HomeMy WebLinkAboutDERR-2024-012957UNDERGROUND S' iAGE TANK PERMANENT CLOSURE t iCE (Revised 01/01/97)
State Use
Facility lD #_.',,a0a222 Processed -L7-
Mailed to LHD
D!o,/ n::R
es in LUST File # G2P
estoLUSTa.ui.*W
Status
FtB I I lees mpl
T
E Hrii'rfi DE!-iVERID
Closure Notice prepared at the request of the owner/operator (identified below) by Andrew Callister
of (company Premium Oil Co.Phones1801 \ 487-472I
Address 2005 South 500 West Salt Lake State_9tah Ap 84LLS
FACILTTY INFORMATION
Tank Owner Preniun 0i1 Co.phonegl 801 1 487-472L
I J sole proprietorship [ ] partnership []corporation
Add 2005 South 300 ltlest Salt Lake state_utabZip 84115
Facility
Add 305 South Main
Cash Saver/Prenirur
CrtV nicnfieta State U!3h 8470t
Contact person Max Hartle
Number of regulated tanks at the facility belore closure: 3
Number of regulated tanks at the facility after closure:-
TANKS CLOSED
' lndicale the specific substance stored in each trank to be closed (regular, unleaded, diesel, waste oil, etc.)
TANK REMOVER Name D.G. Bateman
Phone #43 896-87 47
Cert. #tR -0059 g;p.r{ala 8/t/es
phonegl 801 1 487-472LPreniun 0i1 Co.
Add 2005 South 500 l'Jest
SOIUGROUN DWATER SAMPLER Name D. G. Batenan
glds Utah 841 15
Cert. # GS -0156 Exp.r{ala 2/L0/s8
Salt Lake
Tank #1
.)3
Date lnstalled 8/ 7972 8/1.972 4/1976
Capacity 1.2, 000 12, 000 6,000
Substance stored tlnleaded ULlPlus ULlPren
Date last operated 12/24/sB 12/24/98 10/27 /97
Date closed 1 /7 /q8 1/7 /98 1.0/28/s7
How closed
(Removed/ln place)Removed Renoved Removed
Premium 0i1 Co.phonegl 8011 487-472I
2005 South 300 West Salt Lake 5ta1s utah ziplllll_
'.n -- _r
))
SnMPLE INFORMATION TABLE (Ctosure Notice)
Complete table for all samples that were taken for ctosure. Sample lD numbers on the table must be consistent withthe sample lD numbers given on the site plat and in the lab analysis report.
Sample #/Lab lD Substance
stored in
tank
Sample
typet
Depth2 Compoundss Analysis method(s)a
1 97-U0L21,22 Gasoline SS TPH & BTEX 8015 Mod G 8020
2 97-U}LZLZ!n n r il
5 98-U0002s{It il il It
4 98-U00026(il il It il
s 98-U00026"It It il ll It
6 98-U00026:It n il
7 98-U00026:il il
8 98-U00026,ll il ll It
9 98-U00026 ll It tl
10 98-U00026 ll It il
L 97-U0L272 USC
2 98-U00026 USC
3 98-U00026 USC
1 Soil (SS), Groundwater (GW), or Unified Soit Ctassification (USC).2 Final depth (in feet) below grade at whicfi samples were taken.3 Contaminant compound(s) analyzed for each sample (IpH, BTEXN, O&G, etc).4 Appropriate analysis methods for contaminanl compound(s) in each sample (gO1S mod., 8020, 413.1, etc).
State Certified Laboratory used Cherntech/Ford
6L00 South Stratler
Contact person
Mrrray g1"1" UtahZip $aW
Phone#( 801) 262-7299
Please explain any unusual or extenuating circumstances encountered during the s1e assessment or closure:Two areas were over excavated. See map.
I certify under penatty of law that I am the owner of the tank(s) described above and that I am familiar with theinformation on this form and that it is true, accurate and compleie and further, that the procedures described hereinwere followed during tank closure.
Signature of UST Owner
Full name of Owner &-1 <_f Date,J/,q/qa
Retum completed Closure Notice form, Facility Site and Sample I nformation Table, Soil/G roundwater
results, USC sample results, and Chain of Custody form within 90 days of UST Closure to:
/l
Stat_e of Utah Dept. of EnvironmentalQualitv
Division of Environmental Response and R6mediation UST sectionP.O. Box 144840
168 North 1950 West
Sah Lake City, Utah 84114-4840
4
sample lab analysis
- NORTH
SS# 1
97-U012124
-GAS
.--.WATER
-SEWER
X SS#2
97-U012125
X USC# 1
97-U012126
t--l'._
SS#9 XI U
e8-uooo265l frlluttlo
SS# 7 XI
e8-uo0&6t
SS# 10
SS# 8
98-U000264
USTi1
UST-*u
XSS#4
98-U000260
XSS#6
9&U000262
X USC#2
9&U000267
F
LU
LUEFU'
:trF
=oaoo<t
USC# 3X
98-U000268
SS#3 X
9&U000259
SS#5 X
98-U000261
STATION
C-STORE
MAIN
NORTH X SS#2
97-U012125
X USC# 1
97-U012126
SS# 1
97-U012124
_ --____WATER_______ _____ -- --_
GAS
-SEWER -
ss#
USC# 3X
98-U000268
60 0F THE 463 TONS
REMOVED FROM THIS
AREA
SS N. E.
97-U013765
SS N. W.
97-U013766
XSS#4
98-U000260
xss#6
9&U0m262
x usc#2
98{Jm0267
ss s. E,
97-U013767
ss s. w.
