DERR-2025-002302

8615 Commerce Drive, Unit One
Easton, MD 21601
P: 410.819.0919
F: 410.819.6555
100 Park Avenue
Seaford, DE 19973
P: 302.629.6505
J:\Archive\R&L-429-Salt Lake City, UT\03-Pre Exisiting\FR\3.2025_ Subsurface Investigation Report\Report\3.2025_SLC_Subsurface
Investigation Report.docx
March 24, 2025
Via Email: [e-mail]
Ms. Liberty Coe
Utah Department of Environmental Quality
Division of Environmental Response and Remediation
Leaking Underground Storage Tank (LUST) Section
195 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 84114-4840
RE: Subsurface Investigation Report
R+L Carriers - SLC
4375 West 1385 South
Salt Lake City, UT 84104
Release Site: OHL
BPE Job # R+L-429-03
Dear Ms. Coe:
BP Environmental, Inc. (BPE) is submitting this Subsurface Investigation Report (SIR) on behalf
of Greenwood Motor Lines, Inc. dba R+L Carriers (R+L Carriers) in connection with the R+L
Carriers Salt Lake City (SLC) service center located at 4375 West 1385 South, Salt Lake City,
Utah 84104, hereafter referred to as the SITE. The SIR has been prepared to document the field
methodologies and results of the investigation conducted in association with the August 7, 2024,
reported release – Release Site OHL.
It was determined, based on the planned subsurface piping and dispenser island replacement and
through correspondence with the Utah Department of Environmental Quality (UDEQ), that initial
investigations may be conducted concurrent with system Closure Assessment Activities.
Representatives of BPE were onsite along with Seneca Companies to conduct Closure Assessment
Activities per applicable Utah Department of Environmental Quality (UDEQ) guidelines on
January 6, 2025. Prior to the field event, a Closure Assessment Plan was developed based upon
the planned scope of work and submitted to UDEQ for approval on December 23, 2024. Approval
Ms. Coe
March 24, 2025
Page 2 of 3

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Investigation Report.docx
of the Closure Assessment Plan was received on January 6, 2025. A copy of the Closure
Assessment Plan approval is included as Attachment A.

The subsurface in the area of the investigation beneath the concrete was found to be fill material
followed by a pea gravel (along the piping trench) to approximately one and a half to two (2) feet
below ground surface (ft bgs). The area was then underlain by native soils, a tight sandy-clay
mixture to observed depths of approximately five (5) ft bgs. Groundwater was not encountered
during the investigation. Prior depths to groundwater in this area have ranged from nine (9) to 11
ft bgs. Due to the tightly packed clays in the excavation area, groundwater was not investigated
in an effort to minimize the potential for drawdown of impacts through the confining layer.

As part of the assessment activities, soils were screened in the field for evidence of impacts using
a photo ionization detector (PID). Limited screening was conducted as visual observations of
impacted media were evidenced through stained soils and perched free product. Free product,
observed within the interstitial space of the pea gravel of the piping trench, was pumped from the
excavation area and placed in 55-gallon drums for subsequent removal by ET Technologies for
appropriate disposal.

Sean Warner from the Release Prevention and Compliance Section of UDEQ arrived at the site on
February 8, 2025. Following an evaluation of the onsite conditions, and after discussion and
approval from UDEQ, it was determined that the excavation and removal of the visually
contaminated soils in the area of former source area would be the most efficient and cost-effective
method for remediation given the available access.

Visually impacted soils were removed from the vicinity of the former piping and dispenser areas
and placed on an impervious surface on a visqueen-based staging area. Approximately 135 tons of
impacted soils were then removed from the site on January 30, 2025, by ET Technologies for
appropriate disposal.

Ms. Coe
March 24, 2025
Page 3 of 3

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Investigation Report.docx
Following the excavation of impacted media, soil samples were collected for analysis from the
sidewalls and base of the former piping and dispenser areas and transported to an accredited
laboratory for analysis. The laboratory analytical results of the samples collected indicated the
successful removal of the majority of identified impacts. Based on laboratory analysis and visual
observations, thin lenses of impacted soils remain in the northern and southeastern/southwestern
sides of the investigated area. Further excavation in these areas was unable to be conducted due to
structural restrictions such as building footers, walls, etc.

