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HomeMy WebLinkAboutDERR-2024-010590 1 UNDERGROUND STORAGE TANK PERMANENT CLOSURE NOTICE (rev. 2/1/15) FACILITY ID# 1000078 . … 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 David Hansen of (company name) Rockwell Solutions, Inc Phone # 801-361-2930 Address 718 E Bridger Lane City Elk Ridge StateUT Zip84651 TANKS CLOSED Piping Only Tank # Please complete for each tank 1 2 3 Type (Steel,FRP,etc.) Steel Steel Steel Date Installed 5/8/90 5/8/90 5/8/90 Capacity (Gallons) 12,000 4,000 4,000 Substance stored* gasoline gasoline diesel Date last operated 5/2022 5/2022 5/2022 Date Closed 5/29/24 5/29/24 5/29/24 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: Rockwell Solutions For In-Place Closure: tanks filled with: For Change-In-Service: Substance to be stored: FACILITY INFORMATION Tank Owner Dipikaben V Patel Phone # 717-648-2655 Address 920 W Center Street City Provo State UT Zip 84601 Facility Name Last Chance #6 Address 920 W Center Street City Provo State UT Zip 84601 Contact person Dipikaben Patel Phone # 717-648-2655 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 David Hansen Cert. # TR0410 Exp. Date 1/1/26 Company Rockwell Solutions, Inc. Phone # 801-361-2930 Address 718 E Bridger Lane City Elk Ridge State UT Zip 84651 SOIL/GROUNDWATER SAMPLER Name David Hansen Cert. # GS0842 Exp. Date 07/15/2024 Company Rockwell Solutions, Inc Phone # 801-361-2930 Address 718 E Bridger Lane City Elk Ridge State UT Zip 84651 PKL6/19/2024 OKU 2 DISPOSAL SITES USED Location Name Contact Name Phone # Date Amount Tank(s) Western Metals Recycling scalehouse (801) 373-4224 5/30/24 Tank #1- Product From Tank(s) Sump and Trap Shane Adolph 801-595-8151 5/29/24 60 Contaminated Water From Tank Cleaning Sump and Trap Shane Adolph 801-595-8151 5/29/24 165 Sludge Sump and Trap Shane Adolph 801-595-8151 5/29/24 <10 gal Contaminated Water From Excavation none Contaminated Soil none SITE ASSESSMENT Complete the Facility Site Plat (Closure Notice) and Sample Information Table (Closure Notice) on pages 3 and 4 to show the locations, depths, and other information on all soil/groundwater samples taken for closure. The samples must be consistently identified by sample ID # on the site plat, table, and lab analysis report. Completed Facility Site Plat (Closure Notice) is attached. The following must be included (enter the distance, and direction (N,S,E,W) from the area of contamination or, where applicable, use OH for overhead, NP for not present): 20 E Water Line 20 E Sewer Line 70 NE Natural Gas 90 E Storm Drain OH Telephone OH Electrical 50 S Property Line 25 N Buildings Completed Sample Information Table (Closure Notice) is attached. Certified lab analytical environmental sample results are attached. Unified Soil Classification (USC) sample results are attached. Chain of Custody form is attached. Samples were properly: Collected Labeled Packaged Transported 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 the closure site assessment at this facility was conducted in accordance with 40 CFR 280.52, 40 CFR 280.72, and R311-205 U.A.C., and that any additional samples required by 40 CFR 280.52, 40 CFR 280.72 and R311-205-2(a)(1) were properly collected. Signature of Certified Groundwater/Soil Sampler Full name of Certified Sampler David Hansen Date If contamination at the facility is confirmed, any person providing remedial assistance for a fee must be a Certified UST Consultant. The Certified UST Consultant providing assistance is: CERTIFIED UST CONSULTANT Name David Hansen Cert. #CC 0130 Exp. Date 1/1/2026 Company Rockwell Solutions, Inc Address 718 E Bridger Lane City Elk Ridge State UT Zip 84651 Phone # 801-361-2930 Please explain any unusual circumstances that occurred during the site assessment or closure: Onsite building will soon be demolished 6/14/24 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 4 SAMPLE INFORMATION TABLE (Closure Notice) 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. 1 Soil (SS), Groundwater (GW), or Unified Soil Classification (USC). 2 Final depth (in feet) below grade at which samples were taken. 3 Contaminant compound(s) analyzed for each sample (TPH, BTEXN, O&G, etc). 4 Appropriate analysis methods for contaminant compound(s) in each sample State Certified Laboratory used Chemtech Ford Laboratory Address 9632 South 500 West City Sandy State UT Zip 84070 Contact Person Mark Broadhead Phone # 801-262-7299 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. Signature of UST owner Full Name of owner Date Return completed Closure Notice form, Facility Site Plat and Sample Information Table, Soil/Groundwater sample lab analysis results, USC sample results, and Chain of Custody form within 90 days of UST Closure to: Mailing Address State of Utah Dept. of Environmental Quality DERR / UST Section P.O. Box 144840 Salt Lake City, Utah 84114-4840 Sample # Substance stored in tank Sample type1 Depth2 Compounds3 Analysis method(s)4 TB-N gasoline,diesel SS 10 MBTEXN, TPH-GRO, TPH-DRO 8260, 8015 TB-S same SS 10 same same D-NW same SS 4 same same D-NE same SS 3 same same D-SE same SS 3 same same D-SW same SS 3 same same GW-N same GW 10 same same GW-S same GW 10 same same USC-1 same USC 10 Uniform Soil Classification field analysis USC-2 same USC 3 same field analysis Street Address Multi Agency State Office Building 195 North 1950 West (First Floor) Salt Lake City, Utah 84116 WaterGasSewer NORTH Sample Location Last Chance #6 910 W Center Street Provo, UtahApprox. scale in feet 00 20 Figure 1 UST Closure Map TB-N GW-N USC-1 TB-S GW-S D-NE D-SE TB-E USC-2 D-NW D-SW USC-2 rWate sGaSweer St rm raino D 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 Rockwell Solutions, Inc Attn: Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 Work Order: 24E2342 Project: