DERR-2024-004798

Rockwell Solutions, Inc., 718 E. Bridger Lane, Elk Ridge, UT 84651 801-361-2930 [e-mail]
Rockwell Solutions, Inc.
718 E Bridger Lane
Elk Ridge, UT 84651
[phone]
February 6, 2024

Mr. Richard Wright
Jacksons Food Stores
P.O. Box 610
Meridian, ID 83642

Re: Work Plan MIZ-12, Soil Confirmation Sampling
Former Jacksons Food Stores #102, 666 N Main Street, Clearfield, Utah
Facility ID: 3000098, Release ID: MIZ

Dear Mr. Wright

Rockwell Solutions, Inc. submits this work plan to collect soil confirmation samples at the above-
referenced site to evaluate the site for closure. PST Fund payment claims will reference this work plan
and the specific tasks itemized below.

INTRODUCTION

The subject site is a former retail fueling facility located in Clearfield, Utah. A 6,000-gallon release
from the regular unleaded underground storage tank was reported on March 17, 2004. Investigation,
remediation, and groundwater monitoring have occurred since that time. The oxygen injection
remediation system at the KFC southwest of the subject property was shut down in January 2022 and
is no longer needed.

The USTs were removed from the site on November 9, 2022. The building and pavement are
scheduled to be removed soon in preparation for the construction of a car wash.

The objective of this workplan is to collect soil samples to confirm soil has been remediated.

SCOPE OF SERVICES

Confirmation Sampling
Borings will be installed as close as possible to former remediation wells RW-1, RW-3, RW-9, and
RW-22 and UST closure sample location TB-SW. See Figure 1. Soil samples will be collected for
laboratory analysis at approximately ten feet below grade (bg) from RW-1 and RW-22, and at
approximately twelve feet bg at RW-3, RW-9, and TB-SW.

The samples will be analyzed for MTBE, benzene, toluene, ethylbenzene, xylenes, and naphthalene
(MBTEXN) and total petroleum hydrocarbons – gasoline range organics (TPH-GRO) using EPA
Method 8260 and TPH-diesel range organics (TPH-DRO) using EPA Method 8015. If TPH-GRO or
Work Plan MIZ-12, Soil Confirmation Sampling, Former Jacksons #102, Clearfield, Utah

Rockwell Solutions, Inc., 718 E. Bridger Lane, Elk Ridge, UT 84651 801-361-2930 [e-mail]
2

TPH-DRO concentrations exceed their respective Tier 1 levels, the sample will also be analyzed for
TPH-GRO and/or TPH-DRO fractionation.

Confirmation Soil Sampling Report
A comprehensive soil analytical table will be prepared showing the results of all soil sample analytical
results, dates, and depths for soil samples collected that are related to releases LVO and MIZ. The
chain-of-custody for the confirmation soil sample results will be included.

Maps will be prepared showing the locations of the current and historic soil samples as well as the
former UST system and buried utilities at the former gas station property.

KEY PERSONNEL

Senior Project Manager: David Hansen

COST ESTIMATE

Rockwell Solutions estimates the cost to complete the work as described in this proposed Work Plan is
$6,272.90. A detailed cost breakdown is presented in Table 1. The estimated budget will require
adjustment if the scope of services identified herein is modified.

Please feel free to contact me at [phone] should you have any questions or concerns.

Sincerely,
ROCKWELL SOLUTIONS, INC.

