DERR-2024-006262

+
UTAH
l. Ownership of Tank{s)
racititvNafe e,,+-la"1{a4q prl .
steetAdBa 6 fi/ loa,4/
el-"^-'C
UST Location Contact Phone #
State Zip Code
o*n*ffi<-(5a#-*Agq h#-
ooY"&ad lLb Q
"t &n*, C,
Owner Contact
,zY-Zip Code
Phone #
Tank -3Number of tanks present:
onal tanks on separat
-
ranxS ( |
te form.__
fenk 4\1J)M1Type of tank (UST or AST)
--+-_-=>c{oStatus (ln use, temporarily out ol use, etc.)
ffiDate ol last use (if not currently in use)
--z}
\.[934'sDate installed
9lD l,satt-- l..e.rSubstance stored 8<IK)11K. 7 7l<*Capacity
*6rTank material of construction (steel, FRP, composite, etc.)
Piping material of construction (flexible,
Piping type (pressurized, su6iioi,6L suction, smui@-;
Depth of liquid in tank
uid in tankType
ngvs-frOO
o dO
\- 6ks, --S Q
-1.
,l
W LUe
@
Jp
\
&14-
hrc n
Com
lnspected
Distribution : White-DERR, Yellow'lnspector ustastinlo.wpd 9i99
Facirity ro*r.&fffr\6
ll, Location of Tank(s)
rank.0f -J
FRP,"E)_ _Z
4J
;a'{v6
Notification for Underground Storage Tanks
ar.,
Fornr Approved. Otlb 20504068.
STATEUSEONLY
DATE RECEIVEDTYPEOF NOTIFICATION
I e" ruew FAcrLfi [ a. aueruoeo
_ No. ol tanks d facility _ No. ol continuation sheds attactred
C. CLOSURE
INSTRUCTIONS
Please l4gltJtiglip.igl, atr items excapt'dgndre'in section V. This lorm
mttst b€ cornpleted for eacfi locdirxr containing undergurnd sbrage tanks. ll
rnore than five (5) tanks are owned at tis locati{rn, photocopythe bltowirB
she€ts, and staple continuatftrn sheets iolfie brm.
A. Date Entered tnto Conputer
B. Data Enty Clerk lnitials
C. Owner Was Contacted b
Clarify Responses. Cdmments
't1r,/L
.!. an th. gEund - d Ury E. 1986, o?th.t .r. bcueH
fgEo. Th. ffiarllrtirn .tqu.d.d b .rqdrd by Srdon
Coo..il.tbo .nd Froory Ar{ (rcnA} lr rlrrd.d.
XdliG.tloo L rrqutrd byfuorrl Lulof dl u.rd.rEilundf.ohtrrrh& b..n .r..d fo da. ?.gsld.d.ubrtrnor drp &ru|fy 1, f gta, fh.t
3. septic Enks;
{. ipefine hcnithG (induchg galhedng frics) r€ouhbd ufflsfie Narrral G.s
PiFlinc Selotv A.i e{ I gGg or rl1€ I &dr.sr(bus Liqrif Pidirr Saf€ty AC of 1 979. o.
r rt*i ben ht!.$ai. dpefne hcfnyreeubbd urdersteb hrrs:
s. srfrc. inpoundreoB pts, pon*. clagoqq
a Sm k0i s raste w@ cdLclin qsDlr!$
7. fiow.through pGce6s ta *s:
8. nqJU raps or assochted gefieriE lkrc dr6dy rehred b oil o. gss
Foduction and gafierhg op€,etions;
9. Srage Enks siUrat d h an urld€,grcrJrd ar€ (srdt as a bes3.Ilont celhr.
m&t€*orkiq. *ilt Ciat a iJr!,rel) it he EDrt€ ar* b silr8b upoa o. sbove ttl€grfae ol the fiot.
wlrcr To t{outy? Seod co.Irpbbd hms b:
t oEorDm
t88 NOmH tesoffis'li, t tH.oon
sAIrufiECtrY.[tnH t.fiE
f$ron To t{of ly? f . Ornes d unttrgrwlrd S.ag. ianks liuee or tha lravc
be.n tElen o(,tdop.rdixr sfDr&flrary r, lEZl, hrt8il h the.grund, muanodfi
by llsy 8, 1986. Z OIns€ x,tE bing uoderErurnd 6b.80s tzrks-iro use albr llai
8, 1886, mtrstn@witrin $rhysd biogiogthe AntsirOuse. S. [fte SrriB,rqirs rdificatim of anyanrodncrtsb hditycend h5fitetirn D SBbloptrcy
inmedaely.
- - Flflda: Atry ornrr rto kror&rgly ,Jb !o .rdf, o? rEn*r f&r&iomdoodur bo r6leC b r dr{ p.nry na O riana tto,ooo lor.drful lorrrhbh notlilcrdoo b na glYrn cloirrhktr hbr k onrfbo b .rlfelfr.d.
Hor..Jl.3U.yE,
fte pdttary purpG. o, irb notificain prcOrsrt b D bcde and orduae
un&rlrDuod liril(s i1ds6.e oGhaw ded petoh.rm or heerdogsetences.
k b €rpeded rhar th€ infonaatirn you proviJe fill be based on resooebay
amibHe r€corG. or h the abeirce ol sudr recods, ,o(J' k Eri€dg€. betiet or
r€co{ecdtrL
Who Iod }{ofhn Secdon St(E ol RCFA as.msde4 r€qJirs ha( ur{essqemp(.4 ownGof und..eourd tar*s ftsf GD.e r.gdstdanbtrnocmust
mdfy dqignat d Stale or local agenciG o, fio erisieoce o, thek anks Ornernens-
_ a) h the case cf .n mde.erctrd sio.ee tar* in rEe gl Ho,3mb.. g. f g8a. d
koogttr irb trs rrler fu &b, an, p{rott rfio rrr n undrgrqrnd Glleoe
tankus.d brrhe or{e, us.. orGp.rEirgof rqdaed afur.c.c lrd -
b, h the FGe of any undeqrwnd orags tark h use b*re Nov..nbs g.
1984. fut m lonoc b use o.r dret dffr any pecon urtro omed gldt E rk
imm€daEly bebre the dscontinr,ptbn of ils use
-
c) ir t reSED agency 60 nqris. eny hcfity tha hc undergm. aty dar,0cb bcfithbrmation or trrd(Eyliem tilaus (mlyarner<leit tank abfitrno,r.its
b be hdud.d).
Whn Trnlc Ar hrio&d? Undeqro.nd sbruge tad< b defined as E ty oo€qcsntinaim o{adrs lha0) b us.d b cmqh an aenulatqr cf tgd;t.ds.l&ncb'.rd (a xfc. r,olme (ndJ&re qrn ctd ud..DrurO piaiqy kt0* q mor beaorh he emnd. So.rre annflc en rnargnina oii eiling:
1. Gashe, ssed o1. qdcd t.lel,.nd 2. hdrrstU aohrGpss*lc,hedicib orlunlane
Wh.l Trr*. Att &dud.d? TarlG ;grorcd from lhe erqrrd.re mtertiecto mdfcabc Otl€rEtksqGtJ& f,om nodfcatirr ern: -
1 . hm or nsilmtiat Er{(s of 1 .1 q, Oslons or 16 c-Fgciv uscd hr roringmoortrl brnqrcommrrnd g.,rrpcrs6:
_ 2. lr{.s usedh.Gtorirg }reat'ne of brcorxrmplive usean tre preniec
wtleresDr€d;
l. oWNERSHIP OFTANK(S)[. LOCATTON OFTANK(S]
ENVIRONMENTAL RESPONSE & REM
ENTERED
Grssacbrt ELldtrlt E )
Page I
6!t a eo.
ElHge?tgiip,frffi.tqro'd."rabt-ei"''| ii.r''.'n'or*'
Lalit de- Longi[rde_
GENERAL INFOBMATION
EPA Form 7530-1 (Rev.2-92)
BY
m24me @ ernt"arnRxydedPaPr
TDNUTTBEB A2OOOO I bEaa.a.tede
ttld Ssb.t n€. Art CoUtlrd? The mtficatirn D under
&riomgral
RCRI"
srid r4.7 pol,n6
I
III.TIPEOFqvT{ER IV.INDIAN TANDS
EI
tr
tr
FedsdGoncrrrrroril
Staie Govcrnrneot
locd@vsmflErt
tr.d Oocmdal
Prtrdg
Tar*sarelocdedm lardritin gr hdan
Resmrdioo or m drerfist lands.
Tar{s are oured by na$rc Amai=n
ndirn. tbe. or hdvidnl.
Tfteorl,ldin:tr
V. TY?E OF FACI-ITY
Seba the Approptiale fdmy Deecplbn
/V Gasstdion
-Petoleutnthertr
-ArTdGth.,
-AicrdtOrrr_Ae Oe*orrtie
_Ralkoad
_Federd-lto*mry
_FederC-lmny
_fdrstt{
_ConEacbr
_Ttnd<ingffransport
-t
fr6os
_ReCdenlid
_Frm
_Gts(Explain)_
VenvPtrn k t\rvU*, 1w;ne(
JobTitle Phfie t'brt€r (lncftrde Area Cods,
q:h-Esu- zqt\
NanE A&es
VII. FIT{ANCIAL RESPC}NSEL]TY
-lTChed(Ar$dApCy
Goaafte
St dyBdtd
Leterol Cr€dt
Staie Rmds
TrudRnd
Ofier fibfiod Affowed Specily
I hile rrEttE fmzriat regonsDlity req,tarrnts h
accodarp ffir aO CFR S.tpart H
Sot hgrance
Coomerdalhllrano
ECtnaeaionetrp
VUL CERTFICATION (Fead rtd dgr dtrorfleting d socfons)
lcs.myuoderp€ndtyotlawfidlh8YEpeaonaltyerantredandamlanilartilrlhe&dormdionsrtrittedhthisenda[etdt d
doqmsils, ard lrd bas€d on my hq.ty ol llei inlrd&als llilnedady reeponsDte lor otsai*rg the ffi]mdim, I beEet e Olat trcsnd[ed ffimdm btw.sraie, and comdae.
Nafii rrd ffilt!. dourr
or oilret efiorized npesmaw (Rm)
crlrvrtl6 fu\\ntlnon '
Ode Sagncd
b-u-11
Signam
EPA edimaes p$[c reporfnghrden forthls lormto aerage 30 rtilrtes per response indudng linn tn radewirg erfirrctoosrgffing and mahtahirB trc qaE ne€d€d€nd corpldrg rind rcvking 60 torni. Send conrnirts regarlng ttds-OrlOen esdmab t
C|ilef. lnlormdon-Hrcy Brandt Flh?Z3,, U.S. Envtronnrrrt8l ftoteclion Agency. 4ol M Stest, Wastrtdgtm 6.c. ZOISO. rnarlted
'Atbnlion Dedt Officer lc EPA"'THS ,onn anpnds tre pevirrus notificalim tonii as print€d in 40 CFR Fart Zeo, ApgenCx l. Prariot s
adtons ol ttds notilicdion form may be rcsa whfle supplhs hsf-
Paperwork Bsducilton Act Nottc.
EPA ForEr 753el (fi!tr 2€2r PagE2
tr
VI. CONTACTPERSON IN CTNreE OFTAT{KS
Tank lllc.-L Tar* No.Tard( No. _Tank ldootificalion Nu.rbor Tar* ilo.
-qrnoflly in t so
T€flporariry oln of Uso
Er.l-...-r{
Pe]manen{y otjt ol Uso
l-.4{d.trl
ArrErdrn€nt ol lnbrmation
1. S-talrs ol Ter*
(m8rt or{y o.E)
x
a Dat3 ol Ha[doo (nD./year]151 JYc.
3. EsliflEt€d Total Cap&ity (gallons)l,0oo
4. Maerial ot Consrlrciiin
(i/lark alllha spdy)
Asphatt Coat€d or Bare St€el
Carhodcally ftot€ct€d $ed
Epoxy coated Ste€l
Conpo€ib (S€€l with Fib€rglass)
Fib€€lass R€inforc€d Plastc
Un€d lrrcrbr
Doubls Wall€d
Polyethylgle Tank Jackd
Coocrola
Excavalim Llner
Lk*noYUn
Ofior, Please specily
t._:_lHas tank b6on rgpairod?
5. Piping (Ma6rial)
(tritak al thd appty) Bars Stesl
Galv8nizsd Srlssl
Fib€rglass R.*r orcad Plastic
CoPPsr
Cafrrodcdly fu€ctod
Dodl€ Walled
So@rdary ContahrEnt
Ur*notrn
Othsr, Please specily
6. BphS Fype)
o,ilrt a! trd apply)
Suclioo: no vslve at tank
Sudion: valve at tank
Pr€ssura
Gravity Feed
Has piping b€sn repaired?
DC DESCRImON OF UNOEBGROUND STORAGE TANKS (ColrTlets lor eadr lank al lhis bcaion.)
EPA Fcrm 753G1 (n!v. 2.92)Pa€e 3
Tsr*, No. _
It----l
I tl I
txt
t-
tr
I I
I I
I I I
I I
I I I
I I I
t
t-r
I L
t
l
I
Tank ldeotifi cdion Numbor rar* r,O.-L-Tenk ilo.-Tar* No.Tank No-
-
Tank No.
7. Substanco Gfienty oi l-ast $or€d
h Gred€d tuantty by VdurB
Gasoltre
Di€s€l
Gasohol
K€roseng
Heding Oil
Us€d Oi
Other. Eease sp€city
lvlixtrt€ ol Substancas
Pl€as€ spocily
x TANKS OUT OF USe OR CHANGE tN SERVICE
1. Clodr€ ofTank
A Estmaod dde last us€d
(rp-/day/yoar)
B. Eslimale date tank dosed
(np.rdaylyead
C- Tar* wes ronDvod lrcm ground
D. Tar* was do6ed in grqrnd
E- Ta* fillsd with ingl mabdal
Dsssibe
F. ctrangg in service
LLX.N
(),.1
r-----l
2. Siilo Asse*smart Coflpbt€d
Eviroflco o, a bak debctsd
EPA Forn 753G1 (R!r. 2.t2)P.gE.a
Hazadous Sistance
CEBCLA nanE arruo(,
CAS m.mber
[_
I
t-
-
Ir I
ISdi0w-I
I I
t
r I
t l It
l L
I
f--x-LI
I
Tank No- _Tar* ld€nlifi cation Nu.rber
A" lnslallor canifi€d by tank snd
plpirlg mandactr€rs
B- lnstallsr csdifi€d or lieosod by tho
imd€menting ag€ncy
C. InstalErioo insp€clod by a
rqister€d onginoq
D. lnsbllalim insp€cted and
approv€d by irryle(lEntir€ ag€nc,y
a Manulactr€f s i.Elalldion
cfiscklists havs befi complet6d
F. Ardrer m€thod allow€d by Slale
agmcy. Pl€asa sp€city.
1. lnstallaion
TANK PIPING TANK PIPING
t_l
PIPING
-
TANK PIPING PIPING2- Rsl€ase Ostsction (Mark all lhal apply)
A- Manual tank gauging
B. Tank tiglrtness testing
C. lrrysdory controls
D. Auiomalic tank ga€ing
E Vapor rnonitoring
F. Groundtvaer rnonitoring
G. lt orstilial rnooiioring doublo walled
tanUpidng
H. lnt€tstitial rnonitoringy'secondary
containrn€nt
l. Aubmalic lins leak dot€clors
J. Line lighhoss t€sting
K. Olh€r flEthod allonsd by
lBplomerning Ag€ncy. Please
speify.
3. Spill and olrBrf Prol€clion
A. olrsf ll devi:e install€d
B. SpIl davica hslall€d
OATH: I cor8 lhs lnbnnaion srcomirE instdlalion &af is prE ided in s.clbn Xl ls t|ue io the best of my b€[el ard l(rldl€.r$.
rnliex€c r\tn
Narie MoSignatuls
Podlioo Cofiparry
XI. CERTIFICATION OF COMPLIANCE (COMPLETE FOR ALL NEW ANO UPGRADED TANKS AT THIS LOCANON)
EPA Form 75301 (n!v. 2-92)P{B 5
Tank No- _Tar* No. _Tar* No. _Ta M._
EE
E
E
TANK
EEEEEE
E
E
EEEEEEE
E
E
TANK
EEEEtlEE
E
E
E
EEE
E
tlEE
t---___-]
I
I
-
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND **,ryb
Wpy
Michael O. Leaviu
Govcmm
Dianne R. Nielson, Ph.D.
Exccutive Distor
Kent P. Gray
Direbr
KPG/TWC/Kf
168 North 1950 West
P.O. Box 1t14840
Salt Lake City, Utah 841144840
(801) 5364100
[phone] Fax
(801) 5364414 T.D.D.
www.de4.state.ut.us Web
ERRU-128-99
April12,1999
Ken Bettridge
Ken Bettridge Distributing, Inc.
P. O. Box 338
Cedar Ciry, Utah 84720
RE: Underground Storage Tanks (USTs)
lncated at Ken Bettridge Distributing,Inc., 386 North 100 West, Cedar City, Utah
Facility ID #6000016, Tank #1
Dear Mr. Bettridge:
A review of the information you have submitted in the closure notice received on
March 24,1999, for the above referenced UST, indicates that no corrective action is required at the
site at this time. The information you have submitted indicates that any detectable petroleum
contamination at the site complies with state UST rules. Based upon these rules, there appears to
be no threat to human health or the environment.
Corrective action may be needed in the future if contamination is found that threatens human
health or the environment. Please contact Victor Scherer at [phone], if you have any
questions regarding this matter.
Sincerely,
-p,u ,/4"*1//^
Kent P. Gray, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
l-99
,(
UNDERGRoUND -GAGE TANK PERMANENT cLosuRE t^sE (Revised 01t01t971
Facility lD #b
MailedtoLHD
in LUST File #,
to LUST Review
Status
Closure Notice prcparcd at thc request of thc orncr/opcrator (dcntificd bcloar) by Alan Kav Scholes
of (company namer) FuelTec LLC Phone #(435)
Address 675 North 1300 East st.State t-ltah Zip 84770
FACILITY INFORMATION
Tank Owner Ken Bettridoe Distributino. lnc.Phone #(435) 5E6-24 11
I lsole proprietorship [ ] partnership [xt corporation
Facility Nanre Ken Bettridoe Distributino. lnq
Address 386 North 100 West Cedar Cltv State_L[ Zip_84720__
Contact person Ken Bettridqe Phone #1
Number of regulated tanks at the facility before closure: 1
Number of regulated tanks at the facility after closure: 1
TANKS CLOSED
* lndicate the specilic substance stored in each tank to be closed (regular, unleaded, diesel, waste oil, etc.)
TANK REMOVER Name TravisllaGn
DERR
ilUMI$ENTAL RESPONSE & REMEDIATION
ENTERED
Cert. #TR03A Exp. datejE!E100_
1Tank #
15+ yrs
tllr (4 Enn,
tDate lnstalled
1,000Capacity
Solvent tY_Substance stored
2-22-99Date last operated
2-24-99Date closed
RemovedHow closed
(Removedfln place)
Phone #(435 ) 673-9421
Randv Mickelsen Cert. #GS1192 Exp. date 9-15-00SOIUGROUNDWATER SAMPLER Name
Phone#[phone]
1
Processed Ll.-7'?? by -t/t) Q
-
CLOSURE INFORMATION \
[x] Fuelwas emptied [ ] Sludge was removed Ix] Tank was cleaned.
Tank was: [ ] Purged Ix] lnerted. Method Used:Drv lce
Location of Closure Records Bettridqe Distributino. lnc. P.O. Box 33E. Cedar City. UT 84720
For ln-Place Closure: tanks filled
Is any contaminated soil which was over-excavated still on€ite? _ Yes _ No x Not applicable
Was Free Product encountered during closure activities? No lf yes, please indicate thickness, _lnches
SITE ASSESSMENT
Complete the Facility Site Plat (Closure Notice) and Sample lnformation Table (Closure Notice) on pages 3 and 4 to show the
localions, depths, and ofier information on all soil/groundwater samples taken for closure. The samples must be consistenfly
identified by sample lD # on the site plat, table, and lab anal)6is report.
IX ] Completed Faciliv 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 Une _Sev/er Line _ Natural Gas _ Storm Orain _Telephone _ Eleclri6l _ Property Line _ Buildings
IX ! Completed Sample lnformalion Table (Closure Notice) is attached.
I X ] Certified lab analytical environmental sample results are attached.
I X I Unified Soil Classification (USC) sample resu]b are attached.
I X ] chain of Custody form is attached.
Samples were properly: IXlCollected IX]Labeled IX] Packaged IXlTransported
I X ] Samples were in sight of the person in custody at all limes or in a secured locked place.
I certify under penalty of hw that the closure site assessment at this facility was conducted in accordance with R311-
202 (parts 280.52 and 280.72) and R311-205 U-4.C., and that any additional samples required by R31l-202 parts 280.52
and 280.72 and R311-205-2(aX1) were properly collected. /
Signature of Gertified Groundwater/soil Sampler ?,/u4 lA,l.i t L--
Full name of Certified Sampler Randv Mickelsen Date 3-'l $99
lf contamination at the facili$ b confirmed, any pelson provijing remedial assistance for a fee must b€ a Certified UST
consultant. The Certified UST Consuttant providing assis.tance b:
CERTIFIED UST CONSULTANT Name N/A Cert.CC
Compa Phone # ( )
Location Name Contact Name Phone #Date Amount
Bhk6 Auto Salvage Red Blake 573-49E9 2-25-99 Tank # 1Tank(s)
Product From Tank(s)Tank Empty gal
American Waste
Recovery
Gene Luke 801-253€916 2-2G99 50 galContaminated Water From Tank Cleaning
SIudge N/A gal
N/A galContaminated Water From Excavation
N/A yd'Contaminated Soil
I
III
State
Exp. date_
For Change{n-Service: Substance tro be stored
DISPOSAL SITES USED:
Address-
2
zip-
ihe site'plat must be drawn to an a1
tanks, and other relevant information
on p. 1 and 4 of the closure notice
DrawnID
I
identified scale. lt must show actuar -rmpling locations, substances stored in
Tank and sample identification numbers must be consistent with the information given
Site Plat Must lndicate Actual Locations Of:
r/ Cunent & brm.r taaka, piplng & dispcnscrE
r/ Excavatons, GW monibring wulls & roil stoclgilcs
rz Location & dcpth of all samplcs talen
rz Buildings, fcnccc, & proporty boundari.s
ru utility conduits (scunrc, gas, vta{or, 3torm
drains, elccfical cb.)
r/ Dcpth to grounduabr (if cncounbro
X = Sample locations (SS+, WS+, USC#)
a = itunibring Wells (MW+,)
o = Soil boring (SE*), or GcoPrcbe Eoring (GP+)
O = WatcrWclls (domcstic, livcstoch cb.)
Slopc of Surfacc Topography (N, t'IW, W, SW' S, SE' E' NE)
Land Use At Site:
-Reidcntial -
Commcrcial
-
lndustrial
Sunounding Land:
-Rcsidential -Commcrcial -
lndustrial
3
s
D
E-
v
#2
u.
ox
$E
T2+il<t-nl-u}F
'"I
T7
co
t-L-
N
rJ\
rn
rc-ll-llEl
.t\
*ig
I
F
.tr
os
o
F
I
f.
il:
o1r
-0.(lr
I o
l
trI
Id
i^1
Comphte'table for all samples that t ' taken for closure. Sample lD numbers -., the table must be consistent with
the sample ID numbers given on the srte plat and in the lab analysis report.
Sample #/Lab lD Substance
stored in
tank
Sample
type'
Depth2 Compounds3 Analysis method(sla
SS1-NT Solvent ss 1z'.TPH/BETXNruOC 8015 MOD/EPA 801o/EPA 8020
SS.2ST Solvent SS 12'.TPHIBETXNruOC 8015 MOD/EPA 8010IEPA 8020
USC3.USCT usc 1z',UNIFIED SOIL CLASSIFICATTON
1 Soil (SS), Groundurater (GW), or Unified Soil Classification (USC).2 Final dedh (in feet) below grade at which samples were taken.3 Contaminant compound(s) analyzed for each sample (l-pH, BTEXN, O&G, etc).4 Appropriate analysis methods for contaminant compound(s) in each sample (8015 mod., 8020, 413.1, etc)
State Certified Laboratory used I ftilirv Lahoratorv
Contact person Paul Soloman Phone#(E01)973-E305
Please explain any unusual or extenuating circumstances encountered during the site assessment or closure:
I certify under penalty 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 fue, accurate and complete and further, that the procedures described herein
were followed during tank c
Signature of UST Ownei
Full name of Owner Kennath Date 3-17-99
Return completed Closure Notice form, Facility Site Plat and Sample lnformation Table, SoillGroundwater sample lab analysis
results, USC sample results, and Chain of Custody form within 90 days of UST Closure to:
State of Utah Dept. of Environmental Qualitv
Division of Environmental Response and Rdmediation UST SectionP.O. Box 144840
166 North 1950 West
Salt Lake City, Utah 84114484A
4
875 South Chestnut Street
P.O. Box 25005
salt Lake City, UT 84125
[phone]
Fax: (801 ) 973-8333Utility Testing Laboratory
March 1 7, 1999
Fuel Tec L.L.C.
