 9365 C ity Ogden State UT zip 84409

TYPE OF CLOSURE [X] Permanent [ ] Temporary [ ] Change-In-Service
Permanent or Chanqe-in-Seryice Date Closed 28 Sep 92 [ ] Removed [ ] In-place
id Fuel was emptied [ x] Sludge was removed Tank was cleaned.
Tank was: [ ] Purged [X] lnerted. Method Used: Dry Ice
Location of Closure Records 00-ALC/EMR, Hill APB UT 84056 (Environmental Management Directorate)
For in-place closure: tanks filled with N/A
Substance to be stored for Change-In-Service N/A
Temporary
Date of Closure N/A [ ] Fuel was emptied.
Residue depth remaining in tank or, % by weight of total capacity of UST:
[ ] Corrosion protection equipment is operating. [ ] Release detection equipment is operating.
3 months: [ ] Vent lines open
12 months: [ ] Permanently closed
Cap/Secure: [ ] lines [ ] pumps [ ] manways
[ ] New/Upgraded [ ] Extension request
UTILITY TESTING LABORATORY
D. M. Thorsen
tj -r i L i -r Nir --r- E Sir I Nfa LABCDRA -r c• RN'
875 SO. CHESTNUT ST.
P. O. BOX 25005
SALT LAKE CITY, UTAH 84125
PHONE: [phone]
October 16, 1992
Advanced Paving Corporation
P.O. Box 12847
Ogden, UT 84412
Attention: Mr. Jeff Hannes
Subject: TPH/BTEX Testing - P.O. #80008
Sample Collected: 28 September 92
Sample Received: 30 September 92
TOTAL PETROLEUM HYDROCARBONS (TPH) - GASOLINE & DIESEL
(MODIFIED CALIFORNIA METHOD 8015)
METHOD DETECTION LIMITS: 10 ppm SOIL, .5 ppm WATER
Test No.
9-30-92-06
Date Analyzed:
02 OCTOBER 92
SOIL SAMPLE
9999.6T2
Test Results mg/Kg, mg/L (ppm)
< 10 mg/Kg Gasoline
< 10 mg/Kg Diesel
< 10 mg/Kg TPH
BTEX
SW-846 METHOD 8020 (SOIL), METHOD 602 (WATER)
USING PURGE & TRAP METHOD 5030
METHOD DETECTION LIMITS: 5 ppb SOIL, .3 ppb WATER
PRACTICAL QUANTITATIVE LIMIT: 5 ppb SOIL, 2 ppb WATER
Test Results ug/Kg, Ug/L (ppb)
< 5 pg/Kg Benzene
< 5 pg/Kg Toluene
< 5 pg/Kg Ethylbenzene
< 15 pg/Kg Xylenes, Total
< 5 pg/Kg Naphthalene
Test No. SOIL SAMPLE
9-30-92-06 9999.6T2
Date Analyzed:
13 OCTOBER 92
tj -r I IL_ I TM( E 5 -r I N L_ A B c) R Air c) R Nr
875 SO. CHESTNUT ST.
P. O. BOX 25005
SALT LAKE CITY, UTAH 84125
PHONE: [phone]
October 16, 1992
Advanced Paving Corporation
P.O. Box 12847
Ogden, UT 84412
Attention: Mr. Jeff Hannes
Subject: TPH/BTEX Testing - P.O. #80008
Sample Collected: 28 September 92
Sample Received: 30 September 92
TOTAL PETROLEUM HYDROCARBONS (TPH) - GASOLINE & DIESEL
(MODIFIED CALIFORNIA METHOD 8015)
METHOD DETECTION LIMITS: 10 ppm SOIL, .5 ppm WATER
Test No.
9-30-92-07
Date Analyzed:
01 OCTOBER 92
SOIL SAMPLE
9999.6T1
Test Results mg/Kg, mg/L (ppm)
< 10 mg/Kg Gasoline
< 10 mg/Kg Diesel
< 10 mg/Kg TPH
BTEX
SW-846 METHOD 8020 (SOIL), METHOD 602 (WATER)
USING PURGE & TRAP METHOD 5030
METHOD DETECTION LIMITS: 5 ppb SOIL, .3 ppb WATER
PRACTICAL QUANTITATIVE LIMIT: 5 ppb SOIL, 2 ppb WATER
Test No. SOIL SAMPLE
9-30-92-07 9999.6T1
Date Analyzed:
13 OCTOBER 92
UTILITY TESTING LABORATORY
Test Results wg/Kg. wg/L (PPP) < 5 pg/Kg Benzene
< 5 pg/Kg Toluene
< 5 pg/Kg Ethylbenzene
< 15 pg/Kg Xylenes, Total
< 5 pg/Kg Naphthalene

D. M. Thorsen

CONSTRUCTION TESTING AND ENGINEERING, INC.
P.0 Box 271125 • Salt Lake City, Utah 84127-1125 • [phone] • FAX: [phone]
SIEVE ANALYSIS TEST REPORT
ASTN C 117 / C 136
September 30, 1992, Wednesday
Advanced Paving & Construction
P.O. Box 12847
Ogden, Utah 84412
Attn: Jeff Hannes
Re: DMA--Freeport West SS #: 9999 6 TG1
Washed Sieve Analysis
File #: 225-1
Work Order #: 12796
Sample #: B
Specification Requirement: NA: Reference/Identification Testing
SIEVE (WASHED) ANALYSIS RESULTS
% Passing
Accumulated
% Retained
0 100
0 100
2.5 97.5
4.1 95.9
5.0 95.0
16.8 83.2
Sample #: B
Sieve Size
1/2"
3/8"
#4
#10
#40
#200
Total weight: 1008.4 grams
Remarks:
Sampled: 9-28-92/12:30 p.m. by Randy
See related aggregate gradation chart.
CONSTRUCTION TESTING & ENGINEERING, INC.
CERTIFIED TEST,REPORT //
/
David K. Megeath , Manager
Page 1 of 2
• QUALITY ASSURANCE • RESEARCH • SPECIFICATION COMPLIANCE •
SUBMITTED BY CONSTRUCTION TESTING & ENGINEERING, INC.
Aggregate Designations Based on ASTM D 2487
File #: 225-1
Advanced Paving & Construction AGGREGATE GRADING CHART Work Order #: 12796
September 30, 1992, Wed. SCREEN OPENINGININCHES
30 25 2-0 5 i.0 75 -50 .37n 25 i 87 0937 0787 .04t9 0331 0232 .0 1 65 011 7 .007 .QZ5.9 CO29
1 1
1100 ,
1
r I 90
I
80 0
- i ne rir-avel ( 3 /
/
,4...2, .‘"
i /
60
, MedImm band CAL
0 1 î 1 i l. 1 Z 1 1 . . e- 1 - 50 -
50 r i
1
1 i i
l i I 1 i I : 40 40 i i 1 t-- — 1-11-1-1713ff-tired-"5447.11-------------7 i 1 : Z I i i i ..,., 1 i !
41 i 1 1 i t
V 1 Sample B , 1 24)4-Ne-PIft4t1,, 30 30
= t 3,,it (831)
1 i i W , , T , , 1 1 ci.
20 1 1
1 1 1 1 1
i
1
10 t ' i . i
f
1
1 I
1 r
1 i : Iî I. 1 , 1 L 0
3 2i2 2 lit I 3/4 1/2 3/8 1/4 4 8 10 16 20 30 40 SO 80 100 200
SCREEN NUMBER '
PLOTTED BY C.T.E., T. Mark Megeath r13 PLE I ! MP,-Fll'(e cA" rPOtWrst SS #: 9999 6 TG1 / Sampled: 9-28-92 /1 2:30 p.m. by Randy
WES FORM 886
AUGUST 55
Page 2 of 2
Standarc
//6 _e(LY-Cr-,
Received by: (agnatwte)
Rush
Immediate
Attention
Relindu shed by: (6 ignatwie) Date Tinto
uouilLy NetaiiigUFW
875 South Chestnut Street
Salt Lake City, Utah 84104
Chain of Custody F'orm
Company Name
ADVANCED PAVING & CONSTRUCTION
P. O. BOX 12847
OGDEN. UT 84412
I, 'v 62
Report To
/ - — ,---- Purchase Order
43 c2:7t. c, 8
,)
r.
0
Phone No
?-
Sample Identification - Remarks
-7- a iz-
-

Witnessed By: (aignatuAc)

(aignatwte) Date Tirne Received by: (Aignattot e)

Witnessed By: (aignatune)

Relinquished by: (6ignattae) Date Time • Received by: _
Witnessed Dy: (6ignatuAe)
SAMPLING PLAN
UST #9999.6
DMA - Freeport Center
Clearfield, Utah
nser
electrical
connection
SS#9999 .6T2 SS#9999.6T1
SS#9999.6TG1
North
—41— storm drain
fill
_.„*___concrete pad „
KVz'' ?(Z2-"
Tank 9999.6
BUILDING D-5 1,0711
AELATe'tliitje-43-'

--Inspector Ot/\)
CLOSURE INSPECTION
Date
inspector Cert #

Owner
Name:
Tank only
71,.KA.- \CV\
4. Tank/Property Property only

C
Statev,_ Zip e( 0/ Phone
Street:
City:
0/) Zip County
Street:
City:
Phone: Latitude Longitude
Certified Tank andle
Name:
Company:
ert.# - (V -
R ôoO
Facility ID (132y
Tank Location
Name:
Certified Soil Grouper Sampler
Name: g Cert.#

Company:

Type of Closure Temporary nent Change-In-Service
Substance stored for Change-in-service
'lank Information
Original #Tank - Removed Tanks + New Tanks = Current
xge of Tank
:apacity 6-('
lype: FRP,Steel,
Composite Pve----? UTAHDEPARTMENTOF
ENVIRONMENTALOUAU-Y
ubstance i KT 2
ate Last Used
.oFNARONMENTA...
Rc7.ZTONS7MDREMEATiON ate 'Closed _ , „
ow Closed?
mptied?
_
ludge Removed?
_
leaned? ,
urged or Inerted?
j
roAAVi
c\frioc-E-
Facility ID ;-'
(-Temporary Closure
New or Upgraded:
Is Corrosion Protection System maintained'
Is the Leak Detection System still being monitored?..
Greater than 3 months:
Are Vent Lines Open'
Are Lines, Pumps and Manways Capped and Secured'
Over 12 months:
Has a Site Assessment been done'
Has the 0/0 applied for an extention'
If Yes, Expiration Date:
Has the tank been Upgraded to new Corrosion and Leak
Detection standards'
Permanent Closure or Change-In-Service
3eneral:
Does 0/0 have an approved Closure Plan'
Has the Fire Department been Notified of Closure'
Has Fire Department given approval to Close in Place'
Has Fire Department been notified for Change-in-service.
Were Product Lines: Removed
Site Assessment:
Were Soil and Ground Water samples taken'
What Methodology was used for Sample Analysis?
8015 modified 413.1 Other
Were Unified Soil Classification Samples Taken'
Name of State Certified Lab where Samples were taken:
Name
Street 7- IP City
State Zip Phone
Secured/Capped in Place
Facility ID
Was the Excavation scanned with a PID or FID meter'
If Yes, What were the Readings, Make of Meter,
Gain or Span setting, and Calibration Specs.
Are there Any signs that indicate contamination to soils
or Ground Water'
Was Bureau of Solid & Hazardous Waste Notified of
Contamination'
Was Bureau of Air Quality Notified of Contaminated Soil
if emission from the contaminant is to take place'
Was Bureau of Water Pollution Control Notified of
Ground Water Contamination'
Contractors:
Name of
Name
Street
State
Individual
(
removed Product:
Company
City
Zip Phone
Name of Individual who Cleaned Tank:
Name Company
Street city
State Zip Phone
Place where Tank was Di osed:
7, mpany (-7/ X('
C ty '
Zip Phone
Piping was isposed:
Company
City
Zip Phone
Product was Disposed:
Company -,,,
- )L city
,) '--- Zip Phone
Place where Sludge was Disposed:
Name Company
Street r City
State Zip Phone
Name
Street
State
Place where
Name
Street
State
Place where
Name
Street
State
/-) - jt