97.u013768
ss# 10
SS# 8 r''
98-U000264
UST
UST
cr)E
llJ(tz,r!o-U'd
Fulult,Fa-F
=oU)ooo ss#3 x
gSti000259
SS#5 X
98{Jm261
MAIN
OFTHE 463 TONS OF CONTAMIMTED
REMOVED FROM THIS AREA WAS SHIP
TANK HOLE
COUNTY LANDFILL
STATION
C-STORE
To: Premium Oil
attn. Grant Bateman
2005 South 3OO West
salt Lake city, UT 841 15
Group #: 19304
Lab #: 97-UO1 2124
Project: 2OOO222
Sample Desc: #1 ,i,
Date: 111 5197
Time Sampled:
Time Received: 9223
!{DI, METHOD
Date Sampled: 1Ol3Ol97
Date Submitted: 10131 97
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 3.3 C
PARAMETER
erex/tpH
Analyst: AJP Date AnalYzed: Ll/ 4/97
Extracted by:ArIP Date Extracted: LL/ 4/97
Benzene, mg/fg
Ethyl Benzene, mg/xg
Toluene, mg/xg
xylenes, mg/xg
Naphtshalene, mg/fg
Methyl-terts-butsy} ether, mg/fg
Total Petroleum Hydrocarbons, mg/fg
NOTE: Sample submitted on ice.
Note: TPH values reported do not include oils
RESITLT
Time: 12:3'l
Extraction Method:
< 0.2 0.2
2
2
2
2
2
<0
<0
<0
<0
<0
<10
0.2
0.2
o.2
0.2
0.2
10
8020
sw846
sw846
sw846
sw845
sw846
sw845
sw846
8020
8020
8020
8020
8 020
8020
8015M
6IOO SOUTH STRAILEN
SALI LAKE CITY UTAH 84107 6905
801 262 7299 PH0ilE
801 262 7378 FAX
(generic.rpt)
Approved By:
To: Premium Oil
attn. Grant Bateman
2005 South 300 West
Salt Lake city, UT 841 15
Group #: 19304
Lab #: 97-UO1 2125
Project: 2OOO222
Sample Desc: #2
L
Date: 111 5197
Time Sampled:
Time Received: 9:23
MDIJ }IETHOD
:37
on Method:
8020
8020
8020
8020
8020
8020
80r.5M
5t
Date Sampled: 1Ol3Ol97
Date Submirted: 10131 97
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 3.3 C
PAR,A}TETER
BTEX/TPH
Analyst: AJP Date Analyzed: IL/ 4/97
Extracted by:ArTP Date Extracted, LL/ 4/97
Benzene, mg/fg
Ethyt Benzene, mS/Kg
Toluene, mS/KS
Xylenes, rftg/Kg
Naphthalene, mg/Kg
Methyl-tert-butyl ether, mg/Kg
Total Petroleum Hydrocarbons, mg/Kg
RESI'I,T
Time:
Ext,rac
L2ri
o.2
0.2
0.2
0.2
0.2
o.2
L0
< 0.2
< 0.2
< 0.2
< 0.2
< 0.2
< 0.2
<L0
8020
sw846
sw846
sw846
sw846
sw846
sw846
sw846
NOTE: Sample submitted on ice.
Note: TPH values reported do not include oils.
6IOO SOUIH SIRATLER
SALI LAKE CITY UIAH 84107 6905
801 262 7299 PH0flE
801 262 7378 FAX
{generic.rpt}
Approved By
To: Premium Oil
attn. Grant Bateman
2005 South 3OO West
Salt Lake city, uT 841 15
Group #: 19304
Lab #: 97-UO12126
Project: 2OOO222
Sample Desc: USC #1
Date Sampled: 1Ol3Ol97
Date Submitted: 10131 197
PARAITETER
INORGANIC PARAMETERS
Sieve, ? Rock, Z
Sieve, ? Sand, Z
Sieve, ? Silt & C1ay, Z
Receiving TemperaEure, C
Date: 111 5197
Time Sampled:
Time Received: 9:23
CERTIFICATE OF ANALYSIS
RESULT
DATE
IIDL ATiIALYZED }TETHOD N{AIJYST
CAL
CAL
CAL
61OO SOUIH STRATLER
SALT LAKE CITY UTAH 84107 6SO5
80t 262 7299 PH0NE
801 262 7378 tAX
48.2
32 .9
18.9
3.3
RII
RH
RH
RCG
0. l-
o.l_
0.1_
Lt/ s/e1
Lt/ s/e1
LL/ s/e1
Lo / 3L/ 97 9 ;23
NOTE: Sample submit,t.ed on ice.
{generic.rpt}
Approved By
'6ta,r^ A, /COMPANY:
ADDRESS:
CITYISTATEZIP:
PHONE i:
CO. CONTACT:
PROJECT 3D:
SAMPLE
DATE
SA[rPLE
SAMPLE
sp*tdlp!u"!ton:-
by: (signature)
by: (slgnature)
NET 30 DAYS: 1.s% PER HoNrH NIEREST OHARGE flE% A.p.R)
CUSrOHER AGREES TO PAY COLLECI/ION COSrS AI'D A rrORA'ErS FEES
BILLINO ADDRESS:
BILLINO CITY/STZIP:
P.O.#|
TURNAROUND REQ.D:.
'exfrtd tumatound subJet b t&itoml charye
6100 souTH STRATLER AVENUE,
SALT I.AKE CIW, UT 84107
'/ il/a f
*z
t
OFFIcE: (801)262.7299
FAX: (8011262.7378
Sampled by: (prinl) ^ ./
D.9r",tl Ko /t ro o r
/o-
3a'
1
3.
4.
5. ____
7
6.
9.
