DERR-2025-000508

Utah Department of Environmental euality
Permanent Closu re lnspection
3-9 ln, lzp.q 5.
I ft.;
Final Number of tanks: 3
has an approved Closure plan &ec/ No of the approved Ctosure ptan is on site (@ No
Tanks cleaned Yes No
E/Removeo.
PID or FID meter readings (show reading locations on the site
of Contamination: A 0-3 Feet Greater than 3 Feet
lndustrial El Commercial tr Other
I inspected the above-named facilitv on (date): I - F-
lnspector observed collection of samples
Contaminated soil was over-excavated :
lnspector collected and submitted duplicate samples:
lf yes, confirmation samples were collected:
Closureinsp09OS.doc
Utah Department of Environmental Quality
UST Facility Site Plat
'r;fe
O.il'i-e
Pump S
'ank Fill F
TG Probe A
Probe I
Rec. V
Showlocationsofallbuildings,streetS,tanks,piping,anddiSpenserislands.lndicatetheproductineactr
submersible pump, fill, ATG probe, vapor recovery, etc. For closurBs: lndicate the type (soil, GW, USC), location, and depth of each sample collected by tire certified
sampler or the inspector. lndicate the locations of any reported Pl D or Fl O readinqs. Show locations of ootential receDtors.