David S. Hansen
Utah Certified UST Consultant #CC130

cc: Nicole Chavez, DERR
Task 1 - Work Plan Development
LABOR
Hours Title Code Description Rate Total
9 Project Manager 103 Prepare Work Plan and Budget 118.00$ 1,062.00$
Total Task 1 1,062.00$
Task 2 - Confirmation Sampling
LABOR
Hours Title Code Description Rate Total
1 Sr Project Manager 101 report and project review, oversight 147.00$ 147.00$
2 Field Scientist 104 field prep and post 101.00$ 202.00$
7 Project Manager 103 confirmation sampling, travel, sample delivery 118.00$ 826.00$
8 Field Scientist 104 data compilation, historic analytical table and maps 101.00$ 808.00$
4 Project Manager 103 report preparation 118.00$ 472.00$
1.5 Administrative Assistance 109 General secretarial 62.00$ 93.00$
Subtotal 2,548.00$
SUBCONTRACTORS
Item Quantity Unit Rate Total
Direct Push Services 1 lump sum (drilling)2,000.00$ 2,000.00$
Subtotal 2,000.00$
OTHER DIRECT COSTS
Item Quantity Unit Rate Total
Mileage to/from site and lab 180 Miles 0.655$ 117.90$
photoionization detector 1 day 95.00$ 95.00$
sampling supplies 1 day 25.00$ 25.00$
8260 MBTEXN, TPH-GRO, DRO 5 each 85.00$ 425.00$
Subtotal 662.90$
Total Task 2 5,210.90$
6,272.90$ Total Work Plan
Soil Confirmation Sampling
Table 1
Former Jacksons Food Store #102
UST Facility #3000098; Release # LVO, MIZ
Budget for Workplan MIZ-12
666 North Main Street, Clearfield, Utah
Rockwell Solutions, Inc.
Page 1 of 1
20-1339913 | www.directpushservices.com
Direct Push Services LLC
PO Box 25784
Salt Lake City, UT 84125
[phone]
[e-mail]
Estimate
ADDRESS
Dave Hansen
Rockwell Solutions
718 East Bridger Lane
Elk Ridge, UT 84651
ESTIMATE #240054
DATE 02/06/2024
EXPIRATION DATE 05/31/2024

P.O. NUMBER SALES REP
Jackson's #102 Clearfield Sean Bromley
DATE ACTIVITY QTY RATE AMOUNT
Lump Sum 5b 0-12' soil only. Backfill and restore the
surfaces as needed.
1 2,000.00 2,000.00
Cost Per location for additional borings 0 275.00 0.00

Jacksons #102, Clearfield
5 borings to 12 feet. Soil only
TOTAL $2,000.00
Accepted By Accepted Date
Project:Proposal #:RJR
Description:Date:Check By: RJR
#
Units Cost #
Units Cost #
Units Cost
1 Project Setup, Coordination, Oversight, Utility Locates, and Scheduling
Project Manager (PM)hours 1 130.00$ 130.00$
Admin hours 0.5 59.00$ 29.50$
2 Travel and Conduct Fieldwork
Daily Rig Rate (GeoProbe 6620DT track rig) days 1 1,950.00$ 1,950.00$
Drillers Assistant days 1 780.00$ 780.00$
Mobilization / Demobilization LS 1 110.00$ 110.00$
Crew travel (2 crew members)hours 2 65.00$ 130.00$
Field supplies and Consumables (soil sample liners, equipment
decontamination, hole abandonment and surface restoration materials)days 1 175.00$ 175.00$
Mileage (1 vehicle, roundtrip)miles 45 0.67$ 30.15$
LABOR Sub-Total 1,069.50$
2,265.15$
ESTIMATED TOTAL 3,334.65$
(1) Drill and collect 5 continuous soil borings to 12-ft bgs using a Geoprobe track rig, (2) decontaminate
equipment between borings and abandon borings and restore surfaces at each location.2/6/2024
SUB-TOTALS
PROJECT ESTIMATE SHEET
ROCKWELL SOLUTIONS - Jacksons Clearfield Utah Property Drilling Project 24E-3958 Estimated By:
Total Cost
1,069.50$ 175.00$ 2,090.15$
Proposal assumes five (5) continuous soil cores to 12-ft bgs using a Geoprobe 6620DT track mounted drill rig. No groundwater
sample collection is anticipated. Rockwell to log borings and collect samples. RMEC to decontaminate equipment prior to
mobilization and between each boring, abandon holes and restore surfaces at each boring location.M/E Sub-Total
Task / Item
#Work Description Units
Labor Direct Costs & Materials Equipment
2/6/2024 Project Estimate Sheet 24E-3958 Page 1of 1
Petroleum Storage Tank Trust Fund Work Plan Approval Application and Agreement
for Work Plan No. MIZ-12

Facility Name: Jacksons Food Stores #102, Address: 666 North Main Street, Clearfield, Utah ID No. 3000098
Release ID MIZ (“Release”)
Owner/Operator, responsible party or other person seeking PST Fund reimbursement Jacksons Food Stores
(“Claimant”)
Certified Consultant or other person performing remedial action concurrently with this Work Plan under the
supervision of a certified consultant Rockwell Solutions, Inc. (“Contractor”)

In submitting Revised Work Plan MIZ-12 for the above referenced Release MIZ for approval, the Claimant and the
Contractor collectively, the “Parties” represent and agree to the following.