Details regarding the assessment and remediation activities are included in the attached Line
Removal and Soil Remediation Report.

We appreciate the opportunity to provide you with the information contained herein. Should you
have any questions or wish to discuss, please contact me at [e-mail] or at
[phone].

Sincerely,
BP Environmental, Inc.

Sarah Mellring, PG Lou Ann Parson
Managing Professional Geologist President

Attachments: A – Line Removal and Soil Remediation Report
B – Closure Notice
C – Drum Disposal Manifests
2410 WEST CALIFORNIA AVENUE • SALT LAKE CITY, UTAH 84104
PHONE [phone] • FAX [phone]
Website: www.wasatch-environmental.com • e-Mail: [e-mail]
Utah Department of Environmental Quality February 24, 2025
Division of Environmental Response and Remediation Project No.: 2404-002A
Petroleum Storage Tank Branch
195 North 1950 West
Salt Lake City, Utah 84116
SUBJECT: Line Removal and Soil Remediation
R+L Carriers - SLC
4375 West 1385 South
Salt Lake City, Utah 84104
Facility ID. 4002691
Release OLH
Wasatch Environmental, Inc., (Wasatch) oversaw the removal of select product lines and sumps, and soil
remediation activities at the R+L Carriers site (Property) located at 4375 West 1385 South in Salt Lake
City, Utah. The product line and sump removal activities were limited to an area located beneath a
fueling canopy building and north of the transition sump (see Figure 1). The fueling system consists of
three diesel aboveground storage tanks (ASTs) situated on a concrete pad and underground piping
extending to the fueling area. The fueling area consisted of three dispenser islands with four dispensers.
BACKGROUND
The piping and sump removal activities were performed to facilitate a piping and sump replacement
limited to the transition sump, replacement of the product lines, and replacement of the dispenser sumps.
It is our understanding that the former dispensers will be reused.
In July 2024, Wasatch, on behalf of BP Environmental, Inc., R+L Carriers’ consultant, performed limited
subsurface investigation activities at the Property to evaluate the current condition of the soil and
groundwater in the vicinity of the fueling system components. As part of the investigation, four soil
borings were advanced in the area of the fueling system located beneath the canopy, one next to the
transition sump, and one at each dispenser island. Six soil samples and four groundwater samples were
collected from these borings.
Elevated concentrations of total petroleum hydrocarbons as diesel range organics (TPH-DRO) and total
petroleum hydrocarbons as gasoline range organics (TPH-GRO), exceeding Utah Initial Screening Levels
(ISLs) and/or Utah Risk Based Corrective Action (RBCA) Tier 1 Screening Levels (Tier 1) in soil and
groundwater were detected at the west and east dispenser islands and near the transition sump. A
release for this system was reported to the Utah Division of Environmental Response and Remediation
(DERR) on August 2, 2024, and was assigned a release ID of OLH.
REMOVAL AND REMEDIATION ACTIVITIES
Between January 8 and 16, 2025, Wasatch certified underground storage tank (UST) soil and
groundwater sampler (GS 1583), and certified UST remover (TR 412) oversaw the piping and dispenser
removal, and remediation activities. Seneca Companies removed and replaced the product lines and
sumps. Photographs of removal and remediation activities are presented in Appendix A.
For the purposes of the piping and sump removal, the dispenser islands and limited concrete were
removed as depicted on Figure 1. The concrete pad in the fueling area is approximately 6 inches thick

Wasatch Environmental Inc.
Page 2
and approximately two to three inches of gravel was below the concrete pad. In the areas of the product
piping and sumps, approximately 6 inches of sandy pea gravel was present above and/or below the
piping and sumps. Native soil was encountered at approximately 8 inches below the slab and consisted
of stiff clay. Soil around the transition sump consisted of cemented engineered fill. The gravel was
removed using a vacuum truck. Once the gravel was removed, black soil and pea gravel staining was
observed in the areas of the product piping and dispensers. Additionally, water with free product was
observed beneath the central dispenser island. No staining was observed around the transition sump.
Wasatch used a shovel to investigate how deep the impacts in the areas of the north and south product
lines extended. In the area of the north product line, an approximately 1-foot-thick layer of black staining
was observed with grey staining below. Product line and dispenser sumps were removed on January 9,
2025.