10.
asc-
6ani
I
I
q
oc
!E
6
o
on
E37
o
6
E
EDcgc
l,lATRlX
o
t!e
t/
V
/
oT.E
EooA.
.F")
oID1tJ
6 n
.>o
8.o
o€
I
I
\
Aq
I
N
\r-
AI.IALYTES REAUESTED
)
\)
.l\
v7
Receiving Temp. (C):
DatdTime Comments
To: Premium Oil
attn. Grant Bateman
2005 South 3OO West
Salt Lake City, UT 841 15
Group #: 20738
Lab #: 98-U00O259
Project: RICHFIELD, UT 2OOO222
Sample Desc: #3
j
Date: 1116/98
Time Sampled: 8:OO
Time Received: 15:00
Date Sampled: 1l 8198
Date Submitted: 1112198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PARJA}IETER
BTEX/TPH
Analyst : AJP Date Analyzed': t/ L3 / 9g
Extracted by:ArTP Date Extracted: L/L3/97
Benzene, mg/Kg
Etshyl Benzene, mg/Xg
To1uene, mg/fg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tert-butyl ether, mg/KS
Tot,al Petroleum Hydrocarbons, mg/Kg
NOTE: Sample submitted on ice.
Note: TPH values reported do not include oils
RESI'I,T
Time: 19:08
Extraction Method:
UDL IIETHOD
8020
sw845
sw846
sw846
sw845
sw846
sw846
sw846
o.2
o.2
o.2
o.2
0.2
o.2
10
<0
<0
<0
<0
<0
<0
< 1_0
8020
I 020
8020
8020
802 0
8020
801-5M
6IOO SOUTH STRAILER
SALI LAKE CIIY UIAH 84107 6905
80t 262 7299 PH0NE
801 262 7378 FAX
{generic.rpt}
Approved By:
cfl
To: Premium Oil
attn. Grant Bateman
2OO5 South 3OO West
Salt Lake City, UT 841 15
Group #: 20738
Lab #: 98-U00O26O
Project: RICHFIELD, UT 2OOO222
Sample Desc: #4
Date Sampled: 1l 8198
Date Submitted: 1 112198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PAR.AITTETER
BTEX/TPH
Arralyst: AiIP Date Analyzed: L/L3/98
Extracted by:AJP Date Extractedt L/L3/97
Benzene, mg/xg
Ethyl Benzene, mg/KS
Toluene, mg/xg
Xylenes, mg/xg
Naphthalene, mSI/Kg
Methyl-tert-buty1 ether, mg/Kg
Total Petroleum Hydrocarbons, mg/Kg
Date: 1116198
Time Sampled: 8:00
Time Received: 15:00
I{DIJ IIIETHODRESIILT
Time: 19: oB
Extraction Method
< o.2 0.2
2
2
<0
<0
0
<0
<0
<10
.500
.2
.2
0.2
o.2
o.2
0.2
o.2
10
I 020
sw846
sw846
sw846
sw845
sw845
sw846
sw846
8020
8020
8020
8020
8020
8020
80L5M
NOTE: Sample submit,t,ed on ice
Note: TPII values reported do not include oils.
61OO SOUTH STRATLER
SALT LAKE CIIY U|AH 84107 6905
80t 262 7299 PH0NE
801 262 7378 FAX
{generic.rpt}
Approved By:
To: ,Premium Oil
attn. Grant Bateman
2005 South 3O0 West
Salt Lake City, UT 841 15
Group #: 20738
Lab #: 98-UOOO261
Project: RICHFIELD, UT 2OOO222
Sample Desc: #5
Date Sampled: 1l 8198
Date Submitted: 1 112198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PAILA}IETER
BTEX/TPH
Analyst: AJP Date Analyzed: L/L3/98
Extracted by:AITP Date Extracted I L/L3/97
Benzene, mg/xg
Ethyl Benzene, mg/Kg
Toluene, mg/fg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tsert-butyl ether, mg/Kg
Total Petroleum Hydrocarbons, mS/KS
NOTE: Sample submitted on ice
Not.e: TPH values reported do not include oils
t1
Date: 1116198
Time Sampled: 8:OO
Time Received: 15:OO
MDL METHODRESI'LT
Time:19:08
Extraction Method:
0.2
0.2
o.2
0.2
0.2
0.2
10
<0
<0
<0
<0
<0
<0
< l-0
8020
sw846
sw846
sw845
sw846
sw845
sw846
sw845
I 020
8020
802 0
8020
8020
8020
8015M
6IOO SOUTH SIRATLER
SALT LAKE CIIY UIAH 84107 6905
801 262 7299 PHqNE
801 262 7378 fAX
{generic.rpt}
Approved By
:FOND
To: Premium Oil
attn. Grant Bateman
2005 South 30O West
Salt Lake City, UT 841 15
Group #:20738
Lab #: 98-U0OO262
Project: RICHFIELD, UT 2OOO222
Sample Desc: #6
Date Sampled: 1l 8/98
Date Submitted: 1 112198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PARJAITETER
BTEX/TPH
Analyst : AJP Dat,e Analyzed: L / L3 / 98
Extracted by:A,JP Date Extracted I/J-3/97
Benzene, mg/Kg
EtshyI Benzene, mg/Kg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mS/Kg
Methyl-tert-buty1 eLher, mg/Kg
Total Pet.roleum Hydrocarbons, mg/Kg
Date: 1116198
Time Sampled: 8:O0
Time Received: 15:OO
MDL I{ETHODRESULT
Time: 19:08
Extraction Method:
< 0.2 0.2
o.2
0.2
o.2
0.2
0.2
10
<0
<0
<0
<0
<0
<10
8020
sw845
sw846
sw846
sw845
sw845
sw846
sw846
8020
8020
8020
8020
8020
802 0
80r-sM
NOTE: Sample submitted on ice.
