DERR-2024-007336

1
UNDERGROUND STORAGE TANK PERMANENT CLOSURE NOTICE (rev. 2/1/15) FACILITY ID# 7000051 .
…
State Use Only
Date Processed by
Date Mailed to LHD
LUST ID#
Date to LUST Review
Closure Notice prepared at the request of the owner/operator (identified below) by Russell J. Hicks
of (company name) Push Drilling, LLC Phone # [phone]
Address 852 Chelsea Dr. City Bountiful StateUT Zip84010
TANKS CLOSED
Piping Only Tank #
Please complete for each tank 1 2 3
Type (Steel,FRP,etc.) Steel Steel Steel
Date Installed 3/1/1984 3/1/1984 3/1/1984
Capacity (Gallons) 12,000 12,000 12,000
Substance stored* Diesel Gas Gas
Date last operated 3/31/24 3/31/24 3/31/24
Date Closed 4/10/24 4/10/24 4/10/24
Removed/In Place/ Change in
Service (CIS)? Removed Removed Removed
*Indicate the specific substance stored in each tank to be closed (regular, unleaded, diesel, waste oil, etc.)
CLOSURE INFORMATION
Fuel was emptied Sludge was removed Tank was cleaned
Tank was: Purged Inerted Method Used: Dry Ice
Location of Closure Records: Push Drilling Office Files
For In-Place Closure: tanks filled with:
For Change-In-Service: Substance to be stored:
FACILITY INFORMATION
Tank Owner 3DP Canyons LLC Phone # [phone]
Address P.O. Box 681030 City Park City State UT Zip 84068
Facility Name 7-Eleven #53603 / 1833-24022
Address 1815 Canyons Dr. City Park City State UT Zip 84060
Contact person Doug Slauth Phone # [phone]
Total number of regulated underground tanks at this site before closure 3
Total number of regulated underground tanks at this site after closure 0
TANK REMOVER Name Russell J. Hicks Cert. # TR0404 Exp. Date 10/16/24
Company Push Drilling, LLC Phone # [phone]
Address 852 Chelsea Dr. City Bountiful State UT Zip 84010
SOIL/GROUNDWATER SAMPLER Name Russell J. Hicks Cert. # GS1288 Exp. Date 2/15/26
Company Push Drilling, LLC Phone # [phone]
Address 852 Chelsea Dr. City Bountiful State UT Zip 84010
5-21-2024 GAH
R. Hicks
X
X
20
7000051 5-10-24
7-Eleven #53603
Store Building
1815 Canyons Dr.
Park City, U T
Canyons Resort Dr.
12
K

U
n
l
e
a
d
e
d
12
K

D
i
e
s
e
l
12
K

P
r
e
m
i
u
m
S S-2 @ 6-7’
US C-1 @ 6-7’
CanopyCanopy
G W-2
S S-1 @ 6-7’
GW-1
SS-3 @ 4-5’
US C-2 @ 4-5’
S S-4 @ 4-5’
U S T’s
Grass
Sidewalk
B
u
s
/
S
h
u
t
t
l
e

