HomeMy WebLinkAboutDSHW-2024-007222CORRECTIVE ACTION SECTION – SITE VISIT REPORT
SITE NAME: _________________________________________ DATE: ______/_______/___________
EPA ID #: _________________________________________ UTCA ID#: ______________________
LOCATION: ___________________________________________________________________________
PROJECT MANAGER: ____________________________________________________________________
SITE STATUS
___ Active Investigation ___ Long-term Institutional Controls in-place
___ Long-term Groundwater Monitoring
___ Closed w/ No More Work Needed OTHER (describe):
PURPOSE OF SITE VISIT
___ Confirm Cleanup Completed
___ Confirm Integrity of Engineering Controls
___ Confirm SMP is Being Complied With
D2# for SMP: DSHW-________-_______________
___ Post-Closure Permit Verification
___ Document Change in Land Usage
___Drive-by (windshield survey)
___Sample Observation &/or Collection
___Site Investigation
___Cleanup Activities Inspection
___Confirm Current Land Usage
OTHER (describe):
FIELD OBSERVATIONS:
SAMPLE COLLECTION
Were Environmental Samples Collected per the approved Sampling & Analysis Plan?
YES ___ NO ___ N/A ___
COMMENTS:
Ongoing Cleanup Activities
Confirmation Sampling
Univar Woods Cross 7 09 2024
UTD000710723
2465 South 1100 West, Woods Cross, Utah
Jasin Olsen
4
4
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2023 002669
The site is currently used for industrial purposes, occupied by a chemical supply company
(Tucker Chemical).
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Is the Work Being Performed in a Manner Consistent with the Approved Workplan(s)?
YES ___ NO ___ N/A ___ Unknown (Drive-By Inspection Only) ___
COMMENTS:
CURRENT LAND USAGE
___ Residential
___ Commercial
___ Industrial
___ Mixed Commercial w/ Residential
___ Under Construction &/or Development
___ Other: __________________________________
COMMENTS:
FUTURE LAND USAGE
___ Residential ___ Mixed Commercial w/ Residential
___ Commercial ___ Other: (describe below)
___ Industrial ___ Unknow at this time
COMMENTS:
POST-CLEANUP SITE VISITS
Is the Completed Cleanup Remedy Still Protective Based on Current Land Use?
YES ___ NO ___ Unknown (Drive-By Inspection Only) ___
COMMENTS:
LONG-TERM INSTITUTION CONTROL(S) VERIFICATION
Are Components or Restrictions of the SMP &/or EC Currently Being Complied with?
YES ___ NO ___ Unknown (Drive-By Inspection Only) ___
COMMENTS:
SITE VISIT CONCLUSIONS
RECOMMENDATIONS
ATTACHMENTS (PHOTOS, MAPS, FIGURES, TABLES, etc.) YES ___ NO ___
SIGNATURE:
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Used for industrial purposes (chemical company).
4
Zoned industrial/commercial.
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NA
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No residential uses, no groundwater use, no soil disturbances.
The site is in compliance with the SMP/EC.
Revisit site next year.
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Jasin Olsen