Note: TPH values reported do not inctude oils
6IOO SOUTH SfBATLER
SALT LAKE CIIY UTAH 84107 6905
80t 262 7299 PH0ilE
801 262 7378 tAX
{generic.rpt}
Approved By:
To: Premium Oil
attn. Grant Bateman
2005 South 3OO West
salt Lake city, UT 841 15
Group #: 20738
Lab #: 98-UOO0263
Project: RICHFIELD, UT 2OOO222
Sample Desc: #7
Date Sampled: 1l 8198
Date Submitted: 1 112198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PARA}TETER
srsx/tpg
Analyst: AJP Date Analyzed: L/t3/99
Extracted by:A,JP Dat.e ExtracLed: L/L3/97
Benzene, mg/Kg
Ethyl Benzene, mg/Kg
Toluene, mg/Kg
Xy1enes, mg/Kg
Naphthalene, mg/KS
Methyl-tsert-butyl ether, mg/KS
Total Petroleum Hydrocarbons, mg/Kg
TPH Identity:, Gasoline
NOTE: Sample submitted on ice.
Note: TPH values reported do not include oils
Date: 1116198
Time Sampled: 12:00
Time Received: 15:00
RESI'LT UDL I{ETHOD
Time: 19:08
Extraction Met,hod
o.2
0.2
0.2
0.2
0.2
0.2
1-0
2
2
70
7
5
20
<0
<0
3
26
t-0
1
32L
8020
st{846
sw845
sw846
sw845
sw846
sw846
sw846
802 0
802 0
802 0
8020
8020
8020
8015M
6IOO SOUTH SIRAfLER
SALT LAKE CITY UTAH 84107 6905
801 262 7299 PH0ilE
80t 262 73/8 FAX
(generic.rpt)
Approved By:
AN ALYT I CAL LABO RATO R I E
' i,i: -'';11:r-";T*:xtr 1ii ,r
:Sir
To: Premium Oil
attn. Grant Bateman
2005 South 30O West
Salt Lake City, UT 841 15
Group #:20738
Lab #: 98-UOO0264
Project: RICHFIELD, UT 2OOO222
Sample Desc: #8
Date Sampled: 1l 8198
Date Submitted: 1 112198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PARAIIETER
BTEX/TPH
Analyst: AJP Date Analyzed: t/n/gA
Extract,ed by : AJP Date Extracted I L / L3 / 97
Benzene, mg/xg
Ethyl Benzene, mg/fg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/fg
Methyl-tert-buty1 ether, ng/Kg
Total Petroleum Hydrocarbons, nS/KS
< o.2
NOTE: Sample submit,t,ed on ice
Not,e: TPH values reporEed do not include oils.
Date: 1116198
Time Sampled: 12:00
Time Received: 15:00
RBSI'LT MDI, METHOD
Time: 19:08
Extract.ion Method
0.2
0.2
0.2
0.2
0.2
o.2
10
< 0.
< 0.
< 0.
< 0.
< 0.
< l_0
8020
sw846
sw846
sw845
sw846
sw845
sw845
sw846
8020
8020
8020
8020
8020
8020
8015M
6IOO SOUTH STBATLER
SALT LAKE CITY UTAH 84107 6905
801 262 7299 PH0ilE
801 262 7378 FAX
{generic.rpt}
Approved By:
CHEM ANA.: -raD L
" i rr " , t- :.
To: Premium Oil
attn. Grant Bateman
2OO5 South 3OO West
Salt Lake City, UT 841 15
Group #: 20738
Lab #: 98-U0OO265
Project: RICHFIELD, UT 2OOO222
Sample Desc: #9
Date Sampled: 1l 8/98
Date Submitted: 1 /12198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PARA}TETER
BTEX/TPH
Analyst: A.TP Date Analyzed: L/L3/99
Extracted by:A,JP Date Ext.ract.ed: f/n/97
Benzene, mg/Kg
Ethyl Benzene, mg/Kg
To1uene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/KS
Methyl-t,ert-buty1 ether, mg /Kg
Total Pet,roleum Hydrocarbons, mg/Kg
TPH Identity:, Gasoline
Date: 1116198
Time Sampled: 12:OO
Time Received: 15:0O
MDI, DIETHODRESI'LT
Time: 19:08
Extract,ion Method:
44 .6
L24.
532.
788.
32 .0
34 .1
323 0
o.2
0.2
0.2
0.2
0.2
o.2
10
8020
sw846
sw846
sw846
sw845
sw845
sw845
sw845
8020
802 0
8020
8020
8020
8020
80r-5M
NOTE: Sample submit.ted on ice.
Note: TPH values reported do not include oi1s.
6IOO SOUIH STRAfLEB
SALT LAKE CITY UTAH 84107 6905
801 262 7299 PH0NE
801 262 7378 FAX
{generic.rpt}
Approved By:
CHEM
To: Premium Oil
attn. Grant Bateman
2005 South 3OO West
Salt Lake City, UT 841 15
Group #: 20738
Lab #: 98-UO0O266
Project: RICHFIELD, UT 2OOO222
Sample Desc: #10
Date Sampled: 1l 8/98
Date Submitted: 1 112198
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: 5.6 C
PARAITETER
BTEX/TPH
Analyst: A.fP Date Analyzed: L/L3/9e
Extract.ed by:AJP Date Extracted: l/]-3/97
Benzene, mg/Kg
Etshyl Benzene, mg/Kg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tert-butyl ether, mg/Kg
Total Petroleum Hydrocarbons, mg/Kg
NOTE: Sample submitted on ice.
Not,e: TPH values reported do nots include oils.
