DERR-2024-004895

Closure Packet for No Further Action
Facility ID 4001459
Release ID NZZ
Veterans Affairs Medical Center Building 38
Located at 500 Foothill Boulevard,Salt Lake City
Table of Contents
1.Internal Memorandum (insert when signed)
2.Brief Site Description
3.RBCA Tier 1 Worksheet
4.Tank 13 Closure Notice
5.Subsurface Investigation Sample Data and Bore Logs
6.Tank 12 Closure Samples
7.Soil Confirmation Sample Analytical Data
8.Site Maps
9.Water Rights Map
10.Groundwater Protection Zones Map
11.Topographic Map
The Veterans Affairs (VA)Medical Center is located at 500 Foothills Boulevard in Salt Lake
City.Building 38,the site of the contamination,is an equipment yard at the intersection of
Valdez Drive and Wahlen Way that originally contained two 3000-gallon underground storage
tanks (USTs)called Tank 12 and Tank 13.
Tank 13 was installed in 1993 and closed in place with a cement slurry on December 17,2020.
Soil samples taken at the time of tank closure indicated a release from the product piping.SS-3
contained several petroleum constituents above Initial Screening Levels (ISLs).Westech
performed a subsurface investigation in July 2021 and SS-3 remained the only location sampled
with contamination above state established cleanup levels.
Tank 12 was a 3,000-gallon diesel fuel fiberglass UST originally installed in 1988.This tank was
temporarily closed on April 28,2021.Fuel was removed to below 1-inch of remaining product,
and the product lines were capped and secured,as were pumps and manways.No additional
abatement was performed at the time of temporary closure of Tank 12 and no environmental
sampling was performed.
A Corrective Action Plan was developed and approved by the DERR on March 14,2023,to
remove Tank 12,Tank 13,and the contaminated soil;work began on May 15,2023.Excavation
of contaminated soil reached a depth of 20 feet below the ground surface (bgs).307 tons of
contaminated soil were disposed of at ET SRS.Confirmation samples were taken on May 24,
2023 with all samples being non-detect for all analytes.The excavation was backfilled with clean
materials and resurfaced with asphalt.
Groundwater is estimated to be 175 feet bgs and therefore was not encountered.There are no
water rights within a critical distance but Red Butte Creek is 400 feet away from the site.It is not
in a groundwater protection zone but is 300 feet from a Zone 4.
Facility Information
Facility Name:VA MEDICAL CENTER Release ID:NZZ
Facility Address:500 FOOTHILL BLVD BUILDING #38 SALT LAKE
CITY, UT 84148
Facility ID:4001459
Notification Date:02/26/2021
Owner Name:SLC VA MEDICAL CENTER Reporting Party:Zach Moore
Owner Address:500 FOOTHILL BLVD MAIL STOP #138 SALT LAKE
CITY, UT 84148
Project Manager:Liberty Coe
Site Assessment Information
a. Contaminant Source Information Cause of Release (if known)
Product
Released
Amount
Released (gal)
Size (gal) # of
USTs Tank Piping Disp Over/Spill Other Comments
Gasoline unknown 3000 Yes
Diesel unknown 3000 Yes
Waste Oil
Unknown
Other
Tank Piping Disp Free Prod Cont Soil
Sources Removed:Yes Yes Yes No Yes
b. Land Use Information
Current Land use at the Site:Other Surrounding Neighborhood:Other
(Note: Surrounding land use is Residential if one or more residences share a common property line with the Facility)
c. Soil Information Soil Type(s)
Depth to Contaminated Soil
(feet below land surface):
14 feet OH-Organic silts & clays
Method of Soil Type Identification:Unified Soil Classification
d. Groundwater Information
Was groundwater encountered?:No Thickness of Free Product:
Depth to groundwater
(feet below land surface):
Is groundwater impacted at any
concentration:
No
Groundwater flow direction: Slope direction of surface topography:
e. Distance from Highest Measured Contaminated Concentrations and Sampling Location to Nearest Potential Receptor
Receptors:(Enter distance to each receptor from corresponding sampling location in feet)
Distance- Location Distance- Location
Water Line:10 - SS5 Sewer Line: - Building Desc:Other
Electrical: - Natural Gas:0 - SS-5 Other Desc:garage
Building:20 - ss-5 Telephone: -
Property Line - Storm Drain: -
Other(specify): -
Receptors Within 500 feet:
Municipal Well:Domestic Well:Irrigation Well:2218
Other:
Surface Water(specify type: lake, stream, creek, river, wetland):Dist: 400 Desc: red butte creek
Utah's RBCA Tier 1 Worksheet
Printed on: 9/29/2023 1:26:06 PM
Facility History - Executive Summary
RBCA Tier 1 Screening Level Evaluation
Groundwater(mg/L)Soil(mg/Kg)
Constituent ISL/Tier 1 Level Highest Concentration and
Sampling Location
ISL/Tier 1 Level Highest Concentration and
Sampling Location
Benzene 0.005/0.30 0.20/0.90 <0.01 SS-3
Toluene 1.0/3.00 9.0/25.0 <0.03 SS-3
Ethylbenzene 0.7/4.00 5.0/23.0 <0.03 SS-3
Xylenes 10.0/10.0 142.0/142.0 <0.030 SS-3
Napthalene 0.70/0.70 51.0/51.0 0.03 SS-3
MTBE 0.20/0.20 0.30/0.30 0.01 SS-3
TPH-gasoline 1.0/10.0 150/1500 <2.91 SS-3
TPH-diesel 1.0/10.0 500/5000 <64 SS-13
Oil and Grease/TRPH 10.0/10.0 1000/10000
Recommended Tier 1 Actions
All contaminant concentration levels are below ISLs or below Tier 1 screening levels and no receptors are within the critical
distances. Recommendation - No further action.
Tier 1 criteria (contaminant concentration and/or distance to receptors) are exceeded at the site.
Recommendation - See attached supplemental information worksheet.
Evaluation Completed by:Date:
DERR Project Manager's Signature
Utah's RBCA Tier 1 Worksheet
Printed on: 9/29/2023 1:26:06 PM
September 29, 2023
1
UNDERGROUND STORAGE TANK PERMANENT CLOSURE NOTICE (rev. 2/1/15) FACILITY ID# 4001459 .
…
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 Taber DeHart
of (company name) Westech Fuel Equipment Phone # [phone]
Address 195 West 3900 South City Salt Lake City StateUT Zip84157

