DERR-2024-005181

ID olUtah Department of Environmental Quality
Permanent Closu re lnspection of
Owner Name L c r5Name
Address tl83 H;ukZnlaaop,f \,tatt Address 2Z+ol/ S 3'2 Z.l W
city D tan ef state 1,,14 zio ?*cLo w /'.zip 9* t lqCityState UT
Contact 1o Contact
Material of Construction (Steel, FRP, Composite, etc.)EKP -Substance Stored Dt'?-1p-
Date Last Used 2 ^J-s -2 o2l r
Date Permanently Closed >-2q - 2 o)4 r
How Closed (Removed, ln Place, Change ln Service)E€n e /rr,
Closed Tanks
UST Remover:
oftanks: 2 Final Number of
Date
Groundwater/soitsampter: T,qhef fi e- H,C f*Cert.#: GS O37i Exp.Date: ll-lE-2C)4
Owner/Operator has an approved Closure Plan 6 No A copy of the approved Closure Plan is on site ffi) No
Product removed dE No By: b i,/ fn A + TlbO Site
l,l-T
Sludge removeo <@ No By:Disposal Site:l,t-,l
l'Tanks cleaned (1,"? No By: I ,t/Rinsate disposal site: lt
Non-explosive atmosphere inside tank obtained by: tr Purginq U{nertinq LEL or % Oxygen obtained:
Product lines were: E Cleaned, secured in place, and capped E,Removed. Dis.posal site:
w,e
PID or FID meter locations on the site
\
Tank
Meter Type:Gain or span:Calibration specs
Soil Contamination is evident:Yes {h Greater than 3 FeetDepth of Contamination: 0-3 Feet
contamination is evident: Yes Depth to Water Table:Surface slope direction
tr Other
Substance in Tank
IcollectedGWILab:
atea
Sam Methods
Soil
tr Residential tr lndustrial
1< # 1l-*z Ft;e-12 I <oil /lrl#z-xu /roil- O,tt
\^tAt*4 *t wa+ef >n R2ra / iot-S
t) 1z- #4 t4 3C l,t1r lrt4 ( -
lnspector observed collection of samples
Contaminated soil was over-excavated :Yes
Yes
Yes
No
No
lnspector collected and submitted duplicate samples
lf yes, confirmation samples were collected:
@
No
AttrResidences Commerciat Buitdinqs 7 gA I Property t-ine ) bA /Active WaterWell
Surfacewater il A Sewer Line Water Line Natural Gas Line
retephone tine l1/ A Electrical Line Storm Drain Other:
I ln ti the above-named on
Cert. #: Tl
Closureinsp090E.doc
I
Tanks Closed. Use additional oaoes for additional tanks-Tank No. I -tTank No. .{r Tank No.Tank No.
CaDacitv (qallons)9b 4 )r-
NewTanks: n
Tank Cleanino and Remova
-rL Cert.#: rR nil l9
Samole number(s)Compounds analvzed
7z /no / ?,otC)
A I z-< z,i n4/\tr.* tt T01! - fit
6;eZ, Z-l
@ Utah Department of Environmental Quality
UST Facility Site Plat
Facilitv lD tAoO lTZl
P^s" 2 of 7
NORTH
CI il Iu I "e
\)ul *b
*4ilv
-U.r lJ'9
0 @E
:?r UJ
N
{s
$N
N
s qb t
b
Ft
Feru e (
I
I
I
$ u, ll,'rt3
UTM Northing:Easting:
5 8k F
Show locations of all buildings, streets, tanks, piping, and dispenser islands. lndicate the product in each tank. Show locations of tank manways and identify each:
submersible pump, fill, ATG probe, vapor recovery, etc. For closures: lndicate the type (soil, GW, USC), location, and depth of each sample collected by the certified
sampler or the inspector. lndicate the locations of aly reported PID or FID rc
Comments
.Aa
.-, I
6&