Free product collecting in the area of the central dispenser island was pumped into a steel 55-gallon
drum. By close of day on January 9, 2025, Wasatch, BP Environmental, and the owner decided to
remove additional concrete to facilitate remedial excavation activities in accordance with Utah
Administrative Code, Section R311-204-5(2). The objective of the excavation activities was not to
remove all soil impacts, but to remove as much of the black stained soil as possible without undermining
the structural integrity of the concrete pad or canopy.

Excavation activities began on January 13, 2025. For the purposes of excavation, the impacted soil was
staged on an impermeable liner on asphalt. The liner was bermed using straw swaddles.

Additional black soil staining was observed extending beneath the concrete slab to the north and south;
therefore, additional concrete was removed to facilitate further excavation on January 15, 2025. On this
day, Wasatch and BP Environmental received Division approval to remove up to 100 cubic yards of
impacted soil without the oversite of a Utah certified UST consultant or a corrective action plan.
Excavation activities ceased on January 16, 2025. As depicted on Figure s 2 and 3, the final excavation
was approximately 22 feet north to south and 45 feet east to west. The depth of the excavation was
between 2.5 to 5 feet below the concrete slab (see Figure 3). Excavation extents were limited to the
north by trench floor drains, and to the south by the footing for the canopy. The western extent to the
excavation was limited by the footing for the western canopy wall. Approximately 100 cubic yards of
impacted soil was excavated and disposed of off-site at ET Technologies Soil Regeneration Site (SRS).
Waste manifests are presented in Appendix B.

Wasatch collected a total of 12 confirmation soil samples (CS-1 through CS-12) allowing no more than 25
feet between sidewall and base samples. All soil samples collected for laboratory analysis were collected
with gloved hands and placed into laboratory-supplied 2-ounce glass jars with no headspace. The
sample jars were each labeled with the sample location, sample identification, date, and time of sample
collection. The soil samples were immediately placed on ice in a sample cooler. Samples were delivered
under chain-of-custody documentation to Chemtech-Ford Laboratories, a Utah-certified analytical
laboratory located in Sandy, Utah for analysis of benzene, toluene, ethylbenzene, total xylenes, and
naphthalene (BTEXN) using United Stated Environmental Protection Agency (U.S. EPA) Method 8260D,
and TPH-DRO using the U.S. EPA Method 8015C. Fractionation using U.S. EPA Method 8270E was
performed on confirmation samples CS-1 and CS-7. Sample CS-1 was collected from black stained soil
left in place beneath the slab on the northwestern side of the excavation. Sample CS-7 was collected
from the base of the excavation in the area of the former central dispenser island.

RESULTS

Table 1 presents the TPH-DRO and BTEXN soil analytical results. No BTEXN compounds were detected
at concentrations above their respective Utah ISLs. No TPH-DRO concentrations in base samples
exceeded Tier 1 screening levels. TPH-DRO was not detected above laboratory reporting limits in
sidewall sample CS-11. TPH-DRO was not detected above laboratory reporting limits in sample CS-5
which was collected 2 feet below the slab and represents the sidewall/base sample in that location.
Sidewall soil confirmation samples exceeding Utah Tier 1 screening levels included CS-1, CS-3, CS-4,

Wasatch Environmental Inc.
Page 3
and CS-10, representing limited impacts left in place along the northern, southeastern and southwestern
sidewalls where further excavation was unable to be conducted due to structural constraints .
Northwestern sidewall sample CS-1 had a TPH-DRO concentration of 10,700 milligrams per kilogram
(mg/kg). This sample was collected from the visibly heaviest stain ed soil remaining in place. Along this
sidewall, black staining left in place was approximately 13 inches thick. The sample collected directly
beneath the black staining in this area (CS-2) had a TPH-DRO concentration of 174 mg/kg, below the
Utah ISL, indicating the potential for a positive correlation between the limited visibly stained soils
remaining in place and Utah ISL exceedances. TPH-DRO was detected in samples CS-3, CS-4, and CS-
10 at concentrations of 5,860 mg/kg, 7,210 mg/kg, and 7,800 mg/kg. The analytical laboratory report,
including chain-of-custody documentation, are presented in Appendix C.