TANKS CLOSED
Piping Only Tank #
Please complete for each tank 13
Type (Steel,FRP,etc.) FRP
Date Installed 4/1/93
Capacity (Gallons) 3,000
Substance stored* Gas
Date last operated 2020
Date Closed 12/17/20
Removed/In Place/ Change in
Service (CIS)? In Place
*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: NA
Location of Closure Records: 500 Foothill Boulevard, Salt Lake City, Utah 84148
For In-Place Closure: tanks filled with: Cement Slurry
For Change-In-Service: Substance to be stored:
FACILITY INFORMATION
Tank Owner Veterans Administration Phone # [phone]
Address 500 Foothill Boulevard City Salt Lake City State UT Zip 84148
Facility Name VA Medical Center
Address 500 Foothill Boulevard City Salt Lake City State UT Zip 84148
Contact person Joshua Keene Phone # [phone]
Total number of regulated underground tanks at this site before closure 9
Total number of regulated underground tanks at this site after closure 8
TANK REMOVER Name Taber DeHart Cert. # TR418 Exp. Date 3/15/21
Company Westech Fuel Equipment Phone # [phone]
Address 195 West 3900 South City Salt Lake City State UT Zip 84157
SOIL/GROUNDWATER SAMPLER Name Taber DeHart Cert. # GS373 Exp. Date 11/15/20
Company Westech Fuel Equipment Phone # [phone]
Address 195 West 3900 South City Salt Lake City State UT Zip 84157
2
DISPOSAL SITES USED
Location Name Contact Name Phone # Date Amount
Tank(s) NA Tank #
Product From Tank(s) Sump & Trap Cleaning LLC Shane Adolf 801-595-8151 12/20
Contaminated Water
From Tank Cleaning SAA
Sludge SAA
Contaminated Water
From Excavation NA
Contaminated Soil NA

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):
XWater Line Sewer Line Natural Gas Storm Drain Telephone Electrical Property Line X 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 Taber DeHart Date 1/3/21