675 North 1 300 East
St. George, Utah 84770
Attention: Mr. Keith Dalton
Subject: TPH/BTEX Testing - Ken Bettridge Distributing - Cedar City, Ulah 84720
Sample Collected: March 04, 1999
Sample Received: March 09, I 999
Comments: SW-846 8020 second column confirmation not confirmed.
TOTAL PETROLEUM HYDROCARBONS (TPH) - GASOLINE & DIESEL
(MODIFIED CALIFORNIA METHOD 801 5)
PRACTICAL QUANTITATIVE LIMIT: 10 ppm SOIL, .5 ppm WATER
Test No.
3-09-99-06
Date Analyzed:
March '10, 1999
Test No.
3-09-99-06
SOIL SAMPLE
5S.,1NT
SOIL SAMPLE
SS-INT
BTEX
sw-846 METHOD 8020 (SOtL)
USINC PURCE & TRAP METHOD 5O3O
PRACTICAL QUANTITATIVE LIMIT: s ppb SOll
Test Results mg/Kg. mg/L (ppm)
< 10 mg/Kg Casoline
< 10 mglKg Diesel
< 10 mg/Kg TPH
Test Results uslKs. usll toob)
< 5 pgiKg MIBE
< 5 prg/Kg Benzene
< 5 pglKg Toluene
.5 PglKg EthYlbenzene
< '15
Pg,/Kg XYlenes, Total
< 5 pdKS Naphthalene
Date Analyzed:
March '15, 1999
UTILITY TESTINC LABORATORY
Tina May
Quality Assurance Manager
,*//br
875 South Chestnut Street
P.O. Box 25005
salt Lake City, uT 84125
(801) 973-830s
Fax: [phone]Utility Testin€, Laboratory
Aftention: MR. Keith Dalton
Subiect: EPA 8010 Testing - Ken Bettridge Distributing - Cedar City, Urah 84720
Sample Collected: March 04, 1999
Sample Received: March 09, 1999
Comments; SW-846 8010 second column confirmation not confirmed.
March 17, 1999
Fuel Tec L.L.C.
675 North 1300 East
st. ceorSe, utah 84770
Test No.
3-09-99-05
Date Analyzed:
March 15, 1999
UTILITY TESTINC LABORATORY
PURGEABLE HATOCARBONS
sw-846 METHOD 80'10 (SOIL)
USING PURGE & TRAP METHOD 5O3O
PRACTICAL QUANTITATIVE LIMIT: 5 ppb SOIL
SOIL SAMPLE
SS.'INT
Test Results pg/l(g. Fg:/L (ppb)
< 5.0 yg,lKg Chloromethane
< 5.0 pgiKg Bromomethane
< 5.0 pglKg Dich lorod ifluoromethane
< 5.0 pgA(g Vinyl chloride
< 5.0 pg/Kg Chloroethane
< 5.0 uglKg Methylene chloride
< 5.0 ygiXg Trich lorofluoromethane
< 5.0 t,/Kg I ,l -D ich loroethylene
< 5.0 pgiKS I ,l -Dichloroethane
< 5.0 pgiKg trans- 1 ,2-d ich loroethvlen e
< 5.0 pgiKg Chloroform
< 5.0 pg4<g 1,2-Dichloroethane
< 5.0 udKg 1,1,1-Trichloroethane
< 5.0 pVKg Carbon Tetrachloride
< 5.0 p/Kg Bromodich loromethane
< 5.0 pglKg 1 ,2-Dichloropropane
< 5.0 pglKg cis- 1 ,3-Dichloropropylene
< 5.0 pglXg Trichloroethylene
< 5.0
< 5.0
< 5.0
< 5.0
< 5.0
< 5.0
< 5.0
< 5.0
< 5.0
vclKg
vgKg
pc/Kc
FBlKc
Ps/KB
trBlKg
FB/Kc
FBIKB
VEKS
Dibromoch loromethane
1 ,1 ,2-Trich loroethane
trans-1,3-Dichloropropylene
2-Chloroethyl vinyl ether
B romoform
1,1,2,2-Tetrachloroethane
Tetrachloroethylene
Chlorobenzene
,3-Dich lorobenzene
,4-Dich lorobenzene
,2-Dich lorobenzene
is-1,2-dich loroethylene
< 5.0 pgAQ 'l
< s.0 pg/Kg 1
< 5.0 pglKg c
1; ffbv
Tina May
Quality Assurance Manager
A\ aZS South Chestnut Street
P.O. Box 25005
Salt Lake City, UT 84125
(801) 973-830s
Fax; [phone]Utility Testing Laboratory
March 17 , 'i.999
Fuel Tec L.L.C.
675 North 1300 East
St. Ceorge, Utah 84770
Attention: Mr. Keith Dalton
Subject: TPH/BTEX Testing - Ken Bettridge Distributing - Cedat Cily, Utah 84720
Sample Collected: March 05, 1999
Sample Received: March 09, '1999
Comments: SW-845 8020 second column confirmalion not confirmed.
TOTAT PETROLEUM HYDROCARBONS (TPH) - GASOI-INE & DIESEL
(MODIFIED CALIFORNIA METHOD 8015)
PRACTICAL QUANTITATIVE LIMIT: 10 ppm SOIL, .5 ppm WATER
Test No.
3-09-99-O7
Date Analyzed:
March 10, 1999
Test No.
3-09-99-07
SOIL SAMPLE
ss - 2sT
SOIL SAMPLE
ss - 257
BTEX
sw-846 METHOD 8020 (SOrL)
USINC PURCE & TRAP METHOD 5O3O
PRACTICAL QUANTITATIVE LIMIT: 5 ppb SOIL
Test Results mg/l(g, mg/L (ppm)
< 10 mg,(g Casoline
< 10 mg/Kg Diesel
< 10 mg/KB TPH
Test Results uglKg. FgA (ppb)
< 5 pgAg MIBE
< 5 pg&g Benzene
< 5 pgl'l(g Toluene
<5 t/Kg Ethylbenzene
< 15 pg4(g Xylenes, Total
< 5 pg4(g Naphthalene
Date Analyzed:
March 16, 1999
UTILITY TESTINC LABORATORY
Tina May
Quality Assurance Manager
ory
875 South Chestnut Street
P.O. Box 25005
Salt Lake city, uT 84125
(801) 973-830s
Fax: [phone]Utility Testing Laboratory
March 17 , 1999
Fuel Tec L.L.C.
675 North 1300 East
St. Ceorge, Utah 84770
Attention: MR. Keith Dalton
Subject: EPA 80'lo Testing - Ken Bettridge Distributing - Cedar City, Utah 84720
Sample Collected: March 05, 1 999
Sample Received: March 09, 1999
Comments: SW-846 80'l O second column confirmation not confirmed.
PURGEABI-E HATOCARBONS
sw-846 METHOD 8010 (SOIL)
USINC PURCE & TRAP METHOD 5O3O
PRACrICAL QUANTITATIVE LIMIT: 5 ppb SOIL
Test No.
3-09-99-07
Date Analyzed:
March I 5, 1999
UTILITY TESTINC LABORATORY
Test Results FglKg. Fs^ (ppb) .
< 5.0 pglKg Chloromethane
< 5.0 prglKg Bromomethane
< 5.0 tL&/l(8 Dichlorod if luoromethane
< 5.0 Lrg/K8 Vinyl chloride
< 5.0 pglKg Chloroethane
< 5.0 uglKg tvtethylene chloride
< 5.0 t,&/l(g Trich lorofluoromethane
< 5.0 pg/KB 1 ,1 -Dich loroethy lene
< 5.0 pg/Kg 1 ,1-Dich loroethane
< 5.0 pg/Kg trans-1,2-dichloroethylene
< 5.0 pglKg Chloroform
< 5.0 pg/Kg 1,2-Dichloroethane
< 5.0 uglKg 1,1,1-Trichloroethane
< 5.0 pg,/Kg Carbon Tetrachloride
< 5.0 pglKg Bromod ich loromethane
< 5.0 t,/Kg 1,2-Dich loropropane
< 5.0 p/Kg cis-1,3-Dich loropropylene
< 5.0 pglKg Trichloroethylene
< 5.0 lrglKg Dibromochloromethane
< 5.0 p/Kg l,'t ,2-Trich loroethane
< 5.0 pglKg trans-1 ,3-Dichloropropylene
< 5.0 pglkg 2-Chloroethyl vinyl ether
< 5.0 trB/KB Bromoform
< 5.0 pdKg 1,1,2,2-Tetrachloroethane
< 5.0 pgll(g Tetrachloroethylene
< 5.0 pg/l(g Chlorobenzene. 5.0 pg4<g 1,3-Dichlorobenzene
< 5.0 PPlKg 1,4-Dich lorobenzene
< 5.0 pglKg 'l ,2-Dich lorobenzene
< 5.0 trglKg cis-1,2-dichloroethylene
SOIL SAMPLE
SS . 2ST
'6* fu^(
Tina May
Quaiity Assurance Manager
Utility Testing Laboratory
875 South Chestnut Street
P.O. Box 25005
Salt Lake City, UT 841 25
(801) 973-830s
Fax: [phone]
March 1 7, 1999
Fuel Tec L.L.C.
675 North 1300 East
St. Ceorge, Utah 84770
Aftention: MR. Keith Dalton
Subject: - Uniform Soil Classification
ASTM Method D2488-9O - Ken Bettridge Distributing - Cedar City, Utah 8472Q
Sample Collected: March 05, 1999
Sample Received: March 09, 1999
Comments:
Following are the test results on your subject samples;
Test No,
3-09-99-08
Color of Samole:
Erown
Toughness:
Low
Plasticitv:
Lorv
Descriotion of Samole:
Sandy Silt
Composition of Sample by Sieve Analysis:
COARSE CRAVEL < 76.0 mm -
FINE CRAVEL < 19.0 mm -
COARSE SAND < 4.0 mm -
MEDIUM SAND < 2.O mm - .5
FINE SAND < 0.425 mm - 50
FINES < 0.075 mm - 45
UTILITY TESTINC LABORATORY
Tina May
Quality Assurance Manager
Customer l.D.
USC . 3UST
Drv Strensth:
Low
Reaction with 1 :1 HCI:
Strong
Classification:
(ML)
"ry
l8t?
tz
lln
lz
lt,
vo
oa
o
rO
=\. -- -c
o
16'
9\]
aO'
:
J. 0_r-.
='
:6'
'o'\- ^:{- '\ :'s) E-,1 t)-.
P:.\--9:
'}q:>
i.,\,i'Sj-
r*
ll
;)
It)
o
v'lI
o
-z
.=
.::
,!1-:i- lt.:.- e')z
\O-\- (!'i--.:-
.*\j
:-. .\ -
_*: s
t^\t::r:l:
\r)+
t-
t),,t'
CFl'
-r
-.
,-'J
oaF+
-r-)
0o,
-p
'+t/c-tp
c-t
:E
'T1
n
C(n-t
U
@N(,
tno
-
o
oo
th
qJ
=r-
0JTlolol='t<
t-IC
I 0r-
t;lst-o5
!
I
@!
!.,
(Jt
x
co
\o\
€
tlq,
o
o
,.c-9
,'.\
='.o
. t-l
.- --6
'.6
o
'i ar_ __.Q-
\i ))a\d
-:
o
$6
\i x--:-r '' =\o_. ._)..
<. --;\.
n<.
-=o
.*- .!?
:!
o
\=)6
I
Pb"
-* .i
{-o,\1
\4
0)
,o
-
:-
.:1
i\.ooo
oo-
o
vooo
?'o
6',
a'
.-'-. F-\s. o
11'^t- o
+o
}\2.,.:5 E\)io
.1-\-ir.\.:
\.\ -
tJi:
gJ
,.x
\i
t-.,-\,i\i
--'!--to
o
=.o
>.\
l\
f-\'
I
F.
'z
F
tt,
'ga
o\-6
D
z
Al
l!
0
o
{') -OaZ
N
!
-t
E
f
?
0,
=.x
t8lz
Io
l-r
lolz
lo
l,r.l>
l=It
l(,
'.J1
6-
r)
=o-
tr
o
tr
z
(,:s(,0J .:, o
= \o)Eo6-=
!J_u (1
di-
o
?o+
trtr
OO
trUz7cv
vo
3!
r
v')
3
Fx
lr1
(Revised 411196)
UNDERGROLIND STORAGE TANK CLOSURE NOTICE
TEMPORARY CLOSURE
. DERR
ENVIRONMENTAL RESPONSE & REfuIED
ENTERED
Facilitv ID #to@olLo
State Use Only
DateReceived A-9-ff
Date Entered b), TZ-
FEB
Temporary Closure Notice at the Alan Kav Scholes
of(Companyname) Fuel TecLLC Phone #r 435) 673-9421
Address 675 1300 East City' St. George State Utah Zip 84770
FACILITY INTOR]VIATION
UST Owner Ken Bettridge Diskibuting. Inc. Phone # ( 435 )
[ ] solepropnetorshrp [ ]partnership Ix]corporation
586-241 I
Facility Name Ken Distnbutrne
Address 386 North 100 West Cit)'--!9dAlg!ry-- State Utah Zip 84720
Contact Person Ken Phone#( 135)586-2.+ 1 I
Number of regulated tanks at the facility to be temporarily closed
Number of regulated tanks at the facility:I
TEMPORARY CLOSURE REGULATIONS
( An UST vv-stem temporarily closed less than 3 months must:
O continue operation and maintenance of corrosion protection (if any) on tanlis and lines.
CI continue operation and maintenance of release detection or ernptv the UST rystem to less than 1" of product.
r'An UST s-vstem temporarily closed 3 months of more must:
O contjnue operation and maintenance of corrosion protection (if any) on tanks and lrres.
@ continue operation and maintenance of release detection or empty the UST system to less than I " of product.
CI leave vent lines open and functioning, and cap and secure all other lines, pumps, manwavs, and ancillary equipment.
O send properly completed Temporary Closure form to the DERR/UST Section.
r' USTs (tanks and lines) without proper corrosion protection may remain under temporary closure sktus for up to l2 months.
Before the end of this closure period:
O the tanks must be permanently closed, or
O a site assessment must be performed and an extension of temporary closure status requested from the DERR and
approved.
r' An UST rystem temporanly closed for more than l2 months must be upgraded with corrosion protection on tanks and lines, and
spili and overfill prevention before the tanks can be brought into use.
I x ] Fuel rvas emptied. [ ] Corrosion protection is operating. [ ] Release detection equipment is operating.
I
tr
1
Tank#I
Date Installed 15+ws
Capacity 1,000
Substance stored*Solvent
Date last operated t2-22-98
Inches of product
remaining in tank**
Empty
TANKS TEN,IPOR ARII,Y Ci,O SEI)
* Indicate the specific substance stored in each tank to be closed (regular, unleaded diesel, waste oil, etc.)*t To the nearest l/8 irrch
For Temporary Closure of 3 months or more:
Before12monthstheUST(s)willbe: Ix]Permanentlyclosed []Ner,vAJpgraded [ ]Extensionrequested
SITE ASSESSMENT
If an extension of the 12 month temporary closure is requested, complete the Site Assessment portions of the Underground Storage
Tank Permanent Closure Notice (available upon request).
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 and fi.rther, that the procedures descnbed herein were followed during tanli closure.
Signature of UST Ownei
Full name of Owner Ken Bettridqe Date l-27-99
Return completed Temporary Closure Notice form to:
State of Utah Dept. of Envronmental Quality
Division of Environmental Response and Remediation UST Section
168 North 1950 West lst Floor
Salt Lake Clty, UT 84116
Tank#I
Capped/Secured (Y/|i)
lines
purnps
manways
Y
Y
Y
Y
Vent Lines open (YAtr)Y
(
.E
--o =Eo E8m o.ts
r! bEa- os
H €.E€* *_EHN EQE
ae;
KEN BE'I"TRII)(;I.]
KE,N I][,'T'TRII)(;L], I)IS'I'RIBt'TI0\
P() BO\ J31t
('F]D,\R ('l IY l l tllTzl
=E
E
=
o
Ez
o
+
8
8
o
E
a
o
3li
I
=;P:ii9
3c5
EE
EE
E
E .c.ei
lo6gEg
,p{
aa
,f
o
'0088 utrol sds66 r I
f,
lo
ld
l8
a.
E
o
SENDER: T. comderc 6m3 1 and/or 2 f tonal E6lvrc6s'
r cdnblet€ itsms 3, 4a, And A.
I Fliiii"6i,i iiili ;il;oo;s; on rhe roverss onhrs rorm so thar w€ can rdum rhis
erd lo vou.
. F#"iit[i""io,- lo rrt r'onr ol lhe meilpi€c€, oron lhe back it spac€ does nol
I also,trisY
tollownd
extra lec)}
receive the
:es (lor an
1. El Addressee'sAddress
2. E Restricted Delivery
Consult Postmaster lor fee.
qj
.9
P
.Wnla 'Relum Receiql below lhe arlicle numb€r
deliversd and lhe dalo
'6
(E
at
E'c
o
3F
3. Article Addressed to:
KT]N I}E'T'tRID(;E
KF]N BB,TTRII)GE DISTRIBI.'I
P() B()X 33ll
ctil).\R (llTY lrT 8{721
4a. Ai cle Numberta1 {-n
"-4b. Service TYPe
E Begistered
H
p certitleo
ddIl-lUItrl
5
alu6. Sign
E Express E lnsured
! coD! Return
8 sted
and lee
7. Date ol
ress
PS Form 381 1,ber 1994 1 02595-96-8-0229 Domestic Return ReceiPt
3l
.5-,]\
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL R.ESPONSE AND REMEDIATION
Michael O. Leavitt
Govemor
Dianne R. Nielson, Ph.D.
Execudve Direcor
Kent P. Gray
Director
168 North 1950 West
P.O. Box 1214840
Salt Lake City, Utah 841144840
(801) s364100
[phone] Fax
(801) s364414 T.D.D.
www.deq.state.ut.us Web
ERRU-015-99
January 12,1999
CERTTFTED MAIL
RETURN RECEIPT REOUESTED
Ken Bettridge
Ken Bettridge Distribution Corporation
PO Box 338
Cedar City, Utah 84721
RE: Notice of Intent to Revoke Certificate of Compliance
Located at Ken Bettridge Distribution, 386 North 100 West, Cedar City, Utah
Facility ID # 6000016
Dear Mr. Bettridge
The Utah Underground Storage Tank (UST) Rules (R311202-l) require that after December 22, 1998, UST
owners and operators must comply with one of the following:
1) New UST system perfolmance standards in 40 Code of Federal Regulations (CFR) 280.20;
2) The upgrading requirements in 40 CFR 280.21;
3) Closure requirements under 40 CFR 280 Subpart G.
Our records indicate that tank 1 at Facility # 6000016 is not in compliance with the 1998 upgrade
requirements. Pursuant to Section 19-6-414 of the Utah Code, you have 60 days to submit documentation to us to
demonstrate that you are in compliance or your Certificate of Compliance will be revoked. If your Certificate of
Compliance is revoked and you are participating in the Petroleum Storage Tank (PST) Fund, you will be ineligible
to receive payment for claims against the PST Fund.
If you have any questions, please call Bill Moore or any member of the UST Staff at [phone]
Sincerely,
Kent P. Gray, Executi (usr)
FILE COPY
KPG/RTS/Kf
Solid and Hazardous Waste Control Board
WO
a1\
DE,ARTMENT oF ENVTR.NMENTAL ori,-,r" a $,
DIVISION OF ENVIRONMENTAL RESPoNSE AND REMEDIATToNN
Michael O. Leavrn
Ooveroor
Dianne R. Nielson, Ph.D.
Execurive Director
Kent P. Gray
Direclor
168 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 84114-4840
[phone]
(801 ) 359-8853 Fax
[phone] T.D.D.
www.deq.sute.ut.us Web I\.tt,tt\
RE
ERRU-839-98
December 23. 1998
Ken Bettridge
Ken Bettridge Distributing
PO Box 338
Cedar City, Utah 84720
Closure Plan Approval for Underground Storage Tanks (USTs)
Located at Ken Bettridge Distributing, 386 North 100 West, Cedar City, Utah
Facility ID #6000016
Dear Mr. Bettridge
The Closure Plan for the above-referenced facility, received by the Division of
Environmental Response and Remediation (DERR) on December 21,1998, has been approved
subject to the noted modifications, if any. The DERR offlce and the local fire department must be
notified 72 hours before beginning closure activities. Local agencies may have additional
requirements tor closure or may charge inspection fees.
The Closure Plan approval is effective for a period of one year from the date of approval.
If closure does not take place within one year, submittal of a new Closure Plan will be required,
unless otherwise approved by the Executive Secretary (UST).
Any change to the approved Closure Plan must be submitted, in writing, and approved by the
Executive Secretary (UST) before implementation. If contamination is suspected or found during
closure activities, you must report it to the DERR at [phone] within 24 hours of discovery.
Enclosed is a copy of the Closure Notice form, which must be completed and submitted to
the Executive Secretary (UST) after the closure is performed. Please submit the Closure Notice as
soon as possible, but no later than 90 days after tank closure.
If during upcoming closure activities, it appears that a confirmed petroleum release has
occurred, then the conditions, as explained in the attached notice, may apply to your site, provided
the facility complies with all of the applicable rules and regulations.
j
\.,
Facility ID #6000016
Page 2
KPG/DJW/Kf
Enclosures
If you have any questions, please contact David Wilson at [phone].
Sincerely,
hr'-A'1A1"-*
Kent P. Gray, Executive Secrctary (UST)
Utah Solid and Hazardous Waste Control Board
Chief Clinton Neilsen, Cedar City Fire Department
Wayne Thomas, District Engineer
Alan Kay Scholes, Fuel Tec, LLC
LHD USE ONLY
Date Receive
Reviewer
Date LHD Approve .l
Date mailed to State
UNDERGROUND STORAGE TANK CLOSURE PLAN (r€v. 01/01/97)FAC|L|TY tD# 6000016
STATE USE QNLY
Date Received 1z7z/rz2-
Date Mailed to LHD
Date Received From LHD
Reviewer/Date Approved /2-2
Mg r. Review/Date
Closure Plan prepared at the request of the owner/operator (identified below) by Alan Kav Scholes
of (company name)Fuel Tec LLC Phone#[phone]
Address 675 North 1300 East City St. Georqe State Utah Zip 84770
A Contrac{or may prepare his Closure Plan as the owner/operatofs agent. ln preparing the Closure Plan, the Contractor must
act with the owner/operator's knowledge and approval. The owner/operator mustsignthe Closure Plan.
This Closure Plan is submitted in compliance with the requirements contained in R311-202 Subpart G and R311-204 (U.A.C.)
FACILITY INFORMATION
Tank Owner Ken Bettridqe Distributinq Corperation Phone#[phone]
Contact person Ken Bettridqe Phone#[phone]
Total number of regulated underground tanks at this site
Total number of regulated underground tanks at this site to be closed
TANKS TO BE CLOSED ,DEO / DECR
' lndicate the specific substance stored in each tank to be closed (regular, unleaded, diesel, wasle oil, etc.)
For waste oil tanks: Have degreaslng or other types of solvents been stored or mixed with the waste oil?
Yes (identify if known)N/A No _ Not known _
Analysis for lead or other contaminants may be required prior to disposal of contaminated soil or other material. (Check with
your disposal facility.)
1
I
uI fi21L E
Date last o rated
Tank #
Date lnstalled
Capacity
Substance stored'
1
Current
15+ yrs
Solvent
1 ,000
E L]ISSS
rrr r
E=TII
,E
[ ] sole proprietorship [ ] partnership [x ] corporation
Address P.O. Box 338 City__89&I!!U__ State_tlT Zip.:94220_
Facility Name Ken Beftridoe Distributinq
Address 386 North 100 West City-_q9d3lqu_ State UT Zip 84720
1
'l
t ---f----l
TANK REMOVER Name Trent Dalton Cert. # TR0344 Exp date 01-15-00
Com Fuel Tec LLC Phone#[phone]
Address 675 North 1300 East City_St GCSIS9_ State Utah Zi 84770
SOIUGROUNDWATER SAMPLER Name Cert. # G50206 Exp. date 09-15-00
_Com Fuel Tec LLC Phone#[phone]
Address 675 North 1300 East St. Georoe State_tllah 84770
Before the closure plan is submitted for approval, the local health and fire departments where the facility is located
must be contacted, lf ke faclity isin Beavet, Cahon, Emery, Gafield, Gftnd,lrcn, Kane, saft Lake, san Juan, Wasatch, ot Washington county contact
DERR (UST) at [phone] instead of the local heafth disttict. You still must cohtact the local fire department in these counties.
Contact Bill Moore Title DEQ Scientist Phone # [phone]
CONTACT LOCAL FIRE DEPT. Name of Dept.Cedar City Fire Department
Contact Clint Neilson Title Fire Chief
Date 12-11-98
Phone # [phone]
DISPOSAL INFORMATION
Tank(s) will be disposed at: Facility Blakes Auto Salvaqe
Address 4059 South 1630 East City St. Georoe
Contact person Red Blake
State Utah Zip__:04270
Phone#[phone]
Product lines will either be: x removed or _ cleaned, secured in place, and capped.
Vent lines will either be: x removed or _ cleaned and secured open.