CONCLUSIONS

A total of approximately 100 cubic yards of TPH-DRO heavily impacted soil was removed during remedial
activities. All impacted soil was disposed of off-site at ET Technologies SRS. The depth of the
excavation ranged between 2.5 and 5 feet below the concrete slab. Confirmation soil samples collected
from the base of the excavation reported concentrations of TPH-DRO below the Utah ISLs and/or Tier 1
Screening Levels indicating the vertical delineation/remediation of impacts to below Tier I Screening
Levels within the excavated area. Black stained soils with concentrations of TPH-DRO ranging from
5,860 mg/kg to 10,700 mg/kg, exceeding the Tier 1 Screening Level of 5,000 mg/kg, were left in place
along the north, southeast, and southwest excavation boundaries where further excavation was unable to
be conducted due to structural constraints. The residual black stained soil layer is approximately 13
inches thick and begins approximately 8 inches below the concrete slab. Based on the visual
observations and laboratory data collected, residual impacts in exceedance of applicable Tier 1
Screening Levels are limited to these areas, whereas the majority of impacts have been remediated (via
removal) to below these limits.

Our services consist of professional opinions and recommendations made in accordance with generally
accepted environmental engineering principles and practices. This warranty is in lieu of all other
warranties either expressed or implied.

Should you have any questions, please do not hesitate to contact us.

Sincerely,

WASATCH ENVIRONMENTAL, INC.

Audra Heinzel
Director of Environmental Due Diligence and
Industrial Hygiene Services
Utah-Certified Soil and Groundwater Sampler (GS 1583)
Utah-Certified UST Remover (TR 412)

FIGURES
Figure 1 – Initial Excavation Map
Figure 2 – Final Excavation Extent
Figure 3 – Excavation Extent and TPH-DRO Concentration Map

TABLE
Table 1 – TPH-DRO and BTEXN Soil Analytical Results

APPENDICES
Appendix A – Photolog
Appendix B – Waste Manifests

Wasatch Environmental Inc.
Page 4
Appendix C – Laboratory Analytical Report and Chain of Custody Documentation
The use or reuse of this information is restricted to the referenced document unless otherwise authorized.
Wasatch Environmental Copyright 2006
R+L CARRIERS FACILITY ID 4002691 WEI 2404-002A
Figure 1Initial Soil Impacts Map
Former Dispenser
Island Former Dispenser
Island
Dispenser
Dispenser
Structural Post
Structural Footing
Structural Post
Structural Stem Wall
Transition
Sump
Pr
o
d
u
c
t

L
i
n
e
Pr
o
d
u
c
t

L
i
n
e
Product Line
Product Line
Trench DrainWest Building Wall
Concrete Removed
January 13, 2025
1 inch = 5 feet
Trench Drain
Water Spigot
Extent of Soil Staining
Shop
Area of
Work
ASTs
The use or reuse of this information is restricted to the referenced document unless otherwise authorized.
Wasatch Environmental Copyright 2006
Figure 2Final Excavation Extent
Former Dispenser
Island s
Former Dispenser
Island
Dispensers
(removed)
Dispensers
(removed)
Structural Post
Structural Footing
Structural Post
Structural Stem Wall
Transition
Sump
Pr
o
d
u
c
t