,
!
/ sr.,.• 1421
••••••••\ Facility ID
Place where Contaminated Soils were Disposed:
Name Company
Street -_-\_.'\'( City
State Zip Phone -----"
Place where Conta inate Water was Disposed:
Name T Company
Street City
State Zip Phone
If any of the above is different than indicated on the Closure Plan, Please
explain why:
'ID No. Dbh -7/ Drawn By
SIT Date: E P
Key
- - -
_._._.
Lines:
Building, etc. outlines
Tank & Line outlines
Potentiometric Surface
Creeks, Rivers
-s-s-s- - Sewer; -P-P-P- =
-w-w-w- =Water; -d-d-d- =
0 = Monitoring Wells (MW-#,
X = Sample Locations (SS-#,
0 = Bore Hole (BH-#)
= Water Wells (domestic,
Power; -t-t-t- = Telephone;
French Drains;
VW-#, PZ-#)
WS-#, VS-#, AS-#)
livestock, etc.)
-g-g-g- = Gas;
ne.“11 -7-tr -TH n
RECEVIED
OCT 2 2 1992
PA\,;S OQUNTY
ENVIRONMENTAL HEALTH
;—• sie-‘
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. Leavttt
Governor j 150 North 1950 West 2nd Floor
Dianne R. Nielson, Ph.D. Salt Lake City, Utah 84116
Executive Director [phone]
Kent P. Gray [phone] Fax
Director [phone] T.D.D.
ERRU-0009-93
January 15, 1993
DEFENSE MAPPING AGENCY
CLEARFIELD DEPOT
CLEARFIELD, UT 84016-1220
Dear Tank Owner or Operator:
The 1992 Utah Legislature session passed Senate Bill 116 to amend the Underground Storage Tank Act
("ACT") that requires payment of the yearly registration fees, Petroleum Storage Tank ("PST") fund
assessments, processing fees, late penalties and interest. The ACT states that if any of the assessments
are not paid within 60 days after the due date, 07-01-92, any Certificate of Compliance in effect lapses.
Our records indicate that you have not paid your yearly registration fee and interest of $.20 or your fund
assessments and late penalties of $53.69. Therefore, you are hereby notified that your Certificate of
Compliance for facility ID No. 3-000324, known as DEFENSE MAPPING AGENCY, and located at
CLEARFIELD DEPOT, CLEARFIELD, Utah, has lapsed. Without a Certificate of Compliance your
tank(s) cannot receive delivery of product, cannot operate, and costs of investigating and cleaning up
releases are no longer covered under the PST fund.
In order to receive product you must obtain a new Certificate of Compliance by testing your tank(s),
submitting a copy of the test, paying your assessments, and making a new application to the PST fund.
Please call the UST Section at 801-536-4100 if you have any questions.
Sincerely,
Krít P. Gray, Exec1fve Secretary
Utah Solid and Hazardous Waste Control Board
KPG:mw
cc: E. Arnold Isaacson, M.D., M.P.H., F.A.C.P.M., Director, Davis County Health
Department
Printed on recycled paper
Davis County Health Department
Environmental Health and Laboratory Division
E. Arnold taanetto M.D. M.P. F .M.
Director of Health
TDD # [phone]
Room 24, County Courthouse
P. O. Box 618, Farmington, Utah 84025
Telephone: [phone], Ext. 296
UTAH DEPARTMENT OF
ENVIRONMENTAL DUALITY
DEC 0 '4 1952 pp--
DIV. OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Richard L. Harvey, R.S., M.P.H.
Division Director
November 23, 1992
Defense Mapping Agency
Bldg D-5, Freeport Center
Clearfield, UT 84016
RE: Closure Plan Approval for Underground Storage Tanks at Defense Mapping Agency,
Bldg D-5, Freeport Center, Clearfield, Utah
Facility Identification No. 3000324
Dear Mr. Woodbury:
The Closure Plan for the above-referenced facility, received by the Davis County Health
Department, Environmental Health and Laboratory Division on November 23, 1992, has
been approved subject to the noted modifications, if any. This department and the local fire
department must be notified 72 hours before beginning closure activities. The local agencies
may have additional requirements for closure or may charge inspection fees.
Any proposed change to the approved Closure Plan must be submitted in writing and
approved by our office before implementation. If contamination is suspected or found
during closure activities, you must report it to the Division of Environmental Response and
Remediation (DERR) at [phone] within 24 hours of discovery.
Enclosed is a copy of the "Closure Notice" form which must be completed and submitted
to the Executive Secretary (UST). The closed tank records will then be removed from the
tank fee billing lists. Please submit the environmental and Unified Soil Classification (USC)
sample analysis data and Chain of Custody forms with the Closure Notice as soon as
f
Harry Woodbury
Defense Mapping Agency
November 23, 1992
Page 2
possible, but no later than 90 days after tank closure.
If you have any questions please contact Rand Webb at [phone].
Sin rely,
(1 Kichard Ls-Harvey, M.P.H.:
Director
RLH/RDW/ph
Enclosures
cc: Division of Environmental Response and Remediation
Clearfield Fire Department
Carlene S. Kunz, Hill Air Force Base, 00-ALC/EMR, H.A.F.B., UT 84056
\,,-..,'
,•••—••••s,
CLOSURE PLAN REVIEW SUMMARY
Facility ID # 30o6a4
This facility is a non-notifier [ ] Yes *1 No
Total number of regulated tanks at this site not previously closed Data Base: I Closure Plan:/
4/
...
Certificate of Compliance issued for this site\ 1 Yes L 1 No
RECEIVED
NOV 'I 6 1992
DAVIS COUNTY ENVIRONMENTAL HEALTH
ENTRIES BELOW INDICATE A SIGNIFICANT DISCREPANCY BETWEEN THE INFORMATION SUBMITTED ON THE CLOSURE PLAN AND THE INFORMATION
IN THE TANK DATA BASE. ENTRIES REPRESENT THE INFORMATION IN THE DATA BASE. NO ENTRY FOR A PARTICULAR ITEM MEANS THE
INFORMATION IN THE DATA BASE CORRESPONDS TO THE CLOSURE PLAN.
Tank Owner Phone #
Address City State Zip
Site Name
Address City State Zip
Contact person Phone
TANKS TO BE CLOSED
Tank #
Age of tank
Capacity
Subs. stored
Date last used
TANK HANDLERIREMOVER Name /40fineS 5",5
Certification Expiration date:
SOILIGROLINDWATER SAMPLER Name /Anne5 StinS
Certification Expiration date:
Cert. #r_0072fr.64075.-
Cert. 43-o/o /es0.5y,
Remarks:
i
LHD USE ONLY
Date Received 7--
Reviewer/Date Reviewed RI)u) 1(773
Reviewer Recommendatio cCO prov
Date LHD Approved /1/ 2- 3/1z_,
Date mailed to State if/2-q/9 z-
STATE/ iNLY
Date Received From LHD
Reviewer/Date Reviewed
Reviewer Recommendation
EHM Review/Date
Date Received 09
Date Mailed to LHD
UNDERGROUND STORAGE TANK CIL .RE PLAN (rev. 02/15/92) FACILM # a/200-V4
Closure Plan prepared at the request of the owner/operator (identified below) by Carlene S. Kunz
of (company name) Hill Air Force Base
Address 00-ALC/EMIR
Phone # (801 ) 777-6742
City Hill AFB State UT Zip 84056

A Contractor may prepare this Closure Plan as the owner/operator's agent. In preparing the Closure Plan, the Contractor
must act with the owner/operator's knowledge and approval. The owner/operator must sign the Closure Plan.
This Closure Plan is submitted in compliance with the requirements contained in R311-202 Subpart G and R311-204
(U.A.C.)
SITE INFORMATION
Tank Owner Defense Mapping Agency Phone # ( 801 ) 777-4344
[ ] dba (individual doing business as) [ ] sole proprietorship [ ] partnership [ 1 corporation X Fed Gov ' t
Address Bldg D-5, Freeport Center City Clearfield State UT Zip 84015
Site Name Defense Mapping Agency
Address Bldg D-5, Freeport Center City Clearfield State UT Zip 84015
Contact person Harry Woodbury Phone [phone]

Total number of underground tanks at this site 1
Total number of underground tanks at this site to be closed 1
UTAH DEPARTMENT OF
TANKS TO BE CLOSED ENVIRONMENTAL QUALITY
Tank # 9999.6
Age of tank 5
Capacity 1000

SEP 0 8 1992

et,' Faill PON: T At

Subs. stored* unlead

Date last used 9-92

* Indicate the specific substance stored in the tanks to be closed (regular, unleaded, diesel, waste oil, etc.)
For waste oil tanks: Have degreasing or other types of solvents been stored or mixed with the waste oil?
Yes (identify if known) No Not known
\ust\gary\ciplfrrn3 Revised 02115/92
CONTACT LOCAL HEALTH DISTRICT bi-i,Te of Dist. Davis Co. Health Dept Date 9_7_92
Contact Blyce Taggart Title UST Program Manager . none # 451-3296
CONTACT LOCAL FIRE DEPT. Name of Dept. Clearfield Fire Dept. Date 9-3-92
Contact Craig Whitesides Title Phone # [phone]
SITE ASSESSMENT
A site assessment must be performed for all UST closures and change-in-service. Site assessments must be
performed as outlined in R311-202, Part 280.72 and R311-205 (U.A.C.). If contamination is suspected, additional
samples must be collected at the location where contamination is most likely to be present. Soil and Groundwater
samples must be analyzed for the compounds shown in the table below, using the appropriate lab method.
SUBSTANCE
STORED
COMPOUNDS METHODS TO BE USED
SOIL GROUNDWATER
Gasoline Total Petroleum Hydrocarbons (TPH)
Benzene, Toluene, Ethylbenzene, Xylenes (BTEX)
8015 Modified
EPA 8020
8015 Modified
EPA 602 or 624
Diesel Total Petroleum Hydrocarbons (TPH)
Benzene, Toluene, Ethylbenzene, Xylenes, Naphthalene (BTE(N)
8015 Modified
EPA 8020
8015 modified
EPA 602 or 624
Oil
Used Oil
Oil and Grease (O&G) or Total Recoverable Hydrocarbons (TRH)
Benzene, Toluene, Ethylbenzene, Xylenes, Naphthalene (BTEXN)
EPA 413.1 or 418.1
EPA 8020
EPA 413.1 or 418.1
EPA 602 or 624
Other Appropriate EPA method as approved by the Executive Secretary
Indicate the number of samples to be analyzed by each method:
Gasoline (TPH and BTEX): 2 Soil Water Diesel (TPH and BTEXN): Soil Water
Oil or Used Oil (O&G or TRH and BTEXN): Soil Water
Other: 2 Number of samples Analysis method to be used: 5W7421 for lead
Approximate depth to groundwater in the vicinity of the tanks: 100 Feet.
Number of Unified Soil Classification (USC) samples to be taken 1
State Certified Laboratory to be used: Utility Testing Lab
Address 875 S. Chestnut St. City SLC State UT Zip 84125
Contact person Don Thorsen Phone # ( 801 )973-8305
CONTAMINATION INFORMATION
If contamination is detected or suspected, based on the site assessment, the information must be reported to the
Executive Secretary (UST) at [phone] within 24 hours. The Division of Water Quality must be notified at (801) 538-
6146 if contaminated groundwater or surface water is found. If contamination is confirmed, a qualified environmental
consultant should assist in the remediation process.
In the event that contamination is found, the environmental consultant will be:
Company James M. Montgomery
Address 4525 S. Wasatch Blvd #200 City SLC State UT Zip 84124
Contact person Phone # ( 801 ) 272-1900
I certify under penalty of law that I am the owner/operator of t
the information on this form and that it is , acc ate com let nd further, that the procedures described
herein will be followed during tank cl
Signature of owner/operator RiCHARD H. STENS
Title Director, DMA Depo , Clearfield Date
e facility referenced above and that I am familiar with
JÇ Hannes TR-0072
TANK HANDLER/REMOVER Name R y Simms Cert. # TP-0075
P.O. Box 9365 State UT Zip 84409 Address City Ogden
Jef f Hannes GS-0107
SOIL/GROUNDWATER SAMPLER Name Randy Simms Cert. # Gs-0537
Address P.O. Box 9365 City Ogden State uT Zip R4409
DISPOSAL INFORMATION
Tank(s) will be disposed at: Facility Durbano
Address 2904 Pacific Ave. City Ogden State UT Zip 84401