L
o
o
p
B
u
s
/
S
h
u
t
t
l
e

L
o
o
p
Natural
Gas
Meter
G W-3
Water
Meter
Sewer
M.H.
Na
t
u
r
a
l
Ga
s

L
i
n
e
Se
w
e
r
Li
n
e
Wat
e
r
Li
n
e
Complete table for all samples that were taken for closure. Sample ID numbers on the table must be consistent with the sample ID
numbers given on the site plat and in the lab analysis report.
2
Sample
GW-1
GW-2
GW-3
SS-1
SS-2
SS-3
SS-4
SS-1
SS-3
Substance
stored in tank
Gas/Diesel
Gas/Diesel
Gas/Diesel
Gas/Diesel
Gas/Diesel
Gas/Diesel
Gas/Diesel
Sample
type'
GW
Signature of UST owner
GW
Full Name of owner
GW
Mailing Address
SS
SS
Contact Person Mark Broadhead
DERR /UST Section
SS
P.O. Box 144840
SS
USC
USC
SAMPLE INFORMATION TABLE (CIlosure Notice)
Depth
7
7
7
1 Soil (SS), Groundwater (GW), or Unified Soil Classification (USC).
6-7"
Final depth (in feet) below grade at which samples were taken.
6-7'
4-5'
4 Appropriate analysis methods for contaminant compound(s) in each sample
Salt Lake City, Utah 84114-4840
4-5'
State Certified Laboratory used Chemtech-Ford Laboratories
Address 9632 S. 500 W.
6-7'
4-5'
3 Contamínant compound(s) analyzed for each sample (TPH, BTEXN, O&G, etc).
State of Utah Dept. of Environmental Quality
MBTEXN, TPH-GRO, TPH-DRO
MBTEXN, TPH-GRO, TPH-DRO
MBTEXN, TPH-GRO, TPH-DRO
Compounds
MBTEXN, TPH-GRO, TPH-DR0
MBTEXN, TPH-GRO, TPH-DRO
MBTEXN, TPH-GRO, TPH-DRO
MBTEXN, TPH-GRO, TPH-DRO
Soil Classification
Soil Classification
City Sandy
4
Street Address
Analysis method(s)"
I certify under penalty of law that I am the Owner 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.
8260B/8015B
Multi Agency State Office Building
195 North 1950 West (First Floor)
Salt Lake City, Utah 84116
8260B/8015B
8260B/8015B
8260B/8015B
Return completed Closure Notice form, Facility Site Plat and Sample Information Table, Soi/Groundwater sample lab analysis results,
USC sample results, and Chain of Custody form within 90 days of UST Closure to:
8260B/8015B
8260B/8015B
8260B/8015B
State UT Zip 84070
Phone # [phone]
USC
USC
Date
The analyses presented on this report were performed in accordance with the
National Environmental Laboratory Accreditation Program (NELAP) unless
noted in the comments, flags, or case narrative. If the report is to be used for
regulatory compliance, it should be presented in its entirety, and not be
altered.
Client Service Contact: 801.262.7299
Push Drilling, LLC
Attn: Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
Work Order: 24D0869
Project: Canyons 7-11
4/12/2024
Approved By:
Andrew Royer, Project Manager
9632 South 500 West Sandy, Utah 84070
Serving the Intermountain West since 1953
801.262.7299 Main 866.792.0093 Fax www.ChemtechFord.com
Page 1 of 9
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/10/24 16:07 @ 7.1 °C
4/12/2024
Canyons 7-11
Sample ID: GW-1
Lab ID: 24D0869-01Matrix: Water
Flag(s)Units
Analysis
Date/Time
Date Sampled: 4/10/24 9:40
Preparation
Date/Time
Sampled By: R. Hicks
Minimum
Reporting
Limit MethodResult
MBTEXn
mg/L 4/10/244/10/240.005 EPA 8260D/5030BNDBenzene
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDEthylbenzene
mg/L 4/10/244/10/240.005 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE)
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDNaphthalene
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDToluene
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDXylenes, total
Gasoline Range
mg/L 4/10/244/10/240.125 EPA 8260B/C /5030A/[CALC]NDGasoline Range Organics
Diesel Range
mg/L 4/11/244/11/241.0 EPA 8015 C1.1Diesel Range Organics
Project Name: Canyons 7-11 CtF WO#: 24D0869
www.ChemtechFord.com
Page 2 of 9Page 2 of 9
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/10/24 16:07 @ 7.1 °C
4/12/2024
Canyons 7-11
Sample ID: GW-2
Lab ID: 24D0869-02Matrix: Water
Flag(s)Units
Analysis
Date/Time
Date Sampled: 4/10/24 15:17
Preparation
Date/Time
Sampled By: R. Hicks
Minimum
Reporting
Limit MethodResult
MBTEXn
mg/L 4/10/244/10/240.005 EPA 8260D/5030BNDBenzene