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 Taber DeHart Cert. #CC 113 Exp. Date 9/30/20
Company Westech Fuel Equipment Address 195 West 3900 South
City Salt Lake City State UT Zip 84157 Phone # [phone]

Please explain any unusual circumstances that occurred during the site assessment or closure:

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: 4001459 Drawn By: Taber DeHart Date: 1/3/21

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, el ectrical, 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”= 20 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 Utility Test Laboratory
Address 1615 West 2200 South City Salt Lake City State UT Zip 84119
Contact Person Becky Holubek Phone # [phone]

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
SS-1 Diesel SS 12 MBTEXN/TPH-GRO/TPH-DRO 8260/8015
SS-2 Diesel SS 12 MBTEXN/TPH-G/D 8260/8015
SS-3 Diesel SS 4 MBTEXN/TPH-G/D 8260/8015
SS-4 Diesel SS 4 MBTEXN/TPH-G/D 8260/8015

USC-1 USC 12 USC
USC-2 USC 4 USC

Street Address Multi Agency State Office Building 195 North 1950 West (First Floor)
Salt Lake City, Utah 84116

Joshua Keene 2/19/2021

Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
14 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/20
Salt Lake City, UT
Veterans Administration
VAMC Building 38
SS-1
Bottom of Boring @ 14'
Well Graded GRAVEL (GW), Gray, Moist
Pea Gravel, Fill
0
0
0
0
0

Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
14 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/20
Salt Lake City, UT
Veterans Administration
VAMC Building 38
SS-2
Bottom of Boring @ 14'
Well Graded GRAVEL (GW), Gray, Moist
Pea Gravel, Fill
0
0
0
0
0

Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
5 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/20
Salt Lake City, UT
Veterans Administration
VAMC Building 38
SS-3
Bottom of Boring @ 5'
Well Graded GRAVEL (GW), Gray, Moist
37
0

Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
5 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/20
Salt Lake City, UT
Veterans Administration
VAMC Building 38
SS-4
Bottom of Boring @ 5'
Well Graded GRAVEL (GW), Gray, Moist
0
0
Analytical Report
Client:Westech Project:VA Medical Center
195 W. 3900 S.
SLC, UT 84157 Client Field ID: B-1 @ 12'
Laboratory ID:121120-05
Attn: Taber DeHart
Analysis:TPH DRO/GRO
Date Received:12/11/2020 MBTEXN
Date Collected:12/11/2020 Matrix:Soil- Dry % Moisture = 9
Collection Time:AM Sample Received By:Becky Holubek
Parameter Date Method Reporting Test Results
Analyzed Limit (mg/Kg) Limit (mg/Kg)
TPH DRO (C10 to C28)12/17/2020 SW-846 8015B Modified 10.00 < 10.00
TPH GRO (C6 to C10)12/17/2020 SW-846 8260B/5030A 10.00 < 10.00
Methyl tert-butyl ether 12/17/2020 SW-846 8260B/5030A 0.150 < 0.150
Benzene 12/17/2020 SW-846 8260B/5030A 0.150 < 0.150
Toluene 12/17/2020 SW-846 8260B/5030A 0.150 < 0.150
Ethylbenzene 12/17/2020 SW-846 8260B/5030A 0.150 < 0.150
Xylenes, Total 12/17/2020 SW-846 8260B/5030A 0.450 < 0.450
Naphthalene 12/17/2020 SW-846 8260B/5030A 0.150 < 0.150
Dilution Factor Used:GRO 1
DRO 1
MBTEXN 150
Approved by: ________________________________________ Date of Issue: 23-Dec-20
Becky Holubek, Laboratory Director
All analyses performed in compliance with National Environmental Laboratory Accreditation Conference (NELAC) standards Page 1 of 1
Utility Testing Laboratory
1615 W. 2200 S. Suite A
Salt Lake City, Utah 84119
Toll Free: [phone]
Phone [phone]
Fax [phone]
Analytical Report
Client:Westech Project:VA Medical Center
195 W. 3900 S.
SLC, UT 84157 Client Field ID: B-2 @ 12'
Laboratory ID:121120-06
Attn: Taber DeHart
Analysis:TPH DRO/GRO
Date Received:12/11/2020 MBTEXN
Date Collected:12/11/2020 Matrix:Soil- Dry % Moisture = 4
Collection Time:AM Sample Received By:Becky Holubek
Parameter Date Method Reporting Test Results
Analyzed Limit (mg/Kg) Limit (mg/Kg)
TPH DRO (C10 to C28)12/17/2020 SW-846 8015B Modified 10.00 < 10.00
TPH GRO (C6 to C10)12/17/2020 SW-846 8260B/5030A 10.00 < 10.00
Methyl tert-butyl ether 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Benzene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Toluene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Ethylbenzene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Xylenes, Total 12/17/2020 SW-846 8260B/5030A 0.420 < 0.420
Naphthalene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Dilution Factor Used:GRO 1
DRO 1
MBTEXN 140
Approved by: ________________________________________ Date of Issue: 23-Dec-20
Becky Holubek, Laboratory Director
All analyses performed in compliance with National Environmental Laboratory Accreditation Conference (NELAC) standards Page 1 of 1
Utility Testing Laboratory
1615 W. 2200 S. Suite A
Salt Lake City, Utah 84119
Toll Free: [phone]
Phone [phone]
Fax [phone]
Analytical Report
Client:Westech Project:VA Medical Center
195 W. 3900 S.
SLC, UT 84157 Client Field ID: B-3 @ 3'
Laboratory ID:121120-07
Attn: Taber DeHart
Analysis:TPH DRO/GRO
Date Received:12/11/2020 MBTEXN
Date Collected:12/11/2020 Matrix:Soil- Dry % Moisture = 17
Collection Time:AM Sample Received By:Becky Holubek
Parameter Date Method Reporting Test Results
Analyzed Limit (mg/Kg) Limit (mg/Kg)
TPH DRO (C10 to C28)12/17/2020 SW-846 8015B Modified 10.00 182
TPH GRO (C6 to C10)12/17/2020 SW-846 8260B/5030A 10.00 511
Methyl tert-butyl ether 12/17/2020 SW-846 8260B/5030A 0.160 < 0.160
Benzene 12/17/2020 SW-846 8260B/5030A 0.160 < 0.160
Toluene 12/17/2020 SW-846 8260B/5030A 0.160 0.277
Ethylbenzene 12/17/2020 SW-846 8260B/5030A 0.160 0.280
Xylenes, Total 12/17/2020 SW-846 8260B/5030A 0.480 39.3
Naphthalene 12/17/2020 SW-846 8260B/5030A 0.160 2.75
Dilution Factor Used:GRO 1
DRO 1
MBTEXN 160
Approved by: ________________________________________ Date of Issue: 23-Dec-20
Becky Holubek, Laboratory Director
All analyses performed in compliance with National Environmental Laboratory Accreditation Conference (NELAC) standards Page 1 of 1
Utility Testing Laboratory
1615 W. 2200 S. Suite A
Salt Lake City, Utah 84119
Toll Free: [phone]
Phone [phone]
Fax [phone]
Analytical Report
Client:Westech Project:VA Medical Center
195 W. 3900 S.
SLC, UT 84157 Client Field ID: B-4 @ 4'
Laboratory ID:121120-08
Attn: Taber DeHart
Analysis:TPH DRO/GRO
Date Received:12/11/2020 MBTEXN
Date Collected:12/11/2020 Matrix:Soil- Dry % Moisture = 14
Collection Time:AM Sample Received By:Becky Holubek
Parameter Date Method Reporting Test Results
Analyzed Limit (mg/Kg) Limit (mg/Kg)
TPH DRO (C10 to C28)12/17/2020 SW-846 8015B Modified 10.00 < 10.00
TPH GRO (C6 to C10)12/17/2020 SW-846 8260B/5030A 10.00 < 10.00
Methyl tert-butyl ether 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Benzene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Toluene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Ethylbenzene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Xylenes, Total 12/17/2020 SW-846 8260B/5030A 0.420 < 0.420
Naphthalene 12/17/2020 SW-846 8260B/5030A 0.140 < 0.140
Dilution Factor Used:GRO 1
DRO 1
MBTEXN 140
Approved by: ________________________________________ Date of Issue: 23-Dec-20
Becky Holubek, Laboratory Director
All analyses performed in compliance with National Environmental Laboratory Accreditation Conference (NELAC) standards Page 1 of 1
Utility Testing Laboratory
1615 W. 2200 S. Suite A
Salt Lake City, Utah 84119
Toll Free: [phone]
Phone [phone]
Fax [phone]