Contact person Dennis Dubrano Phone # ( 801 ) 621-5221
Product lines will either be: X removed or secured in place and capped.
Vent lines will either be: X removed or secured open.
Piping will be disposed at: Facility Durbano
Address 2904 Pacific Ave. City Ogden State UT Zip 84401
Contact person Denny Durbano Phone # ( 801 ) 621-5221
Tank(s) will be emptied by: Advanced Petroleum Recyclers (company)
Tank(s) will be cleaned by: Advanced Petroleum Recyclers (company)
Tank(s) will either be: purged or X rendered inert by the following method:
dry ice
Residual sludges will be disposed at the following facility:
Address DRMO-Hill, Bldg 890
Through:
Defense Reutilization & Marketing Office
City Hill AvB State UT Zip 84056

Contact person Dick Ward Phone # ( 801 ) 777-8028
lf the tank(s) are to be closed in-place, approval must be obtained from the Local Fire Department.
Date approval granted N/A Contact
For Closure in-place: Substance to be used to fill tanks
THE FOLLOWING MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FACILITY:
All materials generated from UST closures must be managed and disposed in a manner that does not place those
materials in direct contact with the environment. If aeration of contaminated soil is proposed, prior approval will be
required by the Executive Secretary as part of the Corrective Action Plan requirements. On-site stockpiling of
contaminated soils may be required prior to any soil management activities. Check box below if aeration is planned.
An alternate disposal facility must be identified in the event that disposal rather than aeration is undertaken. If soil
is aerated, any necessary permits must be obtained from the Division of Air Quality at [phone].
[ j lf found, contaminated soil will be aerated.
Contaminated soils are to be disposed at the following facility: E.T. Technologies
Address 6030 W. 1300 S. , PO Box 535348 City SLC State UT Zip 84153-5348
Contact person Ted Sonnenberg Phone # ( 801 ) 973-2065
Contaminated water is to be disposed at the following facility: HAFB Industrial Wastewater Treatment Plant
Address 2849 ABG/DEM City Hill AtoB State UT Zip 84056

Contact person John Owens Phone # ( 801 ) 777-4924
\t:w•
SITE PLAT
The site plat must show all buildings, tanks, lines, dispensers, underground utilities, proposed sampling locations and
depths, substances stored in tanks, and other important features.
Facility or Location ID No. Drawn By Date
NORTH
SEE: ATTACHED
1. Indicate sample locations, depths and sample type (soil, groundwater, unified soil classification).
2. Indicate tank number that corresponds with information given on page one of the Closure Plan.

Building, etc. outlines
- - - Tank & Line outlines
-...-. Creeks, Rivers
0 = Monitoring Wells (MW-#,)
X = Sample Locations (SS-#, WS-#,)
[ ] = Water Wells (domestic, livestock, etc.)

Lines: -s-s-s- = Sewer -p-p-p- = Power -t-t-t- = Telephone
-g-g-g- = Gas -w-w-w- = Water -d-d-d- = French Drains
:aria Va= storm drain
SS#9999,6T2
fill
electrical
connection
SS#9999.6T1
SS#9999.6TG1
....4______concrete pad „
Tank 9999.6
SAMPLING PLAN
UST #9999.6
DMA - Freeport Center
Clearfield, Utah
North
`5CAA"-ip (-e
BUILDING D-5
6-Q-1011) (AATL
( AAkev(ve,e_,
?Iv 2_
\ `,t,cs.'
9999.6 Sample Plan
Tank Sample ID Type of Sample Analysis to be Conducted Sample Depth
. _
9999.6 SS# 9999.6T1 Environmental ., Mod 8015, BTEXN & SW7421 a ..
SS# 9999.6T2 Environmental Mod 8015, BTEXN & SW7421 . a
SS# 9999.6TG1 Geotechnical Uniform Soil Classification a
- -4- .. •
backfill/native soil interface a = 2 ft below tank
"ay
CLOSURE PLAN REVIEW SUMMARY
Facility ID # 3 a4034?4/
This facility is a non-notifier [ ] Yes k No
Total number of regulated tanks at this site not previously closed Data Base: I
\LX
.
Certificate of Compliance issued for this site 1 Yes [ ] No
/ Closure Plan:
ENTRIES BELOW INDICATE A SIGNIFICANT DISCREPANCY BETWEEN THE INFORMATION SUBMITTED ON THE CLOSURE PLAN AND THE INFORMATION
IN THE TANK DATA BASE. ENTRIES REPRESENT THE INFORMATION IN THE DATA BASE. NO ENTRY FOR A PARTICULAR ITEM MEANS THE
INFORMATION IN THE DATA BASE CORRESPONDS TO THE CLOSURE PLAN.
Tank Owner Phone #
Address City State Zip
Site Name
Address City State Zip
Contact person Phone
TANKS TO BE CLOSED
Tank #
Age of tank
Capacity
Subs. stored
Date last used
TANK HANDLERIREMOVER Name Uafines /5". s
Certification Expiration date:
SOILIGROUNDWATER SAMPLER Name AnnesiSini
Certification Expiration date:
Remarks: AA.. 040) iit,i,,,e1 fy” >i3z.40
Cert # 7....Gt)72**4076°
Cert. 4rd/O 7/610537
SLP 0 8 1992
UNDERGROUND STORAGE TANK CLOSURE PLAN (rev. 02/15/92) FACILITY ID#
LHD USE ONLY
Date Received
Reviewer/Date Reviewed
Reviewer Recommendation
Date LHD Approved
Date mailed to State
STATE K7
Date Received OW /f
Date Mailed to LHD /3-
Date Received From LHD
Reviewer/Date Reviewed
Reviewer Recommendation
EHM Review/Date
Closure Plan prepared at the request of the owner/operator (identified below) by Carlene S. Kunz
of (company name) Hill Air Force Base Phone # (801 ) 777-6742
Address CO-ALC/EMR City Hill AH:3 State UT Zip 84056

A Contractor may prepare this Closure Plan as the owner/operator's agent. In preparing the Closure Plan, the Contractor
must act with the owner/operator's knowledge and approval. The owner/operator must sign the Closure Plan.
This Closure Plan is submitted in compliance with the requirements contained in R311-202 Subpart G and R311-204
(U.A.C.)
SITE INFORMATION
Tank Owner Defense Mapping Agency Phone # ( 801 ) 777-4344
[ ] dba (individual doing business as) [ ] sole proprietorship [ ] partnership [ ] corporation X Foci Gov't
Address Bldg D-5, Freeport Center City Clearfield State UT Zip 84015
Site Name Defense Mapping Agency
Address Bldg D-5, Freeport Center City Clearfield State In' Zip 84015
Contact person Harry Inloodbury Phone [phone]
Total number of underground tanks at this site 1
Total number of underground tanks at this site to be closed 1
UTAH D:PAilTMENT OF TANKS TO BE CLOSED ENVirLI,;i‘laiTAL QUALITY
Tank # 9999.6
Age of tank 5
Capacity 1000
Subs. stored* unlead
Date last used 9-92
* Indicate the specific substance stored in the tanks to be closed (regular, unleaded, diesel, waste oil, etc.)
For waste oil tanks: Have degreasing or other types of solvents been stored or mixed with the waste oil?
Yes (identify if known) No Not known
usndary \cidtfrrn3 Revised 02/15/92
‘=:0''
CONTACT LOCAL HEALTH DISTRI( Name of Dist. Davis Co. Health EX