Date: 1116198
Time Sampled: 12:00
Time Received: 15:OO
RESI'I,T
Time:19:08
Extsraction Method
IIDL METHOD
802 0
sw846
sw845
sw845
sw845
sw846
sw845
sw846
< o.2 0.2
< 0.2 0.2
8020
8020
802 0
8020
8020
8020
801sM
< 0.2 0.2
< o.2 0.2
< o.2 0.2
< o.2 0-2
< L0 l_0
61OO SOUTH STRATLEB
SALT LAKE CITY UTAH 84107 6905
801 262 7299 PH0NE
801 262 7378 FAX
)
{generic.rpt}
Approved By:
To: Premium Oil
attn. Grant Bateman
2005 South 3OO West
Salt Lake City, UT 841 15
Group #: 20738
Lab #: 98-U000267
Project: RICHFIELD, UT 2OOO222
Sample Desc: #2 USC
Date Sampled: 1l 8198
Date Submitred: 1 112198
PARAIIETER
INORGANIC PARAMETERS
Sieve, ? Rock, ?
Sieve, ? Sand, Z
Sieve, ? Silt & CIay, %
Receiving TemperaLure, C
NOTE: Sample submitted on ice
CERTIFICATE OF ANALYSIS
Date: 1116198
Time Sampled: 8:00
Time Received: 15:OO
UETHOD ANAI.YSTRESI'LT
DATE
MDIJ A}IAI'YZED
2.4
19.8
77.8
5.5
0.1
0.1
0.L
1-/L6 / e8
t/L6 / e8
L/L6/eB
1-/L2/99 i.5: oo
CAL
CA],
CAL
RBH
RBH
RBH
RCG
61OO SOUIH SIRATLER
SALT LAKE CITY UIAH 84107 6905
801 262 7299 PH0NE
801 262 7378 FAX
(generic.rpt)
Approved By:
..'i1,;
:.
CHEM .FOND
CERTIFICATE OF ANALYSIS
To: Premium Oil
attn. Grant Bateman
2OO5 South 300 West
Salt Lake City, UT 841 15
Group #: 20738
Lab #: 98-U0O0268
Project: RICHFIELD, UT 2OOO222
Sample Desc: #3 USC
Date Sampled: 1l 8198
Date Submitted: 1112198
PARAMETER
INORGANIC PARAMETERS
Sieve, ? Rock, Z
Sieve, ? Sand, %
Sieve, ? silt, & Clay, Z
Receiving Temperature, C
NOTE: Sample submitted on ice.
Date: 1116198
Time Sampled: 12:OO
Time Received: 15:OO
METHOD A}IAI.YSTRESI'I.T
DATE
l'!DL AIIAIJYZED
0.1
0. t-
0. 1_
2.0
24.4
't3.6
s.6
L/L6 / eg
L/L6 / ee
L/L6 / e8
L/L2/9s 15: oo
CAL
CAL
C.AI,
RBH
RBH
RBH
RCG
6100 S0UTH SrR/4rttR
SALI LAKE CITY UTAH 84107 6905
801 262 7299 PH0NE
801 262 7378 FAX
{generic.rpt}
Approved By:
CHEMTECH . FORD ANALYTI
COMPANY:
ADDRESS:
CITY/STATETZIP:
PHONE T:
CO. CONTACT:
PROJECT ID:
FN(f:
Xooo Z 2L
?n.wt)t,^ Ot
clL LABORATORY
4qJ
ANALYSIS REQUEST
oFFlcE: (801)262-729s
FAX: (8011262.7378
BILLING ADDRESS:
BILLINO CITYISTZIP:
P.O. #:
TURNAROUND REQ D:.
'cxpcdltcd tumaroud subJ*t to t&ilional chaqo
61OO SOUTH STR.ATLER AVENUE.
SALT I.AKE CITY. UT 84107
(s
r
SAMPLE
OATE
SAIUPLE
Speclel lnslructions:
NEf 30 DAYS: t.5% PER rloMlH lNlEREsl cHARcE (ts% A.P.R)
CUSIONER AoREES IO PAY COLLECT'O'V COSTS AND ATTORNtrS FEES
ReceMng Trmp. (C):
JI
tX
u
ANALYTES REQUESTED
\
\A
K
&
\
N
V
V
V
t/
F
$
bto
otD!
-2aD
Eg
T'
oo
trr)
V
t/
t/
l/
i/
'l/
v
t/
tA
o
Ia
MATRIX
o
i3
Etcg
c
d
o
I
{
6o
o
3
Etz
I
t
I
I
I
I
I
t,
'9)ao4t1
v
D:NPA
\
tioolra
l)'"atfrt
t-r4
I44
*7
5L
L/D
I
7
4.
8.
'_E_Z_
(signature)
(slgnaUro)Recelvcd
D
To: Premoco Oil
attn. Andy Callister
2005 South 300 West
Salt Lake City, UT 84115
Group #:2O2O4
Lab #: 97-U013765
Project: 2OOO222 RICHFIELD, UTAH
Sample Desc: NE New Tank Hole
Date Sampled: 121 8197
Date Submitted: 1211 1 97
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: Not Requested C
PARJA}{ETER
BTEX/TPH
Analyst: AiIP Date Analyzed: L2/L6/97
Extracted by:AJP Date Extractedt r2/L6/97
Benzene, mg/Xg
Ethyl Benzene, mg/Kg
Toluene, mg/Kg
Xylenes, mg/Kg
Naphthalene, mg/KS
Methyl-tert-butyl eEher, mg/Kg
Total Petroleum Hydrocarbons, mg/Kg
TPH fdentiEy:, Gasoline
'=\ ANALY'TtCAL !-AB,Q,fiAT0 R li
.' - :i'r,i.r
- ':l'
CHEMTECH.FOB
&
Date:12118197
Time Sampled: B:OO
Time Received: '16:OO
MDL METHODRESUI.T
Time: 18:23
Extract,ion Method
0.600
t_0 . l_
30.9
82.3
4.80
6.20
351.