Last Chance #6 6/6/2024 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 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: TB-N, 10' Lab ID: 24E2342-01Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 16:50 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800089.7Total Solids MBTEXn mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDToluene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 6/4/246/4/240.279 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 6/3/246/3/2456EPA 8015 CNDDiesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 2 of 11Page 2 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: TB-S, 10' Lab ID: 24E2342-02Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 16:30 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800092.3Total Solids MBTEXn mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 6/4/246/4/240.02 EPA 8260D/5030BNDEthylbenzene mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 6/4/246/4/240.02 EPA 8260D/5030BNDNaphthalene mg/kg dry 6/4/246/4/240.02 EPA 8260D/5030BNDToluene mg/kg dry 6/4/246/4/240.02 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 6/4/246/4/240.248 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 6/3/246/3/2454EPA 8015 CNDDiesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 3 of 11Page 3 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: D-NW, 4' Lab ID: 24E2342-03Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 17:20 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800087.4Total Solids MBTEXn mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDToluene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 6/4/246/4/240.298 EPA 8260B/C 5035A/[CALC]108Gasoline Range Organics Diesel Range mg/kg dry 6/3/246/3/2457EPA 8015 C4150Diesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 4 of 11Page 4 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: D-NE, 3' Lab ID: 24E2342-04Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 17:25 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800087.7Total Solids MBTEXn mg/kg dry 6/5/246/5/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 6/5/246/5/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDToluene mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 6/5/246/5/240.264 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 6/3/246/3/2457EPA 8015 C101Diesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 5 of 11Page 5 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: D-SE, 3' Lab ID: 24E2342-05Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 17:15 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800085.3Total Solids MBTEXn mg/kg dry 6/5/246/5/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 6/5/246/5/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDToluene mg/kg dry 6/5/246/5/240.03 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 6/5/246/5/240.262 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 6/3/246/3/2459EPA 8015 CNDDiesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 6 of 11Page 6 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: D-SW, 3' Lab ID: 24E2342-06Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 17:10 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %6/4/246/4/240.1 CTF800078.4Total Solids MBTEXn mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDBenzene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry 6/4/246/4/240.01 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDToluene mg/kg dry 6/4/246/4/240.03 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 6/4/246/4/240.322 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 6/3/246/3/2464EPA 8015 CNDDiesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 7 of 11Page 7 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: GW-N Lab ID: 24E2342-07Matrix: Water Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 16:10 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult MBTEXn mg/L 6/5/246/5/240.005 EPA 8260D/5030BNDBenzene mg/L 6/5/246/5/240.012 EPA 8260D/5030BNDEthylbenzene mg/L 6/5/246/5/240.005 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/L 6/5/246/5/240.012 EPA 8260D/5030BNDNaphthalene mg/L 6/5/246/5/240.012 EPA 8260D/5030BNDToluene mg/L 6/5/246/5/240.012 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/L 6/5/246/5/240.125 EPA 8260B/C /5030A/[CALC]NDGasoline Range Organics Diesel Range mg/L 6/3/245/31/241.0 EPA 8015 CNDDiesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 8 of 11Page 8 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 Sample ID: GW-S Lab ID: 24E2342-08Matrix: Water Flag(s)Units Analysis Date/Time Date Sampled: 5/29/24 16:15 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult MBTEXn mg/L 6/5/246/5/240.005 EPA 8260D/5030B0.022Benzene mg/L 6/5/246/5/240.012 EPA 8260D/5030BNDEthylbenzene mg/L 6/5/246/5/240.005 EPA 8260D/5030BNDMethyl tert-Butyl Ether (MTBE) mg/L 6/5/246/5/240.012 EPA 8260D/5030BNDNaphthalene mg/L 6/5/246/5/240.012 EPA 8260D/5030B0.035Toluene mg/L 6/5/246/5/240.012 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/L 6/5/246/5/240.125 EPA 8260B/C /5030A/[CALC]NDGasoline Range Organics Diesel Range mg/L 6/3/245/31/241.0 EPA 8015 CNDDiesel Range Organics Project Name: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 9 of 11Page 9 of 11 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 Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 5/30/24 11:44 @ 4.1 °C 6/6/2024 Last Chance #6 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: Last Chance #6 CtF WO#: 24E2342 www.ChemtechFord.com Page 10 of 11Page 10 of 11 Page 11 of 11 Last Chance #6, 920 W Center Street, Provo, Utah UST No. 1000078 USC Results: USC -1, 10 feet (TB-N): Sandy gravel and cobbles (GW), brown, damp USC -2, 3 feet (D-SW): Sandy gravel and cobbles (GW), brown, damp