Date 9-2-92

Contact Bryce Taggart Title UST Program Manager Phone # [phone]
CONTACT LOCAL FIRE DEPT. Name of Dept. Clearfield Fire Dept. • Date 9-3-92
Contact Craig Whitesides Title Phone # [phone]
SITE ASSESSMENT
A site assessment must be performed for all UST closures and change-in-service. Site assessments must be
performed as outlined in R311-202, Part 280.72 and R311-205 (U.A.C.). If contamination is suspected, additional
samples must be collected at the location where contamination is most likely to be present. Soil and Groundwater
samples must be analyzed for the compounds shown in the table below, using the appropriate lab method.
SUBSTANCE
STORED
COMPOUNDS METHODS TO BE USED
SOIL GROUNDWATER
Gasoline Total Petroleum Hydrocarbons (TPH)
Benzene, Toluene, Ethylbenzene, Xylenes (BTEX)
8015 Modified
EPA 8020
8015 Modified
EPA 602 or 624
Diesel Total Petroleum Hydrocarbons (TPH)
Benzene, Toluene, Ethylbenzene, Xylenes, Naphthalene (BTEXN)
8015 Modified
EPA 8020
8015 modified
EPA 602 or 624
Oil
Used Oil
Oil and Grease (O&G) or Total Recoverable Hydrocarbons (TRH)
Benzene, Toluene, Ethylbenzene, Xylenes, Naphthalene (BTEXN)
EPA 413.1 or 418.1
EPA 8020
EPA 413.1 or 418.1
EPA 602 or 624
Other Appropriate EPA method as approved by he Executive Secretary
Indicate the number of samples to be analyzed by each method:
Gasoline (TPH and BTEX): 2 Soil Water Diesel (TPH and BTEXN): Soil Water
Oil or Used Oil (O&G or TRH and BTEXN): Soil Water
Other: 2 Number of samples Analysis method to be used: SW7421 for lead
Approximate depth to groundwater in the vicinity of the tanks: 100 Feet.
Number of Unified Soil Classification (USC) samples to be taken 1
State Certified Laboratory to be used: Utility Testing Lab
Address 875 S. Chestnut St. City SLC State UT Zip 84125
Contact person Don Thorsen Phone # ( 801 )973-8305
CONTAMINATION INFORMATION
lf contamination is detected or suspected, based on the site assessment, the information must be reported to the
Executive Secretary (UST) at [phone] within 24 hours. The Division of Water Quality must be notified at (801) 538-
6146 if contaminated groundwater or surface water is found. If contamination is confirmed, a qualified environmental
consultant should assist in the remediation process.
in the event that contamination is found, the environmental consultant will be:
Company James M. Montgomery
Address 4525 S. Wasatch Blvd 4200 City SLC State UT Zip 84124
Contact person Phone # ( 801 ) 272-1900
I certify under penalty of law that I am the owner/operator of t
the information on this form and that it is
(
-
acc ate com let nd further, that the procedures described
herein will be followed during tank cl ye
Signature of owner/operator -lf R/CHARD H. SlENS
Title Director, DMA Depot, Clearfield
e facility referenced above and that I am familiar with
Date
eff Hannes TR-0072
TANK HANDLER/REMOVER Name Randy Simms Cert. # TP-0075
Address P.O. Box 9365 City Ogden State UT Zip 84409
Jeff Hannes GS-0107
SOUGROUNDWATER SAMPLER Name Randy Simms Cert. # cs-0537
Address P.O. Box 9365 City Ogden State 'TT Zip R44nq
DISPOSAL INFORMATION
Tank(s) wiH be disposed at: Facility Durbano
Address 2904 Pacific Ave. City Ogden State ur Zip 84401
Contact person Dennis Dubrano Phone # ( 801 ) 621-5221
Product lines will either be: X removed or secured in place and capped.
Vent lines will either be: X removed or secured open.
Piping will be disposed at: Facility Durbano
Address 2904 Pacific Ave. City Ogden UT State Zip 84401
Contact person Denny Durbano Phone # ( 801 ) 621-5221
Tank(s) will be emptied by: Advanced Petroleum Recyclers (company)
Tank(s) will be cleaned by: Advanced Petroleum Recyclers (company)
Tank(s) will either be: purged or X rendered inert by the following method:
dry ice
Through:
Residual sludges will be disposed at the following facility: Defense Reutilization & Marketing Office
Address DRMO-Hill, Bldg 890 City Hill AVB State UT Zip 84056
Contact person Dick Ward Phone # ( 801 ) 777-8028
lf the tank(s) are to be closed in-place, approval must be obtained from the Local Fire Department.
Date approval granted N/A Contact
For Closure in-place: Substance to be used to fill tanks
THE FOLLOWING MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FACILITY:
All materials generated from UST closures must be managed and disposed in a manner that does not place those
materials in direct contact with the environment. If aeration of contaminated soil is proposed, prior approval will be
required by the Executive Secretary as part of the Corrective Action Plan requirements. On-site stockpiling of
contaminated soils may be required prior to any soil management activities. Check box below if aeration is planned.
An alternate disposal facility must be identified in the event that disposal rather than aeration is undertaken. If soil
is aerated, any necessary permits must be obtained from the Division of Air Quality at [phone].
[ lf found, contaminated soil will be aerated.
Contaminated soils are to be disposed at the following facility: E.T. Technologies
Address 6030 W. 1300 S. , PO Box 535348 City SLC State UT Zip 84153-5348
Contact person Ted Sonnenberg Phone # ( 801 ) 973-2065
Contaminated water is to be disposed at the following facility: HAFB Industrial Wastewater Treatment P1 ant
Address 2849 ABG/DEM City Hill AFB State UT zip 84056
Contact person John Owens Phone # ( 801 ) 777-4924
SITE PLAT
The site plat must show all buildings, tanks, lines, dispensers, underground utilities, proposed sampling locations and
depths, substances stored in tanks, and other important features.
Facility or Location ID No. Drawn By Date
NORTH t
SEE ATTAGIED
1. Indicate sample locations, depths and sample type (soil, groundwater, unified soil classification).
2. Indicate tank number that corresponds with information given on page one of the Closure Plan.
Key: Building, etc. outlines 0 = Monitoring Wells (MW-#,)
- - - Tank & Line outlines X = Sample Locations (SS-#, WS-#,)
-...-. Creeks, Rivers [ ] = Water Wells (domestic, livestock, etc.)
Lines: -s-s-s- = Sewer -p-p-p- = Power -t-t-t- = Telephone
-g-g-g- = Gas -w-w-w- = Water -d-d-d- = French Drains
electrical
connection
SS#9999.6T1
SS#9999.6TG1
SS#9999.6T2
BUILDING D-5
t North
SAMPLING PLAN
UST #9999.6
DMA - Freeport Center
Clearfield, Utah
-

storm drain

:==

nser

—41---concrete pad „ KVz '' Z2-" Al'
fill

Tank 9999.6

, \ -,-_- -J
9999.6 Sample Plan
Tank i Sample ID Type of Sample Analysis to be Conducted Sample Depth
-1
9999.6 ISS# 9999.6T1 Environmental Mod 8015, BTEXN & SW7421 . ... a . .
i SS# 9999.6T2 Environmental Mod 8015, BTEXN & SW7421 a
1SS# 9999.6TG1 . Geotechnical Uniform Soil Classification ., a
:
1
- i 1 I
a . 2 ft below tank backfill/native soil interface
CLOSURE PLAN REVIEW SUMMARY
Facility ID # .3645643-Z V
This facility is a non-notifier [ 1 Yes N(1 No
Total number of regulated tanks at this site not previously closed Data Base: j Closure Plan: /
Certificate of Compliance issued for this site X 1 Yes [ 1 No
ENTRIES BELOW INDICATE A SIGNIFICANT DISCREPANCY BETWEEN THE INFORMATION SUBMITTED ON THE CLOSURE PLAN AND THE INFORMATION
IN THE TANK DATA BASE. ENTRIES REPRESENT THE INFORMATION IN THE DATA BASE. NO ENTRY FOR A PARTICULAR ITEM MEANS THE
INFORMATION IN THE DATA BASE CORRESPONDS TO THE CLOSURE PLAN.
Tank Owner Phone #
Address City State Zip
Site Name
Address City State Zip
Contact person Phone
TANKS TO BE CLOSED
Tank #
Age of tank
Capacity
Subs. stored
Date last used
TANK HANDLER/REMOVER Name Pqnr1C-05 / 45; M 5 Cert. #riz
Certification Expiration date: & I ..9.3 /6 -/q/9 3 ilSOIL/GROUNDWATER SAMPLER Name r#16 / 51W1S.
Certification Expiration date: No/91///*/0-/* 9
Remarks:* eAt. ..%ed 5 Pt.Q
0 0 75
cert. 7/6SO 537
05 •ONLY
Date.Received
Date Mailed to LHD
Date Received Prom LHD
Reviewer/Date Reviewed
Reviewer- Recommendation
EHM Review/Date
09/28 /9 2 09:36 V801 777 4306
00-ALC/EM 4DIV ENV RESP REM
Z003
UNDEIRGROUND STORAGE TANK CLOSURE PLAN (rev. 02/15/92) FACILflY tp# 260-i24"
LHD use-oNa
Date Received
Reviewer/Date Reviewed
Reviewer Recommendation .1
Date LHD Approved
C.le mailed to State
Closure Plan prepared at the request of the owner/operator (identified below) by Carlene S. Kun7,
of (company name) Hi -11 Air Force Base Phone (801 ) 777-6742

Addres.s 00-ALC/EMR City Hill AFB State UT Zip 84056
A Contractor may prepare this Closure Plan as the owner/operator's agent. In preparing the Closure Plan, the Contractor
rnust act Winh the owner/operaor's knowledge and approval_ The owner/operator must sign the Closure Plan.
This Closure Plan is submitted in compliance with the requirements contained in R311-202 Subpart G and R311-204
(UAC.)
SITE INFORMATION
Tank Owner Defense Mapping Agency Phone #
[ 1 dba (individual doing business as) [ 1 sole proprietorship [ ] partnership [ 1 corporation X Fed Gov-ft
Address Bldg. D-5, Freeport Center Cay Clearfield State UT Zip 84Q15
She Name Defense Mapping Agency
Address Bldg D-5, Fieeport Center
Contact person Harry Woodbury Phone [phone]
Total number of underground tanks at this site 1
Total nurnber of underground tanks at this site to be closed 1
TANKS TO BE CLOSED
Tank # 9999.6
Age of tank 5
Capacity 1000
Subs. storedir unlead
Date last used 9-92
Indicate the specific su6stance itored in the tanks to be closed (regular: unleaded,- diesel, waste oil, eta) • -
For waste oil tanks: Flave degreasing or other types of solvents been stored or mixed with the waste oil? -.
Yes (identify if known) No • Not known
Wsr-cmrykc Agave-et Ca- S.V2
City Ciear-field State 13T Zip_ 84015
' 09/28/92 09:37 2Y801 77:.\4306 00-ALC/EM DIV ENV RESP REM Z004
CONTÁCT LO'CAL HEALTH DISTRICT , of Dist. il&.vis Co ii.eaiti) - Date
contact Bryce Taggart yrtie UST Prucl.arrt Manager Phone # [phone]
CONTACT LOCAL FIRE DEPT. Name of Dept Clearfield Fire Dent . • Date; 9-3-92 . .
Contact Craig Whitesides Title -Phone #
SFTE ASSESSMENT
A site assessment must be performed for all UST closures and change-in-service. Site assessments must be
performed as outlined in R311-202, Part 280.72 and R311-205 (U.A.C.). lf contamination is suspected. additional
samples must be collected at the location where contamination is most Iikeiy to be present Soil and Groundwater
sample.s must be analyzed for the compounds shovm in the table below, using the appropriate lab method.
SUBSTANCE
STORED • COMPOUNDS METHODS TO BE USED
SOIL GRouNDWATER
Gasoline Total Petroleum 1-fydrocarbons (TPH)
Benzene. Toluene. Ethylbenzene. Xylenes (BTEX) _
-8015 Modified
EPA 8020
8015 Modified
EPA 602 or 624
Diesel Total Petroleum Hydrocarbons (rpH)
Benzene, Toluene. Ethylbenzene, Xylenes. Naphthalene (STE(N)
8015 Modified
EPA 8020
8015 modified
EPA 602 or 624
Oil
Used Oil
Oil end Grea.se (064) or Total Recoverable Hydrorbons (TRI-f) EPA 413.1 or 418.1
EPA 8020
EPA 413_1 or 418.1
EPA 602 or 824 Bercene. Toluene. Ethylbertzene. Xyienes, Naphthalene (BTEXN)
Other Appropriase EPA method as approved by the Etecutive Seavtary
Indicate the number of samples to be analyzed by each method:
Gasoline (TPH and BTEX): 2 Soil Water Diesel (TPH and BTEXN): Soil Water
Oil or Used Oil (O&G or TRH and BTEXN): Soil Water
Other 2 Number of samples Analysis method to be used: SW7421 for lead
Approximate depth to groundwater in the vicinity of the tanks: 100 Feet.
Number of Unified Soil Classification (USC) sarnpies to be taken 1
State Certified Laboratory to be used: Utility Testing Lab
Address 875 S. Chestnut. St- City SLC State Ur Zip 84125
Contact person • Don Thorsen Phone # ( 841 )973-8305
CONTAMINATION INFORMATION
lf contamination is detected or suspected, based on the site assessment, the inforrnion must be xeporzed to the
Executive Secretary (UST) at [phone] within 24 hours. The Division of Water Quality must be notified at (801) 538-
6146 if contaminalect-groundwater or surface w-zer is found. if contamination is oonfirrned, a oualified environmental
consuitant should assist in the remecliation process.
In the event that contarnination is found, the environmental consuttant will be:
Companci- -James 21. Montynery
Address 4525 S.. Wasatch BM 200 City SLC State UT Zip 84124

Contact person Phone # ( 801 272-1900
I certify under penalty Of law that-I am the owner/operator of t e facillty referenced above and that I am familiar with
the information on this form and that it is • aCc te co let •nd further, that the procedures described
herein will be followed during tank ci
Signature of owner/operator R/CHARD H- STENS
True Director, AMA Depot, Clearfield Date
09 /28/92 09:37 '&801 777..4306
TANK HANDLER/REMOVER Name
Add réss P.O. Bee( 9365.
Jeer Hennes
Randy SieLes
00-ALC/EM ENV RESP REM 005
TR-0072
Cert. # peenn7e
City Ogden State err .zip_ 844 09
SOIL/GROUNDWATER SAMPLER- Name
Addreee P-0- Box 9365
Jeff Hennes.
Randy Sieres C-S-0107 Cert. # c--S-0S-37
up Zip eeene

City Ogden State

DISPOSAL INFORMATION
Tank(s) will be disposed at Facility Durban()
Addrcse 2904 Pacific Aye. City 0?den State UT Zip 84401

Gontact person Dennis Dubrano Phone # ( 801 ) 621-5221
Product lines will either be: X removed or secured in place and capped.
Vent lines will either be: X rernoved or secured open.