L
i
n
e

(
r
e
m
o
v
e
d
)
Product Line (removed)
Product Line (removed)
Trench DrainWest Building Wall
Structural Footing
Water Spigot
(removed)
Water Line
(removed)
CS-1 @ 1’ (black staining)
CS-2 @ 2’ (below black)
CS-9 @ 4’ (base/sidewall)
CS-10 @ 2.5’ (sidewall)
CS-8 @ 4’ (base)
CS-6 @ 5’ (base)
CS-7 @ 5’ (base)
CS-3 @ 2’
CS-12 @ 4’ (base)
CS-5 @ 2’ (base)
CS-11 @ 2’ (sidewall)
CS-4 @ 2.5’ (sidewall)
Excavation Extent
R+L CARRIERS FACILITY ID 4002691 WEI 2404-002A
Trench Drain
1 inch = 5 feet
The use or reuse of this information is restricted to the referenced document unless otherwise authorized.
Wasatch Environmental Copyright 2006
Figure 3Excavation Depth and TPH-DRO Concentrations Map
West Building Wall
Water Spigot
(removed)
Water Line
(removed)
396 mg/kg (CS-12)
Excavation to 4’ below slab
Excavation to 5’ below slab
Excavation to 2.5’ below slab
45’
22’
10,700 mg/kg (CS-1)
174 mg/kg (CS-2)5,860 mg/kg (CS-3)
7,210 mg/kg (CS-4)
ND (CS-5)3,300 mg/kg (CS-6)
1,770 mg/kg (CS-7)
282 mg/kg (CS-8)
1,320 mg/kg (CS-9)
7,800 mg/kg (CS-10)ND (CS-11)
Black Staining Left In
Place in Sidewall
Black Staining Left In
Place in Sidewall
Grey Staining Left In
Place in Sidewall
Red Concentrations Exceed Tier 1 Screening Level of 5,000 mg/kg
Below Tier 1 and/or ISLs
1 inch = 5 feet
R+L CARRIERS FACILITY ID 4002691 WEI 2404-002A
CS-1 Sidewall 1.5 1/16/2025 10,700 <0.13 <0.34 <0.34 3.05 1.74
CS-2 Sidewall 3 1/16/2025 174 <0.126 <0.314 <0.314 <0.943 <0.314
CS-3 Sidewall 2 1/16/2025 5,860 <0.121 <0.304 <0.304 1.09 0.792
CS-4 Sidewall 2.5 1/16/2025 7,210 <0.121 <0.302 <0.302 <0.302 <0.907
CS-5 Base/Sidewall 2 1/16/2025 <59 <0.118 <0.294 <0.294 <0.882 <0.294
CS-6 Base 5 1/16/2025 3,330 <0.130 <0.325 <0.325 2.05 <0.325
CS-7 Base 5 1/16/2025 1,770 <0.13 <0.33 <0.33 1.73 <0.33
CS-8 Base 4 1/16/2025 282 <0.125 <0.312 <0.312 <0.937 0.312
CS-9 Base 4 1/16/2025 1,320 <0.122 <0.305 <0.305 <0.916 <0.305
CS-10 Sidewall 2.5 1/16/2025 7,800 <0.126 <0.315 0.327 2.11 0.913
CS-11 Sidewall 2 1/16/2025 <65 <0.130 <0.325 <0.325 <0.974 <0.325
CS-12 Base 4 1/16/2025 396 <0.120 <0.299 <0.299 <0.897 <0.299
500 0.2 9 5 142 51
5,000 0.9 25 23 142 51
NOTES:
< = Concentration was below the laboratory reporting limit.
RBCA = Risk-Based Corrective Action.
Na
p
h
t
h
a
l
e
n
e
Measured concentration greater than Tier 1 screeninglLevels
TP
H
-
D
R
O
Be
n
z
e
n
e
To
l
u
e
n
e
Et
h
y
l
b
e
n
z
e
n
e
Xy
l
e
n
e
s
all concentrations are expressed in milligrams per kilogram (mg/kg)
BOLD = Measured concentration is greater than the Utah ISLs
Sample I.D.
Sample
Collection
Date
Utah RBCA Tier I Screening Level
Utah Initial Screening Level
Depth (feet)Location
Table 1
Soil Analytical Data
R&L Carriers
4375 West 1385 South
Salt Lake City, Utah

Appendix A
Photolog

Photo 1. Fueling canopy Photo 2. Initial excavation area
Photo 3. Staining after exposing piping Photo 4. North piping excavation showing water
leaching free product
Photo 5. Free product in central area of excavation Photo 6. Typical black staining in excavation
expanded excavation sidewall
Photo 7. Soil staining Photo 8. Soil staining near water spigot
Photo 9. Black staining remaining in place along
northwest excavation boundary Photo 10. Impacted soil removal
Photo 11. Final depth of western portion of
excavation
Photo 12. Final depth of central portion of the
excavation
Photo 13. Stained soil left in place on northern
boundary Photo 14. Western extent of excavation
Photo 15. Final western portion of excavation Photo 16. Final eastern portion of excavation