0.2
o.2
0.2
0.2
0.2
0.2
l-0
8 015M
sw846
sw846
sw845
sw846
sw846
sw845
sw845
8020
8020
I 020
8020
8020
8020
80L5M
Note: TPH val-ues reported do not, include oils
61OO SOUIH STRATLER
SALT LAKE CITY UTAH 84107 6905
801 262 7299 PH0NE
801 262 7378 FAX
{generic.rpt}
Approved By:
'-) CHEMTE U.f,,09.0=
To: Premoco Oil
attn. Andy Callister
2005 South 3OO West
Salt Lake City, UT 841 15
Group #: 2O2O4
Lab #: 97-U013766
Project: 2OOO222 RICHFIELD, UTAH
Sample Desc: NW New Tank Hole
Date Sampled: 121 8197
Date Submitted: 1 211 1 197
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: Not Requested C
PAR.AI{ETER
BTEx/TpH
Anafyst: AJP DaEe Analyzed: tZ/rc/gZ
Extracted by: A.fp Date Ext,racted I A2 / L6 / 97
Benzene, mg/Xg
Ethyl Benzene, mg/Kg
To1uene, mg/Kg
Xylenes, mg/fg
. Naphthalene, mg/Kg
Methyl-tert-but,y1 ether, mg/rcg
TotaL Petroleum Hydrocarbons, mg/xg
TPH Identity:, Gasol_ine
\ ANALYTICAL LABARATARiT-.,:. t. -:...
'..'^ : "' i,
Date:12/18197
Time Sampled: 11:0O
Time Received: 16:OO
MDIJ METHODRESI'LT
Time: 18 :23
Ext,ract.ion Method:
< 0.2
2 .90
4.20
38.5
3.80
< o.2
220.
68
68
68
68
58
0.2
0.2
0.2
0.2
0.2
o.2
10
80r-5M
sw846
sw846
sw84
sw84
sw84
sw84
sw84
8020
8020
020
020
020
020
015M
Note: TPH values reported do not include oils.
6IOO SOUTH STRAILEE
SALI LAKE CITY UIAH 84107 6905
801 262 7299 PHlNE
801 262 7378 FAX
{generic.rpt}
Approved By
) CHEM -FonD' ) ANALlTtCAL LAE,
Date:12118197
E
To: Premoco Oil
attn. Andy Callister
2005 South 300 West
Salt Lake City, UT 841 15
Group #: 2O2O4
Lab #: 97-U013767
Project: 2OOO222 RICHFIELD, UTAH
Sample Desc: SE New Tank Hole
Date Sampled: 121 8197
Date Submitted: 1211 1 197
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: Not Requested C
PARA}'ETER
etnx/rprr
Analyst: AiIP Date AnaLyzed: L2/L6/gj
Extracted by:AJP Date Extractedt L2/L6/97
Benzene, mg/Kg
EEhyI Benzene, mg/Kg
Toluene, mg/Rg
xylenes, mg/Kg
Naphthalene, mg/Kg
Methyl-tert-buty} et.her, mg/KS
Total Petroleum Hydrocarbons, mg/Kg
TPH ldenLity:, Gasoline
Time Sampled:
Time Received
o0
:O0
15:
16
RESULT MDIJ METHOD
Time: l-8:23
Extraction Met,hod:
0.900
19.3
44 .4
L37 .
7.50
< o.2
587.
0.2
o.2
0.2
0.2
0.2
0.2
10
B O15M
sw845
sw845
sw845
sw846
sw846
sw845
sw846
8 020
8020
8020
8020
8020
8020
8015M
Note: TPH values reported do not include oils .e.L
6IOO SOUTH STBATLER
SALI LAKE CIIY UTAH 84107
801 262 7299 PH0NE
801 262 7378 FAX
(generic.rpt)
Approved By:
6905
CHEMTECH.FOBD -) 4NALYTTCAL +AB0RAT}Rit$
To: Premoco Oil
attn. Andy Callister
2005 South 300 West
Salt Lake City, UT 841 15
Group #:2O2O4
Lab #: 97-UO13768
Project: 2OOO222 RICHFIELD, UTAH
Sample Desc: SW New Tank Hole
Date Sampled: 121 8197
Date Submitted: 1211 1 197
CERTIFICATE OF ANALYSIS
RECEIVING TEMPERATURE: Not Requested C
PARAIIETER
BTEX/TPH
analyst : AJP Date Analyzed: L2 / L6 / g7
Extracted by:A,fP Date Extracted: I2/L6/gj
Benzene, mg/Kg
EEhyl Benzene, mg/Kg
To1uene, mg/Xg
Xylenes, mg/Kg
Naphthalene, mg/Kg
Met,hyl-tert-butyl ether, mg/KS
Total Petroleum Hydrocarbons, mg/Kg
TPH ldentitsy:, Gasoline
Note: TPH values reported do not include oils.
Date: 12118197
Time Sampled: 17:OO
Time Received: 16:00
IIDL METHODRESI'I,T
Time: 18223
Extraction Method
0.2
0.2
0.2
0.2
o.2
o.2
l_0
2
80
30
1
50
2
<0
.)
