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Home My WebLink AboutDERR-2024-0127091 3(752/(80 STORAGE TANK PERMANENT CLOSURE NOTICE (rev./) 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 SHWUROHXPVWRUDJH tanks at this site before closure Total number of regulated SHWUROHXPVWRUDJHtanks 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 Aaron Norton E.T. Technologies, Inc 801-977-0731 3110 W. California Ave, Ste. D Salt Lake City UT 84104 Traci Gee -464 8/16/25 E.T. Technologies, Inc 801-977-0731 3110 W. California Ave, Ste. D Salt Lake City UT 84104 Traci Gee -1882 12/7/24 E.T. Technologies, Inc 801-977-0731 3110 W. California Ave, Ste. D Salt Lake City UT 84104 6000386 Bryce Canyon National Park 435-834-5322 3100 S Hwy 63 Maintenance Yard Rd P.O. Box 640201 Bryce Canyon UT 84764 Bryce Canyon Maintenance Yard Bryce Canyon UT 84764 James F. Ireland, Superintendent 435-834-5322 0 0 12/09/2024 KV 2 DISPOSAL SITES USED Location Name Contact Name Phone # Date Amount Tank(s)Tank # Product From Tank(s) Contaminated Water From Tank Cleaning Sludge Contaminated Water From Excavation Contaminated Soil 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): Water Line Sewer Line Natural Gas Storm Drain Telephone Electrical Property Line 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 8$&R311-205, and that any additional samples required by 40 CFR 280.52, 40 CFR 280.72 and 8$& R311-205-2()(D)were properly collected. Signature of Certified Groundwater/Soil Sampler Full name of Certified Sampler 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 Cert. #CC Exp. Date Company Address City State Zip Phone # Please explain any unusual circumstances that occurred during the site assessment or closure: Traci Gee Sump and Trap Shane Adolf 801-595-8151 7/16/24 807 gals 8/30/24 no issues encountered SS - 1 @ 3 ' SS - 2 @ 3 ' SS - 3 / U S C - 3 @ 3 ' SS - 4 @ 3 ' SS - 5 @ 3 ' Ro u t e 6 3 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-#)¥ /RFDWLRQRIDOOVDPSOHVWREHWDNHQ Ɣ = Water Wells (domestic, livestock, etc.)¥ %XLOGLQJVIHQFHV SURSHUW\boundaries Slope of Surface Topography: (N,NW,W,SW,S,SE,E,NE)¥ 8WLOLW\FRQGXLWVVHZHUVJDVZDWHUVWRUPGUDLQVHOHFWULFDOHWF Land Use At Site: Residential Commercial Industrial ¥ 'HSWKWRJURXQGZDWHULIHQFRXQWHUHG Surrounding Land: Residential Commercial ,QGXVWULDO ¥Excavations, GW monitoring wells & soil stockpiles North Scale: 1”= Feet 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: Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 Work Order: 24G2178 Project: Bryce Canyon 8/1/2024 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 9 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. Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 2174 7/29/24 10:25 @ 12.6 °C 8/1/2024 Bryce Canyon Sample ID: SS-01 Lab ID: 24G2178-01Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 7/16/24 9:30 Preparation Date/Time Sampled By: Traci Gee Minimum Reporting Limit MethodResult Inorganic %7/29/247/29/240.1 CTF800092.9Total Solids Diesel Range mg/kg 7/31/247/30/2450EPA 8015 CNDDiesel Range Organics Volatile Organic Compounds mg/kg dry IHT7/30/247/30/240.01 EPA 8260D/5030BNDBenzene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDEthylbenzene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDNaphthalene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDToluene mg/kg dry IHT7/30/247/30/240.07 EPA 8260D/5030BNDXylenes, total Project Name: Bryce Canyon CtF WO#: 24G2178 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:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 2174 7/29/24 10:25 @ 12.6 °C 8/1/2024 Bryce Canyon Sample ID: SS-02 Lab ID: 24G2178-02Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 7/16/24 9:34 Preparation Date/Time Sampled By: Traci Gee Minimum Reporting Limit MethodResult Inorganic %7/29/247/29/240.1 CTF800096.2Total Solids Diesel Range mg/kg 7/31/247/30/2450EPA 8015 CNDDiesel Range Organics Volatile Organic Compounds mg/kg