Blakes Auto SalvaqePiping will be disposed at: Facility
Address 4059 South 1650 East St. Georoe State Utah Zip_:94720
Contact person Red Blake Phone#[phone]
Phone # [phone]Tank(s) will be emptied by: company Fuel Tec LLC
Tank(s) will be cleaned by: company Fuel Tec LLC Phone#[phone]
Contaminated water in the tank/rinsate will be disposed at: Facility American Waste Recove ry
Contact person I Saolio hone#[phone]
Tank(s) will be: _ purged or ___I_ rendered inert by the following method Dry lce
Residual sludges will be disposed at the following facility Ameican Waste Recoverv
Address 345 North Main C Midvale State Utah Zip 84071
Contact pe rson Del Saqlio Phone#[phone]
be used to fill tan ks
z
Don C. Thomas
CONTAGT LOCAL HEALTH DISTRICT Name of Dist. State of Utah DEQ/DERR Date 12-08-98
FOR GLOSURE IN-PLACE ONLY
[ ] Facility Site Plat, Sample lnformation Table, sample results and Chain of Custody forms are included.
I I Approval for in-place closure has been granted by the Local Fire Department.
Fire Dept._ Phone#_ Contact_ Date_[ I Approval for in-
place closure has been granted by the Local Health Department.
HealthDiStrict-Phone#-ContactDate-[lSubstanceto
CONTAMINATED MATERIALS MUST BE DISPOSED AT AN ACCEPTABLE FAGILITY:
All materials generated from UST closures must be managed and disposed in a manner that does not place those materials
in direct contact with the environment. On-site stockpiling of contaminated soils may be required prior to any soil management
aclivities. Any person providing remedialassistance for a fee, including aeration and over-excavation (of more than 50 yd), must
be a Gertifted UST Consultant.
Contaminated soils generated as part of tank removal are to be disposed at the following facility:
Washinqton County Landfi ll
Address Southeast of Washin City Washinqton State Utah Zip 84780
Contact person Shirlv Kellev Phone # ( 435 ) 673-2813
SITE ASSESSMENT
A site assessment must be performed for al! UST closures and change-in-service. Site assessments must be
performed as outlined in R311-202,Pari280.72 and R311-205 (U.A.C.). lf contamination is susoected. additional
samples must be collected at the location where contamination is most likelv to be present. lf qroundwater is
encountercd. a soilsample must be collected. in the unsaturated zo Soil
and groundwater samples must be analyzed for the compounds shown in the following table, using appropriate lab
methods.
SUBSTANCE CONTAMINANT COMPOL]NDS TO BE ANALYZED ANALYTICALMETHODS '
SOIL GROT]NDWATER
oT SLIRFACE WATER
Gasoline Total Petroleum Hydrocarbons (TPH)
Benzene. Toluene. Ethvlbenzene, Xvlenes (BTEX), and MTBE
8015 Modilied and
EPA 8020 or 8240
8015 Modified and
EPA602 or 624
Diesel Total Petroleum Hydrocarbons (TPH)
Benzene, Toluene, Ethyl benzene, Xylanes, Naphthalene (BTEXN)
8015 Modified and
EPA 8020 or 8240
8015 modified and
EPA602 or 624
Used Oil Oil and Grease (O&G) or Total Recoverable Hydrocarbons (TRH)
Benzene, Toluene, Ethyl berzene, Xylenes, Naphthalane (BTEXN) and
MTBE, Halogenated Volatile Organic Compounds (VOC's)
EPA4l3.l or 418.1;
and EPA 8020 or 8240
and EPA 8010 or 8240
EPA4l3.1or418.l
and EPA 602 or 624
and EPA 60 I or 624
NewOil Oil and Grease (O&G) or Total Recoverable Hydrocarbons (TRH)EPA413.l or418.1 EPA4l3.1or418.l
Other or
Unknown
Total Petroleum Hydrocarbons (TPH)
Beruene, Toluene, Ethyl benzene, Xylenes, Naphthalene (BTE>SI)
Halogenated Volatile Organic Compounds (VOC's)
Or other EPA methods as approved by the Executive Secretary
8015 Modified
and EPA 8020 or 8240
and EPA 8010 or 8240
8015 modified
and EPA 602 or 624
and EPA601 or624
Complete the Facility Site Plat and Sample lnformation Table on pages 4 and 5 to provide site assessment information
CONTAMINATION INFORMATION
lf contamination atthe facility is suspected or confirmed, the information must be reported to the Executive Secretary (UST) at
(801) 5364100 within 24 hours. The DMsion of Water Quaiity must be notfied at [phone] if Free Product is encountered
or if surface water has been impacted. lf contamination is confirmed, any person assisting in the remediation process for a fee
must be a Certified UST Consultant.
lAlternative methods allowed for 413.1 are 1664 or 5520(b), and 418.1 may also use 5520(f). Note that analytical method
numbers can change or be replaced (e.9. 8240 can be replaced by 8260). Check with the DERR, your cedified sampler, or your
analytical laboratory if you have questions.
3
p-J
u-)
d1
\r'
,O(=nl.Xl\n9I
T
u
uJI
o
2oI
0
----J4\t
o
U
_1
\ll:lZ
<.
a2
=g
{r
:;oft r--
*
,J^
a
fn
\n
$\r
,
$
E
.il\r
4.Fl-o
{t
u
Il-o
$-a
di.v
JUoo
tro
E
r5ll-llt^l
SAMPLE INFO MATION TABLE
Complete table for all samples to be taken for closufe
1 Soil (SS), Groundwater (GW), or Unified Soil Classification (USC).
2 Approx. depth in feet below grade. The required minimum site assessment samples must be taken at G2 feet below the bacKilunative soil anterface
3 Contaminant compounds to be analyzed for each sample (from table on p. 3).
4 Appropriate analysis methods for contaminant compound(6) in each sample (from table on p. 3).
Approximate depth to groundwater in the vicinity of the tanks
Regional groundwater fl ow direction northwest
>'l 5 feet.
State Certified Laboratory to be used Utilitv Testino Laboratorv
Sample #Substance
stored in
tank
Compounds3 Analysis method(s)a
ss-1NT Solvent SS 7 TPH/BETXNN OC 8015 Mod/EPA 8020
SS.2ST SS 7 8015 Mod/EPA 8020
USC.3ST USC 7 Unif ied Soil Classif ication
I
Address 875 South Chestnut Street City Salt Lake City State Utah Zip 84125
Conlact person Pau I Soloman Phone #( 801) I 73-8305
Please expiain any unusual oI extenuating circumsiances expected iegarding the site assessment or closure:
I certffy under penalty of law that I am the owner/operator of the tank(
the infonnation on this form and that it is true, accurate and complete, an
will be followed during tank re,
Signature of tank ow
;l'Zyffil::"';nt**l
Full Name of tank owner Ken Bettridoe Date 12-10-98
5
Sample
type'
Depth'
Solvent TPH/BETXNruOC
Corrosion Protection
No
Michael O. Leavitt
Governor
Dianne R. Nielson, Ph.D.
Executive Director
Kent P. Gray
Director
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box lzl4840
Salt Lake City, Utah 841 14-4840
[phone] Voice
[phone] Fax
(8ol ) 536-4414 T.D.D.
KEN BETTRIDGE DIST CORP
PO BOX 338
386 N 1_00 w
CEDAR CITY UT 84121,
October 29,1998
Re: December 22,1998 upgrade deadline for Underground Storage Tanks
The Division of Environmental Response and Remediation (DERR) records show you have one or more underground storage
tanks (USTs) which have not met the December 22, 1998 UST upgrade requirements. These tanks are located at KEN
BETTRIDGE DIST, 386 N 100 w, CEDAR CITY, facility ID# 6000016.
Under Federal regulations issued in 1988, UST owners and operators have until December 22, 1998 to upgrade, replace, or
permanently close USTs that do not meet the requirements for protection against spills, overfills, and corrosion.
This deadline will not be extended. If your tanks are not in compliance by the deadline, they will not be able to receive
deliveries of fuel.
Our information shows these requirements have not yet been met;
Tank ID Substance Tank capacity Spill Protection overfill protection
I Other 1000 No No
Any metal flex connectors connected to fiberglass reinforced plastic (FRP) piping at the submersible pump or dispenser must be
cathodically protected or taken out of contact with the soil.
USTs filled by transfers of less than 25 gallons at a time (usually used oil tanks) are not required to meet the spill and overfill
prevention requirements as part of the upgrade requirement.
If you have questions about which requirements you still need to meet, or would like to have someone visit your site to help assess
your needs, please call Alan Jones at [phone].
KEN BETTRIDGE DIST.
PO BOX 338, 386 N
CEDAR CITY UT
CORP.
100 w
Tank Capacity Spill Protection Overfill Protection
1000 No No
March 17,1998
8412L
Re: December 22, 1998 upgrade deadline for Underground Storage Tanks
Division of Environmental Response and Remediation (DERR) records show you have one or more underground storage tanks
(USTs) which have not met the December 22, 1998 UST upgrade requirements. These tanks are located at KEN BETRIDGE
DIST, 386 N 100 W, Cedar City, facility ID# 6000016.
Under Federal regulations issued in 1988, UST owners and operators have until December 22, 1998 to upgrade, replace, or
permanently close USTs that do not meet the requirements for protection against spills, overfills, and corrosion.
This deadline will not be extended. If your tanks are not in compliance by the deadline, they will not be able to receive
deliveries offuel.
The DERR encourages owners and operators to meet the 1998 upgrade requirements as soon as possible before the December 22,
1998 deadline. It can take several months to upgrade, close or replace an UST system. Delays are not unusual, and contractors
may not be available if you wait. Start planning now!
Our information shows these requirements have not yet been met:
Tank ID Substance
1 Other
Corrosion Protection
No
Any metal flex connectors connected to fiberglass reinforced plastic (FRP) piping at the submersible pump or dispenser must be
cathodically protected or taken out ofcontact with the soil.
USTs filled by transfers of less than 25 gallons at a time (usually used oil tanks) are not required to meet the spill and overfill
prevention requirements as part of the upgrade requirement.
If you have questions about which requirements you still need to meet, or would like to have someone visit your site to help assess
your needs, please call Alan Jones at [phone].
Ken Bettridge
Ken Bettridge Distributing Corporation
P.O. Box 338
Cedar City, Utah 84721-0338
DATE: t2ll6l97
FROM: William Moore
Sgme#^q:S {-lgm}x
Michael O. kavit
Govcrnor
Dianne R. Nielson, Ph.D.
Executivc Drcctor
Kent P. Grav
Dirct&
TO:
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF E}.TVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 1,14840
Salt lake City, Utah 841144840
(801) 5364100 Voice
(801) 359-E853 Fax
(Eor) 536-4414 T.D.D.
RE: NON.COMPLIANCE OF I]NDERGROI]ND STORAGE TANKS AT KEN BETTRIDGE
DISTRIBUTING,386 N. 100 W., CEDAR CIIY, UTAH; FACILITY ID# 6000016.
To continue to maintain a valid Certificate of Compliance, the facility must be in compliance with Federal and
State Rules and Regulations. An inspection of your facility December 4, 1997 and a review of our records
has shown that the following information is lacking:
t1l Submit evidence that proper Manual Tank Gauging is performed on the Solvent UST, by:
(a) Documenting that the liquid level is recorded weekly to the nearest one-eighth inch twice at
the beginning and twice at the end of a period of a least 44 hours, during which no liquid is
added to or removed from the UST.
(b) Documenting that liquid level measurements are based on an average of two consecutive
stick readings at both the beginning and end of the period, which are converted to gallons
using an appropriate calibration chart.
(c) Documenting that the inventory readings are reconciled to the weekly and monthly standard
and the results recorded.
OR;
t2l Submit and obtain approval of a Closure Plan for permanent closure of the UST and perform the
closure as approved within 60days of receipt of this letter.
The above information must be submitted to this office by 2116197.If it is not received by the date specified,
we will commence the revocation process of your Certificate of Compliance. Continued non-compliance will
result in the fees on your Certified USTs to be increased from $75 per tank to $150 per tank and failure to pay
the additional fee can result in lapsing of your UST Certificate of Compliance. If you have questions
concerning this matter or need any assistance, please contact William Moore at (801,)536-4121.
A,c. Codo m Numbor
Contact Prrson At UST Locrtion
Numb.r of t nkr .t facilitv:
Cod67
Clrtific o of Complilnc! on rite? Y6s llo Expkltion dltcl
a
G4). loo\/.
F!cility
St .rt
Tenk listed on C.rtificele of ComDlirnl:a G;
Tlnk orasontlv in u66 J}Yaa No Yaa No
lf not in us6. dat6 lest used
ll not in uss, dsfih of oroducl in tenk lin inchesl
Month .nd vear t.nk in6tell6d lcul
Ceoecity of trnk lin o.llonsl I l.-
Substenc6 storad 9olve,tr-
Meieriil of con6tiuction of tank {ste6l. FRP- et..})t
M.teri.l ol comtruction of oioino Ist el. FRP. atc-l 9t-
ffi
Em6rdencv Ge.ar.tor trnk ll6ak dotection d6ferr6dl
ffi ffiffiffi
lnv6ntorv Conlrol/T ank Tiqhtnoss T6stino
Automatic Trnk Geuoino
Mrnuel Tenk G6uoino t/
VeDor Monitorino
Groundw6ter Monitorino
lnt6rEtitial Monitorino
Stetisticrl lnv.nrorv Roconcilietion (SlRl
ffi in#tdtitliihr: :i ffiffi ffi
Automatic Line LBek Detoctor
Line Tiqhtnoss Tostino v7
Veoor Monitgrinq
Groundwet6r Monitodno
lnterstitiel Monitorino
Sietislicel Inventorv R6conciliation {SlRl
Commonts
lz-4-a
I L-Lf
I
n
lnsp6clor's Signaturo
at I havo inspected th6 6bovo-nam6d flcitity on
Dats
Signaturo of Ownor or Owngr'6 Ropros6nlstivo Prsaont During lnsp6
Di3iribution: Whit.-DERR, Yrllow-lnapcctor, pink-Frcility/Owr€r
iriiliiXE!
Phonc ,
St!t€
Pioino lvoe loaescure. suction. ohvilv .t. l 5rc[
Tank 2 Tank 3Tank 1 Tank 4
Yes NoThe UST system is filled by transfers ol 25 gallons or less. lf yes, splll
and overfill prevention is not required.Yes @ Yes No
ls there a spill containment bucket or another devlce that will prevent
release of product into the environment?Yes &Yes No Yes No Yes No
Yes Yes No Yes No Yes Nols thers an overflll preventlon device installed on the tank? ll yes, indicate
the type of device: Ball float (in vent llne), Automatic shutoff (in ffll plpe),
Alarm, or Olher (specify)
For overllll alarm only: ls the alarm located where it can be easily seen
and heard by lhe delivery driver?Yes No Yes No Yes No Yes No
Tank 1
Yes No
Tank 2
Yes No
Tank 3
Yes No
Tank 4
Yes NoFor overllll alarm 6nly: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
t\/?Tdk T&k T0k
ift Pphs
Indicate the type of corrosion protoction: Non-metallic (NM), Composite
steel (CS), lntemal lining (lL), lmpressed Current (lC), Sacrificial Anode
(SA), or Not protected (NP).Piphg PFhg
- Sub-Pum
ilo C-l-ed
SuEPutrp Sub-Putrlp Sub.Putrplndicate the type of corrosion protection on Flex connectors and/or Swing
ioints: Booted (B), Total containment OC), Not in contact with soil or water
(NC), Cathodically prolected (CP), Non-metallic (NM) and Not Protected
(NP)
I
/195f..'41
Oispen&t Dispener Dlspssi
1f6) "* No Yes r"nk No Yes r"nk No Yes r"nk No
@ eu,e No Yes PiPns No Yes PiPnc No Yes Pipne No
It the UST is not protected, was the tanupiping installed before May 7,
1 985? lf yes, corroslon protecUon ls not requlred untll Dec. 22, I 998;
do not complete the remalnder ol thls sectlon.
Th€ results of the lasl two cathodic proteclion tests are available. (within
6 months ol installalion and every 3 years thereafler).Yes No Yes No Yes No Yes No
volts volts volts volls
volts volts volts volts
Results of the most recent cathodic protection test.
Tesl Date:
Tank
Piping
Flex
Name of
volts volts volts voits
For lmpressed current system: The results of the last three equipment
operalion checks are available. (Equip. check required every 60 days.)Yes No Yes No Yes No Yes No
lnspector's Signature
lf the tank has been retrofit (lined or cathodically protected), indicate the
date the retrofit was
tr Corrosion protection for piping/flex assoc. with tank(s) # _ tr Facility meets 1998 upgrade requirements.
,1
Sionature of owner or Owners Representiatlve Present Durino lnspection Y -ol-e.-- Zt ,/-Z2CZ4<---/ -
tr Overfill prevention for
understand that the following marked items must be completed by
tr Spill prevention for tank(s)#
(prinr naru)
December 22, 1 998 in order to meet lhe 1998 upgrade requiremenls:
D Corrosion protection for tank(s) *_,
Oistribution: White-DEBR, Yellow-lnsp6ctor, Pink-Facility/Owner Revis€d 0U08197
T'TAH UST PROGRAM t,*#iffi#
cfiffi*ffiffi*Ed
ilawe,,t* *Tltlnt roer,s lt fcaltltylt*,mer€thqn4hnk€.
Yes No
.:
lz-ut-Q*l
-// .r-,r/
ln the table below indicate the appropriate manual tank gauging/tank tightness test combination for the tank(s) based on tank size and completo the
applicable section(s) of the form. lf more than two tanks are using this method, use additional forms as necessary.
up to 550 Gallons
551 to 1,000 Gallons
551 to 1,000 Gallons (48" diameter)
551 to 1,000 Gallons (64" diameter)
1,001 Gal to 2,000 Gal
10
13
12
I
26
r
5
7
6
4
13
Tank 1
36 hours
36 hours
58 hours
44 hours
36 hours
Tank 2
No
Yes
No
No
Yes
Records show liquid level measurements are taken (weekly) at the beginning and end of a
period of at least 36 hours during which no substance is added to or removed from the tank.No Yes No
Level measurements are based on the averaqe of two consecutive stick readings at both
the beginning and ending of the period.No Yes No
The ditference between the beginning and end measurements is recorded in gallons (c"\No Yes No
lf a gauge stick is used, it is long enough to reach the bottom of the tank. The ends of
gauge stick are flal and not worn down No6)Yes No
lf a gauge stick is used, it is marked legibly and the producl level can be delermined to the
nearesl 1/8 of an inch over the full range of the tank's internal height.No(J Yes No
Any other measuring equipment used is capable of measuring the level ol stored substance
over the full range of the tank's height to the nearest 1/8 of an inch.AJ No Yes No
Appropriate calibration chart is used for converting product level measurements to gallons
and is available for review.G)No Yes No
The ditference between the beginning and ending readings is compared to the weekly
standard shown above for the tank size/diameter.Yes @ Yes No
Which week(s) exceed the weekly standard? (Specify week and month)
Monthly average of the weekly differences is compared to the monthly standard shown
above for the appropriate tank size/diameter.Yes 6'Yes No
Which months(s) exceed the monthly standard? (Specify month and year)
Monitoring records are available for the last l2 month period?
Record of last Tank Tightness Test is available on-site?
No
No
Yes No
Yes No
Date ol last Tank Tightness Test 7. lz5lw
Result of last Tank Tightness Test. lf fail, use comments section to specify what actions
have ueen taken to correct the problem. Has DERR be notified of suspected release?Fail@ Pass Fail
Tester Name:Test Method:Utah Tester Certification Number: UT
I z *?-92
Present Duri
€t"(*o*d/<,-/3
Data'lnspector's Signature:
ol Owner or Owner's
Distribution: White-DERR, Yellowinspector, Pink-Facility/Omer Revised 0U0U97
Facility lDUTAH UST PHOGRAM
Manual Tank
WwldyTest
$hndard (Gal)
Monthly'Tcst
Standard (Gal)
Tank
Number
Tank Size Test
Length
Tightneee
Teet
IilAI{UA E' TA NK .BA U6I[t€
@
@
f;,
TANK TIGHTNESS TESTII'IG (Complete if Applicable)
@
Tnr I Tlnk 2 T.nt 4Sot 1
Automatic Flow R68trictor (if yg6, i,rdiclto modsl in qomm6nt8 !6ction)
Automatic Shul-off Oovico (iI y€s, indicrto modol in commonts ssction) )
ContinuouB Als.m Systom lif y6., indiclto modol in commontr lcctionl
YoE No Ycr No Yos NoRocod8 of hst Lino L6ak Deloctor porfo,mlnco tost !.o avaihblo on-.it€
Dltg ot last Lins Loak Dotoctor p6rlorm.nco to6t
P.ss FrilRcsult of last Lin6 Loak Detocior p€rformancc to8t Pr.. Feil P!!! Flil
S61 2
Ycs No Y.8 No YGr No Yg8 NoR6cords ol last Lin6 Tightn6$ Tsst aro lvsilrblo on-8ite
Drtr ol l.sl Lino Tightno6s TBst
PatE F.ilRorult ol last Line Tiohtnos8 Test Pssr Fail
N.mo and compsny ot cortifiod tecter:Utah T6rt6. Cortilicsdon Numb6r: UT
vapor Monitoring (if yos, us6 V.por Monito.ino ch6cklict)
Groundw.t6, Monito.ing (if yos, us6 Groundwrtor Moniloring chockliltl
lntor6titirl Monito,ing (if yss, uso lntorstitial Monitorino checkliGtl
Statistical lnvonlory Roconcilistion ISIRI (if yos, ule SIR chscklbtl
NII Yoa No
*?-!I;TI!IE!F.ffi
iliti!!ai!;:ti:: ji:il:ii:i;i!:ii:iliijlii:i
Yeo No
Othor .pprov6d method lif y€s, u86 othsr mothod chocklistl
R6cords of l66t Lina Tightn6ss Tsst aro av.ilablo on-8ito Y6a No
Dat. ol last Lino Tightnoas Test
Fail"'fe Pasa FEil Pas6 FsilResult ol la6t Line Tightn66s Tost Psss F.il
Vapor Monitorino lif yes, us€ Vapot Monitoring chscklist)
Groundwater Monitoring (if ye6, use Grq!4ry49ry9!!!94!g4q
lntorstitisl Monitoring (it yes, use lnto.stilial Monitoring chocklistl
Statistical Inventory R€conciliation [SlRl (it y6s, uso SIR ch€ckliEt)
ffiffi
aii*iii*'::i,ii:!!:iriiiiiiii
Yo8 No
iii.lriiilii.iiii'llill.iil,i.
Ys8 No
'ffiIEIiEi i i iiiii i:iiiiii :i:i:i:ii: :i:i a:i ,l:
v6d m6thod (if y€s, uso othor mothod checkli6t)
Operato6 at l6as lhan atmosphoric prosaure
Oth6r
Yo6 No
Yoa No Yo6 No Ya8 No Y66 NoSlopo ol piping will Ellow ALL product to dr.in into lsnk when suction i8
aol6rs6d
Y66 No Yo6 NoHEs only Ol{E check valve, locatod directly und€r pump Y6a No Y68 No
All .bov6 information on suction piping is VERIFIABLE, uso commont6
iection b6low to document how it is veriliable.
Y.a No
Comm6nts
lz-q9ZDete:
Owns.'6 Rgprosontrtivo Pros€nt During lnspactio
lnspoctor'8 Signature:
Signaturs of Own6r o.
I['E
TAg*^l
I
Oialribution: White-DERR, Y6llow{mp€ctor, Pink-Fecility/Own€r
Trit 3
Yc! No
P!8! Flil
Pa!! Flil P!6s Fril
Y6s No
Yo6 No
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
88 E. Fiddlers Canyon Rd. Suite H
Cedar City, UT 84720
(8ol) 586-2437
[phone] Fax
[phone] T.D.D.
Michael O. travitt
Govcmor
Dianne R. Nielson, Ph.D.
Excutivc Dirctor
Kent P. Gray
Dretu
TO:Ken Bettridge
P.O. Box 338
cedar city, uT 84721-0338
DATE: 8116196
FROM: Mark Bertelson
RE: NON.COMPLIANCE OF UNDERGROUND STORAGE TANK AT KEN BETTRIDGE DIST.,
386 N. 100 W., CEDAR CITY, UTAH; FACILITY ID# 6000016.
To continue to maintain a valid Certificate of Compliance, the facility must be in compliance with Federal
and State Rules and Regulations. An inspection of your facility and a review of our records has shown
that the following information is lacking:
tAl Submit a copy of a precision tank tightness test, completed within the last year, for tank_!_.
tBl Submit evidence that proper Inventory Control is performed on UST-!-, by documenting that
inventory records are reconciled monthly to determine the total overage or shortage, and the
variance is compared to the allowable of 130 gallons plus one percent of the UST's monthly
throughput. Please submit reconciliations for August and September 96.
The above information must be submitted to this office by 10115196.If it is received by the date specified,
no further action will be required. If you have questions concerning this matter or need any assistance,
please contact Mark Bertelson at (80l)586-2437.
rA.
ownY)ane ^/b#ril* /-< Cr.,
Phone #
Number ol tanks at faciliU:
/3
zipCity.
Ad6ress
Area Code
Contact
Facility
?
date:
Code
Certificate of Compliance on site?
County 1-r^.