Appendix B
Waste Manifests

Appendix C
Laboratory Analytical Report and Chain of Custody Documentation

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
Wasatch Environmental
Attn: Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
Work Order: 25A1248
Project: R&L
1/27/2025
Approved By:
Melissa Connolly, 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 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-1
Lab ID: 25A1248-01Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 8:49
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800074.6Total Solids
BETX Compounds
mg/kg dry 1/20/251/20/253.35 EPA 8260D/5030B5.47C5-C6 Aliphatic hydrocarbons
mg/kg dry 1/20/251/20/253.35 EPA 8260D/5030B3.88C7-C8 Aliphatic hydrocarbons
mg/kg dry 1/20/251/20/253.35 EPA 8260D/5030B52.9C9-C10 Aliphatic hydrocarbons
mg/kg dry 1/20/251/20/253.35 EPA 8260D/5030B169C9-C10 Alkyl Benzenes
mg/kg dry 1/20/251/20/250.13 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.34 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.34 EPA 8260D/5030B1.74Naphthalene
mg/kg dry 1/20/251/20/250.34 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/251.01 EPA 8260D/5030B3.05Xylenes, total
Diesel Range
mg/kg dry 1/21/251/20/2567EPA 8015 C10700Diesel Range Organics
Semi-Volatile Compounds
mg/kg dry 1/23/251/20/255.36 EPA 8270E/3570NDC11-12 Aliphatic hydrocarbons
mg/kg dry 1/23/251/20/255.36 EPA 8270E/35702340C13-C16 Aliphatic hydrocarbons
mg/kg dry 1/23/251/20/255.36 EPA 8270E/35702700C17-C21 Aliphatic hydrocarbons
mg/kg dry 1/23/251/20/255.36 EPA 8270E/3570724C22-C35 Aliphatic hydrocarbons
mg/kg dry 1/23/251/20/255.36 EPA 8270E/3570NDC11-C13 Alkyl Naphthalenes
mg/kg dry 1/23/251/20/255.36 EPA 8270E/3570NDTotal C12-C22 PAH
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDAcenaphthene
mg/kg dry J-LOW-L1/23/251/20/2510.7 EPA 8270E/3570NDAcenaphthylene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDAnthracene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDBenzo (a) anthracene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDBenzo (a) pyrene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDBenzo (b) fluoranthene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDBenzo (g,h,i) perylene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDBenzo (k) fluoranthene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDChrysene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDDibenzo (a,h) anthracene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDFluoranthene
mg/kg dry J-LOW-L1/23/251/20/2510.7 EPA 8270E/3570NDFluorene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDIndeno (1,2,3-cd) pyrene
mg/kg dry J-LOW-L1/23/251/20/2510.7 EPA 8270E/3570NDPhenanthrene
mg/kg dry 1/23/251/20/2510.7 EPA 8270E/3570NDPyrene
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 2 of 15Page 2 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-2
Lab ID: 25A1248-02Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 8:51
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800079.5Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2563EPA 8015 C174Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.126 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.314 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.314 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.314 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.943 EPA 8260D/5030BNDXylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 3 of 15Page 3 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-3
Lab ID: 25A1248-03Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 8:57
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800082.3Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2561EPA 8015 C5860Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.121 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.304 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.304 EPA 8260D/5030B0.792Naphthalene
mg/kg dry 1/20/251/20/250.304 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.911 EPA 8260D/5030B1.09Xylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 4 of 15Page 4 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-4
Lab ID: 25A1248-04Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 9:00
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800082.7Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2560EPA 8015 C7210Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.121 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.302 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.302 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.302 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.907 EPA 8260D/5030BNDXylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 5 of 15Page 5 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-5
Lab ID: 25A1248-05Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 9:05