dry IHT7/30/247/30/240.01 EPA 8260D/5030BNDBenzene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDEthylbenzene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDNaphthalene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDToluene mg/kg dry IHT7/30/247/30/240.07 EPA 8260D/5030BNDXylenes, total Project Name: Bryce Canyon CtF WO#: 24G2178 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:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 2174 7/29/24 10:25 @ 12.6 °C 8/1/2024 Bryce Canyon Sample ID: SS-03 Lab ID: 24G2178-03Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 7/16/24 9:37 Preparation Date/Time Sampled By: Traci Gee Minimum Reporting Limit MethodResult Inorganic %7/29/247/29/240.1 CTF800089.9Total Solids Diesel Range mg/kg 7/31/247/30/2450EPA 8015 CNDDiesel Range Organics Volatile Organic Compounds mg/kg dry IHT7/30/247/30/240.01 EPA 8260D/5030BNDBenzene mg/kg dry IHT7/30/247/30/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry IHT7/30/247/30/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry IHT7/30/247/30/240.03 EPA 8260D/5030BNDToluene mg/kg dry IHT7/30/247/30/240.08 EPA 8260D/5030BNDXylenes, total Project Name: Bryce Canyon CtF WO#: 24G2178 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:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 2174 7/29/24 10:25 @ 12.6 °C 8/1/2024 Bryce Canyon Sample ID: SS-04 Lab ID: 24G2178-04Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 7/16/24 9:40 Preparation Date/Time Sampled By: Traci Gee Minimum Reporting Limit MethodResult Inorganic %7/29/247/29/240.1 CTF800095.4Total Solids Diesel Range mg/kg 7/31/247/30/2450EPA 8015 CNDDiesel Range Organics Volatile Organic Compounds mg/kg dry IHT7/30/247/30/240.01 EPA 8260D/5030BNDBenzene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDEthylbenzene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDNaphthalene mg/kg dry IHT7/30/247/30/240.02 EPA 8260D/5030BNDToluene mg/kg dry IHT7/30/247/30/240.07 EPA 8260D/5030BNDXylenes, total Project Name: Bryce Canyon CtF WO#: 24G2178 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:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 2174 7/29/24 10:25 @ 12.6 °C 8/1/2024 Bryce Canyon Sample ID: SS-05 Lab ID: 24G2178-05Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 7/16/24 9:45 Preparation Date/Time Sampled By: Traci Gee Minimum Reporting Limit MethodResult Inorganic %7/29/247/29/240.1 CTF800093.3Total Solids Diesel Range mg/kg 7/31/247/30/2450EPA 8015 CNDDiesel Range Organics Volatile Organic Compounds mg/kg dry IHT7/30/247/30/240.01 EPA 8260D/5030BNDBenzene mg/kg dry IHT7/30/247/30/240.03 EPA 8260D/5030BNDEthylbenzene mg/kg dry IHT7/30/247/30/240.03 EPA 8260D/5030BNDNaphthalene mg/kg dry IHT7/30/247/30/240.03 EPA 8260D/5030BNDToluene mg/kg dry IHT7/30/247/30/240.08 EPA 8260D/5030BNDXylenes, total Project Name: Bryce Canyon CtF WO#: 24G2178 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:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 2174 7/29/24 10:25 @ 12.6 °C 8/1/2024 Bryce Canyon Sample ID: USC-01 Lab ID: 24G2178-06Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 7/16/24 9:50 Preparation Date/Time Sampled By: Traci Gee Minimum Reporting Limit MethodResult Inorganic -7/29/247/29/24ASTM D2487-ModSPUnited Soil Classification [USC] Project Name: Bryce Canyon CtF WO#: 24G2178 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:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com ET Technologies, Inc. Nicole Albiston 3110 West California Avenue Suite D Salt Lake City, UT 84104 PO#: Receipt: Date Reported: Project Name: 2174 7/29/24 10:25 @ 12.6 °C 8/1/2024 Bryce Canyon 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. Flag Descriptions IHT = Sample received with insufficent holding time. As a result, the sample was prepared or analyzed outside of method recommended holding time. Project Name: Bryce Canyon CtF WO#: 24G2178 www.ChemtechFord.com Page 8 of 9Page 8 of 9 Page 9 of 9