.d NoTank listed on Certificate of Comoliance Yes No Yes No Yes No
Tank oresentlv in use Y6,No Yes No Yes No Yes No
lf not in use. date last used
ll not in use. deoth of oroduct in tank (in inches)
ltlonth and vear tank installed />/rz
Caoacitv of tank (in oallons)//- /
SrJhstance stored <r/r.e^,*
Material of construction of tank (steel. FRP. etc.)t/a/
lilaterial ol constnrction of nioino (steel. FFIP- etc-)r/a/
Emeroencv Generator tank (leak detection defsned)
t,M!,,
ilE}iii{Eii'le1ii }'5ti*
lnventorv Control/Tank Tiohlness Testino V
Automatic Tank Gauoino
Manual Tank Gaudino
VaDor Monitorino
Groundwater Monitorino
lnterstitial Monitorino
Statistical lnvontorv Fleconciliation (SlR)
Automatic Line Leak Detector
Line Tiohtness Testino Y
Vaoor Monitorino
Groundwater Monitorino
lnterstitial Monitorino
Statistical lnvcntorv Reconciliation /SlR)
dry, l€ar, tm€)
I certify
7
inspected the above-named tacility on
Date:
Signature of Owner or Owne/s Representrative Present During
lnspector's Signatu
Distribution: Whil+DERR, Yellow-lnspector, Pink-Facility/Owner
:., HdleaS'U::::DUtECti Un:
:
OTAH Facility
r,ii$fiEoktist
.tli,r:r'L tl6ht.of,tffihk(clI. Ownership of Tank(*)
h""lr./Tenk 2 Tank I Tank 4
rllhar annrarrar{ mathar{ /inr{inata nama af m6lh^.ll
V. Release DEteCtlOn For Plolno Comnlate oinino r*renklist ena annrnndaic tank nhar:.klictfc\ lnr mnh mat+irwl rrlltlrarl
This method of leak detection requires both monthly inventory control reconciliation and tank tightness testing. lf the UST has not been upgraded
(upgraded means that the tiank and piping are protected from corrosion and that spill and overfill prevention devices have been installed) the tank needs
to be tightness tested annually. lf the UST is upgraded the tank needs to be tested every five years. lnventory records must be kept for each operating
day.
v", /xo)Yes No Yes No Yes NoRecord of last Tank Tightness Test available on-site
1)-Date of last Tank Tightness Test
Pass Fail Pass Fail Pass FailPass Fail
-1./
Result ol last Tank Tightness Test. ll fail, specify in comments sectioh what
actions have boen taken to correct the problem. Has DERR been notified?
Tank Tightness Testing method:
Name and company of tank tightness tester:Utah Tester Certification Number: UT
Documentation of perlormance claims tor the Tank Tightness Test method is available and shows the ability to detect leaks of 0.1 gph
with 95% or greater probability of detection and 5olo or less probability of false alarm (3rd party certilication)
lnventory volume measurements for regulated substance inputs, withdrawals,
and the amount still remaining in the tank are recorded each operating day
No Yes No Yes No
Yes No
Yes No
Yesw .+h Yes No-f//Yes No Yes Nolnventory is reconciled monthly (sum of daily overages and shortages for each
month is less than 1% of tank's flow through volume + 130 gallons)
/rhu,,^,7,t 'lr.lrr- ,l^I )a", I 1/ll no, which months were not? (specify month and year)
No Yes No Yes No Yes Nolnventory Control records are maintained and available for tho past 12 months
for each tank
NoG-)Yes No Yes No Yes NoRecords include monthly water monitoring to the nearest 1/8'
NoG1 Yes No Yes No Yes NoMonthly water readings are used to adiust monthly inventory balances
Appropriate calibration chart is used for conv€rting product level measurement to
gallons and is available for review
No69 Yes No Yes No Yes No
@ No\Yes No Yes No Yes NoDispenser pump has a current calibration sticker or appropriate documentation
,ffi.-G=-'
Yes NoThe drop tube in the fill pipe extends to within one loot of tank bottom
Owner/operator can explain inventory control methods and figures recorded
Yes No Yes No
No
Yes No
Books appear used and evidence of recent entries is apparent 6d No
Owner can demonstrate acceptable gauging techniques f,:)No
The gauge stick is long enough to reach the bottom of the tank
v I/ca No
The ends of the gauge stick are flat and not worn down rc/No
The gauge stick is marked legibly and the product level can be determined to the nearest 1/8 of an inch over the full
range of the tank's internal height
No
Date:
Signature of Owner or Owner's Representative Present During lnspection
lnspector's S
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
uffi:iiiiiiiiiiitiiitii!r:!iiat!:ia:i:i
H.T#r,I,1P.ffi'G
,''i..:iiiiii:riiiili
Hui
7-fu.///A) )-
F *$el iilUrrfor
Set 1 Tank 1 Tank 2 Tank 3 Tank 4
Automatic Flow Restrictor (if yes, indicate model in commonts section below)
Automatic Shut-off Device (if yes, indicate modol in comments section below)
Continuous Alarm System (if yes, indicate model in comments section below)
Records of last Line Leak Detector performance test available on-site Yes No Yes No Yes No Yes No
Date of last Line Leak Detector performance test
Result of last Line Leak Detector performance test Pass Fail Pass Fail Pass Fail Pass Fail
Set 2
Records of last Line Tightness Test available on-site Yes No Yes No Yes No Yes No
Date of last Line Tightness Test
Result of last Line Tightness Test Pass Fail Pass Fail Pass Fail Pass Fail
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation [SlR] (if yes, use SIR checklist)
Other approved method (if yes, use other method checklist)
Records of last Line Tightness Test available on-site Yes No Yes NoYes No
Date of last Line Tightness Test
Result of last Line Tightness Test Pass Fail Pass Fail Pass Fail Pass Fail
Vapor Monitoring (i, yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation [SlR] (if yes, use SIR checklist)
Other approved method (if yes, use other method checklist)
Operates at less than atmospheric pressure Yes No Yes No Yes No Yes No
Slope of piping will allow ALL product to drain into tank when suction released Yes No Yes No Yes No Yes No
Has only ONE check valve, located directly under pump Yes No Yes No Yes No Yes No
All above information on suction piping is VERIFIABLE, use comments section Yes No Yes No Yes No Yes No
Comments
Signature of Owner or Owner's Representrative Present During lnspection
lnspecto/s Signatur€
Oistribution: White-DERR, Yellow-lnspector, pink-Facility/Owner
:UTAH U$T PROGHAM
.Rel6aSe DetdCtion,,rFor
Facillty lD
Suction and,Gravity Flow Piping
ves (No)
No Leak tlettction Bgglirag {m|st ansxpr yGr to all ol ihc follortrlng quaatlonC),,
,
Tank I Tank )Tank 3 Tank 4
Yes
a\L!e,Yes No Yes No Yes No
ls there a spill containment bucket or another device that will prevent
release of product into the environmenl?
Yes q,Yes No Yes No Yes No
ls there an ovorfill prevention device installed on the tank? ll yes,
indicato the type of device: Ball lloat (in vent line), Automatic shutotf
(in fill pipe), Alarm, or Other (specify)
Yes o Yes No Y6s No Yes No
For overlill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
Yes No Yes No Yes No Yes No
Tank 1
Yes No
Tank2
Yes No
Tank 3
Yes NoFor overlill alarm only: ls the alarm cleady marked to indicate what is
meant when the alarm sounds?
Tank 4
Yes No
lp Tank T.r*Tanklndicate the type ol corrosion protection: Noncorrodible material (FRP),
Composite steel (CS), lntemal lining (lL), lmpressed Current (lC),
Sacrificial Anode (SA), or Not protected (NP). ll FRP or CS do not
complete the remainder of this 3ection.,/a Llm Llm Um
lf the UST is not protscted, was he tankline installed before May 7,
1985? lf yes, corrosion protoction is not requlred until Dec. 22,
1998; do not complete the remainder of this section.
Yes No Yes No Yes No Yes No
Yes No Yes No Yes NoThe results of the last two cathodic protection tests are available.
(within 6 months of installation and every 3 years thereafter).
Yes No
Tank
volts
Tar*
volts
Tank
volts
Tar*
volts
Results of the most recent cathodic protection test.
Name of
Test Dalc'
Llm
volts
LIm
volts
Llm
volts
Um
volts
Yes No Yes No
For impressed current system: The results of the last three
equipment operalion checks are available. (Equip. check required every
60 days.)
Yes No Yes No
lnspector's
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the retrolit was completed.
tr4/**q /*
-fr Conosion protection for piping assoc. with tank(s)#
understand that the following marked items must be completed by
,* Overfill prevontion for tank(s)#
! Facility meets 1998 upgrade requirements
Q Conosion protection lor tank(s)
,F Spill prevention for
Signature of Owner or Owner's Representative Present During
--f@rtiaffie)
December 22, 1998 in order to moet the 1998 upgrade requirements:
Dislribulion: White-DERR, Yellow-lnspector, Pink-Facility/Owner
.:.Pr"o.taoiion iniieciion
t$plr t .o HHflilzl4ip.fis"v"1f;,ffi$f.*
The UST system is filled by transfers ol 25 gallons or less. lf yes, spill
and overfill prevention is not required.
PROT€CTION
UPGRADE NOTIFICATION
UNIN,GROTJND STORAGE TANK PAGRAM
Adiustment Tracking Form
Date:
/ zooa,t A
a/t-
17>l- oslfr Facilitv*
OWNER
AD
oy' /du,/r),,, hz^tr //.rv*/ P.//e"-
4No--rG-illaA
Reason Re-bill YesREFLIND
one or mole)
DELETE CHARGES
rld.r' o./ ,zy v ( : a/r^,, ,z/ ?6 vza,)y-/ya,/1on
J-AJ
1
sl ture:
J
L)H*ffi
a2
E
Fzl!
2F
aa3
o
Fzpo2
lrEI&
&
U
oEIFEI
z
EII
z
'(\\-^ n'i '
ENEn""
OF TEQUISED}
b\"
(IF REQUIRED)
M5.c._a'E.-i u;IADFt CAV !/tolg)
,;l
h /,,*rL4)
:::---::-:::--:i.
IEffiil.:
- '"::=:-::r"!- *---
, r -:.aF-rL:i :: ,'
\lichael O. Leavut
Govcrnor
Dianne R. Nielson. Ph.D.
Ex6uuvc Dircts
Kent P. Gray
Dir6ror
168 Nonh 1950 West
P.O. Box 14484O
Salt L:ke City, Utah 84114-4840
[phone] Voice
[phone] Fax
[phone] T.D.D.
State of lltah
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
ERRU47O.95
October 27, 1995
William H. Adams, Esquire
Registered Agent for,
Ken Bettridge Distributing, inc.
215 South State Street
Salt Lake City, Utah 84111
RE: Notice of Agency Action Assessing Penalties for Illegal Deliveries, Ordering Party to
Cease and Desist from Accepting Deliveries, and Ordering Compliance and Payment
Delivery of Petroleum and Failure to Obtain a Certificate of Compliance for
Facility ID. #6000016 at 386 N. 100 W., Cedar City, Utah
Dear Mr. Adams:
Currently the above referenced facility has submitted the required information and obtained
a Certificate of Compliance for the underground storage tank (UST) on location. However, the
payment of the delivery penalry ordered, in the amount of $500.00, has not yet been submitted. If
we don't receive full payment by November 20, 1995, we will have no choice but to forward the
Notice of Agency Action to the Attorney General's Office for collection.
If you have any questions, please call William E. Moore, DERR Scientist, at [phone].
Sincerely,
67*-
Kent P. Gray, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
KPG^VEIWjd
Enclosure(s)OEQ
ENvl RoililEt{tAt RESP0I{SE & REITED IAT i 0
NECEIYTD
ttrv t3s
Printed on rscyded PaP€r
FACTLITY Iu.
PST PROCESSIIIG CHECKIJIST
Year q,USTsflZ*atuen4-
Non-Marketser DiscounE
Previous Poll-ution rncidents L.-'
O*
dtN ,t'
TTT
- Verify tank/ lines
vs registsere{
- Documentation ok?
- Rate ok?
,,* /,
t11 t!a{ LeoJz-Ctt
,,* / Zbwo otQ'
,,* ,./
dFun P
9
9
9
9
9
9
9
-FY-FY
-FY
-FY-FY_FY
-FY
aid
1
2
3
4
5
6
1
at u'oz !az/ es
aL_w'Az !_O3_u'a4
ot_4a2__jl;3--44
A7_862__'-43__,-94
AL)4A2--L-43--J-qAQ7-Q2-Q3-Q4
/
-
--/-z
Q1-Q2-Q3-Q4-
,,)a
=-"-a
89
90
91
92
Fees Paid
-FY88 93
94
95
96
97
-FY
-FY.FY
-FY-FY
FY
FY
FY
FY
omp 1 iir
tr1r-,il1
@rN
9$
vz@
Y/N
@rN
nce
t/U-5P9 o lolve^*-
Compliance outstanding?
Leak detection requi red?
- Spi11/overfi11 reguired?
/ : Corrosion ProEection required?
,/#"Y'; -X,;i
I : ;? I ::".tB*i:,3e;" & c ompl et e ?
(".A Vet 4.."lpls
-=--=--
Fr.^ >{ R, D. / p,i<,<*"-.
Date Qualified
Date Issued
'L L#,
Review completed and certificace i-ssued by
pstproc.trttr 05/LA /95
4lot"t;
6(Yil/6
unacceptabte Acceptable *nl?!"or" .,,
,-/
- LUST File
- Form Included
d'<'A'
----7
_-------=
-----7
(
t T}T LJ f,A l
Michael O. lravitt
Govcrnor
Dianne R. Nielson, Ph.D.
Exeutivc Dirralff
Kent P. Gray
DLcttr
Ken Bettridge
Ken Bettridge Distributing
386 North 100 West
Cedar City, Utah 84720
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
Salt L:ke City, Utah 84116
(8ol) 536-4100
[phone] Fax
(801) 536-,1414 T.D.D.
Date: 5ll9l95
From:Wiliam Moore.
Your application for coverage under the PETROLEUM STORAGE TANK FUND is incomplete.
The following additional information is required before your application can be processed.
tll You must document that you have leak detection on: [X] your tank(s) [X] your piping;
Complete an ammended Notification Form indicating the form of release detection being performed
l2l A Notification Form, indicating the form of release detection and type and make of the piping on
your tank, needs to be filled out and submitted (use Form 7530 (Revised 9-89)).
t3l A copy of the Material Safety Data Sheet (MSDS) for the solvent must be submitted, so a
determination can be made if it will be considered a Hazarduous Solvent or a Petroleum Solvent.
14) Copies of all delivery receipts and inventory records for the solvent deposited into the UST must be
submitted for the last year.
t5 I Please return a copy of this speed memo with the above items to speed processing.
Please note that you will not be covered under the PETROLEUM STORAGE TANK FUND until
the above-mentioned items are completed. If you are currentty a LUST site, and your Fund
application has been approved, any further releases will be covered by the Fund. If you have any
questions concerning this, please call the Division of Environmental Response and Remediation at
(801)s36-4100.
DERR
RONMENTAL RESPONSE
ENTERED
Printed on recycled paper
BY
JUL I 7 1995
.-,.;;.-4"/'.
PUTROLDUM S'I'ORAGE TANK FUNI)
FACILITY'I'IIROUGHPUT DECLARATION
(FrscAL YEAR 1996)
Unrlergrountl storagc tank owncrs and operrtors musr submit by 5:00 p.m.. May 15, 1995, their fscility throrghput
infonriarion for thc past cntcndar ycar in orrler to leceivc the propcr PST fund asscssmcnt rate. lf thc throughput
information is not rccievcd by rhc strtcd dcadlinc, you will automaticolly be assesscd at the highcr rate.
Docurrcntntion vcrifying thc cioims madc on this form must bc madc availablc or subntitlcd for audit, whcn
rcqucsted by DERR. Complcte the following information to document thc tfuoughput ofpetroleum products 8t your
fncility.
Please ansrver on€ o[ the fotlowlng two questlons before completlng tl s form:
X FACTLTTY IS ENGAGED IN PETROLEUM PRODUCTION, REFINING, OR MARKETING
-
FACILI]Y IS NgI ENGAGED IN PETROLtsUM PRODUCTION, REFINING' OR MARKETING
OWNER NAME:
OWNER ADDRESS:
KEN BETTRIDGE DISTRIBUTING, INC.
CEDAR CrTY, UT 8472L
KEN BETTRIDGE DISTRIBUTING, INC. BULK PLANT
386 NORTI{ lOO WEST
CEDAR CITY, UT 84720
,6
I}RflilEI{TAl '
Y
BIlGINNING INVENTORY
(]'O'I'AL AMOUN'I IN ALL REGULA]ED TANKS ON I/I/94)
2. PURCHASES DURING THE YEAR
841 GALLONS
1,969 GALLONS
2,8t6 GALLONS
2,115 GALLONS
4
5
LESS: ENDING INVEN.IORY
OO'TAL IN ALL RECULATED TANKS ON I2I2II94'-.Jql__
GALLoNS
AMOUN'T CONSI.'MED DURING TIIE YEAR
(L!NE 3 LESS LINE 4 -{LL REGULATED TANKS)
I understand tlnt hy falsi[ying this docume t, I could be lined $10,000 per day of violation. I cently
under penalty o! low that tlv above representalions nnde by ,ne ore ,rue and correcl.
July 14, 1995
Signature of owner r Date
r-FACILTTY lD#_9oo99l!-
P.0. Box 338
FACILI'IY NAME:
FACILI'I'Y ADDRESS:
3. PETROLEUM AVAILABLE FOR USB
(ADD LINES I AND 2)
PAGE 1
t?/ 3t /94 KEN BETTRIDGE DISTRIBUTING
IMPORT,/EXPORT REF'ORT
TRTRAILER DRIVER
;BOLtrR JUL 14, 1995 KEB
TO IYIILES HRS F,AY GROSS NET COST PRODUCTMANIFEST DATE FROM
53s50
4geea
@9/e8/94 CHEMCENTRAL
A3/@7/94 CHEMCENTRAL
B, P. CEDAR CITY,
K. B. BULK PLANT
50545
5O60t6
3?A-54-?46g4
5ea-34-?46?l
.@o .a@
.@@ t.0a
.@a
6.4@
gga 99o gg.a@ StoooRRo s
36A ?63 48.4A STODDARD S
t47. 45
SY
l. oa Lt959
. oo 6.aa 1,933
I
l.'
)
Eh!IT
I
L ;- .:n :- .^.;r ,.; I
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. Leaviu
Govcrnor
Dianne R. Nielson. Ph.D.
Ex6uuve Dirator
Kent P. Gray
Dirctor
KPG/WEIWacc
Enclosure
168 Nonh 1950 West
P.O. Box 144840
Salt [:ke City, Utah 841 t4-4840
(801) 5364100 Voice
[phone] Fax
(801) 53G4414 T.D.D.
ERRU-319-9s
July 7, 1995
CERTIFIED MAIL
RETURN RECEIPT REOUESTE'
William H. Adams, Esq.
Registered Agent for,
Ken Bettridge Distributing lnc.
215 South State Street
Salt Lake City, Utah g4l I I
RE: NOTICE OF AGENCY ACTION ASSESSING PENALTIES FOR ILLEGAL DELIYERIES,ORDERING PARTY TO CEASE AIYD DESIST FROM ACCEPTING DELryERIES, ANDORDERING COMPLIANCE AND PAYMENT
Delivery of petroleum and failure to obtain a Certificate of Compliance for Facility IdentificationNo. 6000016, Ken Bettridge Distributing, at 386 North 100 West, Cedar City, Utah
Dear Mr. Adams:
F IL E COPY
Sincerely
Kent P. Gray,Secretary (UST)
Utah Solid and Hazardous Waste Control Board
Please find enclosed a notice of agency action and order more particularly described above. Ifyou have any questions regarding this matter, please contact william Mtore at (g'01) 536-4121.
cc Sandra K. Allen, DERR Attorney
EPA Region VIII
Fred Nelson, Anorney General's Office
Mark Bertelson, DERR, Southwest District
Printed on recycled oaper
)41
\; \,
THE EXECUTTVE SECRETARY (UST) OF TIIE
UTAH SOLID AND IIAZARDOUS WASTE CONTROL BOARD
In The Matter Of:NOTICE OF AGENCY ACTION
ASSESSING PENALTIES FOR ILLEGAL
DELfVERIES, ORDERING PARTY TO
CEASE AND DESIST FROM ACCEPTING
DELIVERIES, AND ORDERING
COMPLIANCE AND PAYMENT
Ken Bettridge Distributing, Inc.
at Facility Identification No. 6000016
CASE NO.: UST-F/D-6000016-1
As the Executive Secretary (UST) of the Utah Solid and Hazardous Waste Control Board, I am issuing
this Notice of Agency Action Assessing Penalties for Illegal Deliveries, Ordering Party to Cease and
Desist from Accepting Deliveries, and Order Compliance and Payment (hereinafter "Notice of Agency
Action") against Ken Bettridge Distributing, Inc. for certain violations of the Utah Underground Storage
Tank Act ("Act"), Utah Code Ann., $$ l9-G401et Eg. and Utah Admin. Code R3l1-200 et seo., at
facility identification number 6000016. The agency action is based on the following facts and violations
of the Act:
FACTS
Ken Bettridge Distributing, lnc., herein referred to as ("Bettridge"), is a Utah corporation doing
business in the State of Utah.
The above-referenced facility, is located at 386 North 100 West, Cedar City, Utah and is operated
by Bettridge.
There is one Underground Storage Tank (herein referred to as "UST") located at the facility,
consisting of one steel UST used to store and dispense a petroleum solvent.
The UST has been registered with the Division of Environmental Response and Remediation
("DERR") at rhe above site and has been assigned facility identification number 6000016.
Records maintained by the DERR indicate that a Certificate of Compliance has never been issued
to the facility as required by Utah Code Ann. $ l9-6-412(1)b.
The DERR records show that since June 1994, Bettridge made at least one (1) delivery of the
petroleum solvent to the UST at the facility, while that UST was not covered by a Certificate of
Compliance.
2.
3
4.
5
6.
1
7 Utah Code Ann., g 19-6-416(l) state^s pat ',.no_ person may deliver petroleum ro a pe[oleumstorage rank if the owner or operator of the tank does not have a valid c'ertificate of c#ililll'lSee also Utah Admin. Code R3l l-208-4(c).
Under Utah code Ann. g 19-6-416(2), such deriveries are "subject to a civil penalty of $500.00for each occurrence."
The Executive Secretary (usg is required by utah Code Ann. g 19-6-416(30 to ,,issue a noticeof agency action assessing a civil penaltyof $500 against -f p.rron who deriveries petroleumto a petroleum storage tank in violation of Subsectio-n (l)."
8
9
10
lt
As shown in paragraphs #3, #5. #!, #7: !?, and tE, Benndge committed at leasr one (1) violationof utah code Ann. g 19-6-416, for which the shrutory pe"natty is $500.00 per rioiuiion.
-----'-'
As shown in paragraphs #3, #4, and #5, Bettridge has faired to obtain a certificare of complianceon the UST currently in use, the penalry for *hi"h ir $ t0,000.00 u auy una". utur, coa"-'e,n.lt9-6-42s(t).
VIOLATIONS
ORDER
The Executive Secretary (UST) hereby orders Bettridge to:
l. Pay the statutory administrative penalty for vioration of utah code Ann. Section 19_6416, of$500.00 per violation, for a singli violation, totaling $500.00.
2' Immediately cease and desist making deliveries to any UST that does nor have a valid Certificateof Compliance.
3' Immediately cease and desist from accepting deliveries for any UST not having a Certificate ofCompliance.
4. Immediately obtain a Cenificate of compliance for the usr at the facitity or submit anapprovable Closure plan, complete with sign,ature, to the DERR within l0 days oitte aute ortnisNotice of Agency Action; and
5' Close the UST as approved in the Closure Plan, within 60 days after the Closure plan has beenapproved; and
6' Submit a closure Notice evidencing that the uST has been crosed as approved, with 30 days fromthe date the UST has been removed.
Pursuanr ro l9-6-404(3) and 63-46b-3 of the utah code Ann., and R3l l -2 r 0-3 and 4 of the Utah Admin.code. you may contesr this Notice ol Ag"n:I Action, by firing a wrinen Request for ng"n"y action tocontest the Notice of Agency Acrion.for it within :0 dayi after issuance. The iequest foiegency actionshould be filed with rhe uuh Solid and Hazardous riaste control Board, whose street address is 16g
2
v\/
North 1950 West, First Floor, Salt Lake City, Utah,84116 and whose mailing address is P.O. Box
144840, Salt Lake City, Utah 84114-4840. A copy must also be delivered to Kent P. Gray, Executive
Secretary (UST), at the same address. If you do not contest this Notice of Agency Action, as described
above, the facts specified herein will be deemed true and not subject to contest in future administrative
or judicial proceedings, and you will forfeit any right to proceed with an administrative or judicial appeal.
In addition, you may contact William Moore at [phone] or mail a response to the Division of
Environmental Response and Remediation, 168 North 1950 West, First Floor, Salt Lake City, Utah, 84116
to discuss this matter.
Dated this 7 day of vv
P
Kent P. Gray, Executive (UST)
Utah Solid and Hazardous Waste Control Board
-.)-Ll-, 1995
J
MAILING CERTIFICATE
I certify that I mailed true and correct copies of foregoing Notice of Agency Action
Ordering Payment of penalties addressed as follows depositing the same in the U.S.
Mail, postage prepaid this -f't day of
I
1995.
(Also sent by certified mail, return receipt requested)
William H. Adams, Esq.
Registered Agent for,
Ken Bettridge Distributing Inc.
215 South State Street
Salt Lake City, Utah g4l l I
and
Kenneth E. Bettridge, president
Ken Benridge Distributing Inc.