3
34
4
<0
220
8015M
sw846
sw846
sw846
sw846
sw846
sw846
sw845
8020
8020
8020
8020
802 0
802 0
801_5M
6IOO SOUTH SINATLEN
SALI LAKE CIIY UIAH 84107 6905
801 262 7299 PH0NE
801 262 7378 tAX
{generic.rpt}
Approved By:
vl aLllr I t-vr a . v. rt/ ,.-1l rf tt- a I tvrlb Lr1g\lr \,-\ I \-rl \ I At{AL I ilJ rl,crg.UEJ I r-\.rKlvl
?r-*\,Dillr o, IGOMPANY:
ADDRESS:
CITY'STATEZIP:
PHONE
':
co. coNTAcr:
PROJECT ID:
SAMPLE
/l O
7 FA)(#:
gOeo 2-22'
BILLINO ADDRESS:
BILLINO CITYISTZIP:
P.O.#:
TURMRoUND REQ'D:'
'exoodi/ld tumatouttd subJ*t b t&idonalcharga5cr
SAITIPLE
DATE
SAIIPLE
TIME
tpecial lnslructions:
by: (slgnalure)
NET 30 DAYS: 1.5% PER MoNTH NTERESI cHARcE (tE% A.p.R.)
CUSTOUER AGREES TO PAY COLLECIION COSTS A'VO A'TOR'VErS FEES
by:
61 OO SOUTH STRATLER AVENUE,
SALTLAKECIW,UT 84107
oFFlcE: (801)262-7299
FAX: (801)262-7378
e - S--99-.:-
h/lD -
5.
A
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tq -9-f 7
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(print)
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L
lolDt
o.tDIU/2
6 fi
Soodo
of
MATRIX
v
!
rk
I
t
R
L-fu Receiving Temp. (C):
AMLYTES REQUESTED
Rrcblved by: (slgndFre)
Recolv€d-by: (slgnature) .z4-/*,F @
t
lcomments
Date/Tlme
)
ol{ER: PREMII)M OIL #P11B3O
2005 s. 300 w.
SLG
UT Zip Code.' 84115
(801) 487-472t
uct#
CHG
98506
NOT REAUIRED
DATE :. OL/07 / 1998
"Fire & lce"
irtEt\,'lI TO:
I].C INDIJSTRIES'ORPOFAT|ON
121 I SOUTH PIONEER RD
SAL-T I-AKE CiT\', UTAH 8410.1
rr' a)-l c')1(
' 1,:i- r ;r1-lEL: \800) 97-':21ir
: r,{X iB0 1 ) 973-601 9
311_983E NO.
It'tousnres
CORPORAIION
E}l
\-,
uN1845
rCE ORM.A
.ED BY:
.AST NAME:
Ing this order, customer agrees to all of lhe terms and conditions set forth herein, including those
lhe back ol this invoice.
?LEASE FJ'Y FiICir4 T:'IiS
311.01
Penguin Brand Dry lce
Solid abck Dry lce
313.01
160.0040313.01
Sliced Dry lce
316.01
Pellet Dry lce
'1O0
320.07
Wood Pellels
Delivery Fee
Miscellaneous
BLOCKS ON HAND - DELIVERY REFUSED
SCHEDULED DELIVERY
160 .00TOTAL
" TAX
WEIGHT DESCRIPTION PRICE AMOUNT
t't-ft'tlr}!.it::irl r-ili i:-t:-l'i 0 -:Lr J-i-.rli'r; {-
'.-!#1.- {1{lttt...tj:-
T I r--.i---1.:-l- ,l* s: f Fi:CiS{rS
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U[i;Tfi:N iiF-Tiil-:i i-.ii'\ il I]i,i
6\,11 5, iiAIil ilittttT
sFllilsH Fill:f' l_11
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I lnc
t.i66.t
{
ii i:i:,-r.j;,',i ."1,, :i i'f,fititqn i,t der i-q
WESTERN METALS RECYCLING, L.L.C.
:.:Ut!i
:.i);.t I ii,r
i!!-.L;.a.1 i trnc
e40.ql,i j4i[joi'i
;1,; :ilil50i!f n!Lr.
45.0000r.iT
TIIfl. AHT
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s9!D s u BJ FQTTq rH E T,EBNII R EGABp.IN G- RE FR I q F|F.AlllrQ+9UJH E R EVE RS E s I D E
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:'-i..- :- rt !^a-1 ,.-tO
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Trre r;rri i-..':*i
-r--l":t -a:j..'L4 n / J
iN*.. .i -i{ !}.ls
i i{ ., f;,}l'ioo
CUSTOMER COPY
i.L:;[ :,]',irr!:l-i-[fi,q: ii-lF.fi ri I r ]. ilx'i ;i-fi
,,i.;l'-- sL:AC--E
T'-iC+::t:'f tf :r -i'F:fi5-rt.]l;i
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!E5lilii t4eT*t.!; i9[Yt:L].l'ii,
.*tii :-1. iiAil'i .lirjF-ET
:_lPR{iSil F0F:i: Ul
801-?qt-;5,i4
I lnc
f-11l:.-it
'; if{;:r4iti;.i i"0. ii f ift::i'i f ie'r i'
WESTERN METALS RECYCLING, L.L.C.
' ll'i ; ,'
i,ir-ij,i lJllI
',riii.:::r i:'iFit i',f. i
4434i)F i'4 It:0l.' i0i6t
trt\ - ll.i',{rr1l'liii ,-u l{:
itrlr'i'
f i..).t,,t:
ii ,,iii{}li{:
ffiTfii- r'!'lT
278.tt)
t
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ii,tfiSTER r: q*61i1*[ {Ffi#{)
lrr.lirjil j4!80 1+tdC 1*16C
[)"r.te in i]:/t]tr'?B
Ti,rrs i;' 1::: i4
Oate ti,ti. 01r'0fi/:ri
Ti.ne ft.rt 15;ulr
2;j'-{3 -ffu
Tiiit"iri
5 - fle+{}
r ....+',EFi ll f.iiiii, IUft E
SOLD SUBJECTTOTHETERMS REGARDING REFRIGERANTS ON THE REVERSE SIDE
:ALF- 1 It=.cCAt-i: I il-$Cr\t*E ;i 1i=$r;1r!-[ 4 i{"kir}fthL I'itj {lT
INF:-T
CUSTOMER COPY
,
NATIONAL TANK & MONITORING,
4152 West 8730 South
WEST JORDAN, UTAH 84088
(801) 280-3324
Fax (801) 280'4070
lnc.