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDEthylbenzene
mg/L 4/10/244/10/240.005 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE)
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDNaphthalene
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDToluene
mg/L 4/10/244/10/240.012 EPA 8260D/5030BNDXylenes, total
Gasoline Range
mg/L 4/10/244/10/240.125 EPA 8260B/C /5030A/[CALC]NDGasoline Range Organics
Diesel Range
mg/L 4/11/244/11/241.0 EPA 8015 CNDDiesel Range Organics
Project Name: Canyons 7-11 CtF WO#: 24D0869
www.ChemtechFord.com
Page 3 of 9Page 3 of 9
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/10/24 16:07 @ 7.1 °C
4/12/2024
Canyons 7-11
Sample ID: SS-1 @ 6-7'
Lab ID: 24D0869-03Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 4/10/24 14:00
Preparation
Date/Time
Sampled By: R. Hicks
Minimum
Reporting
Limit MethodResult
Inorganic
%4/12/244/11/240.1 CTF800092.8Total Solids
-4/11/244/11/24ASTM D2487-ModSPUnited Soil Classification [USC]
MBTEXn
mg/kg dry 4/11/244/11/240.01 EPA 8260D/5030BNDBenzene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 4/11/244/11/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE)
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDNaphthalene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDToluene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDXylenes, total
Gasoline Range
mg/kg dry 4/11/244/11/240.238 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics
Diesel Range
mg/kg dry 4/11/244/11/2454EPA 8015 CNDDiesel Range Organics
Project Name: Canyons 7-11 CtF WO#: 24D0869
www.ChemtechFord.com
Page 4 of 9Page 4 of 9
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/10/24 16:07 @ 7.1 °C
4/12/2024
Canyons 7-11
Sample ID: SS-2 @ 6-7'
Lab ID: 24D0869-04Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 4/10/24 14:38
Preparation
Date/Time
Sampled By: R. Hicks
Minimum
Reporting
Limit MethodResult
Inorganic
%4/12/244/11/240.1 CTF800089.0Total Solids
MBTEXn
mg/kg dry 4/11/244/11/240.008 EPA 8260D/5030BNDBenzene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 4/11/244/11/240.008 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE)
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDNaphthalene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDToluene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDXylenes, total
Gasoline Range
mg/kg dry 4/11/244/11/240.207 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics
Diesel Range
mg/kg dry 4/11/244/11/2456EPA 8015 CNDDiesel Range Organics
Project Name: Canyons 7-11 CtF WO#: 24D0869
www.ChemtechFord.com
Page 5 of 9Page 5 of 9
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/10/24 16:07 @ 7.1 °C
4/12/2024
Canyons 7-11
Sample ID: SS-3 @ 4-5'
Lab ID: 24D0869-05Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 4/10/24 15:07
Preparation
Date/Time
Sampled By: R. Hicks
Minimum
Reporting
Limit MethodResult
Inorganic
%4/12/244/11/240.1 CTF800089.6Total Solids
-4/11/244/11/24ASTM D2487-ModSPUnited Soil Classification [USC]
MBTEXn
mg/kg dry 4/11/244/11/240.009 EPA 8260D/5030BNDBenzene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 4/11/244/11/240.009 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE)
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDNaphthalene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDToluene
mg/kg dry 4/11/244/11/240.02 EPA 8260D/5030BNDXylenes, total
Gasoline Range
mg/kg dry 4/11/244/11/240.231 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics
Diesel Range
mg/kg dry 4/11/244/11/2456EPA 8015 CNDDiesel Range Organics
Project Name: Canyons 7-11 CtF WO#: 24D0869
www.ChemtechFord.com
Page 6 of 9Page 6 of 9
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/10/24 16:07 @ 7.1 °C
4/12/2024
Canyons 7-11
Sample ID: SS-4 @ 4-5'
Lab ID: 24D0869-06Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 4/10/24 14:58
Preparation
Date/Time
Sampled By: R. Hicks