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800085.1Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2559EPA 8015 CNDDiesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.118 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.294 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.294 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.294 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.882 EPA 8260D/5030BNDXylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 6 of 15Page 6 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-6
Lab ID: 25A1248-06Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 9:25
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800076.9Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2565EPA 8015 C3330Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.130 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.325 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.325 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.325 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.975 EPA 8260D/5030B2.05Xylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 7 of 15Page 7 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-7
Lab ID: 25A1248-07Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 10:15
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800075.1Total Solids
BETX Compounds
mg/kg dry 1/20/251/20/253.33 EPA 8260D/5030B5.10C5-C6 Aliphatic hydrocarbons
mg/kg dry 1/20/251/20/253.33 EPA 8260D/5030B3.45C7-C8 Aliphatic hydrocarbons
mg/kg dry 1/20/251/20/253.33 EPA 8260D/5030B40.6C9-C10 Aliphatic hydrocarbons
mg/kg dry 1/20/251/20/253.33 EPA 8260D/5030B81.9C9-C10 Alkyl Benzenes
mg/kg dry 1/20/251/20/250.13 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.33 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.33 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.33 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/251.00 EPA 8260D/5030B1.73Xylenes, total
Diesel Range
mg/kg dry 1/22/251/22/2567EPA 8015 C1770Diesel Range Organics
Semi-Volatile Compounds
mg/kg dry 1/27/251/20/250.27 EPA 8270E/357045.6C11-12 Aliphatic hydrocarbons
mg/kg dry 1/27/251/20/250.27 EPA 8270E/3570173C13-C16 Aliphatic hydrocarbons
mg/kg dry 1/27/251/20/250.27 EPA 8270E/3570394C17-C21 Aliphatic hydrocarbons
mg/kg dry 1/27/251/20/250.27 EPA 8270E/3570153C22-C35 Aliphatic hydrocarbons
mg/kg dry 1/27/251/20/250.27 EPA 8270E/3570NDC11-C13 Alkyl Naphthalenes
mg/kg dry 1/27/251/20/250.27 EPA 8270E/3570NDTotal C12-C22 PAH
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDAcenaphthene
mg/kg dry J-LOW-L1/24/251/20/250.53 EPA 8270E/3570NDAcenaphthylene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDAnthracene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDBenzo (a) anthracene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDBenzo (a) pyrene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDBenzo (b) fluoranthene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDBenzo (g,h,i) perylene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDBenzo (k) fluoranthene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDChrysene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDDibenzo (a,h) anthracene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDFluoranthene
mg/kg dry J-LOW-L1/24/251/20/250.53 EPA 8270E/3570NDFluorene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDIndeno (1,2,3-cd) pyrene
mg/kg dry J-LOW-L1/24/251/20/250.53 EPA 8270E/3570NDPhenanthrene
mg/kg dry 1/24/251/20/250.53 EPA 8270E/3570NDPyrene
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 8 of 15Page 8 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-8
Lab ID: 25A1248-08Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 11:58
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800080.1Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2562EPA 8015 C282Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.125 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.312 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.312 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.312 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.937 EPA 8260D/5030BNDXylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 9 of 15Page 9 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-9
Lab ID: 25A1248-09Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 12:00
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800081.9Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2561EPA 8015 C1320Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.122 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.305 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.305 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.305 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.916 EPA 8260D/5030BNDXylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 10 of 15Page 10 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-10
Lab ID: 25A1248-10Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 12:51
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800079.4Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2563EPA 8015 C7800Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.126 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.315 EPA 8260D/5030B0.327Ethylbenzene