DATEt'-7 -1 ACUSTOMER'S OROER NO.
NAME_
PAf n it-J rtr O i <- 7f;s; S 3ao \A/ S uc u-r
SOLD BY
L-iAtat
RECEIVEO
ooo^'lA6 * 5 xuci--
3oS 5 MA.r'r P.,.irF;Fct>
L7 34 o,
All claims and returned goods
MUST be accompanied by this bill.
PR(x){lfi0t0T THANK YOU
L
PHONE
PAID OUT
razA5r{
CHARGECASHc.o.D.
z
ON ACCT MDSE. RETO.
()r\?
Z tz-ctx) A*c Gns
f>s:r"-,x
ds<.,urt{D 7N) 6AL
/cf:, eJA.at-tr 3 -*.-rst*
5 3eu ou€
I i.,-.i ,y'a -T 4+ u5 t
TAXI
TOTAL
DESCRIPTION PRICE AMOUNTQTY
CUSTOT'IER: PREMIU}'I OIL -/l1B3O )@'3otlsgl
b Iruousnrm
CORPORAIION
4'1.
l
I
' (,
uI
.4ddress-'
w. I a,-\, -
,at - ! - -J Ldi t C -
Phone:
Terqs:
Producf#
PC#
2005 S- 300 I^1.
SLCUT Zip Code: B4ll5
(801) 487-472L
CHG
98506
NOT RESUIRED
PAED
66 /{7
//'/ z'-
"Fire & lce"
8Eh4rT I-O
i].:- iNDUSTI]iES CCRPOFII.I it-N
]2i 1 SOUTH PIONIER I]i)
SALT LAKE CIIY UTA}.t B.I1O+
1801 t 97 i -921 5
'Cl-i- FilEE. ,BlC j :) .'; 32 1:l
r-AX tBOl)973-60 1'3DATE:, LO/3O/ 1997
ORM-A uN1845
DRY ICE
iCCEPTED BY:
'RINT LAST NAME:
n
jv accepting this order, cuslomer agrees to all ot the terms and conditions sel forlh herein,
flnted on the bad ol this inr,roice.
lhose
311.01
Penguin Brand Dry lce
313.01
Solid Block Dry lce
48-0040313.01
Sliced Dry lceL20
316.0r
Pellet Dry lce
320.O7
Wood Pellets
Deliwry Fee
Miscellaneous
BLOCKS ON HAND . DELIVERY REFUSED
NEXT SCHEDULED DELI}/ERY T
48.00
UNIT WEIGHT DESCRIPTION PRICE AMOUNT
TAX
TOTAL
riA:.:i.i:J;-.-r':: J -!,lE r Fl-{l-rAsr-En {lEF'i'I' I r-' :t [::A
|FlUf:F: St:dll-E
T l: L:f;-H-l- t* * T ItE77t]
PurchaEed From:
TODD UAI]STAFT
Ueh $ IfiNli I.0, $ Mt'igTAFF Ut'der *
Atlas Stee
IIES1ERN HITALS RTCYCLiNti
5Ol. 5. IIAIN I}TREET
SF.ANISH TOFII. UT
tst-798-5548
84660
FD IdT PRiCE
58{S 48.0000i17
lN[:T
I lnc
clti{l{0DIil
S1 IT:rjN UPI
toiru-s
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SIGllATl lqf (FFIAN) -.-- ---
ffiN56 TffiE }IET
33860A t00001{ 5e60
55860 28000 :18'50
A}J RIASON
5860
i Oate In l0li0i97
i li.rrre In 1:-1:50
| 0ata ilut lil/iLrl?7
i Tine l-Jirt 16;0!
Trllltl- APIT i
140.64 I
1- 4{) ,,. di,+
T{lf.l:Li
I ,.. T];'3{}
CUSTOMER COPY
flSIOi'IEft 5Ifi}IATURE
r=sr$€F? suBCEqlLIqrHE ISIIE REGAAry!\AftnFFRrqFAft]AJQrgt-*rTHE REVERSE srDE
a
E,I{N N{ETALS RI'CYCLING, L.L.C.WEST
NATIONAL TANK & MONITORING,
4152 West 8730 South
WEST JORDAN, UTAH 84088
(801) 280'3324
Fax (801) 280'4070
lnc.
'^2c -,p{-qYCUSTOMER'S ORDER NO.
NAME
Y Lti.t't t Lr nr C
AODRESS50,Sa* *4-t 711.,,.t-, rt , "A €-lb o1 I'
8, il,^lUr(c.|,^fu65 j., ?oo scc- grl
,J,+z
,';/41&
//4
Allclaims and returned
MUST be accompanied by
Pfiotxrcr5rfi THANK YOU
goods
this bill.1593 o,
PHONEL't r> - +,V2 /
PAID OUTCASHc.o.D.CHARGE
lrr'/tl4
ON ACCT.UDSE. RET'D.
q
/fA Ze= z;r's ,u4 L2
-<-- t- \( /q u2-- \
.1,,; A,^r<-
/l
TAX
TOTAL
DESCRIPTION PRICEOTY AMOUNT