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HomeMy WebLinkAboutDERR-2025-0035991 UNDERGROUND STORAGE TANK PERMANENT CLOSURE NOTICE (rev. 2/1/15) FACILITY ID# 6000142 . … 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 David Hansen of (company name) Rockwell Solutions, Inc Phone # 801-361-2930 Address 718 E Bridger Lane City Elk Ridge StateUT Zip84651 TANKS CLOSED Piping Only Tank # Please complete for each tank 1 2 3 4 Type (Steel,FRP,etc.) FRP FRP FRP FRP Date Installed 4/1/89 4/1/89 4/1/89 4/1/89 Capacity (Gallons) 4,000 4,000 6,000 6,000 Substance stored* gasoline diesel gasoline gasoline Date last operated 2023 2023 2023 2023 Date Closed 4/8/25 4/7/25 4/7/25 4/7/25 Removed/In Place/ Change in Service (CIS)? Removed Removed Removed Removed *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: Dry ice Location of Closure Records: Rockwell Solutions For In-Place Closure: tanks filled with: FACILITY INFORMATION Tank Owner Wells Brinkerhoff Phone # 435-701-1707 Address 25 S 100 East City Glendale State UT Zip 84729 Facility Name Sparky's Gas n Go Address 94 W State Street City Orderville State UT Zip 84758 Contact person Wells Brinkerhoff Phone # 435-701-1707 Total number of regulated underground tanks at this site before closure 4 Total number of regulated underground tanks at this site after closure 0 TANK REMOVER Name David Hansen Cert. # TR410 Exp. Date 12/31/25 Company Rockwell Solutions, Inc Phone # 801-361-2930 Address 718 E Bridger Lane City Elk Ridge State UT Zip 84651 SOIL/GROUNDWATER SAMPLER Name David Hansen Cert. # GS0842 Exp. Date 07/15/2026 Company Rockwell Solutions, Inc Phone # 801-361-2930 Address 718 E Bridger Lane City Elk Ridge State UT Zip 84651 5/2/2025 M.O. 5/2/2025 2 DISPOSAL SITES USED Location Name Contact Name Phone # Date Amount Tank(s) Valley Landfill scalehouse 435-644-5089 4/8/25 Tank #al Product From Tank(s) Sump and Trap Erik Brown 385-429-0296 4/8/25 50 gal Contaminated Water From Tank Cleaning Sump and Trap Erik Brown 385-429-0296 4/8/25 50 gal Sludge none Contaminated Water From Excavation none Contaminated Soil Karl Spencer landfarm Karl Spencer 435-691-2662 4/8/25 5 cy 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): 125 NW Water Line 120 NW Sewer Line NP Natural Gas NP Storm Drain OH Telephone OH Electrical 0 S Property Line 50 NW 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 David Hansen 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 David Hansen Cert. #CC 0130 Exp. Date 1/1/2026 Company Rockwell Solutions, Inc Address 718 E Bridger Lane City Elk Ridge State UT Zip 84651 Phone # 801-361-2930 Please explain any unusual circumstances that occurred during the site assessment or closure: West dispenser was not sampled as it will be removed and the area around it excavated during upcoming remediation activities Impacted soil from south side of tank basin hauled to DAQ-approved landfarm at Karl Spencer property. s 5/1/25 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 NORTH Approx. scale in feet 00 20 SS-N,GW-N, USC-1 Figure 1 UST Closure Map Sparky’s Gas n Go 94 W State Street Orderville, Utah B-7 SE, 12’ NE, 12’, USC-1 NW, 12’ SW, 12’ Sample Location D-E, 4’, USC-2 E-Mid, 12’ SE, 20’ Water Communication Sewer 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 Rockwell Solutions, Inc Attn: Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 Work Order: 25D0862 Project: Sparkys Gas-n-Go 4/18/2025 Approved By: Mark Broadhead, 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 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go Sample ID: SW, 12' Lab ID: 25D0862-01Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 4/7/25 17:00 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %4/10/254/10/250.1 CTF800082.9Total Solids MBTEXn mg/kg dry 4/15/254/15/250.002 EPA 8260D/5030BNDBenzene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDEthylbenzene mg/kg dry 4/15/254/15/250.004 EPA 8260D/5030BNDMethyl-tert-butyl ether (MTBE) mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDNaphthalene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDToluene mg/kg dry 4/15/254/15/250.02 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 4/15/254/15/250.0603 EPA 8260B/C 5035A/[CALC]0.107Gasoline Range Organics Diesel Range mg/kg dry 4/12/254/11/2560EPA 8015 CNDDiesel Range Organics Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 2 of 10Page 2 of 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go Sample ID: NW, 12' Lab ID: 25D0862-02Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 4/8/25 14:00 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %4/10/254/10/250.1 CTF800080.9Total Solids MBTEXn mg/kg dry 4/15/254/15/250.002 EPA 8260D/5030BNDBenzene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDEthylbenzene mg/kg dry 4/15/254/15/250.004 EPA 8260D/5030BNDMethyl-tert-butyl ether (MTBE) mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDNaphthalene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDToluene mg/kg dry 4/15/254/15/250.02 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 4/15/254/15/250.0618 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 4/12/254/11/2562EPA 8015 CNDDiesel