Definitions
“Contractor” means the person identified as such above.
“Claimant” means the person identified as such above.
“Executive Secretary” means the Executive Secretary of the Solid and Hazardous Waste Control Board (UST).
“Fund” means the Petroleum Storage Tank Trust Fund.
“Release” means the release identified above.
“State” means the State of Utah including its agencies, officers, employees, volunteers and specifically, the Division of
Environmental Response and Remediation, the Executive Secretary of the Solid and Hazardous Waste Control Board
(UST) and the Petroleum Storage Tank Trust Fund.
“Work Plan” means the work plan identified above.

1) The key personnel, for which qualifications are submitted under R311-207-3(c), are: David S. Hansen

2) The Claimant acknowledges that the Claimant is required to obtain a payment bond from the Contractor
under section 14-2-1 of the Utah Code. If the Claimant fails to do so, the Claimant is liable to each person
who performed labor or services or supplied equipment or materials (“Subcontractors”) in the event the
Contractor does not pay the subcontractors, even if the Claimant has paid the Contractor. See Utah Code
section 14-2-2. The Claimant acknowledges and agrees that the Fund will not reimburse the Claimant for
such Subcontractors’ claims for payment against the Claimant if the Fund has already made payment to the
Claimant or Contractor. The Claimant understands that the premium paid for a payment bond is
reimbursable. Therefore, the Claimant:

a. has required the Contractor to obtain 100 percent payment bond through a United States
Treasury-listed bonding company, and attached a copy, or;
b. requests that PST fund reimbursement checks be made jointly to the Claimant, the Contractor and
to the Subcontractors designated by the Parties, but waives all claims and remedies against the
State if the Fund checks are not made as described above, or;
c. has obtained other equivalent assurance and waives all claims and remedies against the State if the
equivalent assurance does not adequately protect the Claimant. The equivalent assurance is
described as follows: Rockwell Solutions, Inc., Agreement for Professional Services Contract
between Jacksons Food Stores and Rockwell Solutions, Inc.

3) The Parties agree that the Contractor shall have no cause of action against the State for payment. The Parties
acknowledge and agree that the State is not a party to any contract with the Claimant or the Contractor for
reimbursement from the Fund in the execution of this Work Plan, except to the extent provided by a contract
signed by the Executive Secretary. Instead, the Claimant’s reimbursement is governed by the Utah
Underground Storage Tank Act and the Utah Underground Storage Tank Rules and the Contractor is entitled
to reimbursement solely under the contract he has with the Claimant.

4) The Parties agree that they will use a subcontracting method consistent with the requirements of R311-207.

5) The Parties agree that as a condition of performing the work under the Work Plan, the Contractor shall carry
the insurance specified in R311-207-3(c)(5). The Contractor represents that certificate of insurance
documenting the required insurance is attached or that a current certificate is on file with the Executive
Secretary and has been provided to the Claimant. The Parties assume the risk and responsibility of ensuring
that the appropriate insurance coverage is in place.

6) The Parties agree that payments from the Fund shall be limited to amounts that are customary, legitimate,
reasonable and consistent with R311-207. Unless the Parties and the Executive Secretary have entered into a
PST Trust Fund Work Plan Approval Application and Agreement for Work Plan No. MIZ-12

written Pay-for-Performance agreement, the Parties acknowledge that payments will be for actual time and
materials expended up to, but not exceeding, the amount of the Executive Secretary approved work plan and
Executive Secretary approved change orders, if any.

7) The Parties shall maintain financial and operation records in sufficient detail to document all transactions
relating to Fund reimbursement for the execution of this Work Plan. The Parties shall make available for
audit and inspection all such records relating to the completion of the Work Plan and related services,
requirements, and expenditures until all audits initiated by State auditors are completed, or for a period of
five years from the date of Fund reimbursement related to the execution of this Work Plan. Records which
relate to disputes, litigation, or the settlement of claims arising out of the performance of this Work Plan, or
to cost and expenses of this Work Plan as to which exception has been taken by the Executive Secretary, shall
be retained by the Parties until disposition has been made of such disputes, litigation, claims, or exceptions.

8) The Parties certify that there is a contract between the Claimant and the Contractor for the performance of
work under the Work Plan for which approval is sought (“Contract”) and incorporate the provisions herein
into that Contract. To the extent that the Contract or amendments thereto conflict with any provisions herein,
the provisions herein govern. The Parties shall provide the Contract to the Executive Secretary upon request.

9) The Executive Secretary is a third party beneficiary of this Petroleum Storage Tank Fund Work Plan
Approval Application and Agreement and may enforce its provisions.

10) This Petroleum Storage Tank Fund Work Plan Approval Application and Agreement does not limit the
Executive Secretary’s rights and remedies under applicable law.

Contractor Claimant

_______________________________________________