386 North 100 West
Cedar City, Utah g47ZO
4
4-
I
.,. I 1
., { l'r..n
,J'
Michael O. travitt
Governor
Dianne R. Nielson, Ph.D.
Exeutive Director
Kent P. Gray
Dir@tor
^'4..
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
rsalt Lake city, Utah 84116
:[phone]
,[phone] Fax
,1aot1 s:6-n+t+ r.o.o.
Date: 5179195
From: William Moore
Ken Bettridge
Ken Bettridge Distributing
386 North 100 West
Cedar City, Utah 84720
A review of the MSDS for the solvent indicates it will be regulated under the UST program
as a petroleum solvent, not otherwise hazardous. Therefore, your application for coverage under the
PETROLEUM STORAGE TANK FTIND is incomplete. The following additional information is required
before your application can be processed.
tll You must document that you have leak detection on: [X] your tank(s) [X] your piping;
Complete an ammended Notification Form indicating the form of release detection being performed
12) A Notification Form, indicating the form of release detection and type and make of the piping on
your tank, needs to be filled out and submitted (use Form 7530 (Revised 9-89)).
t3l Copies of all delivery receipts and inventory records for the solvent deposited into the UST must be
submitted for the last year.
t4 I Please return a copy of this speed memo with the above items to speed processing.
Please note that you will not be covered under the PETROLEUM STORAGE TANK FUND until
the above-mentioned items are completed. If you are currently a LUST site, and your Fund
application has been approved, any further releases will be covered by the Fund. If you have any
questions concerning this, please call the Division of Environmental Response and Remediation at
(801)s36-4100.
Printed on recycled PaPer
a6-21-1995 A3:1APm {GN EETTRIDGE D I5T.P,ZT
P.O. Box 338 . Cedar City, L.trah 84721 . phone: (801) 5E6-Zl I . Fax: (801) 5E6_6950
FACSI}IILE COVER SITEET
TOr L nf Z/a/
ATTII r //,//p,l€-.U./4
FAx $ l-9ot- 3;t-?F s3
HUIIBER OF PAGES IHGLUDINo COYEB SHEET /,r4FROI{ r
!tESSAGE I
tzr
\\
I
\./'
tI
iIll
@
o-
J
a6-?t-1995 E3:12Pt'1 A(EN EETTRT DCE D rsr.
MATERIAL SAFETY DATA SHEET
. e.!f *i.c!l'liil-c!!l!iir .3*;,t'..311 : .?gflFr..IFI.!Jt?j,.,-
P .26
CIS 64?42-a7-s
IE:IT
eyqlN
-
cltBltclE
PAG€: '.DAIE PREPAPEB; JAN e, taCaIiSDS raO. :' 52GASC48
SECIIOX I P8ODUCT toExtrFtcArroll t EIEBGEITCY TXFORiIAIIO]{
PtOoUgf XAIE: Exreo,l D aO Sorvsnr
GHEIICTL llIIE:iiot .ppl tcabla
CIIEIIC^L FIIILY:
el iFttatlc hycl.ocar bon
DeoDuct DEgcctttzoB:
Cla.aP .cclor lers I tqslC
SECTION 2 ITAZAEDOU S ITTOREDIEXT IXFONHATION
ft't t a prgchJct ls hazspavs !s <tnt tned in 29 CFRtgtO, r2OO.osts4 }{AZ^RD
Coo,6uetllle
Fo. !.tOt tlontl lnfo76311on aee Sec:ion 3,
SECTIOil 3 HEALTH INFORIIATIOT{ I PROTECT ION
EtE cott?ACr: tlarunE oF HAzlRo
*!lr#,Ha$r t.t rar ber doas net lajera e!,c ttsoue.
Lat of dBr. of tortcrty.
,
j:,iilil.i:,%:;Hi.;:r:T: 3:y, li:i'I:,:tf .::"::":?:i:; :. *".
::3"t ::!::{fiI"lo"t rl3"i""t"t rE,.E (s'"eatoF than..Fr,^cxr.ater y rc€ po,!)
::::lTB;:'.;:.;;":;;."Ii!i[r$: fi:s:=i:il;lli.;"FlE3i?Hr5c".
...1?r.?IB"1r. r€.t, .f r€c te. r nc : sd I ;e' aa; i;. --' --
:H:1.?H'l:""::,I?jl l.*. aspirsr€€ intq th€ F€eprFa?o.y sysr€,! .hrirnsp.oorsaelng to aeatn] r'v c'v3o nrld to osv'F. DvlBc^a.v rai""i' -podiolv-
$tntnal tox tct ty.
EtE Goirlct: Flcsr rtD
"_ii::"tiifl H:!, li::"IT:?.:l :: :il.il ? {,, rp, t.t,on ev!s, c,"c, r,
Flutn_vlth 'lrFgG Ellcunla of y.to.t uge soap t, avatlqbl;,
J;X:ve Er..sry ccfir.nrr,ra!.s croini"gi-riii[4irrg *ho.*. lnd r.vn.,ea bcrerr
EIXSSL D'40 SOLVEIT utxgur_ sprarrs 9ToDDARD
ETE'('E*CY TEL€PHO,{E TUIEEPSI EXXON CI{Ef,IC4I. AdEEtCAs'G@.'26.2O,5c ErrnEc eoo,42{_a90a
Etftgtr
rl-
C+{EMICAI
-
a6-27-t995 A3:1APm
FTRE T
INNTATRL SAFETY DATA SHEFT
^ ., !i:?i.1t"l:iLt!Ii..:ii ciiS;,t,.,.r31*,3i,I?*t,ISItoiIE:,,*
?
JAI!' 6, te94
€28856.8
EXISOL D 40 SOLYEilI
I llll{ Lt?rotr:
Uai na pF€Fr€F
vl c! trD f aoorl! atooFd -tr.6ESrtirit:
ll etrt l oy6dattart toa.
sEcTIOt{ 4
"#ii :l.i:ixi:rir3:'ir#ir.::i:irtii*' ?: ;:In;?t,
, Do lftl? laduca voftltt^g. ,(eep.rt rert. Gct proapt ara.l tr. r
,A6€ ,
DATE PTEPAEED ?irsDS rlo. :
TOEXPLACE €IPOSUEE LT l'I T3'H
"iX ",o3::!?,t #:.j.* H::1"#:f#j.1I o'rr.L E r p o sr* 6 L r r* s :
"kg:ft;:;i}1p,iii*in?ii:r:n
iil:::.i5::$:ilti:,:T.r:;i i#
,EESOIIAL ?EO?ECTTO :PoF oFen 3yt t€r! nhara a^^r---
nk;;t#iff liTr:l:fl ili*ti*li*iii:'ffi , :''n''
*
ra€rrcr ron rFe nar .o"19: -?o'!1-it;;ii; ili=oi,t'ttt gi,€a tn thra
be nacessaiy-.;;;;lfl*.:*:i1:;i,.fr*ii!, ::!!?.:I":;o:ff""
vEltt Lrl?tot 3Tlre.uc6 oi oachanic€l ot lutlon !,,€nt,l latto^ t.9aochrct t6 u6ect tn t coniinej.J::;,,::,:1-ra-reco roadsd bhonevcF thtaor ts cgiiaii;: "' - conf lrred 6prce. rs n.ar"g
"oo,re lrtclent tedenityrog.
EIPIOSIO}I HAZARD
iiiiHiiili;;i! ffi I fiir"ili.C .NOTE: ItntDuo
3d:.'tu?:? I;,."S#;.Appnox {rmte
GETIER.L }IAZ A9D :Cqrtl,rc lrblo L,
eshpo t rrt .
ld. cra toFhr csrbustrble txtur€8 at terForotu!.ea fto. aboy€ the f q,u
ISttlt lc Orastr argg.Eoterr tgl C|..r Atr lcal digcha!"!!"rrrl.te statlc ctuFgrec r.h tcrl crn cauB!an I ac€?rd I ar Y el€c
E llEly' c6nta tfr 6FA a€tc I tl P^OCSCI rea I du.{ I lqi.rrd a or vapgr, lnC caa bedaag€ioga oo r{oa PrEssuF I ZE. cu7. sELO 8RA?8, SOL D€E OPI LL. qCIND ocEXPOSE SUCH corull.lees ro H€A'F LArE. SP aR(s, sraf!c EL ECIiI C I IY otorxeR so[,egE S or rerrr rrou TtIE Y AY EXFL1y dl^! I ncdEnpty dn r4aB ah6ql6 ba colrp I et€Og AIIIO CAUSE IT{\,UTY OT O EAtn.t(,F6aat ta I CF\fr ;€condt t I onGr or p.ap€r I
PtaFGrly b vngd aod pro Fli ly F€)-y dt aFclo€of,
FTiE FICI{TI G:
0
H:,:::":,:li?r"g-?f] :,1n:, ::?o'*' 6unrace6 .ad ro DFor€* De,,.,r,r.,
-t(EN EETTRIDGE DIST.P. A3
a6-2L-r995 A3r 12Pr1
EXXSOL D {O SOLYE}IT
.-t(EN EETTRIDGE DIST.
TUATERIAL SAFETY DATA'SHEET
^', :ilt.':FlfrLtili& c38i.ii'..8i3;.i3.I?'r,Hioii8ii,ra
P. A5
PAGE T
OA'E PIEPARED.
SSDS lO. I
0
IJAB 6, iCe.
E2!B!54A ,
U3€ fo!ft. dry drafttcat .AvotA aprtyt al yatrr. atbol loye,..
or. eltarr aFiay to qyrtngutEh flrr,Fsctly tnta slora3E coatalaeFE gua to dangaF gf
lhl6 Itqsi( r3 vc'rlirl€ rnd gtvss off rnyJcrDle vrpol.a. Erth€r. th. lrsricor vapo. iay aattla ln lou rie.g Or rrlvtl .mme Ctifrnce Olo11g gr Cn;;iio. Eurf.sc tc tgrrtrton cour.€;ea Uh€Fo tf,ci ;ii igitte or arptodo.
rra?ltDous corBus?tox PRoDUC?S :Lc r,ruaual
SECIIOH 5 SPILL CO}IIROL PROCEDURE
Latlo S't L!:Ellnrnate SouFeeS of lqaitloB. p.€v6nt r6dt t lo.ral c t scttsaE€ Of tat€pfat.It potllD)e ts do.o ytthost hlzrrd. ro. .,oiii-"prrte i,rpr;cli ;i;;'Ttrf":.: f?l-l.lg:_!pt l la lrpr€me6t cl.anvg precedsF€E anc. rf tn --
F€r rc aFcr. ro€9 pubt l:_?ray rnrt ndva.c tuthorltrar. ltec. ti tht; -f,.D.oduct lc asbjGct ro ccRcll r€po.trng (cie-iictton-il-rioiiti'tt"'ir.tronartcsFona€ CGntar.Daava'tt ltqslc f,.er €^te.lng aoyefr. rrltar:courlqa. qF.lou aaclr.. C€atatnapilrad l{qur4 utrh aand or.-G..th. o" ili ;;;'Leouctroro nat.f tltE arrchaa Berdu6t.
?!.,1:: !y_ Furtt)lng (cEo ln oxglcatoo proof o^ hrad pvrp) aF srtfr Iasltabla !tsEoFlan.l .cotrault.tn crtsrt on otrgoGat ot |.€coyancc ?ltarital lnal .aiv.acalllferclly to Io€al dtsEor.t F€eulatic6r.
IAIES SPILL:
El lftiEte €ourcas ofanC 6orn laq arlaE otcl o!r- .
I{EAt.TH
fL4h.AB! LI TY
.EAGTIV!TY
SECI ION 6 }IOTE9
SevePa
S€F tou6Io{arutr
El tghtLlnla.l
XAZITO BA'Ii6 SYSTCIS:
Ihli rnforret toa {E fo, pogte trgtneC,in:L.tlaall p.tnt & Ccct tngi l-r"c"iri I oi:s 'l'rrpcr
I- -I,Lzr"dou. ralto..tar s ICont tr legtion-Syjta;- (r{rtS )tlar to^.1 Ftae p6sleq11o'! leroc ra iitri-i .riii -ioc itdoartflc.rtc,r of rho fr.i X"ziidi "f-r(areftarg
xEt4.3.2.
or
taPcA-ttal3
I
2
o
iFPA 704
I
2
o
lgnltlon. Ua"n occspanta and ohlFl9lng tfl ,r,rio..,a6lagttr.€ rno €xptoerca Fe2r.c .no roi,uori rtt to iiiv
lcr*ve trqt g(.Ftaco Ev al. t aln6 olr B1!h 3ett6llla &taoitsantr. t? rl l0!1(!by-lo^gl a,rthortttss ino env r rinlrenoi-'.a#iiii] !rnkrng.nvot:^"!!.?1. qtlpertalet! r15y b. us& r" .ro":E"ii iiii 16r..r.LqEq r I an e).|:aFt 0t1 dl apOSaI of ,€covor€C Eatarlll aft, a(1aufacontoritty rc rsol orrpbait r.eu,tiii;r;- '----'
, A6_2L_7995 A3:1APT ,..(IEN BETTRIDGE DIST.
qftgx MATERTAL SAFETY DATA St-tEET
-
'}lEraleArffi .,.!i:?!5,ltilt:lf$r.Lgi.{n;.1?li.Hpr,I$gJl$l,,o
P.A2
EXISOL O 40 SDLVETIT PAGE :
OA7€ ,atPAPEO.
lilsOs q. :
a
dAN 6. 1gg.'
92445643
SECTIO[ 7 RECULATORV I XFORTIAIION
DEplPrtEfir oF rPlxsPorrlttotl (Do?);
DOr gl{lPF!NC DESCIIPTTOII; I'APITTHI. 3OLYENI. COl'EUSriqL€ LIOUID. UN !2E€,l!r
ls€r thto groduct
ll l 'r Ihur!
loto: ln c.Htatna.s at tlg EBt lona caplcrrv ot.la not .a€,u lerac Dl, Dor.
FLASIIPOILI: rOO Deg r, flE?xOo: rcc NorE:
TSCa:fhta ptoct,ct 13 I lst.d clr th. tiCA lnvootcry ai Ctt t€gtitFy Nu!6ar eaTel-4?-6
CEBCLI:tt thrc pro{xrct la r.crdenratry EDrrrSC. rt r! ''€t subJect to a^y specrat rapoFt rr}guna.r thc tgQul t€tioatg ol ttre Colpncrr€n3 tva Envrionmniat peagonlc.'dirp,carttron..nC Ll.Drl lty Act (CEiCLA). uo rlcornanO you'co.rtacf rocll authorttt., to rbtarnlntf llrara Ey ba othaf lecrr rgEoFtrag .aqri.e,"eate,
SARA TITIE III:Unaer ?l!a l,iey l clcrls of Tt!t€ tII. Secttong glll3ra ot the Sup€Ffund rlra€lna&r€nta ariCPolttthcf l2.t ton Act. thls pFod9ct l€ claaei?rad rnto tlr€ roiiiitra nazird oatcgoi lic:F1"e.Tlrla |afonrotlon ray bs_subJect to rrt6 pFovl8lons O? th€ CoD|rsn,t ty ptsht-to-t(.tor
E port169 Requt ien€nta (4e a;r o?o, rr inresrrold quaairiy iitii"ii iii r*t,Tnrl pro{ucr d,oea not co^tala Sect ton 3t3 nsgortadte rngiearenio,- -'-
SECIIOI' 8 TYPICAL PHYSICAT t CHE,TtICAL PROPERTIES
SFECITIG BEAYIIf:
o.7E .r €OO.nelty: 6.4 lb.,/gE! .r gs
5OLUSILIT' II IATEI. IT. I Ar .Fr
L€tt thac O.Ot !t ??SF. CCIV. Of UIFOE. .t ! .tE (ltr.r):
4.go
EVTPOIATIOX 9ATE. rl-Eu lcctltcrt:
O. 'l APPrOtllrat.
vaPor PEESSSEEr .ittE at2 at EO AgDrgx tn6 t€
F
vlscostty oF Lrcuto. csr l"1.3 rt 77 AEDFoxiratareEEzlrr6/tcLTrx6 PCtXt, .F.
LasE tiarr -r€
BOI Llllc POIHf, 'F!3t5 to 33O ApgFoxtDare
'12
SECIIOiI g REACTIYITY OATA
SIISILI"I:StablscoxDllloll3 to lyotD tl{37r3! Ltrv:ibr AFpt r e85l .
HAZ PDOUS TOLYIE'!ZATtOr :Yll I nct gEGU.
a6-27-r995 A3: 11Ptl .{GN BETTRIDGE DIST.
MAITHAL SAFETY DATA SI,EET
^ c,:i!:.qtil!*.riElff.r .iCrff ^,8?ir.ffI.-r,gf*Ii&,l,re
P.Z4
EX'Na-GIiEXEAI;
--
ETISOL D 40 SOLVEI{T PaOE: 5DATE FPgplgpD: JAN 6. reaa
IIISDS NO. : 928ESs a
TITENIALS AXD COIIDIIIOXS ?O A1'OIO IXCOiIPATIE!L!TY:St"orlg oxldt2rqt .girateHAZATDOUS oEcrolpostrlof, rRoDucys :None
ELECTEOSTA?IG aecuxulr?tota $AIAED :Y9q, !!o DFeer gpo{rhdl nO D?ooGduFeSTOEAOE TEI?€R'TUPE. -F':
Arbt.^tStotAeE/ffltlspoEr
"c€ssuE
E . .lrH, ,ltrEcDncr lc
sECTrOla 1o srosacE AID HAT{DLTBG
LOADtt{c./urrtLoADIBc rEIpEp L, uge,F
AmD 1€ntYtsc.t,3 a, Loaoll.B/l$tLororfle T€fiP.. cSt:
EEVISIOT Suratttv:SrrlE AUGUSY f. igatg thtr ISDS haa !.en fevicod trl S3.tldr(s):.,
!CCEEEICE i.UTEEE;
HDHA-C.25G58
FON AODTIIONAL PIODUfi IFB ADoITtoTrL hEALTn/sA
OATE PCEPATEO:
JanuAPy 6t tgBa
SUPETSEOES ISSUE OATC:
Arrg[rBt 9. teg3
N'&IIATIO',/. CO6{TACT YOUB TECI+IICAL SA,LES EEPRESE{TArIVEFert I FoeIATtON. CALL 7r3-87O-8a84
l$ffi Hi#$ffi IH$EiTEffi#;i;ffi ffi "
STATE OF UTAH
DEPART}TM.IT OF EI{YIRONMENTAL QUALITY
DTWSION OF'' ENWRONMENTAL RESPONSE AND RMIEDIATION
168 Nonh 1950 West, lst Floor
Salt Lake Cir_v, UT E4116
(Eo1) 536-.1100
FAX NTJMBER. (EOl) 359.8E53
FAX CO\IER SHEET
DATE: b-zt-7;
TO Lc.- r/<
"1
.{GENCY/FIRM:B D,-'*,.L
FAx NUMBER., StC ^G1SO
FROM:U. n/*,,*
PAGES TO FOLLOW:5
COMMEIITS:tla+,+;r,*.1a---'=:
Date:5119195
From: William Moore
Michael O. Iravitt
Governof
Dianne R. Nielson, Ph.D.
Exeutive Dircctor
Kent P. Gray
DiHttr
Ken Bettridge
Ken Bettridge Distributing
386 North 100 West
Cedar City, Utah 84720
DEPARTMENT OF ENVIRONMENTAL QUALITY
DryISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
Salr Lake City, Utah 84116
(80r) s36-4100
[phone] Fax
[phone] T.D.D.
Your application for coverage under the PETROLEUM STORAGE TANK FUND is incomplete.
The following additional information is required before your application can be processed.
tll You must document that you have leak detection on: [X] your tank(s) [X] your piping;
Complete an ammended Notification Form indicating the form of release detection being performed.
l2l A Notification Form, indicating the form of release detection and type and make of the piping on
your tank, needs to be filled out and submitted (use Form 7530 (Revised 9-89)).
t3l A copy of the Material Safety Data Sheet (MSDS) for the solvent must be submitted, so a
determination can be made if it will be considered a Hazarduous Solvent or a Petroleum Solvent.
l4l Copies of all delivery receipts and inventory records for the solvent deposited into the UST must be
submitted for the last year.
t5 I Please return a copy of this speed memo with the above items to speed processing
Please note that you will not be coyered under the PETROLEUM STORAGE TANK FUND until
the above-mentioned items are completed. If you are currently a LUST site, and your Fund
application has been approved, any further releases will be covered by the Fund. Ifyou have any
questions concerning this, please call the Division of Environmental Response and Remediation at
(801)s36-4100.
Printed on recycled paper
-',racitity p* 6- Oout6.t
PETROLEUM STORAGE TANK FUND APPLICATION
F
Owner Name
Addrcss 3?/ <.)/A a ./)
Facility N
Address
ame3rZ .<) ,/ da) <.1,
City
State Zip Code gy?2 b
Phone Phone 9o/ it6, a *//
Contact Person Contact Person lf,-'- .4.--"/a,4-
TYPE OF OWNER
[ ] Marketer, or non-marketer with facility average monthly throughput greater than 10,000 gallons.
[ ( Non-marketer with lacility average monthly throughput less than 10,000 gallons (must verify).
DESCRIPTION OF UNDER GBOUND STORAGE TANKS
Tank #
Age
Capacity
Substance
tue/
/ooo
5o/,J€*DER
TNVTRI'NIIIEIIIMAESPfifSTTR_
ENTEREDGHTN
Tank #
Pass/Fail
(l .All Underground Storage Tanks (USTs) at this tacility have been(l All tank registration fees have been paid.
?85
istered.
BY
COMPLIANCE WITH UST REGULATIONS
ls the applicant currently in compliance with all Federal, State, and Local UST regulations?
tV, I Yes [ ] No ll "No" please describe item(s) of non-compliance:
v
Has a pollution incident ever occuned at your lacilitf o
[ ] Yes lf 'Yes" please provide LUST (Leaking Underground Storage Tank) information:
[ ]No lf "No" please attach a letter stating that under customary business inventory practices standards
you are not aware of any release from any tank(s) at this facilig. The PREVIOUS POLLUTION
INCIDENTS torm may be used.
INDEPENDENT FINANCIAL ASSURANCE
t vl I have met the linancial responsibility requirement for thE lirst $25,000 per relgase by the following
method:
t rl Selt lnsurance
I I Risk Retention Group
[ ]Guarantee [ ]Commercial lnsurance [ ]Surety Bond
[ ] Letter of Credit [ ] Other
I certify undet penalty of law
I I )t,--r-t-.;.
the above reprcsentationft(p9@ by,me are true and correct.
Owner/Operator signature
City C an,az r. +
Counfy
Stale JZful--zip code Svzzo
County
Pqr I
Date signed 9' b P r
(l
0(
pET\_EUM STORAGE TANK FUND CHE._.L!SP'
1. CERTIFICATE OF REGISTRATION
All Underground Storage Tanks (USTS) have been registered- EPA lorm 7530-1 (Revised 292).
Tank registration fees have been paid- Fiscal years 1988-89= $25ltank/yr., Fiscal years 1990-92=
$4s/tanUyr., Subsequent fiscal years= $60 or $135/tanuyr.
t \l PST Fund fees have been paid.
t 1 Fiscalyears 1991-93= $250/tank/yr. or $12s/tanlc/yr. (with non-marketer discounf) plus applicable
process fees.
t I Fiscal year 1994= $1so/tanUyr. or $7sltank/yr. (with non-marketer discounf) plus applicable
process fees.
t I Subsequent fiscal years= Based on facility throughput $50, $150 or $175/tan@r plus applicable
process fees.
' For non-marketer discount
t I I am a non-marketer with facility average monthly throughput less than 10,000 gallons.
t I I have @mpleted lhe APPLICATION FOR NON-MARKETER D/SCOUNI form(s).
t "1 All systems pass the tank and line tightness tests.
t \4 I am submitting the results of the tank and line tightness tests and a copy ol the field report.
t ] All tanks do not meet the requirements s6t by rule regarding tank tightness testing.t I I have contacted the state UST otlice and will submit evidence of a plan lor review.
5. PREVIOUS POLLUTION INCIDENTS
t I I have completedlhe PREVlous PoLLUTIoN IN0IDENIS form, which states whether under customary
business inventory practices standards I am aware of any release from the tank.
6.IND EPENDENT FINANCIAL ASSURANCE
"See explanations under "How do I get started?"
:^ .ahfl' r ar\ i'
t
t
2. COMPLIANCE WITH UST REGULATIONS
t I I am in compliance with release detection requirements.
IVI I am in compliance with all other Federal, State, and Local UST regulations.
4. TANK AND LINE NGHTNESSTEST
t I I have met the financial responsibility requiremont tor the first $25,000 per release by the following
method:
[ { Self lnsurance [ ] Guarantee [ ] Commercial lnsurance [ ]Surety Bond
[ ] Risk Retention Group [ ] Letter of Credit [ ] Other _
Facility tD* /' 000A/6-/
This letter, or an equivalent, must be signed and included with your application and tees.
