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HomeMy WebLinkAboutDERR-2024-0094591 UNDERGROUND STORAGE TANK PERMANENT CLOSURE NOTICE (rev. 2/1/15) FACILITY ID# . … 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 of (company name) Phone # Address City State Zip TANKS CLOSED Piping Only Tank # Please complete for each tank Type (Steel,FRP,etc.) Date Installed Capacity (Gallons) Substance stored* Date last operated Date Closed Removed/In Place/ Change in Service (CIS)? *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: Location of Closure Records: For In-Place Closure: tanks filled with: For Change-In-Service: Substance to be stored: FACILITY INFORMATION Tank Owner Phone # Address City State Zip Facility Name Address City State Zip Contact person Phone # Total number of regulated underground tanks at this site before closure Total number of regulated underground tanks at this site after closure TANK REMOVER Name Cert. # TR Exp. Date Company Phone # Address City State Zip SOIL/GROUNDWATER SAMPLER Name Cert. # GS Exp. Date Company Phone # Address City State Zip Nicole Albiston ET Technologies 801-977-0731 3110 W California Ave Ste D Salt Lake City UT 84104 Granite School District 385-646-5000 2500 S State St South Salt Lake UT 84115 Skyline High School 3251 E 3760 S Salt Lake City UT 84109 Steve Christensen 801-514-4852 2 0 1 Unknown 4000 Diesel Unknown Removed 2 4000 Unknown Diesel Unknown Removed Traci Gee -464 8/16/2025 ET Technologies 801-977-0731 3110 W California Ave Ste D Salt Lake City UT 84104 Traci Gee ET Technologies 801-977-0731 3110 W California Ave Ste D Salt Lake City UT 84104 Dry Ice ET Technologies 5/29/24 5/29/24 Steel Steel -1882 12/7/24 000 0.9 0 3 Facility Site Plat (Closure Notice) The site plat must be drawn to an appropriate identified scale. It must show planned sampling locations, substances stored in tanks, and other relevant information. Tank and sample identification numbers must be consistent with the information given on p. 1 and 4 of the Closure Notice. Facility ID: Drawn By: Date: X = Sample locations (SS-#, WS-#, USC-#) Site Plat Must Indicate Actual Locations Of: 0 = Monitoring Wells (MW-#) √ Current & former tanks, piping & dispensers = Soil boring (SB-#), or Geoprobe Boring (GP-#) √ Location of all samples to be taken ● = Water Wells (domestic, livestock, etc.) √ Buildings, fences, & property boundaries Slope of Surface Topography: (N,NW,W,SW,S,SE,E,NE) √ Utility conduits (sewers, gas, water, storm drains, electrical, etc.) Land Use At Site: Residential Commercial Industrial √ Depth to groundwater (if encountered) Surrounding Land: Residential Commercial Industrial √ Excavations, GW monitoring wells & soil stockpiles North Scale: 1”= Feet Nicole Albiston 6/26/24 Skyline High School Boiler Building Unknown UST Write a description for your map. Legend 100 ft N ➤➤ N Image © 2024 Airbus Image © 2024 Airbus Image © 2024 Airbus 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 ET Technologies, Inc. Attn: Aaron Norton 3110 West California Avenue Suite D Salt Lake City, UT 84104 Work Order: 24E2231 Project: Skyline UST 6/11/2024 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 8 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Aaron Norton 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 1973 5/29/24 12:50 @ 2.3 °C 6/11/2024 Skyline UST Sample ID: SS - 01 A/B Lab ID: 24E2231-01Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 8:45 Preparation Date/Time Sampled By: Coleton Sewell Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800087.9Total Solids Diesel Range mg/kg 6/6/246/6/2450EPA 8015 C295Diesel Range Organics Volatile Organic Compounds mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030B0.03Naphthalene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDToluene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDXylenes, total Project Name: Skyline UST CtF WO#: 24E2231 www.ChemtechFord.com Page 2 of 8Page 2 of 8 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Aaron Norton 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 1973 5/29/24 12:50 @ 2.3 °C 6/11/2024 Skyline UST Sample ID: SS - 02 A/B Lab ID: 24E2231-02Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 8:49 Preparation Date/Time Sampled By: Coleton Sewell Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800088.9Total Solids Diesel Range mg/kg 6/6/246/6/2450EPA 8015 C178Diesel Range Organics Volatile Organic Compounds mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 5/31/245/31/240.02 EPA 8260D/5030BNDEthylbenzene mg/kg dry 5/31/245/31/240.02 EPA 8260D/5030B0.02Naphthalene mg/kg dry 5/31/245/31/240.02 EPA 8260D/5030BNDToluene mg/kg dry 5/31/245/31/240.02 EPA 8260D/5030BNDXylenes, total Project Name: Skyline UST CtF WO#: 24E2231 www.ChemtechFord.com Page 3 of 8Page 3 of 8 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Aaron Norton 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 1973 5/29/24 12:50 @ 2.3 °C 6/11/2024 Skyline UST Sample ID: SS - 03 A/B Lab ID: 24E2231-03Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 8:55 Preparation Date/Time Sampled By: Coleton Sewell Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800089.9Total Solids Diesel Range mg/kg 6/6/246/6/2450EPA 8015 C160Diesel Range Organics Volatile Organic Compounds mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDToluene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDXylenes, total Project Name: Skyline UST CtF WO#: 24E2231 www.ChemtechFord.com Page 4 of 8Page 4 of 8 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Aaron Norton 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 1973 5/29/24 12:50 @ 2.3 °C 6/11/2024 Skyline UST Sample ID: SS - 04 A/B Lab ID: 24E2231-04Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 8:59 Preparation Date/Time Sampled By: Coleton Sewell Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800088.0Total Solids Diesel Range mg/kg 6/6/246/6/2450EPA 8015 CNDDiesel Range Organics Volatile Organic Compounds mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 5/31/245/31/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDToluene mg/kg dry 5/31/245/31/240.03 EPA 8260D/5030BNDXylenes, total Project Name: Skyline UST CtF WO#: 24E2231 www.ChemtechFord.com Page 5 of 8Page 5 of 8 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Aaron Norton 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 1973 5/29/24 12:50 @ 2.3 °C 6/11/2024 Skyline UST Sample ID: USC - 01 Lab ID: 24E2231-05Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 9:06 Preparation Date/Time Sampled By: Coleton Sewell Minimum Reporting Limit MethodResult Inorganic -5/29/245/29/24ASTM D2487-ModOLUnited Soil Classification [USC] Project Name: Skyline UST CtF WO#: 24E2231 www.ChemtechFord.com Page 6 of 8Page 6 of 8 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Aaron Norton 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 1973 5/29/24 12:50 @ 2.3 °C 6/11/2024 Skyline UST 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: Skyline UST CtF WO#: 24E2231 www.ChemtechFord.com Page 7 of 8Page 7 of 8 Page 8 of 8