Piping wilt be disposed at: Facility Durbano
Addrims 2904 Pacific Ave.
Contact person Denny Durbano
Tank(s) will be emptied by:
Tank(s) will be cleaned by:
Tank(s) will either be:
dry ice
Advanced PeLruleum Recyclers
Advanced Petroleum Recvclers
(company)
(companY)

purged or X rendered inert by the following method:

Through:
Residual sludges will be disposed at the following facility: Defense Reutilization & Marketing Office
Address DRIO-Ri11, eldg 890 City Hill AFB State UT Zip 84056
Phone # 801 ) 777-8028 Contact person Dick Ward
if the tank(s) are to be closed in-place, approval must be obtained from the Local Fire Department
. Date approval granted •. N/A_ Contact
For Closure in-place: Substance to be used to fill tanks
THE FOLLOWING MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FACILITY:
All materials generated from UST closures must be managed and disposed in a manner that does not place those
materials in direct contact with the environment If aeration of contarninated soil is proposed, prior approval will be
required by the ExecUtive Secretary as part of the Corrective Action Plan requiremerrts. On-site stockpiling of
contaminated soils rnay be required prior to any soil management activities. Check box below if aeration is planned.
An alternate disposal facility must be identified in the event that disposal rather than aeration is undertaken. If soil
is-aerated, any necessary permits must be obtained from the Division of Air Quality at [phone].
[J If found, contaminated soil will be aerated.
- Contaminated soils are to be-disposed at the following facility: E. T. Technolcgies
Address 6030 W. 1300 S., PO Box 535348 City SLC State UT Zip 84153-5348
Contact person Ted Sonnenberg Phone # ( 801 ) 973-2065
Contaminated water is to be disposed at the following
Address 2849 ABG/DEM
HAFB IndU5trial WaztewtE.r T"rfM=nt
City Hill AFB State UT zp 84056

Contact person John Owens Phone # ( 801 ) 777-4924
City Ogden St-dte UT Zp 84401
Phone # ( 801 ) 621-5221
0 9 /28 /9 2 09:38 23'801 77;4\4306 00-ALC/EM DIV ENV RESP REM 006
SITE PLAT
The sita plat must show all buildings, tanks, lines, dispensers, underarcund i.rtifiries, proposed sarnplina locations and
depths, substances stored in tanks, and other important feature&
Facility or Location ID No_

Drawn By Date

NORTH
SFF. ATIMCEED
1. Indicate sample locations, depths and sample type (soil, groundwater, unified soil classification).
2. Indicate tank number that corresponds with information given on page one of the Closure Plan.
Key: -- Building, etc_ outlines 0 = Monitoring Wells (MW-#,)
- - - Tank & Line outlines X = Sample Locations (SS-#, WS-#,)
Creeks. Rivers [1 = Water Wells (domestic, livestock, etc.)
Lines: -s-a-s- .= Sewer -p-p-p- Power -t-t-t- = Telephone
GaS -w-w-w- = Water -d-d-d- = French Drains
-.id-- storm drain
-.4.--conazte pad. u 15-Vz
Tank 9999_6 ffl
SS999,6T1 asloaro-Li_
09/28/92 09:38 $801 77.=.\4306 00-ALC/EM DIV ENV RESP REM Z007
;
SAMPLING PLAN
UST #9999.6
DMA - Freeport Center
Clearfield, Utah
North
_BUILDING D-5
09/28/92 09:38 2T801 777 4306 00-ALC/E1 DIV ENV RESP REM L2) 0 08
9999.6 Sample Plan
Tank i Sample ID I Type of Sample Analysis to be Conducted i Sample Depth
1
i
9999.6 i SSa9999 .6T1 7 Environment' ' Mod 8015, BTEXN & SW7421 a
I
SSO 999161.2 Environmental .f. Mod 8015, =IN & SW7421 a
i SS# 9999_6TG1 Geoteonnical Unifomi Soil Classification a
1 , I
1
a
1 .• [ 1.
1 i
I I
a w 2 ft below tank bad:fill/native soil interface I
Cootdinatiort
Org Name I Date
09/28/92 09:36 2T801 777 4306 00-ALC/E1 .4DIV ENV RESP REM Z002
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS OGDEN AIR LOGISTICS CENTER (AFIVIC)
HILL AIR FORCE BASE, UTAH 84056-5000
RaLYTO 4 SEP lgsa
ATTNOR EMI
SUBJECT: Underground Storage Tank (UST) Closure Plan, Facility ID# 3000324,
Tank #9999.6, Defense Mapping Agency, Clearfield, Utah
TO: Div of Envmtl Response & Remediation
Dept of Envmd Quality
UST Section
1950 W. North Temple
Salt Lake City UT 84114-4840
1. The Defense Mapping Agency (DMA) in Clearfield, Utah, is
undergoing a permanent facility closure. Due to their manpower
limitations, the DMA Director requested assistance from the EMR
office at Hill AFB in coordinating the removal and closure of their
UST (#9999.6). Carlene K111a7 of our office has coordinated this UST
removal effort with the DMA, Clearfield City Fire Dept, and contractor
personnel, and has prepared a proposed Closure Plan (attached).
2. A drawing of the UST site has been included with the Closure Plan
as a "Site Plat". The soil sample numbers, locations, a.nd depths have
been annotated on the Site Plat. In addition, a listing of each of these
samples and associated information is provided.
3. The DMA facility closure will bc complete 25 Sep 92; therefore,
we would appreciate your assistance in expediting this closure plan
through the approval process. If you have any questions, please
contact Ms Carlene Kunz at 777-6742.
JAMES R. VAN ORMAN
Director of Environmental Mgt
1 Atch
Closure Plan
cc: JAM (J. Tadje) w/atch
Davis Co. Health Dept
Attn: Bryce Taggart
- col,s"1
Arnold
Director of Health
TDD # [phone]
Davis County Health Department
Environmental Health and Laboratory Division
p Room 24, County Courthouse
P. O. Box 618, Farmington, Utah 84025
Telephone: [phone], Ext. 296
Richard L. Harvey, R.S., M.P.H.
Division Director
UTAH
ENV .
5
No yrzi f/a
11' 7
/
UV. '
Harry Woodbury
Defense Mapping Agency
Bldg D-5, Freeport Center
Clearfield, UT 84015
RE: Closure Plan Approval for Underground Stc
Bldg D-5 Freeport Center, Clearfield, Utah
Facility Identification No. 3000324
Dear Mr. Harry Woodbury:
The Closure Plan for the above-referenced facility, received by the Davis County Health
Department, Environmental Health and Laboratory Division on September 30, 1992, has
been approved subject to the noted modifications, if any. This department and the local fire
department must be notified 72 hours before beginning closure activities. The local agencies
may have additional requirements for closure or may charge inspection fees.
Any proposed change to the approved Closure Plan must be submitted in writing and
approved by our office before implementation. If contamination is suspected or found
during closure activities, you must report it to the Division of Environmental Response and
Remediation (DERR) at [phone] within 24 hours of discovery.
Enclosed is a copy of the "Closure Notice" form which must be completed and submitted
to the Executive Secretary (UST). The closed tank records will then be removed from the
tank fee billing lists. Please submit the environmental and Unified Soil Classification (USC)
sample analysis data and Chain of Custody forms with the Closure Notice as soon as
Harry Woodbury
Defense Mapping Agency
October 1, 1992
Page 2
possible, but no later than 90 days after tank closure.
If you have any questions please contact Rand Webb at [phone].
Sincdrely,
c ,r ( 6 ( v
Richard L. Harvey, M.P.H.
Director
RLH/RDW/ph
Enclosures
cc: Division of Environmental Response and Remediation
Clearfield Fire Department
Charlene Kunz, Hill Air Force Base
CLOSURE PLAN REVIEW SUMMARY sus 3, 0 1992
I Total number of regulated tanks at this site not previously closed Data Base: Closure Plan: 1
Certificate of Compliance issued for this site X 1 Yes [ 1 No
ENTRIES BELOW INDICATE A SIGNIFICANT DISCREPANCY BETWEEN THE INFORMATION SUBMITTED ON THE CLOSURE PLAN AND THE INFORMATION
IN THE TANK DATA BASE. ENTRIES REPRESENT THE INFORMATION IN THE DATA BASE. NO ENTRY FOR A PARTICULAR ITEM MEANS THE
INFORMATION IN THE DATA BASE CORRESPONDS TO THE CLOSURE PLAN.
Tank Owner Phone #
Address City State Zip
Site Name
Address City State Zip
Contact person Phone
TANKS TO BE CLOSED
Tank #
Facility ID # .3c54630RY
This facility is a non-notifier [ 1 Yes No
Age of tank
Capacity
Subs. stored
Date last used
TANK HANDLERIREIVIOVER Name 1411nrits / S. in 5 Cert. #riz
Certification Expiration date: & I 1 ,ff...3 A -/q/93
I .
SOILIGROUNDWATER SAMPLER Name nries ISsis
Certification Expiration date: PAVW//' to-f 9
0075
Cert. #0SoAo 7 SO s37
Remarks:
LHD US-E ONC"?
Date Received V.361/9t,
Reviewer/Date Reviewed 713/92.
ipp9Z-
Date mailed to State
Reviewer Recommendation
Date LHD Approved 41/4://
ONLY
Date Received r4112 130 .,
DaM ik/lailed to UD 0 ,Z2g77,..e.
Date Received From LHD -
Reviewer/Date Reviewed
Reviewer Recommendation
EHM Review/Date
0 9 /2 8/92 09:36 e801 777 4306 • 00-ALC/EM -> DIV ENV RESP REM Z003
UND&GROUND STORAGE TANK CLOSURE PLAN (rev. -02/15/92)
;
FACILITY 113# 5%O.U4
Closure Plan prepared ai the request of the owner/operator (identified below) by Carlene S. Kunz.
of (company name) Hill. Air Force 'Base Phone # (801 ) 777-6742
Address 00-3,-Lc/E1R City Hill AFŠ State ur Zip 84056
A Contractor may prepare this Closure Plan as the owner/operator's agent. In preparing the Closure Plan, the Contractor
must act with the owner/operator's knowledge and approval_ The owner/operator must sign the Closure Plan.
This Closure Plan is submitted in compliance with the requirements contained in R311-202 Subpart G and R311-204
(UAC.)
SITE INFORMATION
Tank Owner Defense appinAqency Phone # ( 803j 777-4,y4
) dba (individual doing business as) 1 sole proprietorship ( 1 partnership ( 1 corporation x Fed Gov't
Address Bldg D-5, Freeoort Center City Clearfield State UT zip 841)15
Site Name Defense Mapping Agency
Address Bldg D-5, FLeepurt Center City Clearf ield State UT Zip 84015 ,
Contact person Harry Woodbury Phone [phone]
Total number of underground tanks at this site 1
Total number of underground tanks at this site to be closed 1
TANKS TO BE CLOSED
Tank # 9999.6
Age of tank - 5
Capacity 1000
Subs. stored' unlead
Date last used 9-92
' indicate ihe specific su6stanCe itored in the tanks to be closed (regular; unleaded; diesel, waste oil, etc_)- - •
For waste oil tanks: Have degreasing or other types of solvents been stored or mixed with the waste oil? -.
Yes (identify if known) No • Not known
nevcee. M75612
09/.2 8 /9 2 0 9 : 3 7 e801 777 4306 • . 00-ALC/EM 444 DIV ENV RESP REM Z004
CONTÄCT LdCAL HEALTH DiSTRIC". arne of Dist. .D.vis Co. Healthr Date
Contact Bryce Taggart Trde UST Program Manager Phone # [phone]
e. 9 CONTACT LOCAL FIRE -DEPT„ Narr! of Dept: Clearfield Fire Deot Dat -3-92
' Tale Contact Craig Whitesides - Phone # [phone]
SITE ASSESSMENT
A site assessment rnust be performed fOr all UST closures and change-in-service. Site assessments must be
performed as outlined in R311-202, Part 280.72 and R311-205 (U.A.C.). If contamination is suspected. additional
samples must be collected at the location where contamination is rnost likely to be present. Soil and Groundwater
samples must be analyzed for the compounds shown In the table below, using the appropriate lab method.
SUSSTANCE
STORED
,
. COMPOUNOS mETHoos TO BE USED
SOIL GROUNDWATER
Gasoline
-
Total Petroleum 1-1ydrocarbons (TPR) 8015 Modied
EPA 8020
801S Modified
I'ik 602 or 624 Serizene. Toluene. Ethylbenzene. Xylenes (B1E1
Diesel Total Petroleum Hydrocarbons (TPH) 8015 Modi5ed
EPA 8020
8015 modified
EPA 6C2 or 624 Benzene, Toluene. Ethylbenzene, Xylories. Naphthalene (BTEXN)
Oil
Used Oil
Oil and Grea.se (O&G) or Total Recoverable Hyolrorbons (TRH) EPA 412.1 or 418.1
EPA 8020
EPA 413_1 or 418.1
EPA 6C2 or 624 .BenZene. Toluene. Ethylbenzene. Xyienes, Naphthalene (BTEXN)
Other Appropriate EPA method as approved by the Ececutive Secretary
indicate the number of samples to be analyzed by each rnethod:
Gasoline (TPH and BTEX): 2 Soil Water Diesel (TPH and BTEXN): Soil Water
Oil or Used Oil (O&G or TRH and BTEXN): Soil Water
Other: 2 Number of samples Analysis method to be used: SI47421 for .lead
Approximate depth to groundwater in the vicinity of the tanks: 100 Feet.
Number of Unified Soil Classification (USG) samples to be taken 1
State Certified Laboratory to be used: Utility Testing Lab
Address 875 S. Chestnut _ St - City SLC State UT Zip 84125
Contact person Don Thorsen Phone #[phone]
CONTAMINATION INFORMATION
If contamination is detected or sUspected, based on the site assessment, the informaion must be ,reported to the
Executive Secretary (UST) at [phone] within 24 hours. The Division of Water Quality must be notified at (801) S38-
6145 if contarninated-groundwater or surface water is found. if contamination is confirmed, a qualified environmental
consultant should assist in the remediation process.
In the event that contamination is found, the environmental consultant will be:
Compefq - "James 'M. Montaor.nery .
Address 48.2S WaSatch Si'vd #200 City SLC

