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HomeMy WebLinkAboutDERR-2024-0110871 FACILITY ID# … LHD USE ONLY Date Received Reviewer Date LHD Approved Date mailed to State Closure Plan prepared at the request of the owner/operator (identified below) by of (company name) Phone # Address City State Zip A Contractor may prepare this Closure Plan as the owner/operator's agent. In preparing the Closure Plan, the Contractor must act with the owner/operator's knowledge and approval. The owner/operator must sign the Closure Plan. Submit Closure Plan to: DERR/UST, P.O. Box 144840, Salt Lake City, Utah, 84114-4840 This Closure Plan is submitted in compliance with the requirements contained in 40 CFR 280 Subpart G and R311-204 (U.A.C.) Piping closure only Tank # Tank Type (Steel,FRP,etc.) Piping Type (Steel,FRP,etc.) Date Installed Capacity Substance stored* Date last operated Removal/In Place/Change in Service (CIS)? *Indicate the specific substance stored in each tank to be closed (gasoline, diesel, new oil, waste oil, etc.) For waste oil tanks: Have degreasing or other types of solvents been stored or mixed with the waste oil? Yes (identify if known) . No Not Known Analysis for lead or other contaminants may be required prior to disposal of contaminated soil or other material. (Check with your disposal facility.) STATE USE ONLY Date Received Date Mailed to LHD Date Received From LHD Reviewer/Date Approved Mgr. Review/Date 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 Total number of regulated underground tanks at this site to be closed 4001039 Anna Skinner Stantec Consulting Services, Inc. 2890 East Cottonwood Parkway, Suite 300 801-261-0090 Salt Lake City UT 84121 7-Eleven, Inc.214-415-0146 PO Box 711 (Loc. 0148)Dallas TX 75221-0711 7-Eleven Store No. 25117 287 West 3300 South South Salt Lake UT 84115 Marc Westfall 3 3 1 2 3 steel FRP 4/15/1984 10,000 GASOLINE removal currently in use 214-415-0146 steel 4/15/1984 10,000 GASOLINE removal currently in use steel 4/15/1984 10,000 GASOLINE removal currently in use FRP FRP UNDERGROUND STORAGE TANK CLOSURE PLAN (rev. 7/13) 9/25/2024 9/25/2024KV - 2 Before the closure plan is submitted for approval, the local health and fire departments where the facility is located must be contacted. CONTACT LOCAL HEALTH DISTRICT: Name of Dist. Date Contact Title Phone# CONTACT LOCAL FIRE DEPT. Name of Dept. Date Contact Title Phone# DISPOSAL INFORMATION Tank(s) will be disposed at: Facility Address City State Zip Contact person Phone# Product lines will either be: removed or cleaned, secured in place, and capped. Vent lines will either be: removed or cleaned and secured open. Piping will be disposed at: Facility Address City State Zip Contact person Phone# Tank(s) will be emptied by: company Phone# Tank(s) will be cleaned by: company Phone# Contaminated water in the tank/rinsate will be disposed at: Facility Contact person Phone# Tank(s) will be: purged or rendered inert by the following method: Residual sludges will be disposed at the following facility: Address City State Zip Contact person Phone# FOR CLOSURE IN PLACE ONLY For this closure method, you are subject to the requirements of UAC R315-302-2(6), which requires annotating the property title and submitting documentation to the Division of Solid and Hazardous Waste (DSHW). For information on how to comply with these requirements, contact the DSHW Solid Waste Landfills Section Manager at (801) 536-0200. Approval for in-place closure has been granted by the Local Fire Department. (Must submit approval in writing with Closure Plan) Fire Dept. Phone#Contact person Date Approval for in-place closure has been granted by the Local Health Department. Health Dept. Phone#Contact person Date Substance to be used to fill tanks: 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 Traci Gee 0464 8/16/2025 ET Technologies 3110 W. California Ave, Ste D Salt Lake City UT 801-977-0731 84104 Steve Yorgason 1630 4/15/2025 Stantec Consulting Services, Inc. 2890 East Cottonwood Parkway, Suite 300 Salt Lake City UT 801-261-0090 3150 West 900 South Salt Lake City UT 84104 84121 Scale House x x 801-328-2051 STC Industrial Services, Inc. STC Industrial Services, Inc. 801-595-8151 801-595-8151 STC