WESTECH ENVIRONMENTAL
4
TABLE 1
SUMMARY OF SOIL CHEMISTRY DATA
VA MEDICAL CENTER
FACILITY NUMBER 4001514, RELEASE CODE NZZ
Sample Date Sample MTBE Benzene Toluene Ethyl-Total Naphtha-TPH TPH
Location Depth benzene Xylenes lene GRO DRO
(feet)(mg/kg)(mg/kg)(mg/kg)(mg/kg)(mg/kg)(mg/kg)(mg/kg)(mg/kg)
Closure Samples
B-1 (SS-1)12/11/20 12 <0.150 <0.150 <0.150 <0.150 <0.450 <0.150 <10.00 <10.00
B-2 (SS-2)12/11/20 12 <0.140 <0.140 <0.140 <0.140 <0.480 <0.140 <10.00 <10.00
B-3 (SS-3)12/11/20 3 <0.160 <0.160 0.277 0.28 39.3 2.75 511 182
6/24/21 12 <0.230 1.14 107 35.3 253 6.78 3,140 249
B-4 (SS-4)12/11/20 12 <0.140 <0.140 <0.140 <0.140 <0.480 <0.140 <10.00 <10.00
Investigation Samples
B-5 6/24/21 12 <0.150 <0.150 <0.150 <0.150 <0.450 <0.150 <10.00 <10.00
18 <0.140 <0.140 <0.140 <0.140 <0.420 <0.140 <10.00 <10.00
B-6 6/24/21 5 <0.140 <0.140 <0.140 <0.140 <0.420 <0.140 <10.00 <10.00
13 <0.150 <0.150 <0.150 <0.150 <0.450 <0.150 <10.00 <10.00
B-7 6/24/21 10 <0.150 <0.150 <0.150 <0.150 <0.450 <0.150 <10.00 <10.00
Tier 1 Screening Levels:0.3 0.9 25 23 142 51 1,500 5,000
Initial Screening Levels:0.3 0.2 9 5 142 51 150 500
Notes:< indicates less than given detection limit.
Bold Values are in excess of Initial Screening Levels.
WESTECH ENVIRONMENTAL
3
FIGURE 1FID 4001459
SITE MAP
VA MEDICAL CENTER, BUILING 38
500 FOOTHILL BOULEVARD
SALT LAKE CITY, UTAH
W ater
Natural Gas
R U L
D S L
P
r
o
d
u
c
t

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B-1
B-2
B-3
B-4
B-5
B-6
B-7
Boring Location
Approximate Scale
1 Inch = 20 Feet

WESTECH ENVIRONMENTAL
5
Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
14 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/20
Salt Lake City, UT
Veterans Administration
VAMC Building 38
B-1
Bottom of Boring @ 14'
Well Graded GRAVEL (GW), Gray, Moist
Pea Gravel, Fill
0
0
0
0
0

WESTECH ENVIRONMENTAL
6

Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
14 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/20
Salt Lake City, UT
Veterans Administration
VAMC Building 38
B-2
Bottom of Boring @ 14'
Well Graded GRAVEL (GW), Gray, Moist
Pea Gravel, Fill
0
0
0
0
0

WESTECH ENVIRONMENTAL
7
Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
15 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/21 and 6/24/21
Salt Lake City, UT
Veterans Administration
VAMC Building 38
B-3
Bottom of Boring @ 15'
(Refusal @ 15')
Well Graded GRAVEL (GW), Gray, Moist
Interbedded layers of Clayey SILT (ML), Gray, Wet
Raod Base, Fill
Clayey SILT (ML), Brown, Moist
1,000
>15,000
2,000
6,000
3,000
>15,000

WESTECH ENVIRONMENTAL
8
Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
5 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
12/11/20
Salt Lake City, UT
Veterans Administration
VAMC Building 38
B-4
Bottom of Boring @ 5'
Well Graded GRAVEL (GW), Gray, Moist
0
0