State UT Zip 84124
Contact person .. Phone # ( 801 1 272-1900
I certify under penalty Of law thill aM the owner/operator of t e facility referenced above and that I am familiar with
herein will be followed during tank cl
aäc te co let nd further, that the procedures described the information on this form and that it is
Signature of owner/operator RICHARD H. STENS
True Director, DMA Depot, Clearfield Date
09/.28/92 09:37 V801 777 4306 • 00-ALC/EM DIV ENV RESP REM [6 005

Hannes TR-0072

TANK HAIM FR REMOVER Name Randy Sitars Cert. 4, TP-nn7c
Add aiss P.CL Box 9365 City Ogden State :1TE • Zip 84409

Jeff Hannes.
SOIL/GROUNDWATER SAMPLER- Name Randy Sims
Address P-0- Box 9365 City Ogden
GS-0107
Cert. # r:fi-OS17
State up Zip Ruing
DISPOSAL INFORMATION
Tank(s) will be disposed at Facility Durbano
Address 2904 Pacific Ave_ city Ogden State UT Zip 84401
contact person Dennis Oubrano Phone # ( SOlJ 621-5221
Product lines will either be: X removed or secured irt place and capped.
Vent lines wilt either be: X removed or secured open.
Piping will be disposed at: Facility Durbano
Address 2904 Pacific Ave. City_ Ogden State DT Zp 84401
Contact person Denny Durbano Phone # ( 801 ) 621-5221
Tank(s) will be emptied by.
Tank(s) will be cleaned by:
Tank(s) will either be:
dry ice
Advanced PeLo1errt Recyclers (oompanY)
(c-ornPanY) Advanced Petroleum Recyclers

purged or X rendered inert by the following method:

Residual sludges will be disposed at the following facility:
Address DRIO-Hill, Bldg 890
Contact person Dick ward
Through:
Defense Reutilization & Marketing Office
City Hil.1 APB State UT Zip 84056
Phone #( 801 ) 777-8028
If the tank(s) are to be closed approval must be obtained from the Local Fire Department
. Date approval granted N/A- Contact
For Clasure in-place: Substance to be used to fill tanks
THE FOLLOWING MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FACILITY:
AU materials generated frorn UST closures must be managed and disposed in a manner that does not place those
materials In direct contact with the environment If aeration of contaminated soil is proposed, prior approval will be
reqiiireil by the - Execi.rtive Secretary as part of the Corrective Action Plan requirements. On-site stockpiling of
contaminated soils may be required prior to any soil management activities. Check box below if aeration is planned.
An alternate disposal facility must be identified in the everrt that disposal rather than aeration is undertaken. If soil
isierated, arty necessary permits must be obtained frorn the Division of Air Quality at [phone].
-;
[ ] lf found, contaminated soil will be aerated.
Contaminated soils are to be-disposed at the following facility: E.T. Technologies
Address 6030 W. 1300 S.., •PC) Box 535348 City SLC State UT Zip 84153-5348
Contact person Ted. Sonnenberg Phone # ( 801 ) 973-2065