Industrial Services, Inc. Shane Adolf 801-595-8151 x dry ice STC Industrial Services, Inc. 618 South 4050 West Salt Lake City UT 84104 Shane Adolf 801-595-8151 9/25/2024 Kim Viehweg Environmental Scientist 385-251-0894 8/29/2024 Nolan Cragun DERR 801-483-6043Deputy Fire Marshal South Salt Lake Fire Department Salt Lake County Landfill 6030 West California Ave.Salt Lake City UT 84104 Scale House 385-468-6370 Metro Group 3 SITE ASSESSMENT A site assessment must be performed for all UST closures and change-in-service. Site assessments must be performed as outlined in 40 CFR 280.72 and R311-205 (U.A.C.). If contamination is suspected, additional samples must be collected at the location where contamination is most likely to be present. If groundwater is encountered, a soil sample must be collected, in the unsaturated zone, in addition to each groundwater sample. Soil and groundwater samples must be analyzed for the compounds shown in the following table, using appropriate lab methods. Substance or Product Type Contaminant Compounds to be Analyzed for Each Substance or Product Type ANALYTICAL METHODS1 Soil, Groundwater or Surface Water Gasoline Total Petroleum Hydrocarbons (purgeable TPH as gasoline range organics C6 - C10) EPA 8015 or EPA 8260 Benzene, Toluene, Ethyl benzene, Xylenes, Naphthalene, (BTEXN) and MTBE EPA 8021 or EPA 8260 Diesel Total Petroleum Hydrocarbons (extractable TPH as diesel range organics C10 – C28) EPA 8015 Benzene, Toluene, Ethyl benzene, Xylenes, and Naphthalene (BTEXN) EPA 8021 or EPA 8260 Used Oil Oil and Grease (O&G) or Total Recoverable Petroleum Hydrocarbons (TRPH) EPA 1664 or EPA 1664 (SGT*) Benzene, Toluene, Ethyl benzene, Xylenes, Naphthalene (BTEXN) & MTBE; and Halogenated Volatile Organic Compounds (VOX) EPA 8021 or EPA 8260 New Oil Oil and Grease (O&G) or Total Recoverable Petroleum Hydrocarbons (TRPH) EPA 1664 or EPA 1664 (SGT*) Other Type of analyses will be based upon the substance or product stored, and as approved by the DERR Division Director Method will be based upon the substance or product type Unknown Total Petroleum Hydrocarbons (purgeable TPH as gasoline range organics C6 - C10) EPA 8015 or EPA 8260 Total Petroleum Hydrocarbons (extractable TPH as diesel range organics C10 – C28) EPA 8015 Oil and Grease (O&G) or Total Recoverable Petroleum Hydrocarbons (TRPH) EPA 1664 or EPA 1664 (SGT*) Benzene, Toluene, Ethyl benzene, Xylenes, and Naphthalene (BTEXN) and MTBE; and Halogenated Volatile Organic Compounds (VOX) EPA 8021 or EPA 8260 1 The following modifications to these certified methods are considered acceptable by the DERR Division Director: Dual column confirmation may not be required for TPH and BTEXN/MTBE analysis. A micro-extraction or scale-down technique may be used for aqueous samples, but only for the determination of extractable TPH as diesel range organics (C10 – C28). Hexane may be used as an extraction solvent. *Silica Gel Treatment (SGT) may be used in the determination of Total Recoverable Petroleum Hydrocarbons. NOTE: The sample preparation method and any modification(s) to a certified method must be reported by the laboratory. 4 CONTAMINATED MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FACILITY: All materials generated from UST closures must be managed and disposed in a manner that does not place those materials in direct contact with the environment. On-site stockpiling of contaminated soils may be required prior to any soil management activities. Any person providing remedial assistance for a fee, including aeration and over-excavation (of more than 50 yd3), must be a Certified UST Consultant. Contaminated soils generated as part of tank removal are to be disposed at the following facility: Address City State Zip Contact person Phone Complete the Facility Site Plat and Sample Information Table on pages 4 and 5 to provide site assessment information. CONTAMINATION INFORMATION If contamination at the facility is suspected or confirmed, the information must be reported to the DERR Division Director at (801) 536- 4100 within 24 hours. The Division of Water Quality must be notified at (801) 536-4300 if Free Product is encountered or if surface water has been impacted. If contamination is confirmed, any person assisting in the remediation process for a fee must be a Certified UST Consultant. SAMPLE INFORMATION TABLE Complete table for all samples to be taken for closure. 