PREVIOUS POLLUTION INCIDENTS
To:Mr. K6nt P. Gray
Executive Secretary (UST)
Utah Solid & Hazardous Waste Control Board
Dear Mr. Gray:
As required by paragraph 19-6-413 ol the Utah Underground Storage Tank Act, I have performed a tank and
line tightness test on each underground storage tank at my facility, and based on this test, there has not been
a release of petroleum. Additionally, based on 'customary business inventory practices standards'I am not
aware of any release of petroleum from my tanks.
signature of owner/operator
I have had the following releases of petroleum (detailed below; also mention any action you took to clean up
the release).
signature of owner/operator
Failure to report prcvious rcleases could void your coverage under the Petroleum Storage Tank Fund.
OR
psi.pp.lrm 07/12194
Petro Tech, lnc.
1 1 1 70 Sandy Gulch Road
Sandy, Utah 84094
Phone (801 ) 572-9303
Fu [phone]
Toll Free [phone]
PnEasoil TAilx & Ur/f lrsnr/6
Test No.:
Test Date:
Test Operator:
Utah Cert. No.:
Location:
CERTIFTCATION
95042L
April 2L, L995
John Labrum
uTo0148
Ken Bettridge Distributing
386 North 100 West
Cedar City, Utah
TANK TEST RESI]LT
Product
Water
fn Tank
( Inches )
High Level-
Leak Rate
(GPH)
Low Level
Leak Rate
(cPH)
FUI I
System
Including
Vent Line
Tank
OnIy
Solvent 0 Less than .O5O N/A Pass Pass
WATER LEVEL CONSTDERATION
The test of the above tank systems is considered sufficient for certificationpurposes since the water level in the backfill area is betow the point ofhydrostatic equilibrium on any portion of the tank or piping.
Product
PRODUCT LINE TEST REST'LTS
Pump Type Results
Solvent Suction
PETRO TECH, INC.
Pass
Dated z 4/26/95 By
1.."... e.l.:r k C cr m Fr ur u e* #& t.il r-r, t c; k( r:a(iE I" )L- cr cr k lt ti:l t.l c:! y- I:
l-est Numbr:r ; A:9504?11'l3.Ai5
FLIR: t@14 gallon SOLVENT 'tank
I..(ICAT I ON : :JB6 NOpTH 1OO t^tEST , CEDAp C I Ty , tJt-AH .DAl't: 0F TEST i 04/?-1/?s
L-b.AK COMPUTER S./N: 9@a7olo|
Test Level 15 Inches ABOVE Tank Topllata from Channel AManifolding: None(.i(l[:: @.@@O5@@ Spec. Gr.: O-'26
t.-eak Rate Average ctf 30 Cycles
l"ot a I ]-erst l'i me : l:3{ hours
Tank l'emp:44 .":!
t HST_8.ESIJ*15l:inal Aver;lge l.-eak l?ate: less than O.OS ga'!/hr .
l'?;r'[e o1' -l'r:mperature change: -Ar.0056 deg F./hr.l:la[e of Vr:lume change:. --O.Otg:3 gal/hr.q.,79 [:-rror t3and i +/*- @.OL gal,/lrr.'l-ank and System: TIGHT CI 15 inches ABOVE Tank Tr:p.
l-er;t l-echn 1t: i an :/
JOHN LABRUN UTO 148
L-t*lr-=r k CcrrrF3uc n:rlU (il( F:!A(AE
-l-est Number : Ar?SO4A1t3.A1S
Leak Rate - 6AL/HR
One Oivision = 0.10 gal/hr.
Iil LEAK
.05 gal/hr.
[-rlq: k [teprc]r tt-rtc:k2>
2
-0
t02
-T
I
M
E
+0 50
+0 50
l3 :02
l1:92
-0
LEAl(
T-
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
88 E. Fiddlers Canyon Rd. Suite H
Cedar City, Utah 84720
[phone]
[phone] Fax
(801) 5364414 T.D.D.
Facility LD.#6000016
Michael O. I-eavitt
Govmor
Diarue R. Nielson, Ph.D.
Excutivc Dircctor
Kent P. GraY
Dirctor
TO Ken Be ridcre Dist.
attn: K n Bettridoe Date: 2 Mav, l-995
From: Mark BertelsonP. O. Bo 338
Cedar Citv. UT a4'721-O338
RE: Non-compliance of underground storage tank at 386 North 100 West. Cedar Citv, Utah; Facility I.D. #
6000016 .
The Utah Underground Storage Tank Act regulates underground storage tanks (USTs) and imposes certain
obligations on the owner or operator of a facility having USTs. The Act specifically requires the owner or
operator of a facility with USTs to meet the following requirements:
o Register the USTs
. Pay an annual registration fee
. Pay an annual Petroleum Storage Tank (PST) Fund fee
. Meet specific technical and performance standards
. Meet certain financial responsibility requirements
. Maintain adequate tank records
. Participate in the PST Fund
. Precision test tanks and lines as a requirement to participate in the PST Fund
The Division of Environmental Response and Remediation @ERR) records indicate you own or operate one (1)
UST located at the above facility. At the request of the Executive Secretary (UST), the Division of Environmental
Response and Remediation @EiR) performed a compliance review for the underground storage tank at the above
faciiity. An inspection of your facility, performed on 7 April. 1995, and our records indicate you have not
satisfied the requirements of the Act und ure out of compliance. To achieve compliance you must do the
following:
L submit an application for the PST Fund and obtain a Certificate of Compliance for tank/tanks
A PST application is enclosed.
t"4
Z. Submit a copy of a precision tank tightness test, performed within six (6) months of the PST application
for tank # l.
3. Submit a copy of a precision line tighuress test, performed within six (6) months of the PST application,
for the product line associated with tank # I .
Printed on recycled paper
4. Submit evidence that proper Manual Tank Gauging is performed on UST # I by:
a. Documenting that the liquid level is recorded weekly to the nearest one-eighth inch twice at the
beginning und t*i.. at the end of a period of a least 44 hours, during which no liquid is added to or
removed from the UST.
b. Documenting that liquid level measurements are based on an average of two consecutive stick readings
at both the Lginning and end of the period, which are converted to gallons using an appropriate
calibration chart'
c. Documenting that the inventory readings are reconciled to the weekly and monthly standard and the
results recorded.
please submit the above Manual Tank gaging information for one month. A brochure describing the process
is enclosed.
The above information must be submitted to this office by 15 Julv. 1995. Failure to comply with the requirements
of the statutes and rules may result in the issuance of a Notice of Agency Action or order and the assessment of
a civil penalty. If you havl any questions conceming this matter or need any assistance, please contact me at
(801) s86-2437.
nncspm.frm 5/2/95, (l l:l4am)
swnerNare/t(a Z*42,,/,, h- r,
EontdPerson7t usr Location '/
0.
ffr,Y"
Phone #
Number of tanks at facilitv:
ff
Code
LCity
0 lv,Address
ct'; - z?ttNumber
State zipCity
ihd y', /o 0 1.1/,
Facility Name
Street
County
./'0 h
u Yas ,4;\,/ 7- 6-rr., tTank listed on Certificate of Comoliance Yas No Yes No Yes No
Tank oresentlv in use G\No Yes No Yes No Yes No
lf not in use. date last used
lf not in use. deoth of oroduct in tank (in inches)
It,onth and vear tank installed Er
Caoacifu of tank (in oallons)/ o0b
Substance stored rh)oA.J 'il,
Material of construction of tank (steel. FRP. etc.)r/q/
i,'laterial of conslnrction of oinino [stael FRP. etc )f'*L/
Emeroencv Generalor tank (leak detection deferredl
.
rEEiffdtiliililffiloig
lnventory Control/Tank Tiohtness Testino
Automatic Tank Gauoino
Manual Tank Gauqino X
Vaoor Monitorino
G roundwater fu'lonitorino
lnterstitial Monitorino
Statistical lnventorv Reconciliation (SlR)
Automatic Line Leak Detector
Line Tiohtness Testino ,X
Vaoor Monitorino
Groundwater Monitorinq
lnterstitial Monitorinq
Statistical lnventorv Reconciliation (SlR)
certify that I
(m6lh, day, tsr, [me)
Representative Present During I
't 0 ?r /oooinspected the above-named facility on
Signature of Owner or
lnspector's Signature
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
REleas ::.:Det6'btioh checklist
c e niri cate of com pt i ance .)r/-,
;r#r€xp
i ration data :
lll- Tank lnformatlon Cornolelc lor caelr tank lf fncilitv ha* more than d tenks c6mnfela inlnmralion Inr ar{ditinml tankr nn canarara fnrm
Tank 1 Tank 2 Tank ?Tank !
Othar annrnvad mathrrl /indinata nama nf mathadl
V. ReleaSe DeteCtl6n FOr PlOlnO Comolate oioino checklist and aonronriete tank r:henktistfs\ lar arnh marhrvt rrriist
Otharcnnrdvad mathrri rindicata name af methnd'l
I
5- z-zrfu,
Manual tank gauging may be used as the sole method of release detection for tanks of 1,000 gallons or less or in combination with tank tightness testing
for tanks from 1,000 to 2,000 gallons. Manual tank gauging cannot be used lor tanks over 2,000 gallons.
ll there are more than two tanks utilizing Manual Tank Gauging at this facility, use additional forms as necessary.
Tank 1 Tank 2Please circle Yes or No for each question
No(:-,Yes NoManual Tank Gauging is used as sole method of release detection for the tank
Yes @ Yes NoManual Tank Gauging is used in conjunction with tank tightness testing (ll yes, indiiate test
method and tsster name in comments section below.)
il.)lf tank tightness testing is required, what is the date of the last test?
No@ Yes No'@Yes Yes NoRecords show liquid level measuremonts are taken (weekly) at the beginning and end of a
period of at least 36 hours during which no substiance is added to or removed from the tank
Yes @ Yes NoLevel measurements are based on the gyglgre of two consecutive stick readings at both the
beginning and end of the period
Yes 6)The difference between the beginning and end measurements is recorded in gallons Yes No
Yes @ Yes NoThe difierence between the beginning and ending readings is less than the weekly standard
shown below lor the appropriate tank size
Yes '0,Monthly average of the weekly ditferences is less than the monthly standard shown below for
the appropriate tank size
Yes No
No@ Yes No
No@lf a gauge stick is used, it is marked legibly and product level can be determined to the
nearest 1/8 of an inch over the lull range of the tanks internal height
Yes No
Yes No Yes NoAny other measuring equipment used is capable ol measuring the level of stored substance.
over the full range of the tank's height to the nearest 1/8 of an inch /l/71
No@Appropriate calibration chart is used for converting product level measurements to gallons and
is available for review
Monitoring records are available for the last 12 month psriod
Yes No
Yes 6'Yes No
)
)
)
)
)
550 Gal
551 Galto 1,000 Gal
1,000 GaU48"
1,000 GaU64"
1,001 Gal to 2,000 Gal
10
9
9
12
26
5
7
4
6
13
36
36
44
58
36
No
No
No
No
Yes
Signature of Owner or Owne/s Representative Present During lnspection
lnspector's Signature
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
Tank lor which Manual Tank Gauging is used is under 2,000 gallons in capacity
ll a gauge stick is used, it is long enough to reach the bottom of the tank. The ends of gauge
stick are flat and not worn down
)
Set 1 Tank 1 Tank 2 Tank 3 Tank 4
Automatic Flow Restrictor (if yes, indicate model in comments section below)
Automatic Shut-off Device (il yes, indicate model in comments section below)
Continuous Alarm System (if yes, indicate model in comments section below)
Records ol last Line Leak Detector performance test available on-site Yes No Yes No Yes No Yes No
Date of last Line Leak Detector performance test
Result of last Line Leak Detector perlormance test Pass Fail Pass Fail Pass Fail Pass Fail
Set 2
Records of last Line Tightness Test available on-site Yes No Yes No Yes No Yes No
Date of last Line Tightness Test
Result oI last Line Tightness Test Pass Fail Pass Fail Pass Fail Pass Fail
Vapor Monitoring (if yes, rtse Vapor Monitoring checklist)
Groundwater Monitoring (il yes, use Groundwater Monitoring checklist)
lntorstitial Monitoring (il yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation [SlR] (il yes, use SIR checklist)
Records of last Line Tightness Test available on-site
Other approved method use other method checklist)
Yes- No Yes No Yes NoYes /fi}
Date of rast Line Tishtness Test / Ol L 37 ,/l il) t
Result of last Line Tightness Test Pass Fail Pass Fail Pass Fail Pass Fail
Vapor Monitoring (if yes, use Vapor Monitoring checklist)
Groundwater Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation tSIRI (if yes, use SIR checklist)
Operates at less than atmospheric pressure
Other approved method use other method checklist)
Yes No Yes NoYes No Yes No
Slope of piping will allow ALL product to drain into tank when suction released Yes No Yes No Yes No Yes No
ONE check valve, located directly under pumpHas Yes No Yes No Yes No Yes No
All above information on suction piping is VERIFIABLE, use comrnents section Yes No Yes No Yes No Yes No
Comments
Signature of Owner or Owne/s Repressntative Present During I
lnspectols Signature:
Distribution: White-DERB, Yellow-lnspector, Pink-Facility/Owner
UTAH UST PROGHAM
::::He I EfiSe,:i.AHeGtl On,,,Fbi
,,
Pre ss
-u
rizec...r tp
!
n$,.rll:: *fitY
Suction and:Gravity Flow Piping
-ryq *lak t)araction Requlrad {must arrswer yoe to all ol the followlilg quettione}
Tank 1 Tank 2 Tenk 3 Tank 4
The UST system is filled by transfers of no more than 25 gallons at one
time. lf yes, spill and overfill prevention is not required.
Yes @ Yes No Yes No Yes No
ls there a spill containment bucket or another device that will prevent
release of product into the environment?
Yes @ Yes No Yes No Yes No
An overfill prevention device is installed on the tiank. lf yes, indicate
the type ol device in the space below.
Yes @ Yes No Yes No Yes No
Ball float valve (in vent line)
Automatic Shutotl valve (in fill oioe)
Overfill Alarm
Other Svstem (soecifu tuoe)
For overlill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
Yes No Yes No Yes No Yes No
For overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
Tank 1
Yes No
Tank 2
Yes No
Tank 3
Yes No
Tank 4
Yes No
Tar*
Yes (,D Yes No
Tar*
Yes No
Ter*
Yes No
Tanks and/or lines are made of a noncorrodible material (such as
fiberglass) or are made of steel clad with a noncorrodible material. ll
yes, cathodic protection is not required.Um
Yes fr)Yes No
LIE
Yes No
Llm
Yes No
Tar*
No(G,
Tar*
Yes No
Tar*
Yes No
Tar*
Yes No
Tanks and/or lines are made of unprotected bare steel and were
installed prior to May 7, 1985. lf yes, cathodic protection is required
on or by December 22, 1998.
No€a
Llre
Yes No
Llm
Yes No
Um
Yes No
lndicate type of cathodic protection: lmpressed Cunent (lC) or
Sacrificial Anode (SA)
The results of the last two cathodic protection tests are available.
(Tests are required within six months of installation and every three
years thereafter).
Yes No Yes No Yes No Yes No
volts
Tar*
volts
Tar*
volts
Tar*
volts
Results (in volts) of most recent cathodic protection test.
Name of person who performed test:_
Test Date:
Ure
volts
Llm
volts
Llm
volts
Llre
volts
Date
Yes No Yes No Yes No Yes No
Signature of Owner or Owne/s Representative Present During
lnspoctor's
For impressed curent system: The results of the last three
equipment operation checks are available. (Equip. check required every
Distribution: Whit6-DERR, Yeilow-lnspector, pink-Facitity/Owner
Pteaseiffip[6uiielliiiiffiffi6$i:lgiisg irBffi,].,uge!:[*litHrrdrffiCr]as, $ ::ltiff]:{dli1y.,ri :imC :ifBn 4rsnk$,
SPIIIJ.OVEREI lPHEVENTIONiiiiiiri,
CO R ROSIONI.PHOTESTiON
T&*
LJm
T8r*
a
UTAH UST PROGHAM ,,..,, Faollitlt:lD,
,iiiiiii:i',$Hill;',,,Orcffi Il:lr;ifin rlGHrffiioni,l'FroreCiion I n enbdi ibn1$hdbl*ist
t\ \ol M8,a,{, ltt,l lo,,{rn oFaci.-,, ID No.:
Date:
Phone:
Approx .ri^e: /0i 0o
t(
Person Contacted:
Title:
Date of
o
fr
A4 t/INSPECTION INFORMATION NEEDS
Automatic Tank Gauging -
Daily inventory printouts
Monthly Test printouts indicating passing tess
Written Installation, Calibration, Maintenance records
3rd pary evaluation summary sheers for \TG
Inventory Control & Tank Tightness Testing -
Inventorv Records for one year ( stick recordings, lneter readings, reconcili
Tank Tighmess Tesrs (lasr two tests) 5.4 JA /e,l n1i a ^ , t
3rd parqv evaluation summary sheets for each test method ised r // I /
ManuarrankGauging- 'T*;4;' t' /7
Inventory Records for one year 1 wee{y siick ricordiils E. variances )
Tank Tightness Tests (if over 1000 gallons capaciry)
3rd party evaluation summary sheets for g[ test method used
e ?f
aioml,T?
brt,,,
/t t ,
t4 ,)t!c'//.b
/ri 6
o ,2.//o-t
o
/,/ftn! /+
Groundwater or Vapnr Monitor Wells -
Site assessmcnt documens (hydraulic conductivity tests, drill logs, etc.)
Monthly monitor records, or log of operational chek on continuous monitor
3rd party evaluation summary sheets for each automatic device used //Written Insallation, Calibration
O Interstitial Monitonng -&/J8t"
Monthl y monitor records, or log of operational chek on continuous monitor
3rd pary evaluation summary sheets for each automatic device used
,,"u*",ffilo-"on;i-]"",&Maintenancerecords'fa* 5')'t
Inventor.y Records for one year (stick readings, meter readings, reconciliations)
Protocols for SIR method
3rd party evaluation summary shees for each method used
Pressure Piping -
Lire tightness test results (one each year ti)r last 2 yea$)
Leak detector rest results (one each year tbr last 2 yeafs)
3rd pany evaluation summary shees for each test method used
Suction Piping - (if common suction)
i.,re tightness test resr. i (one each year for last 2 years)
3rd pany evaluation summary shee6 for each test method used
Corrosron Protection - (Steel tanks & lines installed after I U84)
Conosion Protection tesrs done within 60 days of installation (after lrgg)
Corrosion Protection tests done every 3 years ( last 2 tests)
tfuee 60
d lp,il
o
o
o
,:rspector Signaru
Log of
A,4-
day chek of Imprcssed Current svslems
Date:
L
o
ri
,O.A )7/4-a't-
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Michael O. t eavitt
Governor
Dianne R. Nielson. Ph.D.
Ex€cutive Dilector
Kent P. Gray
Dr@tor
KPG/WEIWacc
168 Nonh 1950 West
P.O. Box 144840
Salt lake City, Utah 84114-4840
[phone] Voice
[phone] Fax
(801) s36-4414 T.D.D.
I{.E COPY
RE
ERRU-152-95
Ken Bettridge
386 North 100 West
P.O. Box 338
Cedar City, Utah 84721-0338
LINDERGROIJND STORAGE TANKS located at 386 North 100 West, Cedar City, Utah
FACILITY ID# 6000016
Dear Mr. Bettridge
According to the provisions of the Utah Underground Storage Tank Act (Act), Utah Code
Annotated (UCA). Section 19-6-412, all owners and operators of petroleum underground storage tanks
must have a Certificate of Compliance by July l, 1991. Any petroleum distributor who delivers to a tank
that does not have a Certificate of Compliance will be subject to a civil penalty of $500 per occulrence
(19-6-416, UCA).
The Division of Environmental Response and Remediation (DERR) has received your request to
receive one delivery of fuel to test your tanks at the above referenced facility. This letter is NOT a
Certificate of Compliance but allows you to obtain petroleum products for testing your tanks.
This letter applies to fuel being delivered from Bettridge Dist., on April 11, 1995. A Certificate
of Compliance cannot be issued for the non-complying tanks. If after our review, your tanks are found
not to be in substantial compliance with federal and state rules and regulations, a certificate cannot be
issued.
If you require further assistance, please contact William Moore at [phone].
Sincerely,
e,444/-f<_
Kent P. Gray, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
Printed on recycled paper
April 6, 1995
STATE OF'TIIAII
DEPARTMENT OF' ENVIRONMEI{TAL QUALITY
DTVISION OF E}.IVIRONMENTAL RESPONSE AND REIVIEDIATION
FAX NT.IMBER (801) 3s9-8853
DATE:4\rilqs
il
TO kwt
AGENCY/FIRM:
FAX NT]MBER,:68 A -lo46D
trROM:\d,\(ic.,- [4.0r<
PAGES TO FOLLOW:
COMMEI.ITS:
168 North 1950 West' 1st Floor
Salt Lake City, UT 84116
(801) 53tu100
FAX COVER SIMET
Mail this card to all the people, businesses and publications who send you mail. For
Prld d'L!6n !r N.mo, Fi..r !,lari.. ui&l€ lntjd
Ken brtfr,)o. Dis t.(600@c
otOlbul
Name
38bfi' lN ul '
n.5. r.ro.
Clv and !tl'l6
[eAo, C;1," , A v,4ilt0t-1 t i i
otd
P.o. Bu 3sr
J
n
Addreas
New
CeJ', &il, , d &iL{iTiXil i-iAZSttJ
Sign
Her"
PsFoffi3576,11/92 E .@ io @ord the aboE n*.ddDs In tou addltB b@k sr ho@ or of@.
Stato and
Address
.4r***
CHANGE-( -ADDRESS
CARD FOR:
Conespondonts,
Publishsrs and
Businesses
,./ut{13'9i ,2
PB
0L
uoEQ /08Kfr-;;
:. 'n*oct), P! 3bm
s"J}'"{^"h--UL. t!l *qilg
IL,L,L,L,,II,,,ILIL,,,ILIL,,I',L,II','II',''ll,,l,tll
r.=:-(
VENDOR NUMBER
KEN BETTREDGE DIST CORP
386 NORTH lOO WEST
CEDAR CITY W
'3/.720
DIVISION OF FINANCE NO.
FY94 I
1099 OR INTIALS DEPARTMENTAL NO.
DEPARTMENT EnvlronmentalOuality
DF 50 STATE OF UTAH
Division ol Finance
WARRANT REOUEST
AODRESS
DIVISION
AODRESS
Environmental Rosponse &
Remodiation
168 North 1950 West-tst Flr
Salt Lake Clty, Utah 84116
CONTBACT PURCHASE.CONTRACT NO.
OTHER PURCHASES
l, th€ undsrstigned, certity that ths abov6 listed items or seryicos
werg required for otfical state us6 and wero recqivsd, that lhe
charges appoaring hereon ar6 correct, that no parl ol same has
besn paid and roquest that a wafiant bo drawn in paymeot ol th6
amount du6. Funds aro available.
ACCOUNTANT
suPFoRT sEFv MAflAGEF AUOITED By
194
AMOUNTINVOICE NO DESCHIPTION UNIT PBICE
411Tt FY94 #6000016Refund ot overpayment ol UST Reg Fee 13s.0041177 FY94 Relund of of PST Fund Fee #6000016 10.00
TOTAL:145.00
IIIrIIII
ORG ACCT TASK OPT ACTIVITY AMOUNT RESERVATION NO UNITS
4849 2324 E66900 13s.00
2740 10.00
IIIIITIIIIrrII
IrIIIIrI
IIIrIIIIIII
IIr-IIIIr-I-IIITII
-I
IIII IIIIIIEITII I
rIIr
BRANCH MANAGER
COMPUTATION
CHECKED BY
OATE
VENDOB NAME
4899 E70000
DEPARTMENT HEAD OR AUTHOBIZEO AGENT DATE
A\
FACILITY I]J.
@o00(b
PST PROCESSTNG CHECKIJTST
Year
Unacceptable Acceptable
Not
Applicable
Non-Marketer Discount v/
Previous Pollution Incidence
- LUST File
{ - Form Included
Y/N
Y/N
N l,nlqs
{
TTT
- Verify tank/linesvs registered
- Documentat,ion ok?
- Rat,e ok?
Y/N
Y/N
Y/N
N-,J +rst.
{l tK KeasercPz sooq ucd oil
Fund P
9
9
9
2
3
FY
FY
FY
aid
1 Ql_t- Q2 - Q3 -' Q4 -Q!-u Q2-*Q3 -- Q4 -Q1-r Q2--,-Q3--' Q4_ d, .r{,lqt
Y/NFees Paid
ffifu*
88
89
90
91
92
93
FY
FY
FY
FY
FY
FY
Compliance
- Compliance Outstanding? y/N _
S - Leak deE.ection required? y/N _
f - Notification up to date & complete? y/N _
* - Application?
A.&Jttrg Ptr',
r-9 or.. bo{.L la,L5, LLO ox
putss,tw lrut
0/w1
W.trfrksM tl'o(o'>
Date Qualj_fiedDate fssued
Review completed and certificat.e issued by
PSTPROC.FRM/March 12, 1993
t
l,
150 Nodi 1950 Warr 2ad Flon
S'lr Irtc Ciry, Urdt t4tl6
[phone]
(801) 359-tE53 Fax
(EoD 536-4414 T.D.D.
A
iil
FACTLTTY r.D. #J;, o&o!!ililw b
Utah UST Administrative Rules R3ll
Utah UST Act
EPA UST Regulations 40 CFR 280
PST Fund Information
Release/I-eak Information
MUSTS for USTs
Billing Information
Leak Detection Information
State of Utah
TO (
38 (00o 8L
o
Enclosed is the information you requested regarding:
Tark Notification Form
Tank Closure Plan
Tank Closure Notice
Certified Tank Installers
Certified Tank Removers
Certifred Tank Testers
Certified Groundwater & Soil Samplers
State Ceftified Labs
t,/ Other: Grl ,^.b c.(4r c{- -
Message
r
(3 S. /{0.;
t
If you have any questions, please contacr me at [phone].