Contaminated water is to be disposed at the following facilfty: HF Indusrri.al Waa_i-ter Pnt
Address 2849 112.G./DEM City Hi11 AFS State UT zp 84056
Contact person John Owens Phone # f 801 ) 777-4924
09!28 /9 2 09:38 V 801 777 -1306 • 00-ALC/EM -3.4 DIV ENV RESP REM ZI006
4
, • SITE PLAT
The site plat must show all buildings, tanks, lines, dispensers, underground utitiries, proposed sarnpling locations and
depths, substarici stored irt tanks, and other important features.
Facility or Location ID No_ Drawn By Date
NORTH 'r
SFR ATTACHED
1. indicate sample locations, depths and sample type (soil, groundwater, unified soil classification).
2. indicate tank number that corresponds with information given on page one of the Closure Plan.
Key: -- Building, etc. outlines 0 = Monitoring Welts (MW-#,)
- - - Tank & Line outlines X = Sample Locations (SS4, WS-4-'1 )
Creeks, Rivers [ = Water Wells (domestic, lrvestock, etc.)
Lines: -s-s-s- = Sewer -p-p-p- = Power -t-t-t- = Telephone
-g-g-g- Gas -w-w-w- = Water -d-ci-d- = French Drains
-41—stonn drain
-..41--COnaetePai „ 16Vz' zzzu
Tank 9999_6
connection
SS*935),6T1
SS#9999S21G1
SS#9999,6TZ
09/.28/92 09:38 2T801 777 4306 • 00-ALC/EM DIV ENV RESP REM a007 „ ••
•
SAMPLING PLAN
UST #9999_6
DMA - Freeport Center
Clearfield, Utah
North
BUILDING D-5
09/.28/92 09: 38 13'8 01 777 4306 00-ALC/EM ->-0-0 DIV ENV RESP REM Z008 :T4 •
9999.6 Sample Plan
Tank i Sample ID . Type of Sample . Analysis to be Conducted i Sample Depth .- ,. _
9999.9 i SS,t 9999.6T1 .. Environmental I Mod 8015. BTEXN & SW7421 a
I
SS# 9999,5T2 Environmental Mod 8015, STEXN & SW7421 a
SS# g999.6TG1 ,Geettechnical Uniform Soil Claiticaiion a 1
. !
i -
1 c 1
I I r- 1 I 1
I
a al 2 ft below lank backill/native soil interface 1
Cootdination
Org Name I Date
*LC
I 4
1
09/28/92 09: 36 e801 777 4306 00-ALC/EM -*-3-* DIV ENV RESP REM 2] 002
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS OGDEN AIR LOGISTICS CENTER (AFMC)
HILL AIR FORCE BASE, UTAH 84056-5000
REPLY TO
4 SEP 1992
An-N OF: EM
SURIECT: Underground Storage Tank (UST) Closure Plan, Facility ID# 3000324,
Tank #9999.6, Defense Mapping Agency, Clearfield, Utah
TO: Div of Envrntl Response & Remediation
Dept of Envmtl Quality
UST Section
1950 W. North Temple
Salt Lake City UT 84114-4840
1. The Defense Mapping Agency (DMA) in Clearfield, Utah, is
undergoing a pertnanent facility closure. Due to their manpower
limitations, the DMA Director requested assistance from the EMR
office at Hill AFB in coordinating the removal and closure of their
UST (#9999.6). Carlene Kunz of our office has coordinated this UST
removal effort with the DMA, Clearfield City Fire Dept, and contractor
personnel, and has prepared a proposed Closure Plan (attached).
1 A drawing of the UST site ha.s been included with the Closure Plan
as a "Site Plat". The soil sample numbers, locations, and depths have
been annotated on the Site Plat. In addition, a listing of each of these
samples and associated information is provided.
3. The DMA facility closure will be complete 25 Sep 92; therefore,
we would appreciate your assistance in expediting this closure plan
through the approval process. If you have any questions, please
contact Ms Carlene Kunz at 777-6742.
S'iGNED
JAMES R. VAN ORMAN
Director of Environmental Mgt
1 Atch
Closure Plan
cc: JAM (J. Tadje) %Watch
Davis Co., Health Dept
Attn: Bryce Taggart
HAR WOODBURY
Ad istrative Officer
DEFENSE MAPPING AGENCY
COMBAT SUPPORT CENTER
CLEARFIELD DISTRIBUTION DEPOT
CLEARFIELD, UT 84016-1292
‘,$ . i2 4 -, t
0
0, so....
44".MENT OF 0‘
DOCS 25 August, 1992
SUBJECT: Base Closure
TO: State of Utah
Department of Environmental Quality
Division of Environmental Response and Remediation
1950 West North Temple, 2nd Floor
Salt Lake City, Utah 84116
1. The Defense Mapping Agency, Clearfield Depot, Clearfield UT,
will be closed effective 30 September 1992 due to consolidation
with the Philadelphia Depot.
2. If you have any questions, please contact Harry Woodbury on
[phone].
7
Not
Applicable Unacceptable
-t5"--q-/
- yerofy tank/lines
vs registered Y/N
- Documentation ok? Y/N
- Rate ok? Y/N
- FY 91 Y/N
P OCESSED BY
JULO 5 1991
Coo liance
- Comnliance Outstandnd?
- Leak detection reauired?-7
- crificaticn up t-
Date Qua
ccopleted and certoficate issued
.-11a ,--kr Discount
Previous Pollution incidence
- LUST File
- For= Included
Fund Paid
Y/N
- T9?
- FY 90?
- FY 91?
__cation?
y/t)
0/1'T
PST PROCESSING CHECKLIST
Q7IPPnRT\CHt'CKLIST.PST
elf Insurance [ ] Guarantee [ ] Commercial Insurance [ ) Surety Bond
sk retention group [ ] Letter of Credit pi Other: Exempted - Federal Facility •
PETROLEUM STORAGE TANK FUND CHECKLIST *
1. CERTIFICATE OF REGISTRATION:
[x]. All Underground Storage Tanks (USTs) have been registered - Form 7530 (Revised 9-89).
[ ] Registration Tank Fees have been paid - 1988/1989 = $25/tank/yr, 1990/1991= $45/tank/yr
2. COMPLIANCE WITH UST REGULATIONS:
m l am in compliance with release detection requirements.
[ ] Tanks installed before 1965 or unknown: release detection by Dec. 1989.
Di Tanks installed 1965-1988: release detection to be completed by my compliance date.
[ ] Release detection completed upon installation.
pi I am in compliance with all other Federal, State, and Local UST regulations.
3. PST FUND FEES -- ANNUAL FACILITY MONTHLY THROUGHPUT:
[ ] i am a marketer, or I am a non-marketer with annual facility monthly throughput greater
than 10,000 gallons.
[ ] $250 payment/tank: Fiscal year (July 1, 1990 - June 30, 1991).
[ ] Quarterly payments @ $62.50/tank (Due the 1st day of Jul, Oct, Jan, and Apr).
pi l am a non-marketer with annual facility monthly throughput less than 10,000 gallons. pi I have completed the APPLICATION FOR NON-MARKETERS DISCOUNT form.
N $125 payment/tank: Fiscal year (July 1, 1990 - June 30, 1991).
[ ] Quarterly payments @ $31.25/tank (Due the 1st day of Jul, Oct, Jan, and Apr).
4. TANK & LINE TIGHTNESS TEST -- ACTIONS REQUIRED AFTER TEST:
H All systems pass the tank and line tightness tests.
[x] I am submitting the results of the tank tightness test and a copy of the field report.
[ ] All tanks do not meet the requirements set by rule regarding tank tightness testing.
[ ] I have contacted the State UST office and will submit evidence of a plan for review.
5. PREVIOUS POLLUTION INCIDENTS:
pc] I have completed the PREVIOUS POLLUTION INCIDENTS form which states whether
under customary business inventory practice standards, I am aware of any release from the
tank.
6. INDEPENDENT FINANCIAL ASSURANCE (Keep records at your facility):
[ ] I have obtained financial responsibility requirements for the first $25,000/release:
[ ] I have obtained independent third-party financial assurance by my compliance date.
[ ] I will obtain independent third-party financial assurance by my compliance date.
*See explanations under "How do l get started?"
FAOLfri #
PETROLEUM STORAGE TANK FUND APPLICATION
FACILITY INFORMATION: LOCATION OF TANKS:
Owner Name: Defense Mapping Agency
Street Addressclearfield Depot
Facility Name: Defense Mapping Agency
StreetAddressclearfield Depot Bldg D-5
City: Clearfield
County: Davis County: Davis
P
Zip Code: 84016-1220 hone: 777-4527 Phone: [phone]
Zip Code: 84016-1220 State: Utah State: Utah
City: Clearfield
Contact Person: vi cki Stanley Contact Person: vi cki Stanley
TYPE OF OWNER: Technical Information Contact: Andrew Gemperline/ 777-6742
[ ] Marketer, or non-marketer with annual monthly throughput greater than 10,000 gallons.
[x] Non-marketer with annual monthly throughput less than 10,000 gallons (Must verify).
DESCRIPTION OF UNDERGROUND STORAGE TANKS:
Tank # 9999-6
Age 5/1/88 Capacity 1000
Substance Gasoline
TANK TIGHTNESS TEST
Tank # 9999-6
Pass/Fail Pass
CERTIFICATE OF REGISTRATION
[x] All Underground Storage Tanks (UST) at this facility have been registered.
[x il All registration TANK Fees have been paid.
COMPLIANCE WITH UST REGULATIONS:
Is the applicant currently in compliance with all Federal, State, and Local UST regulations
[x ] Yes [ ] No -- If "No" please describe item(s) of non-compliance:
PREVIOUS POLLUTION INCIDENT(S)
Have you ever had a pollution incident at your facility? NO
[ ] Yes -- If "Yes" please provide LUST (Leaking Underground Storage Tank) Information:
[x ] No -- If "No" please attach a letter stating that under customary business inventory
practice standards you are not aware of any release from any tank(s) at thiš facility.
PST FUND FEES
[ x] Full payment for every tank at this facility is included with this application.
[ ] Quarterly payment(s) for every tank at this facility are included with this application.
I certify under penalty of law that the above representations made by me are true and correct.
Applicant's signature: 71a-42 Date signed:
To: Mr. Dennis Downs
Executive Secretary ,
Utah Solid & Hazardous Wastes Coxnmittee
Dear Mr. Downs:
As required by paragraph 26-14e-404 of the Underground Storage Tank Act, I have
performed a tank and line tightness test on each underground storage tank at my facility,
and based on this test, there has not been a release of petroleum. Additionally, based
on "customary business inventory practices standards", I am not aware of any release -of
petroleum from my tanks.
dhVii ah-; signature o wner/operator
OR
I have had the following releases of petroleum (detailed below; also mention any action
you took to clean up the release).
signature of owner/operator
Failure to report previous releases could void your coverage under the Petroleum Storage
Tank Fund.
UST TEST RESULTS
(PRECISION TANK TESTING)
+ . *
HILL AIR FORCE BASE
FREEPORT BUILDING #D,5
CLEARFIELD, 'UTAH
Underground Storage Tank Testing
CONTRACT F42650-90-D-0031
Project 910769
May 30, 1991
Mr. Bob Elliott
HILL AIR FORCE BASE
Directorate of Environmental Management
00-ALC/EMR, Bldg. #800-Bay 9B
Hill AFB, Utah 84056
RE: Precision Tank Test Results
- Freeport Tank No. D.5 -
Dear Mr. Elliott:
Following, please find the results of the precision tank and line tests conducted
on the underground storage system located at the Freeport Building #D.5,
Clearfield, Utah. The final results are indicated on the cover sheet of the test
packet; a site plot of the facility will indicate the location of the system tested.
A brief summary of the results obtained is as follows:
UNLEADED SYSTEM (1,000 Gallons): Appendix A
A full systems' precision test (#1175) was conducted on this system at an
elevation of 83 inches (35 inches above tank top). The product delivery system
consists of a suction pump; the tests conducted encompass all of the piping,
fittings and associated tank top connections. The precision test results obtained
indicated a net final change (temperature corrected) in product volume of
-0.002 gph (gallons per hour).
Based on the precision tank and line test results obtained, this system does not
appear to be losing product and has passed the precision tightness tests.
We trust that this report satisfies your leak detection requirements. Enclosed
are three copies of this report. Please retain one (1) copy for your files at the
tank site facility as proof that these systems have been precision tightness tested
and submit one copy to the State of Utah - Department of Health - UST
Division.
1 RO. Box 30777,
4446W. 1730 S. SLC, UT 84130
[phone] FAX [phone]
TOLL FREE 1-800-453-8418
Underground Storage Tank Testing
CONTRACT F42650-90-D-0031
Project 910769
The precision tests were conducted in accordance with the technical
requirements outlined in NFPA 329 and the EPA's 40 CFR Sub-part D -280.43.
If you have additional questions or have comments concerning this report,
please call [phone]. We would be happy to assist you in any way
possible.
Respectfully submitted,
Paul Krumm
Supervisor Testing Services
cc: EA Engineering, Science, and Technology, Inc.
Project Manager - AI Grimm / John Dowdakin
[phone]
CERTIFICATE OF PRECISION LEAK TEST
CBC ENVIRO ENGINEERING CERTIFIES THE FOLLOWING:
DATE: 05-15-91
SYSTEM(s)
CERTIFIED TESTER: DSI.,
TANK LINES
#90184
PROD/LINE
1. 1K-UNLEADED PASS PASS PASS
2.
3.
4,
5.
6.
7.
8.
ANY FAILURE LISTED MAY REQUIRE NOTIFICATION OF THE PROPER
LOCAL REGULATORY AGENCIES
CONDITIONS OF CERTIFICATION
Because of the uncertainty of variable precision tank test conditions and the necessity of relying on facts and supporting services
furnished by others, CBC Enviro Engineering is unable to guarantee the accuracy of any test data or chart interpretation or any other
data furnished by CBC Enviro Engineering. CBC Enviro Engineering personnel will use their best efforts in gathering such information
and their best judgment in interpreting it, but the Customer agrees that CBC Enviro engineering shall not be liable and the Customer
shall indemnify CBC Enviro Engineering against any damages arising from the use of such information. CBC Enviro engineering will
not be responsible for accidental or intentional interception of such data by others.
Both the Customer and CBC Enviro Engineering acknowledge that the subject equipment of this test includes extremely complex
measurement techniques which to a large extent rely on generally accepted statistical computations. Each measurement made by the
subject equipment, therefore, is made in accordance with accepted statistical averaging techniques which do not compensate for each
statistical variable. CBC Enviro Engineering, therefore, makes no warranties other than the operability of the subject equipment, such
warranty being limited to the cost of replacement or repair of the subject equipment.
REVIEWED BY; CBC ENVIRO ENGINEERING
Jerry Riding Paul Krumm
Nona Manager Testing Supervisor
CBC ENVIRO ENGINEERING 4446 WEST 1730 SOUTH
SALT LAKE CITY, UT 84130
(801)-974-5544
PRECISION TANK & LINE TEST RESULTS
-Invoice Address: Tank Location: W.0.*: 1175
EA ENGINEERING SCIENCE HILL AIR FORCE BASE I.D. Number: N/A
-41019 MC CORMICK ROAD FREEPORT BUILD.* D.5 Technician:DSL
HUNT VALLEY, MD. 21031 STATE OF UTAH Tech.#100184 Van#85748
-Date: 05-15-91 Time Start: 1:30 End: 17:30 County: NA
cacility Phone*: 801-777-6742 Groundwater Depth: 150' Blue Prints: NO
Contact: BOB ELLIOTT Date:Time system was filled: 05-14-91 28HR~
Tank Fill/Vent Product Type Of Vapor Inches of Pump Tank
_Sank Capacity Product Tank Vapor Lines Line Recovery Water/Tank Type terial
1K UNL PASS PASS PASS N/A OH SCF DWF
Additional Information:
THIS IS A SUCTION SYSTEM, ALL LINES ARE FLOODED AND I
LEGEND
TRB = submersible turbine pump
SCT = suction pump
SWS = single walled steel tank
FRP = fiberglass walled tank
PLT = product line test result
GPH = gallons per hour
SITE LOG TIME
AMM,
3et Up Equip: 1:00
Bled Product Lines: 1:30
Bled Vapor Lines: N/A
31ed Vent lines: N/A
31ed Turbine: N/A
Bled Suction Pump: N/A
-Risers Installed: NO
MO.
^OM
a) This system and method meets the criteria set forth in NFPA #329.
_)) Any failure listed above may require further action, check with
all regulatory agencies.
0••••
- Certified Technician Signature Date 11-5-

i

B.M.A. # B-5

!