WESTECH ENVIRONMENTAL
9
Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
18 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
6/24/21
Salt Lake City, UT
Veterans Administration
VAMC Building 38
B-5
Bottom of Boring @ 18'
(Refusal @ 18')
Well Graded GRAVEL (GW), Gray, Moist
Interbedded layers of Clayey SILT (ML), Gary, Moist
Raod Base, Fill
Clayey SILT (ML), Brown, Moist

WESTECH ENVIRONMENTAL
10
Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
13 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
6/24/21
Salt Lake City, UT
Veterans Administration
VAMC Building 38
B-6
Bottom of Boring @ 13'
(Refusal @ 13')
Well Graded GRAVEL (GW), Gray, Moist
Interbedded layers of Clayey SILT (ML), Gary, Moist
Raod Base, Fill
Clayey SILT (ML), Brown, Moist

WESTECH ENVIRONMENTAL
11

Location:____________________
Owner:_____________________
Project:____________________
Hole Number:_______________
Sheet:_____ of ______
Time Finished:_______
Time Started:________
Date:_______________
Logged By:__________________
Slot Size:___________________
Water Depth:________________
Sampler Type:_______________
TOC Elevation:______________
Screen Length:______________
Total Depth:________________
Drilling Method:______________
Surface Elevetion:____________
Casing Diameter:_____________
Boring Diameter:_____________
Drilling Co.:_________________
Depth
(feet)
Interval
Sampled
Description/Soil Classification Well
Construction Depth
(feet)
OVM
(ppm)
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
TDH
NA
ND
Split Spoon
NA
NA
10 Feet
Direct Push
ND
NA
3-Inches
Earth Probe
11
6/24/21
Salt Lake City, UT
Veterans Administration
VAMC Building 38
B-7
Bottom of Boring @ 10'
(Refusal @ 10')
Well Graded GRAVEL (GW), Gray, Moist
Raod Base, Fill
Clayey SILT (ML), Brown, Moist
Corrective Action Report, Release NZZ, Salt Lake VAMC September 2023
7

Table 1. Closure Soil Sample Results for UST 12(38D)

Figure 4. Closure sample locations for closure and removal of UST 12(38D).
UST 12(38D) Closure Sample Soil Results (mg/kg, dry)
Sample Depth &
Location
Sample
Date
TPH-
GRO
TPH-
DRO Benzene Toluene Ethylbenzene Xylenes,
Total Naphthalene MTBE
SS-1
15 feet bgs;
northern
end of UST
12(38D)
5/18/23 ND
<2.91
ND
<58
ND
<0.12
ND
<0.29
ND
<0.29
ND
<0.29
ND
<0.29
ND
<0.12
SS-2
14 feet bgs;
southern
end of UST
12(38D)
5/18/23 ND
<2.74
ND
<55 0.23 0.37 ND
<0.27
ND
<0.27
ND
<0.27
ND
<0.11
SS-2A
16 feet bgs;
southern
end of UST
12(38D)
5/22/23 ND
<0.283
ND
<58
ND
<0.01
ND
<0.03
ND
<0.03
ND
<0.03
ND
<0.03
ND
<0.01

UDEQ-DERR ISL 150 500 0.20 9.00 5.00 142 51.0 0.30
See Acronyms and Abbreviations for explanation of terms
Bolded values = analyte detected above the UDEQ-DERR initial screening level (ISL)