Sincerely,
I I __tL-Uilnv
Pfinled on .ecycted paper
Mi.nal O, Iravi!
Gcer
Diamc R Nielroa, Ph.D.
8rc.t{ivc Dil!.ld
Kent P, Gray
Dircdd
DEPARTMENT OF ETWIRONMENTAL QUALITY
DIVISION OF EI'IVIRONMENTAL RESPONSE AND REMEDIATION
oate, ttf 1 lq z
rrom, 6anv NS(rr^
\arlur
WASATCH OEOTECHNIA\L, INC.
SOILS AND FOUNDATAN ENGNEERS
June 30, 1993
'l tM-1.cA
John Rabideau
Senior Geologist
SUBJECT:Underground Storage Tank Closure Assessment, Closure Notice, and
Corrective Action Report
Release Site EICE
Facility ldentification No. 6000016
Ken Bettridge Distributing - Main Office
386 North 100 West
Cedar City, Utah
We are pleased to submit this report presenting the results of an undeqround storage tank closure
assessment and corrective aclion procedures implemented at the Ken Bettridg€ Distributing Main Office
in Cedar City, Utah. A copy of this report should be sent to the Utah Division of Environmental Response
and Remediation; following your review, sign the attached UST Closure Notice and mailwith this report to
the Oivision of Environmental Response and Remediation at 150 North 1950 West, Second Floor, Salt
Lake City, Utah 841 16.
Our services consist of professional opinions and recommendations made in accordance with generally
accepted geotechnical and 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.
6*."Gavigan
Stafi Geologist
TG/JR/adt
Copies: (3) Addressee
2251 WEST CAL)FORNIA AVENUE . SALT LAKE ClTv, UTAH 81rU ' (80, 97241N . FAX (80, 9724459
WASATCH ET{WRONMENTAL, INC.
EI,IV I RON M E N TAL SP EC UL I S TS
Mr. Ken Bettridge
Ken Bettridge Distributing
P.O. Box 386
Cedar City, Utah 84720
I,!-
CLOSURE ASSESSMENT
CORRECTIVE ACTION
KEN BETTRIDGE DISTRIBUTING - MAIN OFFICE
RELEASE SITE EICE
FACILITY IDENTIFICATION NO. 600001 6
386 NORTH 1OO WEST
CEDAR CITY, UTAH
Proiect No. 1164-l
To
Mr. Ken Bettridge
Ken Bettridge Distributing
3E6 North 100 West
Cedar City, Utah
June 1993
Wasatch Environmental, lnc.
EXECUTIVE SUMMARY
One So0-gallon used oil underyround storage tank was removed for permanent closure ftom the Bettridge
Distributing Main office in Cedar City, Utah on May 13, 1993. Oil-stained soilwas observed below the fill
spout on the east end of the excavation. Following the collection of UST closure samples, approximately
30 yards of oil-affected soil was removed from the excavation to a point where no evidence of oil impact
was observed. The removed soil was disposed at the lron county Landfill. Five confirmatory soil
samples were collected from the enla€ed excavation to evaluate the concentration of oil remaining in thesoil. Laboratory analyses of confirmatory soil samples indicated that one of the five samples contained
total recoverable hydrocarbons (420 ppm) in excess of Utah Recommended Cleanup Levels for sites with
a Level I (100 ppm) or Level ll (300 ppm) environmental sensitivity. The referenced site would most tikely
be classffied as a Level I or Level ll site.
Wasatch Environmental, lnc-
TABLE OF CONTENTS
1
1
2
2
2
3
3
a
3
4
1
Letter of Transmittal
Title Page
Executive Summary
Table of Contents
CLOSURE ASSESSMENT
1.1 Underground Storage Tank Removal
'1.2.1 Organic Vapors . .
1.2.2 Sample Collection and Laboratory Analysis
1.2.3 LaboratoryResults
1,3 Closure Assessment Summary
Figure 1 - Site Map with Underground Strcrage Tank Closure Sample Locations
Figure 2 - Site Map with Confirmatory Soil Sample and Groundwater Monitoring Well Locations
Appendix A - Closure Notice with Laboratory Reports of UST Closure Samples
Appendix B - Laboratory Reports of Confirmatory Soil Samples
Wasatch Environmental, lnc.
2.CORRECTIVE ACTION .
2.1 Soil Removal and Confirmatory Soil Sampling
2.2 Confirmatory Soil Sampling Results .
2.3 Summary of Corective Action . . . . .
CLOSURE ASSESSMENT
CORRECTIVE ACTION
KEN BETTRIDGE DISTRIBUTING - MAIN OFFICE
RELEASE SITE EICE
FACILITY IDENTIFICATION NO. 6000016
386 NORTH 1OO WEST
CEDAR CITY, UTAH
1. CLOSURE ASSESSMENT
1.1 Underground Storage Tank Removal
One 5oo-gallon used oil underground storage tank was removed for permanent closure on May 13, 1993
from the Ken Bettridge Distributing Main Office property (Facility ldentification No. 6000016) tocated at
386 North 100 West in Cedar City, Utah. Wasatch Environmental, lnc. provided both the tank handling
and closure sampling services.
The underground storage tank was located on the west side of the facility building; the area immediately
surrounding the tank was covered with asphalt pavement.
lmmediately prior to removal, the tank atmosphere was 2% of the lower explosive level and the orygen
content was 19ol0.
Upon removal, the tank was found to be in poor condition. A 7-inch section of a seam on the east end of
the tank was conoded; perforations were observed in the tank bottom.
Subsequent to tank removal, the residual sludge was removed and the tank was triple rinsed. The sludge
remains on site in a 2S,gallon drum pending disposal; rinseate was hauled to Advanced petroleum
Recycling tor disposal. The removed tank was hauled to Dixie Disposal in st. Geo.ge, utah.
1.2 Closure Assessment
A closure assessment was performed at the site coincident with tank removal on March.l3, 1gg3. The
closure assessment included:
. A visual, olfactory, and geologic inspection of the excavation;
. Screening of the excavation for volatile organic vapors with an organic vapor monitor;
. Collection of soil samples for laboratory analyses;
. Classification of native soil according to the Unified Soil Classmcation system.
The tank was buried under approximately 20 inches of fill. Afler tank removal, the tank excavation
measured approximately six feet wide by eight feet long by six feet deep.
Wasatch Environmental, lnc.
1
The backfill material sufiounding the tank consisted of native soil. Native soil exposed in the walls of the
excavation crnsisted o, gravelly sand (sp) as shoivn on the soil Analysis Report in appendlx A.
Groundwater was not encountered in the excavation. Petroleum stained soil was obsorved around the
tank's fill pipe; the fill pip6 was located at the east end o, the tank.
1.2.1 Organic Vapors
The east and west ends of the excavalion were screened with an organic vapor monitor equipped with a
photoionization detector. This instrument is calibrated to a 1oo ppm isobutyleno standard, "nj h"" "reporting range of 0.1 to 2,000 ppm. An organic vapor concentration of 1o.s ppm was measured at six
feet below grade from the east end of the excavation. An organic vapor concenlration of 3.5 ppm was
measured at six feet below grade from the west end of the excavation.
A suspected release was reported to the Division of Environmental Response and Remediation based on
observed soil staining and the elevated organic vapor measurements. The release code given by the
Division to the site is EICE.
1.2.2 Sample Colloction and Laboratory Analysis
Underground storage tank environmental closure samples were collected from the excavation by a state-
certified groundwater and soil sampler (GS 0422) in accordance with site assessment protocol as outlined
in state Rule R31'l-205-2.
One soil sample (SS1) was collected in native soil at approximately six feet below grade ftom the westem
end of the tank excavaton. A second soil sample (SS2) was collected ftom approximately six ,eet below
grade from the eastem end of the tank excavation. soil sample locations are shown in figure 1.
The soil samplqs were collec{ed in 4-ounce wide-mouth clear glass jars with TEFLON-lined lids and
placed into a cooler containing ice immediately following sample mllection and subsequenfly transported
under chain of custody to a utah-certified laboratory for analysis of total recoverable petroleum
hydrocarbons according to EPA Method 418.1, benzene, toluene, ethylbenzene, total rylenes, and
naphthalene according to EPA Method 8020, and halogenated organic compounds according to EpA
Method 8010.
1 .2.3 Laboratory Results
The soil sample collected ftom the westem end of the tank excavation (SS1) contained 13O,OOO ppm totat
recoverable petroleum hydrocarbons; no aromatic or halogenated organic compounds were detected.
The soil sample collected ftom the eastem end of the tank excavation (SS2) contained 24,000 ppm totat
recoverable petroleum hydrocarbons, 1.000 ppm total xylenes, and 0.g70 ppm naphthalene. No
halogenated organic compounds were detected.
copies of the laboratory reports from the underground storage tank closure are presenred with a
completed Closure Notice in appendix A.
Wasatch Environmental, lnc.
2
Results of laboratory chemical analysis indicated the soil collected from the both ends of lhe excavation
contained total recoverable petroleum hydrocarbon concentrations above Utah recommended cleanup
levels.
2. CORRECTIVE ACTION
2.1 Soil Removal and Confirmatory Soil Sampling
On May 13, 1993, the excavation was enlarged to remove oil-affected soil. Following soil removal the
excavation measured approximately 9 feet wide by 12leet long by 8 feet deep. Approximately 30 yards
of removed soilwas hauled to the lron County Landfillfor disposal; Mr. Jerry Jorgenson, Environmental
Health Scientist of the Southwest Utah Public Health Department approved and coordinated the soil
disposal.
Soil sample CSS3, collected from the west wall of the excavation at a depth of eight feet, contained 26
ppm total recoverable petroleum hydrocarbons.
Soil sample CSS4, collected from the south wall of the excavation at depth of eight feet below grade,
contained 14 ppm total recrverable petroleum hydrocarbons.
Soil sample CSSs, collected from the east wall of the excavation at a depth of eight feet below grade,
contained 44 ppm total recoverable petroleum hydrocarbons.
Soil sample CSS6, collected from the north wall of the excavation at a depth of eight feet below grade, did
not contain a detectable concentration of total recoverable petroleum hydrocarbons.
Soil sample CSS7, collected from the central bottom of the excavation at a depth of nine feet below
grade, contained 420 ppm total recoverable petroleum hydrocarbons.
Copies of the laboratory reports ftom confirmatory soil sampling are presented in appendix B
Wasatch Environmental, lnc.
3
1.3 Closure Assessment Summary
Following soil removal, five confirmatory soil samples were collected ftom the four walls and the centEl
bottom of the excavation. The soilwas placed in +ounce glass iars with TEFLONlined lids, put
immediately into an iced cooler, and subsequently transported under chain of custody to a Utah-certified
laboratory for analysis of total recoverable petroleum hydrocarbons (EPA Method 418.1). Confirmatory
soil sample locations are shown in figure 2.
2.2 Confirmatory Soil Sampling Results
2.3 Summary of Corrective Action
ApProimately 30 cubic yards of used oil afiected soil was rcmoved from an excavation that formerly
contained one 500 gallon waste oil underground storage tank at the Bettridge Main Offce in C€dar City,
utah. The removed soil was hauled to the lron county Landfill for disposal. Laboratory analyses of
confirmatory soil samples indicates that the majority of oil affected soil has been removed. The total
recoveEble petroleum hydrocarbon mncentration ftom soil sample cssT exceeds the utah
Recommended Cleanup Level for sites with Lev€l I and Level ll Environmental Sensitivity, but does not
exceed the Utah Recommended Cleanup Level for sites with Level lll Environmental Sensitivity. All other
confirmatory soil samples are below Utah recommended cleanup levels.
Wasatch Environmental, lnc.
1
fENCE
VENT
sst
80,040
ss2
U
F
IF
F
'oo
5OO GA. USED OIL TANT
(REMOVED)
MAP SHOWING UST
DISTRIBUTING MAIN
wEl 115,r-1
STORAGC CARA6E
s to
/
N
l
LEGENO
^l\ Contlrmrtory toll trmpk wlth
fotzl Rccoletrblc Pattolaut, Hldtoc.tbon conclnttrtlon ln ppm
U Unlfl.d roll cl.trlflc.tlon
o 20
FIGURE 1: SITE
BETTRIDGE
CTOSURE SAMPLE LOCATIONS,
OFFICE, CEDAR CITY, UTAH
cAo
APPTOXIMAII SCAIE lfr,)
FENCE
css3
SOII- RTMOVAL BOUNDARY
I.EGENO
,1|, Conflrm.tory roll rmplc wlth
folrl Racoyctrblc Pclroleum Hldrocatbon Co[Conltatlon ln ppir
c5 s,r
css5
F
F
F
3
c
STOI,AGE CARAGE
A?PtOtlMATt SCAIE {tr.)
5 t0
I
N
I
0 20
FIGURE 2: SITE MAP SHOWINC
BETTRIDGE DISTRIBUTING MAIN
WEI lt6,t-l
OF SOIL REMOVAL,
CEDAR CITY, UTAH
EXTENT
OFFICE,
CAD
css6
..
cssT
APPENDIX A
Closure Notice
and
Labontory Repois of Llnderground Storage Tank Closure Samples
Wasatch Environmental, lnc.
U NDEHGErII INN STaEIAI?E aNK et os RE NOTI(:F (Revlsod 03/01/93)
Facility lD # 600001
Closu.e Notice pr€pared at the requesl of lhe owner/operabr (identmed below) by thonas Gaviean
Address 2251 ifest California Ave. Ste B Salr Lake Citv 4 84104
q<weLProcessed
Mailed to LHD
in LUST File #
lo LUST Review
Faculty Name Ken Bettridge DistribuLj.n - I4ain 0ffice
386 North 100 West Cedar City Sraa llT 84720
Contaci person Ken Bettridpe Phone #( ator ) s86-1!11
ttflter of r€guht€d tanks at fis ,aility bs{ore closure: I
Number ol rcgulated tanl(s A the tacifty dter clo$re:__g_
TYPE OF CLOSURE bd Permanont I I Tenporary I I ChangFln-SeMce
Pemanent or e.ln-Serulce
Tank was: I I PutFd I I lnenect Mottod Usoc[
Location ol Closure B€cords Ken Bet.tridge Distributing
For in-place dosure: tanks ,ill€d with
Subsfance to be stor€d lor Chame-ln-SeNic
Tem lary I I Fuel was erptied. I I Co@sion prot€ction b opording. [ ] Belease detection oquipm€nt is operating.
Residue depth GrrainirE in tank _ irrches, or.J! by w€Elt o, total capadty o, UST.
3 rno lrs: [ ] Vent finas open CaCS€orc: I lln s t ]pups [ ] rEnwayr
12 ,mntls: il Permnenily closed I I Nowrupgrad€d I I En6nsbn ]€qu6si
TANKS CLOSED
Tank #1
Age o, tank
Capacrty @!@-
$u!s. s16rc(1rsed oil
Oate last used
-
oate closed
Rmvd/ln place _' lndicato th6 spocilic subs&lnoa storEd in eacfi tank cbsad (regular, unlsad6d. di6sol, was|e oil, etc.)
ot (cornpany name) triasaEch EnviromrcnEal. Inc. Phone #lgglJll2:94@--
FACILITY INFORMATION
Tank oymer {en beLtridee Distrib,rtins Phone # l-99!-l-5!52dLl-
I l dba (individual doing business as] [ ] sol€ ptoprirrorshb il parmorship I l co]poration
Address P.0. Box 338 CtV CeaeSlitI_StetelLTiF R47ro
,eat t
Usa
[Xl Fuel was erpti€d kl Sludgs was rotrDf,ed iol Tank was doaned"
Phone #( 801 \ 972-8400
TANK FIEMOVEFI Name
Wesat ch Fnvi f^l - Tnc
Address ?.2.51 \t -Cn l i fornia Awe - St cB Sa1
SOIUGHOUNDW ATEFI SAMPLER NaTne Troy Spaclcnan Cen. #GS 0432
Compa Wasatch Environrnental, Inc 'Phone #1801 1
t T,ake Ci tw s:tat€lJl- zpi4104-
Exp. oate-!!
972-8400
Address 225L W. California Ave, SEe B
DISPOSAL SITES USED:
Tank:Dixie Disposal 5lt1 193 Number
Producl lrom Tank APR
conEminated water irom tank cleaning:APR
Date
0ate
0ate
0ae
0ate
-!jff5-^ell,purrt5 /17 193 Armunt
10 ga11on
26 ga1lon
Amourt 25 sa11onSti11 on siteSludge
Contaminated Wat6r:
Contaminated Soil: Iron Countv landfill Date -Zgl93-
Armunl 30
Armunt
-
ls any cor aminated soil which was ov€raxcavated s{ll on site?
-
Yes -I- No
-
Not aPPlicable
SlrE ASSESSMENT
Comptete lhe Facility Site Ptat (Closure Noti.:e) ard SaEplo ldotmatbn Table (Closure Notico) on pages 3 and 4to show
lhe locations, depths, and olher irdonndion on 8ll soiugrourdryatgr samPles lakan lor closure. The satnples m.r$ bo
consisitentv iJer ilied by sanple ID # on the sito Ple[ table. and hb analysb r€pon.
F I Corpleted Facility Sile Plat (Closure Notics) is atach6d.
E I Cornpleted Sample ln orndion Table (Closure Noticg) is attached
F I Cenilied lab anatylical orMmnmertal sa[ple results are atached.
E I Unified Soil Classili(5ion (USC) sarpto tesutts ate attached.
F I Chain o, Custody lorm b anached.
Samples were proporly: t )q Co[ected I XI bbeled S ] Packaged [X] Tnnsponed
I xl samples were in sight ot the perBon in qlstody al all umss or in a se(rrecl locked place.
parts 28052 an.t 28{1.72 an.t R:111.2092(aXl ) wett pmparly COlls6O(
I csnfy undor penalty of lil urt the closNrlr slte assessmeot et lhls taclUty was qonductod ln sccotdance wlth
ml1.2b2 Farti ZSOSZ aN M).?'2l and R311.205 UA.c., and tha any sddltlonal s8mPles Equlrsd by 831'l'202
Slgnature ot Certltled Grounclwatsr/Soll Sampler
Full name ot C€nfled Sarflplet Troy D. Spacknan
,
Oale (--?o-'B
Trov soaclqnan Con.#TR 0170 E!,lp'c6ie-!,/L.
cityE!!.Eg91Lstate-Lz'P 84104
The site prat nr'rs show rocario*
" , pphg, dispenser,ands, ancundergound utilities' nre sie prat'ttill-19r*1, to -' .ptr,,* u.mri",i or.. rt rnrst show icn a sanprin-:.ffiff;'#rffi;.ffi IrFH;ffi ,*ffi gffi,*o't:,t( and sampro uennicaion' *,'o",= must oi
Facitity tD # 600001G Drawn Kevin Winn
6 3
FENCE
X Soil sample location
ssl
5OO GA. USED Ott TANK
(REMOVED)
LEGEND
STORAGE
GARAGE
APPROXTMATE SCALE
ss2
uscl
ltll!c,
?rl
t!
3
oo
I
N
I
o 5
I - Sample locaiors (g9-+, WS+, USC+)
9 = Ioyoring We[s (MW+,)O - Soitbodng (B+)o - Water Wells (clomestic, livestoch etc.)
.)
l0
(fr.)
20
I
sluYt-E NronumoN uaue tctoflr.e rglEt
Complete table tor att sampfs rEffi taten tor ctostrrr. Sampte lD numbens on the table must be conslster
wnn tne sampn lD nmrOeis glYen on li. slts pbt and ln $e lab alulysls loPon'
compounclsr
IRPH/BTDN/}IOC
TRPH/BTtrN/HOC
An8ly3l3 msthod(s)'ssmple #ntb lD# sub. ator€d
ssl /1 a',l o6 rrsed oil
spl tyDor
SS
oepttrr
6'41 8-1/8020 0
6'41 8.1 /8020 /801 0
t Soil (SS), Groundrivator (GW), or Uniliod Soil Classili(5ion (USC).
2 Final depth (ln t66t) bolotf grade a whidt saflples were tal€n.t contaminant co.rFourd(s) analyzod lor oac$ saqgle (fPH. BTEN, O&G. etc).
' Appopdae anatysis manoAs lor codaminant corpound(s) in eacfi sarrple (8015 mod.. 8020. 413.1. etc).
Address 463 l,Iest 3600 South salr I-ake ciry $de..gl-zpgll-
Please explain any urrusual or extonuatirE ciremstarrces sncountored during the site assessrnent or cbsure:
horeln werE tollowed durhg closure.
I cenlty under penatty ol law thst I am the O nsr ot the tank(s) descrlbed above and thst I am lamlllsr wlth the
lr ormauon on thla lorm and that n B frue, accurate anO comftae enat funhel, lhat th€ pmcedu]ts descrlbsd
Slgnatur€ ol UST OYYner
Full name o, Owner Ken Bettridse Date 1-q'
Retum corpteted Closuse Notice torm, Facility Sile Plat and Sample lntomation Table, Soiucroundirater sample lab
analysis results, USC satnpte resutts. and Chain o, Custody lorm within 90 days ol UST Closure to:
State ot Utah Oept. ot Environmental Oualily
Oivision ol Envilonmemal Response and Remodiation UST Section
150 Nonh 1950 west 2nd Floor
salr Lake ctty, l.nah 84116
4
-SS244f06- used oi l -lS-
Stas Can ied Laboratory used: Alnerice ftst fu1Yffi
Comact person Ptrone * ( 801 ) 263-8686
ORGANIC ANALYSIS REPORT
AMERICAIY
WEST
ANALYTICAL
LABORATORIES
463 West 3600 Sourh
Salt l-ake Ciry, Utatr
84115
Anaivsis Requested
Totai Recoverable Peroienm
Hydrocuboos
Setldcndficadon* 14106
Conacc Tmy Spack-on
ReceivedBy: Elonallal,llard
Dac Analvzed:
May 21, 1993
Q,icoc Wasarh Eurrircnocnoi
Pus garnple& May 13, 193
Darc Reccivc& il,lay 17, 193
Set Description: Two Solid Sauples
Method Ref. Number:
EPA 418.1 @xuactiou
Inftaed Abscrption)
Lab$Ar-IEle ID. Numbcr: Eeld Samgle ID. Numbcr:1410601 Bccridge/I\aaiu Office/386 N 100 W
SS#llilcstEnd@ 6'
[phone]
Fax [phone]
Anal cal Results
Olts =
CorrToun&
Toal Recoverablc Peuolcum llydrocrbons
Total Recoverable Petroleum II bons
Decqion
titris
Anount
Deected:
1.0 130,000.
<Valuc = Nonc dsccrcd abovc thc spcciEcrt E rlod dctrcdon limir,6 a.raluc 6arctlccs a rcasonablc limit drc
o inar&reoccs.