mg/kg dry 1/20/251/20/250.315 EPA 8260D/5030B0.913Naphthalene
mg/kg dry 1/20/251/20/250.315 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.944 EPA 8260D/5030B2.11Xylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 11 of 15Page 11 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-11
Lab ID: 25A1248-11Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 13:05
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800077.0Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2565EPA 8015 CNDDiesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.130 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.325 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.325 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.325 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.974 EPA 8260D/5030BNDXylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 12 of 15Page 12 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
Sample ID: CS-12
Lab ID: 25A1248-12Matrix: Solid
Flag(s)Units
Analysis
Date/Time
Date Sampled: 1/16/25 13:15
Preparation
Date/Time
Sampled By: Audra Heinzel
Minimum
Reporting
Limit MethodResult
Inorganic
%1/17/251/17/250.1 CTF800083.6Total Solids
Diesel Range
mg/kg dry 1/22/251/22/2560EPA 8015 C396Diesel Range Organics
Volatile Organic Compounds
mg/kg dry 1/20/251/20/250.120 EPA 8260D/5030BNDBenzene
mg/kg dry 1/20/251/20/250.299 EPA 8260D/5030BNDEthylbenzene
mg/kg dry 1/20/251/20/250.299 EPA 8260D/5030BNDNaphthalene
mg/kg dry 1/20/251/20/250.299 EPA 8260D/5030BNDToluene
mg/kg dry 1/20/251/20/250.897 EPA 8260D/5030BNDXylenes, total
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 13 of 15Page 13 of 16
xx
Chemtech-Ford Laboratories
Serving the Intermountain West Since 1953
Certificate of Analysis
9632 South 500 West
Sandy, UT 84070
O:[phone] F: [phone]
www.ChemtechFord.com
Wasatch Environmental
Audra Heinzel
2410 West California Avenue
Salt Lake City, UT 84104
PO#:
Receipt:
Date Reported:
Project Name:
2404-002A
1/16/25 13:53 @ 3.3 °C
1/27/2025
R&L
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
J-LOW-L = Estimated low due to low recovery of LCS
Project Name: R&L CtF WO#: 25A1248
www.ChemtechFord.com
Page 14 of 15Page 14 of 16
Page 15 of 16
Page 16 of 16
1
PETROLEUM STORAGE TANK PERMANENT CLOSURE NOTICE (rev. 10/21) 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 petroleum storage tanks at this site before closure
Total number of regulated petroleum storage tanks 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
4002461
Audra Heinzel
Wasatch Environemntal, Inc.8019728400
2410 W. California Avenue Salt Lake City UT 84104
Greenwood Motor Lines, Inc. DBA R+L Carriers 800-543-5589 x 2288
600 Gillam Road, Attn: Legal Department Wilmington OH 45177
R+L Carriers - SLC
4375 West 1385 South Salt Lake City UT 84104
Jonathan Parson 800-543-5589 x 2288
3
3
UNK
Diesel
UNK
1/9/2025
Removed
FRP/Plastic
Audra Heinzel 412 4/1/2025
Wasatch Environmental 8019728400
2410 W. California Avenue Salt Lake City UT 84104
Audra Heinzel 1583 4/1/2025
Wasatch Environemntal 801-972-8400
2410 W. California Avenue Salt Lake City UT 84104
Wasatch Environmental
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 U.A.C. R311-205, and that any additional samples required by 40 CFR 280.52, 40 CFR 280.72 and
U.A.C. R311-205-2(1)(a) 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:
ET Technologies Sarah Smart 801-973-2065 1/30/2025 100 cy
NP NP NP NP NP 0 140W 0
Audra Heinzel 2/24/2025
This was a piping and sump removal. There is a known release (OLH) here. During removal activities it was an
opportunity to remove 100 cy of impacted soil from this area. Details are presented in the attached letter report. Prior
samples collected during a subsurface investigation are considered closure soil samples and samples collected as part of
this removal are confirmation soil samples from over excavation. Over excavation was approved by emergency memo.
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-#) √ 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, electrical, 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”= Feet
See
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
Address City State Zip
Contact Person 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 PST 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 PST Closure to:
Mailing Address:
State of Utah Dept. of Environmental Quality DERR / PST Section P.O. Box 144840 Salt Lake City, Utah 84114-4840
Sample
#
Substance
stored in tank
Sample
type1 Depth2 Compounds3 Analysis method(s)4
Street Address:
Multi Agency State Office Building 195 North 1950 West (First Floor) Salt Lake City, Utah 84116
CS-1
CS-2
CS-3
CS-4
CS-5
CS-6
CS-7
CS-8
CS-9
CS-10
CS-11
CS-12
DIESEL SS
DIESEL
DIESEL
DIESEL
DIESEL
DIESEL
DIESEL
DIESEL
DIESEL
DIESEL
DIESEL
DIESEL
SS
SS
SS
SS
SS
SS
SS
SS
SS
SS
SS
1.5
3
2
2.5
2
5
5
4
4
2.5
2
4
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
TPH-DRO/BTEXN
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
8015C/8260D
Chemtech-Ford
9632 South 500 West Sandy UT 84070
Sample Receiving 8012627299