7.
0 FILL PIPE
0 VENT

\

N,

Site layout For : H.A.F.B.: B.M.A. - FREEPORT BUILDING # D-5
F4 EE E3 d' E3 ystm IPo em ss c-,'Acs L_ em as 14 lr to, .1b 4440 WEST 1.7.30 . JUTH SAt..T I...AKE CITY, UT 04
Invoice No.I 1175 Date: 05/15/91 Time : 15:23:38
Technician: DSL Tanks DWF-#D5 Tank Diameter(in): 48
Volume(gal): 1000 Grade Level(in): 106 Product Level(in): 83
Water Level On Tank(in): 0
— Specific Gravity: .73
Calibration Value(m1): 200
Level Segment From: 1 To 200
Coefficient Of Expansion: 0.0007009
Channel: 2
Temp Segment From: 1 To 200
P' (...:11:11„.1 I::: 1: 1.11'.1 PI 0 F.:. D
Change In Calibration Zone = 84
Starting Temperature (Fla 53.038
Surface Area(sq. in): 14.7
Calibration Unit(gal/unit) = 0.00062
Head Pressure(col/in (Btm)): 60.6
Temp. Change(F/h) : -0.012
."•"111"91r".1161•16•••••111
Level volume(gph):
Temp. volume(gph);
--Net change(gph)
MSS
Product Line(gph):
R er u. 1 > IP' FI E3 IL— — >
--Copyright (c) 1989 by AES, Inc.
** Notes **
)EFENCE MAPING AGENCY: FREEPORT CENTER BUILDING # D-5 )H.A.F.B.(
THIS IS A HIGH LEVEL TEST AT (83") WITH A 200 ML. CAL. -"MADE LEVEL IS AT 106" - GRADE LEVEL IS MEASURED TO THE TOP OF THE FILL PIPE.
HIS 15 A SUCTION SYSTEM, ALL LINES ARE FLOODED AND INCLUDED.
Notification for Underground
Oro smear* mime
Storage Tanks STATE USE ONLY
ID NUMBER .6-'365 63 gar/
DATE RECEIVED / 7 -f8 TYPE OF NOTIFICATION
A. Date Entered Into Computer '2 7 17 A. NEW FACILITY B. AMENDED C. CLOSURE B. Data Entry Clerk Initials
No. of continuation sheets attached No. of tanks at facility _L C. Owner Was Contacted to
Clarify Responses. Comments INSTRUCTIONS
Please tvoe or print in ink all hems except "signature" in section V. This form
must be completed for each location containing underground storage tanks. If
more than five (5) tanks are owned at this location, photocopy the following
sheets, and staple continuation sheets to the form.
Notification is required by Federal law for ail underground tanks that
have been used to store regulated substances since January 1, 1074, that
are in the ground as of May 8, 1906, or the! are brought Into use after May e,
1986. The intotmation requested Is required by Section 9002 of the Resource
Conservation and Recovery Act, (RCRA), as amended.
The primary purpose of this notification program is to locate and *value*
underground tanks that store or have stored petroleum or hazardous substances.
ft Is expected that the information you provide will be based on reasonably
available records. or In the absence of such records. your knowledge, bektf. or
recollection.
Who Must Notlfy? Section 9002 of RCRA, as amended, requires that, unless
exempted, owners of underground tanks that store regulated substancesmust
notify designated State or local agenaes of the existence of theirianks. Owner 4t,
MOM— iko/A
a) in the case of an underground storage tank in use on Novsthb.r8, 1984, or
brought into use after that date, any person who owns an underground
tank used for the storage, use, or dispensing of regulated substances, reltire •
b) in the case of any underground storage tank in use before November 8,
1984. but no longer is use on that date, any person who owned such tank
immediately before the discontinuation of its use.
c) if the State agency so requires, any facility that has undergonuatdunges
to facility information or tank system status (only amended tank info/Madan !Weds
to be Included).
What Tanks Are included? Underground storage tar* is defined as arty one
or combination of tanks that (1) Is used to contain an accumulation of 'regulated
substances,' and (2) whose volume (including connected underground piping) is
10% or more beneath the ground. Some examples are underground tanks storing:
1. Gasoline, used oil, or diesel fuel, and 2. industrial solvents, pesticides,
herbiddes or fumigants.
What Tanks Are Excluded? Tanks removed from the ground are not subject
to notification. Other tanks exduded from notification are:
Mann or residential tanks of 1,100 gallons or less capadty used for storing
motor fuel tor noncommercial purposes;
2. tanks used for storing heating oil for consumptive use on the premises
where stored;
S. septic tanks;
4. pipefine WINK (including gathering lines) regulated under the Natural GOB
Pipeline Safety Act of 1988, Of the Hazardous Liquid Pipeline Safety Act of 1979, or
which is an intrastate pipefine facility regulated under State laws;
5. surface Impoundments, pits, ponds, or lagoons:
6. storm water or waste water collection systems;
7. now-trough process tanks;
8. liquid traps or assodated gethedng Ines directly rotated to oil or gu
production and (Whoring operations;
0. Worse* tanks situated in an underground area (such as a basement, cellar,
minewoddrigidrift, shaft, or tunnel) if the storage tank is Musa upon or above the
surfacO of $* floor. A
What Substances Are Covered? The notification requirements apply to under
ground storage tanks that contain regulated substances. This includes any
C.L-/ 3 defined as hazardous In section 101 (14) of the Comprehensive
tal Response, Compensabon and Liability Act of 1980 (CERCLA), with
of those substances regulated as hazardous waste under Subtitle C of
udee petroleum, crude oil or any *action thereof which Is
xasiditions of temperature and pniewire MO degrees Fahrenheit
and i4.7pountiPsr aquare inch absolute).
'Where To Notify? Send completed torms to:
UTAH DEPARTMENT OF HEALTH
BUREAU OF ENVIRONMENTAL RESPONSE & REMED .
288 N. 1460 W., P.O. BOX 16690
SALT LAKE CITY, UTAH 84116 -0690
When To Notify? 1. Owners of undergrourictstorage Woks in use or that have
been taken out of operation after January 1, 1974;but still trewaround, must notify
by May 8, 1966. 2. Owners who bring underground storagelanktiatiuse after May
8, 1968, must nodfy within 30 days of bringing the tanks ineruea-3. Ifirre State
requires notification of any amendments to facility send information to State agency
immediately.
Penalties: Any owner who knowingly fails to notify or submits hiss Informa-
tion etwit be subfect to a civil penalty not to exceed $10,000 for each tank for
which notMcation is not given or for which false iniormation is submitted.
I. OWNERSHIP OF TANK(S) II. LOCATION OF TANK(S)
N muted by Stele, ilve the geographic leaskin et tents by degrees, Maass, wet seconds. Examples Lat. 42, 31, 12 N Lane. 15. 24, 17W
Omer Name (Cannata, individual, Pablo Agency, or Other Entity) DEFENSE MAPPING AGENCY
Strest Address
CLEARFIELD DEPOT
DAVIS County
[phone]
Phone Number (Include Area Cale)
Latitude 41.06N Longitude 1 1 2 . 01W
(I1 same Section I. mark bat here )
Feclay Name or Comer/ 81e Iderefler, as applable DEFENSE MAPPING AGENCY
Bust Address (P.O. Box not &capable)
CLEARFIELD DEPOT
CLEARFIELD, UTAH 84016-1220
City Suds Zip code
DAVIS County Ibanablity
CLEARFIELD , UTAH 84016-1220
csy SOO ZIP Cods
OM NO. 10.00011. Oward Oulm., MOM IPA am 711004 fRooleal Ml
GENERAL INFORMATION
Page
Name and official title of owner
or owner's authorized representative (Print) Signature Date Signed
III. TYPE OF OWNER IV. IND‘.../LANDS
Tanks are boated on land within an Indian [Tribe or Nation:
Reservation or on other trust lands. 0
Tanks are owned by native American
nation, tribe, or individual.
gl Federal Govemmerd El Commercial
El State Govemment El Private
0 Local Govemment 13 I 1
V. TYPE OF FACILITY
Select the Appropriate Facility Description
Gas Station Railroad Trucking/Transport
Petroleum Distributor Federal - Non-Military Utilities
Air Taxi (Airline) X Federal - Military Residential
Aircraft Owner Industrial Farm
Auto Dealership Contractor Other (Explain)
VI. CONTACT PERSON IN CHARGE OF TANKS
Name Job Title Address Phone Number (Include Area Code)

bc_re"kr-: "4,481^1C, r,c4-
/14 k_ r_ 4Del ,,;(4 .-53-oerrive: ,3efo-r (70
yqcet--1;1-P-0
VII. FINANCIAL RESPONSIBILITY
I have met the financial responsibility requirements in
accordance with 40 CFR Subpart H YES
Check All that Apply
Self Insurance Guarantee State Funds
Commercial Insurance Surety Bond Trust Fund
Risk Retention Group Letter of Credit X Other Method Allowed Specify
Exempted - Federal Facility
VIII. CERTIFICATION (Read and sign after completing all sections)
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached
documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe thal the
submitted information is true,accurate, and complete.
EPA estimates public reporting burden for this form to average 30 minutes per response including time for reviewing instructions,
gathering and maintaining the dela needed and completing and reviewing the form. Send comments regarding this burden estimate to
Chief, Information Policy Branch PM-223, U.S. Environmental Protection Agency, 401 M Street, Washington D.C. 20480, marked
*Attention Desk Officer for EPA." This form amends the previous notification form as printed in 40 CFR Part 280, Appendix I. Previous
editions of this notification form may be used while supplies last.
IX: DESCRIPTION OF UNDERGROUND STORAGE TANKS (Complete for each tank at this location.)
Tank identification Number Tank No.9999-6Tank No. Tank No. Tank No. Tank No.

1. Status of Tank
(mark only one) Currently in Use
Temporarily Out of Us*
ol......w....A.iimx.)
X
Permanently Out of Use
is • autseillro x.) (Illeamilar
Amendment of Information
2. Date of Installation (mo./year) 05/01/88
3. Estimated Total Capacity (gallons) 1000
4. Material of Construrtion
(Mark all that apply)
Asphalt Coated or Bare Steel
Cathodically Protected Steel
Epoxy Coated Steel
Composite (Steel with Fberglass)
Ftherglass Reinforced Plastic
Uned Interior
Double Walled
Polyethylene Tank Jathet
Concrete
Excavation Uner
Unknown
Other, Please specify
Has tank been repaired?
X
5. Png (Material)
(Mark all that apply) Bare Steel
Galvanized Steel
Fberglass Reinforced Plastic
CoPPer
Cathodicalty Protected
Double Walled
Secondary Containment
Unknown
Other, Please specify
,
X
6- PION (TyPe) (Mark all that apply)
Suction: no valve at tank
Suction: valve at tank
Pressure
Gravity Feed
Has piping been repaired? .
x
„,
Tank Identification-Number Tank No. Tank No. •.... Tank No ”. Tank No. Tank No. - -
7. Substance Currently or Last Stored
In Greatest Quantity by Volume
Gasoline
Diesel
Gasohol
Kerosene
Heating Oil
Used Oil
Other, Please specify
Hazardous Substance
CERCLA name and/or,
CAS number
Mixture of Substances
Please specify
X
.
1.—
X. TANKS OUT OF USE. OR CHANGE IN SERVICE
1. Closing of Tank
A. Estimated date last used
(moJday/year)
B. Estimate date tank closed
(molday/year)
C. Tank was removed from ground
D. Tank was closed in ground
E. Tank filled with inert material
DescrIbe
F. Change in service
2. Site Assessment Completed
Evidence of a leak detected
Page 4
XI CERTIFICATION OF COL ,ANCE (COMPLETE FOR ALL NEW AND UPG. _LIED TANKS AT THIS LOCATION)
1 'Tank Identification Number Tank No. Tank No. Tank No. Tank No. Tank No.
1. Installation
A. Installer certified by tank and
piping manufacturers
B. Installer certified or licensed by the
implementing agency
C. Installation inspected by a
registered engineer
D. Installation inspected and
approved by implementing agency
E. Manufacturer's installation cheek-
lists have been completed
F. Another method allowed by State
agency. Please specify.
,
2. Release Detection (Mark all that apply)
A. Manual tank gauging
B. Tank tightness testing
C. Inventory controls
D. Automatic tank gauging
E. Vapor monitoring
F. Groundwater monitoring
G. Interstitial monitoring .double walled
tank/piping
H. Interstitial monitoring/secondary
containment
I. Automatic line leak detectors
J. Une tightness testing
K Other method allowed by
Implementing Agency. Please
specify.
TANK PIPING TANK PIPING TANK PIPING TANK PIPING TANK PIPING
.
1
4 ,
3. Spill and Overfill Protection
A. Overfill device installed
B. Spill device installed
OATH: I certify the information conceming installation that is provided in section XI is true to the best of my belief and knowledge.
Installer: Name Signature Date
Posit= Company
Pape 5