1 Soil (SS), Groundwater (GW), or Unified Soil Classification (USC). 2 Approx. depth in feet below grade. The required minimum site assessment samples must be taken at 0-2 feet below the backfill/native soil interface. 3 Contaminant compounds to be analyzed for each sample (from table on p. 3). 4 Appropriate analysis methods for contaminant compound(s) in each sample (from table on p. 3). Sample # Substance stored in tank Sample type1 Depth2 Compounds3 Analysis method(s)4 ET Technologies 6030 West 1300 South Salt Lake City UT 84104 (801) 973-2065Sarah Smart SS-1 gasoline SS 12-14 MBTEXN and TPH-GRO 8260 SS-2 gasoline SS 12-14 MBTEXN and TPH-GRO 8260 SS-3 gasoline SS 12-14 MBTEXN and TPH-GRO 8260 SS-4 gasoline SS 12-14 MBTEXN and TPH-GRO 8260 SS-5 gasoline SS 12-14 MBTEXN and TPH-GRO 8260 gasoline MBTEXN and TPH-GRO 8260 USC-1 gasoline USC 12-14 USC ASTM-D2487 SS-6 gasoline SS 12-14 MBTEXN and TPH-GRO 8260 SS-7 gasoline SS 3-5 MBTEXN and TPH-GRO 8260 USC-2 gasoline USC 3-5 USC ASTM-D2487 gasoline MBTEXN and TPH-GRO 8260 USC-3 USC 3-5 USC ASTM-D2487gasoline GW-2 GW 4-6 GW-1 GW 4-6 5 Facility Site Plat (Closure Plan) 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 pages 1 and 4 of the Closure Plan. Facility ID: Drawn By:Date: X = Sample locations (SS-#, WS-#, USC-#) Site Plat Must Indicate Approximate Locations of: ●= 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 Surrounding Land: _ Residential Commercial Industrial North Scale: 1”= Feet PLEASE SEE ATTACHED SITE PLAN 6 Regional groundwater flow direction: State Certified Laboratory to be used: Address City State Zip Contact Person Phone I certify under penalty of law that I am the owner/operator of the tank(s) referenced 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 will be followed during tank closure. Signature of tank owner Full Name of tank owner Date Please explain any unusual or extenuating circumstances expected regarding the site assessment or closure: Approximate depth to groundwater in the vicinity of the tanks: feet. northwest Pace National Analytical 12065 Lebanon Road Mt. Juliet TN 37122 Marty Edwards (615) 758-5858 Marc Westfall The proposed closure date is October 15, 2024. 9/25/24 Release Sites MEY, MPS, and MZF are associated with this Facility. All received closure by NFA. 5 UE UE UE UE UE UE UE UE UE UE CONCRETE GRASS SIGN CONCRETE GRASS LIGHT POLE SIDEWALK CONCRETE SIDEWALK SEWERTRAFFIC POLE PP PP PP PP PP PP PP PPPPPP PP PP PP C O N C R E T E ELEVEN 7-ELEVEN STORE No.25117 CONCRETE PARKING SIDEWALK PHONES GR A S S SI D E W A L K SI G N CANOPY LIGHT POLE FIRE HYDRANT 30 0 W E S T 330 SOUTH WATER METER WATER METER ELECTRICAL BOX SI D E W A L K GAS METER LIGHT ELECTRICAL PANELS DUMPSTER VIC'S PERFORMANCE AUTOMOTIVE LIGHT POLE INDUSTRIAL PRODUCTS MFG. ELECTRIC POLE CONCRETE ASPHALT USTs AIR MW-1 MW-2 MW-3 PH-5 PH-8 PH-7 PH-4 PH-6 PH-3 PH-2 PH-1 SS-7 SS-5 SS-4/USC-3 SS-3/USC-2 GW-1 SS-2 SS-1/USC-1 GW-2 FOR: FILEPATH:C:\Users\SAguinaldo\Desktop\2024\SLC\203724057\FIG 1_7-11_25117_SITE PLAN_08-28_2024.dwg | Layout Tab: 1 | Drafter: SAguinaldo | Sep 05, 2024 at 4:42 No warranty is made by Stantec Consulting Services Inc. as to the accuracy, reliability, or completeness of these data. Original data were compiled from various sources. This information may not meet National Map Accuracy Standards. This product was developed electronically, and may be updated without notification. Any reproduction may result in a loss of scale and or information. STA AMS JPW 08/28/24 1SITE PLAN JOB NUMBER:DRAWN BY:CHECKED BY:APPROVED BY:DATE: FIGURE: 203724057 ELEVEN PHONE: 2890 E COTTONWOOD PKWY, STE 300 SALT LAKE CITY, UTAH (801) 261-0090 7-ELEVEN STORE No.25117 287 WEST 3300 SOUTH SALT LAKE CITY, UTAH MW-1 ABANDONED MONITORING WELL LOCATION PH-4 PROBEHOLE LOCATION LEGEND N 0 30 60 APPROXIMATE SCALE IN FEET SS = CLOSURE SOIL SAMPLE LOCATION GW = CLOSURE GROUNDWATER SAMPLE LOCATION USC = UNIFIED SOIL CLASSIFICATION SYSTEM SAMPLE LOCATION OVERHEAD ELECTRIC LINE ELECTRIC LINE GAS LINE STORM DRAIN WATER LINE UNKNOWN UTILITY LINE PRODUCT RETURN LINEPP SS-6