Corrective Action Report, Release NZZ, Salt Lake VAMC September 2023
11

Table 3. Confirmation soil sample locations and results.
Confirmation Soil Sample Results (mg/kg, dry)
Sample Depth &
Location
Sample
Date
TPH-
GRO
TPH-
DRO Benzene Toluene Ethylbenzene Xylenes,
Total Naphthalene MTBE
SS-3
12 feet bgs;
west wall of
east hole*
5/22/23 ND
<2.91
ND
<58
ND
<0.01
ND
<0.03
ND
<0.03
ND
<0.03 0.03 ND
<0.01
SS-4
18 feet bgs;
west wall of
east hole
5/22/23 ND
<0.224
ND
<58
ND
<0.009
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.009
SS-5
5 feet bgs;
west wall of
east hole
5/22/23 ND
<0.235
ND
<62
ND
<0.009
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.009
SS-6
20 feet bgs;
Floor of
SAE**
5/24/23 ND
<0.213
ND
<54
ND
<0.009
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.009
SS-7
5.5 feet bgs;
south wall of
SAE
5/24/23 ND
<0.274
ND
<62
ND
<0.01
ND
<0.03
ND
<0.02
ND
<0.03
ND
<0.03
ND
<0.01
SS-8
12 feet bgs;
south wall of
SAE
5/24/23 ND
<0.258
ND
<56
ND
<0.01
ND
<0.03
ND
<0.02
ND
<0.03
ND
<0.03
ND
<0.01
SS-9
20 feet bgs;
south wall &
floor of SAE
5/24/23 ND
<0.227
ND
<57
ND
<0.009
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.009
SS-10
7 feet bgs;
north wall of
SAE
5/24/23 ND
<0.280
ND
<59
ND
<0.01
ND
<0.03
ND
<0.02
ND
<0.03
ND
<0.03
ND
<0.01
SS-11
13 feet bgs;
north wall of
SAE
5/24/23 ND
<0.263
ND
<56
ND
<0.01
ND
<0.03
ND
<0.02
ND
<0.03
ND
<0.03
ND
<0.01
SS-12
19 feet bgs;
north wall of
SAE
5/24/23 ND
<0.252
ND
<57
ND
<0.01
ND
<0.03
ND
<0.02
ND
<0.03
ND
<0.03
ND
<0.01
SS-13
6 feet bgs;
west wall of
SAE
5/24/23 ND
<0.249
ND
<64
ND
<0.01
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.02
ND
<0.01
SS-14
12 feet bgs;
west wall of
SAE
5/24/23 ND
<0.252
ND
<57
ND
<0.01
ND
<0.03
ND
<0.02
ND
<0.03
ND
<0.03
ND
<0.01
SS-15
20 feet bgs;
west wall &
floor of SAE
5/24/23 ND
<0.275
ND
<55
ND
<0.01
ND
<0.03
ND
<0.02
ND
<0.03
ND
<0.03
ND
<0.01

UDEQ-DERR ISL 150 500 0.20 9.00 5.00 142 51.0 0.30
*The west wall of the EAST HOLE is the same soil as the east wall of the SOURCE AREA excavation.
**SAE = Source area excavation; see Acronyms and Abbreviations for explanation of other terms

WESTECH ENVIRONMENTAL
3
FIGURE 1FID 4001459
SITE MAP
VA MEDICAL CENTER, BUILING 38
500 FOOTHILL BOULEVARD
SALT LAKE CITY, UTAH
W ater
Natural Gas
R U L
D S L
P
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B-1
B-2
B-3
B-4
B-5
B-6
B-7
Boring Location
Approximate Scale
1 Inch = 20 Feet
Corrective Action Report, Release NZZ, Salt Lake VAMC September 2023
2
Figure 1. Project location at Building 38, in the southern region of the Salt Lake VAMC

Corrective Action Report, Release NZZ, Salt Lake VAMC September 2023
3

Figure 2. Locations of 2020-2021 Westech soil borings (red) relative to former UST fuel
system components. Soil contamination with petroleum hydrocarbons was detected only
in boring B-3; all other soil boring samples were non-detect for all analytes.

Corrective Action Report, Release NZZ, Salt Lake VAMC September 2023
13

Figure 6. Map of confirmation soil samples (red) and excavations (yellow) completed during the corrective action effort of Release NZZ. See Table
3 for detailed locations of confirmation samples. Maximum depth of the excavations is shown in parentheses. All soils were disposed of as petroleum
contaminated soil (PCS).
9/29/23, 1:28 PM Map
https://maps.waterrights.utah.gov/EsriMap/map.asp 1/1
Water Rights Map
Point (1) Location:Address: 500 FOOTHILL BLVD, SALT LAKE CITY
2
0 300 600ft
N
S
W E
site location
site location
9/29/23, 2:07 PM Google Maps
https://www.google.com/maps/@40.761097,-111.8561925,13.91z?entry=ttu 1/1
Map data ©2023 2000 ft