Range Organics Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 3 of 10Page 3 of 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go Sample ID: NE, 12' Lab ID: 25D0862-03Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 4/8/25 14:10 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %4/10/254/10/250.1 CTF800082.2Total Solids MBTEXn mg/kg dry 4/15/254/15/250.002 EPA 8260D/5030BNDBenzene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDEthylbenzene mg/kg dry 4/15/254/15/250.004 EPA 8260D/5030BNDMethyl-tert-butyl ether (MTBE) mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDNaphthalene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDToluene mg/kg dry 4/15/254/15/250.02 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 4/15/254/15/250.0608 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 4/12/254/11/2561EPA 8015 CNDDiesel Range Organics Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 4 of 10Page 4 of 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go Sample ID: E-Mid, 12' Lab ID: 25D0862-04Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 4/8/25 14:25 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %4/10/254/10/250.1 CTF800079.7Total Solids MBTEXn mg/kg dry 4/15/254/15/250.002 EPA 8260D/5030BNDBenzene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDEthylbenzene mg/kg dry 4/15/254/15/250.003 EPA 8260D/5030BNDMethyl-tert-butyl ether (MTBE) mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDNaphthalene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDToluene mg/kg dry 4/15/254/15/250.02 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 4/15/254/15/250.0627 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 4/14/254/14/2563EPA 8015 CNDDiesel Range Organics Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 5 of 10Page 5 of 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go Sample ID: SE, 12' Lab ID: 25D0862-05Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 4/8/25 15:20 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %4/10/254/10/250.1 CTF800084.1Total Solids MBTEXn mg/kg dry 4/15/254/15/250.002 EPA 8260D/5030BNDBenzene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDEthylbenzene mg/kg dry 4/15/254/15/250.003 EPA 8260D/5030BNDMethyl-tert-butyl ether (MTBE) mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDNaphthalene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDToluene mg/kg dry 4/15/254/15/250.02 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 4/15/254/15/250.0594 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 4/14/254/14/2559EPA 8015 CNDDiesel Range Organics Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 6 of 10Page 6 of 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go Sample ID: SE, 20' Lab ID: 25D0862-06Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 4/8/25 15:35 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %4/10/254/10/250.1 CTF800084.7Total Solids MBTEXn mg/kg dry 4/15/254/15/250.002 EPA 8260D/5030BNDBenzene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030B0.10Ethylbenzene mg/kg dry 4/15/254/15/250.004 EPA 8260D/5030BNDMethyl-tert-butyl ether (MTBE) mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030B0.13Naphthalene mg/kg dry 4/15/254/15/250.006 EPA 8260D/5030BNDToluene mg/kg dry 4/15/254/15/250.02 EPA 8260D/5030B0.48Xylenes, total Gasoline Range mg/kg dry 4/15/254/15/250.0590 EPA 8260B/C 5035A/[CALC]4.82Gasoline Range Organics Diesel Range mg/kg dry 4/14/254/14/2559EPA 8015 C1050Diesel Range Organics Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 7 of 10Page 7 of 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go Sample ID: D-E, 4' Lab ID: 25D0862-07Matrix: Solid Flag(s)Units Analysis Date/Time Date Sampled: 4/8/25 16:30 Preparation Date/Time Sampled By: David Hansen Minimum Reporting Limit MethodResult Inorganic %4/10/254/10/250.1 CTF800085.8Total Solids MBTEXn mg/kg dry 4/17/254/17/250.002 EPA 8260D/5030BNDBenzene mg/kg dry 4/17/254/17/250.006 EPA 8260D/5030BNDEthylbenzene mg/kg dry 4/17/254/17/250.003 EPA 8260D/5030BNDMethyl-tert-butyl ether (MTBE) mg/kg dry 4/17/254/17/250.006 EPA 8260D/5030BNDNaphthalene mg/kg dry 4/17/254/17/250.006 EPA 8260D/5030BNDToluene mg/kg dry 4/17/254/17/250.02 EPA 8260D/5030BNDXylenes, total Gasoline Range mg/kg dry 4/17/254/17/250.0577 EPA 8260B/C 5035A/[CALC]NDGasoline Range Organics Diesel Range mg/kg dry 4/14/254/14/2558EPA 8015 CNDDiesel Range Organics Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 8 of 10Page 8 of 10 xx Chemtech-Ford Laboratories Serving the Intermountain West Since 1953 Certificate of Analysis 9632 South 500 West Sandy, UT 84070 O:(801) 262-7299 F: (866) 792-0093 www.ChemtechFord.com Rockwell Solutions, Inc Dave Hansen 718 East Bridger Lane Elk Ridge, UT 84651 PO#: Receipt: Date Reported: Project Name: 4/9/25 16:31 @ 3.9 °C 4/18/2025 Sparkys Gas-n-Go 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. Project Name: Sparkys Gas-n-Go CtF WO#: 25D0862 www.ChemtechFord.com Page 9 of 10Page 9 of 10 Page 10 of 10 Sparky’s Gas-n-Go, (UST No. 6000142), 94 W State Street, Orderville, Utah USC Results: USC -1 (NE, 12’), Silty Clay (CL) USC -2 (D-E, 4’), Silty sand (SM)