Minimum
Reporting
Limit MethodResult
Inorganic
%4/12/244/11/240.1 CTF800091.1Total Solids
MBTEXn
mg/kg dry 4/11/244/11/240.01 EPA 8260D/5030BNDBenzene
mg/kg dry 4/11/244/11/240.03 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 4/11/244/11/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE)
mg/kg dry 4/11/244/11/240.03 EPA 8260D/5030BNDNaphthalene
mg/kg dry 4/11/244/11/240.03 EPA 8260D/5030BNDToluene
mg/kg dry 4/11/244/11/240.03 EPA 8260D/5030BNDXylenes, total
Gasoline Range
mg/kg dry 4/11/244/11/240.254 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics
Diesel Range
mg/kg dry 4/11/244/11/2455EPA 8015 CNDDiesel Range Organics
Project Name: Canyons 7-11 CtF WO#: 24D0869
www.ChemtechFord.com
Page 7 of 9Page 7 of 9
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/10/24 16:07 @ 7.1 °C
4/12/2024
Canyons 7-11
Report Footnotes
Abbreviations
ND = Not detected at the corresponding Minimum Reporting Limit (MRL).
1 mg/L = one milligram per liter or 1 mg/kg = one milligram per kilogram = 1 part per million.
1 ug/L = one microgram per liter or 1 ug/kg = one microgram per kilogram = 1 part per billion.
1 ng/L = one nanogram per liter or 1 ng/kg = one nanogram per kilogram = 1 part per trillion.
On calculated parameters, there may be a slight difference between summing the rounded values shown on the report
vs the unrounded values used in the calculation.
Project Name: Canyons 7-11 CtF WO#: 24D0869
www.ChemtechFord.com
Page 8 of 9Page 8 of 9
Page 9 of 9
The analyses presented on this report were performed in accordance with the
National Environmental Laboratory Accreditation Program (NELAP) unless
noted in the comments, flags, or case narrative. If the report is to be used for
regulatory compliance, it should be presented in its entirety, and not be
altered.
Client Service Contact: 801.262.7299
Push Drilling, LLC
Attn: Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
Work Order: 24D1353
Project: Canyons 7-11
4/18/2024
Approved By:
Mark Broadhead, Project Manager
9632 South 500 West Sandy, Utah 84070
Serving the Intermountain West since 1953
801.262.7299 Main 866.792.0093 Fax www.ChemtechFord.com
Page 1 of 4
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/17/24 11:45 @ 8.6 °C
4/18/2024
Canyons 7-11
Sample ID: GW-3
Lab ID: 24D1353-01Matrix: Water
Flag(s)Units
Analysis
Date/Time
Date Sampled: 4/17/24 10:45
Preparation
Date/Time
Sampled By: Russ Hicks
Minimum
Reporting
Limit MethodResult
MBTEXn
mg/L 4/17/244/17/240.005 EPA 8260D/5030BNDBenzene
mg/L 4/17/244/17/240.012 EPA 8260D/5030BNDEthylbenzene
mg/L 4/17/244/17/240.005 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE)
mg/L 4/17/244/17/240.012 EPA 8260D/5030BNDNaphthalene
mg/L 4/17/244/17/240.012 EPA 8260D/5030BNDToluene
mg/L 4/17/244/17/240.012 EPA 8260D/5030BNDXylenes, total
Gasoline Range
mg/L 4/17/244/17/240.125 EPA 8260B/C /5030A/[CALC]NDGasoline Range Organics
Diesel Range
mg/L 4/17/244/17/241.0 EPA 8015 CNDDiesel Range Organics
Project Name: Canyons 7-11 CtF WO#: 24D1353
www.ChemtechFord.com
Page 2 of 4Page 2 of 4
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Push Drilling, LLC
Russ Hicks
852 Chelsea Drive
Bountiful, UT 84010
PO#:
Receipt:
Date Reported:
Project Name:
4/17/24 11:45 @ 8.6 °C
4/18/2024
Canyons 7-11
Report Footnotes
Abbreviations
ND = Not detected at the corresponding Minimum Reporting Limit (MRL).
1 mg/L = one milligram per liter or 1 mg/kg = one milligram per kilogram = 1 part per million.
1 ug/L = one microgram per liter or 1 ug/kg = one microgram per kilogram = 1 part per billion.
1 ng/L = one nanogram per liter or 1 ng/kg = one nanogram per kilogram = 1 part per trillion.
On calculated parameters, there may be a slight difference between summing the rounded values shown on the report
vs the unrounded values used in the calculation.
Project Name: Canyons 7-11 CtF WO#: 24D1353
www.ChemtechFord.com
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