T Tlaca Daccrablc amormt ir lo*tr the" thc fetical qruntfuation limfu f66 rhic q6lrpoutrd
Rdeasedb1c --\LL--.iz*"+tatm+*v sq#sor 0
Repon Darc 524193 l of 1
TtllS REloEf l5 PROVIDED FOI nA SXCLUSM USE OPltg ^ODAME& BrtvrrEcEli oF suasEQUENt usa op TflE I{AME op Ttlts clMp^lty or
^NyMaXlEl OF ITS STAFP. OR REIRODUCTION OP Alll! IAPORt lll COIINECTION wmt 1IB ^OvERTrsEvErt PIOMOTION oR S&8 oF ANy piOOuCT oR
PiocEslt oR tN coNNgcTtor vml THB Rg.pt auc''\flor oPTllls llirbm 8or Ar{y prrtposB T[^N Foa r|B
^oDnEssEE
w|LLaact t{tED olrLy or{
@laTR qr. Tlrlli coMPAltY
^ccgPrs
l{o REs[roltstaluTY I,.xcEPT loR TllE rlr rn Dn'r6rv^N.E 6F rx
I
(A
AMERICAN
WEST
AI\iALYTICAL
LABORATORIES
463 West 36@ Soudr
Salt l 'kc City, Uralt
E4r15
ORGANIC ANALYSIS REPORT
Oienc Wasarch Environmcnui
Darc Received: May 17, 1993
Set Identification Numbec 14106
SetDescription: Two Solid Samples
4nalusis-Besce$ed. MethodRef. Numben
Halogenated Compounds EPA trrtethod 8260/624
(Ptrge &Trap GC/1!6)
Lab Sampie ID. Numbcn
1410601
Field Sarnqle ID. Number:
Beuidee&Iain OfEcV386 N 100 W
SS #llil/cstEnd@ 6'
Contacc Tlov Soact<"nan
Received By: Eoua llayward
Daa Analyad:
May 19, 1993
Analvtical Results HALOGENATED COMPOT'NDS
UruB = pgk g (PPb) f
[phone]
Fax [phone]
ComEound:
Bromofora
Bromometlune
Carbon atrachlcrri&
qblpsggreldefuydc
Grlorobeucnc
1-Chlorohcxane
Orioroethanc
2-Grloroethylvinyl erhcr
Chioroform
Chlorooethane
Chloro mehyi methyl edrer
Chlcrotoluenc
Dibromochlorooethanc
Dtromomcthane
t2-Dichlorobenzenc
13-Dichlorobenzcne
1 ,4-Dichlorobcnzcne
Dichlorodif luoromcthane
1,1-Dichloroethane
1,2-Dichloroethane
Decction
Litris
Anouat
Deected:
Benzfl cbloride
bis (2-Chloroethory) oethane
bis (2-Cbioroisopropyi) ether
Bromobenzene
Bromo<iichloromethanc
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
8.0
8.0
8.0
8.0
8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
Repon Datc 52aD3 1ot2
Tltls AAPOT' IS PROVTDED FOr Its I,(CLUSIVE US8 Ot TtlB ADOtrr]'SEGi, pxtvrlEoEs oF luBsEQUEm ut8 ot TH8 !JAr|8 OA Tttts C!Mp^.Ny OR
^NyMAXaAA OP ITs sT^tR OR REPRoDUCTIoN oP 1lll5 F€POir lI CONNGCTION wml Ttts ^OvErTEEveIT. nO!,rqnOr or SaLe oi iii pnooucr orpiocEslt oR rN cotwEcTtoN rrrIH THE RS.,rraLtcr|-l,Iola ot Ttlls aEloIT por A!{y puaposrl IrAr ft)i THE
^Ooat5sEE
wtLL BE 6I^NTEO ONLy ONlYlr{flact- I rr< a^v n^ N
Lab Sample ID. Number
1410601
(
Field Sample ID. Number:
Beuridge/l4ain Officd386 N 100 W
SS #1fil/estEnd@ 6'
A
AMEzuCAN
\VEST
ANALYTICAL
LABORATORIES
Analvtical Resul ts HALOGENATED COMPO UNDS
Ums = pgkg (ppb) t
463 Wesr 360O Soudr
SaIl I al(e Ciry, Urait
E4r15
[phone]
Fax [phone]
Released by:
Compound:
1,1-Dictrlc'roethenc
rans- I J,-Dichiooethenc
12-Dichlorosropanc
cis- 1 3-Dchl'oro!ryorpcnc
rans- I i-Dicbloropopcnc
Methylane ctrlori&
1, I 22-Teuachloroethane
1,1, 1 2-Tetrachlorccthanc
Tetrachlcrroethenc
1,1,1-Trichloroqhane
1,12-Trichlsrocdanc
Tricbloroethene
Trichlorofluuoocdaac
Trichloroorooane
Vinyl chioriaL
Benzeae
Toluenc
Ethyibenzcne
Xyieaes, (Iotal)
Naphttralcnc
< 9.0
< 8.0
< 9.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
< 8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
8.0
Deacdon
Lllxis
Amount
Deacted:
< 8.0
< 8.0
< 8.0
< 9.0
< 16.
8.0
8.0
8.0
8.0
15.
<Valuc = None deecred aborc thc spcciEed rnahod &ection Iimir, or a .raluc rhar rcttecls r trasooable limit &E
to intsfetcnces.
T TEcr. DeEcrable arnormt is loscE 6an thc prcdcal qruntiariou limit for rhiq gsmpound
f AII compounds are tEpotrcd on a dry esighr basis.
c
2of2
T Xls nEPoIT lS PRoVTOAD FOR flA EXCLUSIVB USE OpTtE
^DOR!5SA&
l,/lryllEcEt! OF sualgeuEhT l,s8 Op TIB NAt|lE OF TE|S COMpAJ{y oa !{yMaliaAA OP lls STAFP. OR tEt8oouctlola op Tlll! rapolt tr COI|NECTTON wmt Tlts
^OvuRTts&vEI,,T.
plrrMoTtol{ oa s^!S Or iiV praoDucT orptocEss or w coNNECTtON wmt fllB RA-nrtLlC^ltOr OF TU|S XE?Oar roR ^!ly
ruR osa T[^r tot TEa roonrsse e wrli gi ce^lflEo oNL: olrCOI{1T CI, tI I IS COMP NY
^CCEPT!
NO R ESPONSIAIIITY EXCEPT IloT N la DUE PEI':O'L\i AIttiG 6E I.'
(
Repon Darc 5/2aD3
AMERICAI{
WEST
ANALYTICAL
LABORATORIES
463 Wesr 3600 Sou6
Sai! Iliie Ciry, Utah
84rr5
Analysis Reouested:
Total Recovcrable Peuoleum
Hydrocarbons
ORGAMC ANALYSIS REPORT
Oienc Wasarch Environmcoal
Due Sa.opled: May 13, 193
Darc Reccived: tr4ay 17, 1993
Set Desctiption: Two Solid Saopics
Sctldentification * 14106
Conacc TroySpackman
Received By: Elona llayward
MethodRef. Numben
EPA418.1 lExtracdon
Intared Abscrption)
Dae Anal:rrcd:
liay 2L,1993
Lab Sarnole ID. Nmtber: Ficld Sanplc ID. Number:1410602 BaridgeilttlainOfficci3S6N 100W
SS#?EastEnd@ 6
[phone]
Fax [phone]
Reieased by:
Anal cal Results
[1ts =(ppru)
Cornpound:
Total Recorrcrablc Petoleum llydrocarbons
Total Recoverable Petroleum Il bons
Deacdoo
Ligir
Amount
Detected:
1.0 24,000.
<Valuc = Noc dctccted abwc drc qcci8d nerhod &action lirait c a 'ralue thar reflecB a tlasoBablc limir dlc
to ifildccocel
T Tracc. DeEcEblc anout is lowa 6an thc Eactical quantitation limit for rhiq compound
s
R€pon Darc 5t24r93 I of 1
Tlllll IIIORT lS PROVIDED F{n Al8 EXq.USrye U58 oFaIE
^OOIBs!EE"
ONIVILEGaS OF SUESAQUET\T USE OP TIIE r^.MB OP THIS COMP IY Ot ,\NY
MAMBET,oF lTs .SIAFF, ot REPRoDUcTlol{ oF TllS Rlloxl lll coNl{EctloN wrlll TtrB
^ovEBflsEvaNT.
PtoMoflol{ ot S LS o?
^I{y
pioDtrcT oR
PROCESS Ol' IN COIINACTION WTTH TllA NE.H.IBUA\flqN @ TIIIS REPORT POr
^XY
N'RPOS6 NhT POA TtlE
^ODR!5588
\r lll- tE GtaNrED o!{LY o!{col{t|Acl THlt CoMPANY AcllPt: No REs MtStttUTy FxcE?T t'OA I tO DUG pGtm[VANCE Op rn-Srt?C?lox ^{D/or I {t!( cooD FAITtl Atio
((
AMERICAN
WEST
A}.IALYTICAL
LABORATORIES
463 West 3600 Sourh
Sdtkl(eCity,Utah
84115
Lab Sample ID. Numbcr:
1410602
Daa Anal'zed:
May 19, 1993
ORGANIC ANALYSIS REPORT
Oienc WasaahEnvironmcntai
Due Received: May 17, 1993
Set Idendficarion Nnmbec 14106
Set Description: Two Soiid Sampies
AndysirBescasEdt MedrodRef. Number
llalogenatedCooporurds EPAlvl€rhod8260/624
(Arge &Trap cC[aS)
Conucc Troy Spaciocan
Received By: Eona tlayward
Field Saraple ID. Numben
Bccrideqf\,Iain OfEcd386 N 100 W
SS #ZEastEnd@ 6'
Anal tical Results
IuIs c (Pp
IIALOGENATED COMPOUNDS
)
[phone]
Fax [phone]
Compound:
Benryi chloride
bis (2-Chlorocthoxy) Ectharc
bis (2-Chloroiso'p'ropyi) ethcr
Bromobenzene
Bromodichio,ronrcdane
Bromoform
Bronromedrane
Carbon amchloridcqrlro6pgr,ldehydc
G{orobenzene
1-Ctdorohcxane
Cbloroe6ane
2-Gdorocthylvinyl ether
Crhloroform
Qiloromethanc
Chloro metiryi octhyl ethcr
Chlototoiuenc
Dbromochloromcthane
Db,romomethanc
12-Dichlorobcnzcne
I,3-Dichlorobenzene
1 ,4-Dichlorobenzene
Dchlorodifl uorooethane
1,1-Dichlorocthanc
13-Dichloroethane
Detccrioo
LitriE
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
50.
Amount
Detected:
< 50.
< )u.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50-
< 50.
< 50.
< 50.
50.
50.
50.
50.
50.
< 50.
< 50.
< 50.
Repon Dar 52aD3 l of 2
I|l5 AEI'ORT rS P(OVIOED FOR Tlts EXCLUSIVE UsA OPTIE ADOnIlllS8& mrytLEGES Or SUISEQUEN? UsA OpItA !|AMA OF TIr! COMrlIy OR ^ttyMEUaal or tts 5T rr, oR REPIOOUCTIOII oP TltB RAl(nT ll! CONltECTlot'. wml Tt ta
^OVERTISEyEIT,
ptoMoflot{ oa S&E Op Al{y proDucT or
PtocEss ol lN coNllEcTlol{ \vmr nl8 RE.PuBuarflOr ol Tltlt na?oEr Fot d{Y ruaFosa Ttr N mR It8
^ODtlssEE
wtL! BE Gr^mED ot{Ly o!{a6xilt^c?.'ltll( .^qD^{y ^aEnrrs xar rE<6r.r
(
Lab Sarnple ID. Number
1410602

(
Ficld Sarnple ID. Number:
Bccridge&Iain OfEcd386 N 100 W
SS #2/EastEnd@ 6'AMERICAN
WEST
AI{ALYTICAL
LABORATORIES
463 West 3600 Soudt
Salt I-aIc City, Utah
84115
[phone]
Fax [phone]
Relecsed by:
Anal tical Results
Iuts = p o)
Cornpound:
1,1-Dichlcroedrene
rans- 1 "2-Dichlcrocthcnc12-Dichloropropane
cis- 1,3-Dichloropropenc
rans- 1,3-Dichloropropcnc
Methylene chloridc
1, 1,22-Tetrachloroethaac
1, 1, 13-Teaachloroefianc
Teuachloroerherc
1,1,1-Tricbloroethane
1,12-Trichloroethane
Trichloroethenc
Trichtrorofluorooedane
Trichlorogropure
Vinyi chioride
Benzenc
Toftrene
Ethylbenzarc
Xylenes, (Total)
Naphthalenc
Iaborarsy S
IIALOGENATED COMPOUNDS
Deaction
Llalc
Anount
Detected:
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
< 50.
50.
50.
50.
s0.
50.
)u.
50.
50.
50.
50.
50.
50.
50.
50.
50.
< 50.
< 50.
< 50.
< 50.
< -(0.
< 50.
50.
50.
50.
50.
100.
< 50.
< 50.
< 50.
1,000.
87 0.
<Value = None deteaed abovc thc specified mdhod dctlcdon limit, or a \ralue rhat t!0ec15 a rcasoDablc ri,nir duc
to incdcrenc€s.
T Tracc. Derecuble amounr is locrcr il',n thc r&tical quntiration limit for rhic gornpound
t All compounds are rcponrd on a dry wcight basis.
Repon Darc 524D3 2 of2
Tllll naPorT 15 tRovlDCD Foi. TtG ExcLUsIvE us8 oPlt8
^DortssE&
pltvtlE6E5 or suBsEQuE\T usa op aHa NA$E Op TH|S COM?At{y OA ^NyMEuian op m srlr'F. oR REpioDucrtor op rut! tfiot? rla cormcrox ymt rtG ^ovElttlavElat, lrouottox or sars oi iiyrrooucr o*PiocEsll ot l!{ coNNEqlola wml nla RE.puruclflot ot ttr! aliDof,T poE
^lry ruRpos8 T|lartr For rBE eooeessee *rLL ri ciirrreo oluv or"cotTR^6. TIlls COMp Ny
^CtEprS
NO RTSFO!{SrBtUIy exepT lot T! m ouc pEtubrlv^Nc oE rN
ORGAMC ANALYSIS REPORT
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 Wesr 3600 South
Sait lrke Ciry, UEh
84115
Oienc WasarhEnvirronomal
Due Sampled ilIay 13, 1993
Darc Rcceived: May 17, 1993
Set Descdption: Two Solid Samples
Analysis Requescd:
Totai Rccoverable Pegoicun
Hydrocarbons
l,ab Sarnole ID. Number:
14106Method Blank
Set Ideatification * 14106
Conucu Troy Spachan
ReceivedBy: Elonallayrard
Method Ref. Number:
EPA 418.1 (Extraction
In&red Absoption)
Field Sasple ID. NumbeE
|d4[6dllank
Dae Analyrc&
May 21, 1993
Analytical Results Total Recoverable Petroleum Ilydrocarbons
[phone]
Fax [phone]
Reieased by:
Unis = ogkg (ppm)
Cornpound:
Total Recoverablc Petroleum lly&ocabons
Deection
Lirnis
1.0 <1.0
<Valuc = Nonc &tcctcd aborc thc qeciEcd metbod &tcction limiq o a naluc 6at rcflects a rcasonablc limit duc
o inrrfetcncrs.
T Tracc. D€&cablc arnotmr is lowlr tlur thc Eactical quantfuation Emit for this compound.
Amount
Dereeed:
s
Repor Dac 524193 lotl
THII naloaT ls PtOvtDED POt alts EXCLUSryE USE OP TIE AODnESSEE. I'LlvlLAOaS OF SUaSEQUAI\T irSS oF aHE NAUS OP TttIS C!M?l!rY Oa
^NYMSMaAn OP tIS SrAfP. Oa aEIiODUCTION Ol Tllrt RSliOrT rll Cot{l{EcTtoN wmt ltts AovErrrsEvlrr. paoMorlo!{ oR 5^!a op
^l{y
pioDuCI oR
PIOCSSS OA lr CINNECTIOI{ W.TH TIIS RE'PI'B1JC flOI{ OF TIUI RGPORT FOT
^TY
Pi'RI'OSA T|h.ll FOT TH8
^DDTESSEE
\rItJ. 8A GR^NIED ONLY OI'
@l{TltACL TlIlS COMPAIY ACtE?ls NO REsllNslatUTY r:XCAPT IOA Tt ttl DUE PetfOR.v^NCE OP TNSmCTIOI{ A,{D/OR
^NAl.ySlS
ll{ OOOD p^tTtI
^r\D
(I
(
ORGAMC ANALYSIS REPORT
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 Wcst 3600 Sourh
Salt l 'ke City, Uralr
84115
Oienu Wasarch Environocrral
Duc Received: May 17, 1993
Set Identificarion Numben 14106
Set Descripdon: Two Solid Samglcs
Analvtical Results
Contacc Troy Spackmen
Received By: Elona llayrard
Analysis Requested: Method Rcf. Numbec
Ilaiogenated Comrpounds EPA l4erhod 8260/624
(Rrgc&Trap GC,&lS)
Lab Samole ID. Number:
14106Method Blank
Fieid Samole ID. Numba:
lvlcthodBlank
IIALOGENATED COMPOUNDS
unrts = pgk c (ppb) r
[phone]
Fax [phone]
Cornoound:
Bromoform
Bromomethane
Carbon tetrachlorridc
Ctioroacetaldehvde
Qrlorobenzene '
1-Chlorohcxane
Cbloroethane
2-Gdoroethylvinyl ether
Chloroform
Qiloromethane
C-hloro mcrhvl methvl ether
Ctrlororciueie
Dibromocirloromethanc
Dibromomethane
1,2-Dichlorobenzenc
1,3-Dichloroberuene
1 ,4-Dichlorobenzene
Dichlorodifluorooethane
I , l-Dichlorocthane
1J-Dichloroethane
Benryl chloride
bis (2-Chloroethoxy) octhane
bis (2-Chloroisopropyl) ether
Bromobcuene
Bromodicirloromethanc
2.0
2.0
2.0
Deection
Litris
Amount
Derected:
< 2.0
< 2.0
<2.0
<2.0
<2.0
< 2.0
<2.0
<2.0
<2.0
<2.0
<2.0
< 2.0
<2.0
< 2.0
<2.0
<2.0
< 2.0
<2.0
< 2.0
2.0
2-0
2.0
2.0
2.0
2.0
2.0
<2-O
2.0
2.0
2.0
2.0
2.0
2.0
< 2.0
<2.0
<2.0
< 2.0
< 2.0
0
0
0
0
)
)
,
.,
2.0
2.0
2.0
2.0
2.0
Repon Darc 52aD3 I of 2
T'Ill TSIIoRT 15 PiOVIDED tDT AtG EXCLUIIVE USE OP TIIE
^ODIF.]!SE&
IITTVILECE! OF sUBSAQUEIT US8 O? TIIB !{AME OP IITIS COMP^T{Y OE A!{YMllaa8r oP trs STAFF. oR REPRoDUolol{ oP Tll$ RaPolt tll c!l{!,EcTlol{ wmt rrl8 ^ovEat:lsE\ierf.
pio}Ktltolt oR s&E oF
^t{y
pRorlrcr otPnocErit ol N coNNEcrror vrrH TH8 Ra.ar8lrclflor op rtlts aGgoRt pot
^t{y
n rPosa rtralr trt aE8
^DDIF.SSEE
wrt.t- ae cr^fraD oNLy or"
Daa Anal@:
May 19, 1993
Lab Sample ID. Number
14106Method Blank
Ficld Sample ID. Numbcr
lvlcthod Bla*A (
AMERICAN
WEST
A}IALYTICAL
LABOR.{irORIES
463 West 3600 Sourh
Salt Lake Ciry, Utah
84r15
(80D 263-8686
Fa: [phone]
Reiecsed by:
Anal tical Results
nrts = Irg PP
HALOGENATED COMPO UNDS
)
Cornpound:
1,1-Dichloroethenc
uans- lj,-Dicirluoetherc
12-Dichiorop,ropane
cis- 1 J-Dicbloropropeoe
trans- l,3-Dichloropropcne
Methylcne chloridc
1, 12J-Terachloroedanc
1,1, 1 J-Tetrachlorocdaac
Teuachloroedpne
1,1,1-Tricbioroethane
1.12-Trichloroethanc
Trichioroethene
Trichlorofluoromedranc
Trichloropropanc
Vrnyl chloride
Beozene
Toluene
Ethylbcnzar
Xyiencs, (Iotal)
Naphthalene
Decction
LiBs
2.0
2.0
Aoount
Deected:
< 2.0
<2.0
< 2.0
< 2.0
< 2.0
< 2.0
< 2.0
,)^
2.0
2.0
2.0
2.0
< 2.0
<2.0
< 2.0
<2.0
< 2.0
<2.0
<2.0
< 2.0
< 2.0
< 2.0
< 2.0
<2.0
< 2.0
2.0
2.0
)i
2.0
2.0
2.0
2.0
2-0
2.0
2.0tn
2.0
2.0
s up€ryEor
Repon Darc 524D3 2of2
T[I5 AEPOTT 15 PIROVIDED l:! R TrE EXCLUSIVE USE OP TrB ADOiTjSEIL pf,tvfltc8! op sulSEQUErr g5a op at|E !|AMS Op rHtS COMp^a.y ox. ANyySuBat oF rTs sr^FF. oR REpRoDUc?ro[ oa.rttlt ralorr tI.l cotrit8cTtolv vmt.ng .roverniavgrrr. noucnron or s-ar.e- 6l iii irooucr orpaocest oi rN co*N.crro!{ ,,mr r'" RE-ruaLlc^1ro* oFTrrE aclorr For ^rv n^rosr .'.,ren roiirii-^o'oiiliee,r-,trsi'o;;fto oNLv oo,alotalnacr. Tllls coMp^ Ny ^.afrfs No REtml{rt
<Valuc = None deecrd abovc the specificd raghod deection limir, cr a value thar lctteca a tesonablE timir duro interfecnces.
T Trace. Derccuble amourt is lolrrcr fi-n tftc plttical quandarion limit for dris compourd.
f AII compounds rre rcponcd on a dry c/cight basis.
n ASATCH EilVIRONTTEiIfAL tNC_ .
cltAlN oF ctjsiTocnr FoRil (
/ptto(p(
PROJECT NUMBER c?- /
SAMPI-=R
CERTIFICATION T G 0/3L
6*/",1v.STTE LOCATION:r)a;,ffi'Lc3t(u /u.J1
f\l\qCNF
/foujs#/
I | 5-13-?3 ltr{)5,laz I X I
a#z k6e kf0
I
I
I
Datcr/Trmc ftr: (Sisna&reib?tdzb /o:fi
DatetTrme
Bp (Signaure)
lz'.@
By Date/Trmerl/r /zcto
(Signature;Recaived BpRelinquishedDate/Trme DaterTune
R€ceiv€d Bp (SignauralDatelTime Date/Trma
\
{(
DadTrme
,slCtt
Reiinqulshed By (Signature)
Site Location:
Project Number:
Date Submitted:
Date Analyzed:
Released by:
WASATCH GEOTECHNICAL, INC.
SOIL ANALYSIS REPORT
Ken Bettridge Distributing - Main Office
1164-1
6ru93
6/3/93
Laboratory Supervisor
SAMPLE LOCATION SOIL DESCRIPTION USC
UST Excavation, East End @ 6'Passing ff200 sieve = 8.8o/oi gravelly Sand SP
Wasatch Geotechnical, lnc.

APPENDIX B
Laboratory Reporb - Confirmatory Soil Samples
Wasatch Envitonmental, Inc.
/4.
Qicnc Wasarh Environmcntai
Datc Sampled May 13, 1993
Date Received: May 17, 1993
Set Description: Fivc Solid Samplcs
Analysis Requesad:
ToaI Rccorrcrable Peuolcum
Ilydrocarbons
Lab Sample ID. Nrrnbcn
14111{1
ORGAMC ANALYSIS REPORT
Set Idcatification f, 14111
Conacc Troy Spachan
ReceivedBy: Bonallaprard
Dae Analrrzed:
May 21, 1993
Iicld Sampie ID. Numbec
Bcttridge-Main_OfEcc/386 Ncth lm WesuCedar City, tII
CSS 3lnrcstV/all @ 8'
A.
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 We$ 3600 Sourh
salt lrkc ciry, utah
84115
MethodRef. Numbec
EPA 418.1 (Exuaction
Infrared Absorption)
[phone]
Fax (80r) 263-8687
Reieased by:
Anal cal Results
IUls =
Conrpoun&
Tool Rccoverable Peuoleno llydroccbons
Total Recoverable Petroleum E drocarbons
Deacdoa
Linis
1.0
Amount
Detected:
26.
<Valuo . Nonc dctcctcd aborc dtc spcciEcd mdhod d.Ectioo li[dt c a .raluc dEr EItccs a Gasorublc limit dw
o inar&Goccs.
T Tracc. DeecEble araounr is lower dun rhc practical quaatiadon limit fm rhis compound-
1of1
tllll IEPC ta (' PtovlDE) FoR TtE 8-xcl.usryE usa oFTtB AOOI :llSE!. enlv[Ecgs OF SUBSEQUENa Usg Oprta r^rA Op aHlS C!Mp^r{y oR NyMaMaaR oP lTs sTAf?. ot REPloouc"lol{ oP TlrE rlxlal lll coNr{EclloN yrmt TlG
^ovEf,ItsEve.!,T.
ptoMoTloN oR s^!E op
^Ny
proDucr oRPiocass or u{ coNNBctloN wlTr THa nE.Puallc\llor ol Tlrr5 r6loar Foa
^Jry
purFos8 TllaN poi Ir{E oor.EssEE lrrl! A8 Ci^rfIED ONLY Ol{cloml^ct. TrlE coMP^NY
^ccgPt!
No a8st{lNstautY ExcEPf I,oRIle ouc pp.R o&v^NcE op rsspecflor
^.rD/oE ^{^r l.qr! fl\r 600I! F^rrrr ^$
Repon Darc 52aD3
ORGAMC ANALYSIS REPORT
463 West 36(n Sourh
SaIt klc City, Utah
84115
Oienc Wasarch Envirronmcntal
Pils gnmpied: May 13, 193
Duc Received: N,fay 17, 1993
Set Description: Five Solid Sampies
Analysis Reqlrested:
Totai Recoverable Peuoleum
Eydrocarbons
Set Idcndfcation fr 14111
Contacu Troy Spaclcnart
ReceivedBy: Eonallayward
Method Ref. Number:
EPA 418.1 Gxuacdon
Infrarcd Abscptioa)
Daa Anairrzed:
May 21, 1993
FieldSamDlcID. Numben
Betridgc I4iig OfEq386 NcErh 100 Wes/Cedar Ary, UI
CSS 4/South Wall @ 8'
14111
Analvtical
(80r) 263-8686
Fax [phone]
Reieascd by:
IUts =
Cornpormd:
Toal Recoverable Peroleuo llydrocuboru
Total Recoverable Petroleum H
Dcection
titrir
1.0
ns
l of 1
<Value = Nonc detcctcd abovc drc spccificd mdhod deEction liniq q. a 1alus rhrt ldlccts a rtasomblc limit duco intrfercoccs.
T Trace. Dctlcablc amount is lowrr 6aa thc psactical quaotitadon limit fc rhir compourd-
S
Repon Darc 524193
ttlMEPorf E PROVIOED FOr' 1'lE EXCt.rTSIve ul8 orrl6 ADoR r!58& irf,tvtl.Sc'ls 0F suBsaQuEltr ut8 0F rla r{A tE op rt{ts coMp^r,{y ox.
^Nyr8ulaR oF trs srlf?. ol lElloDugnor o,Jrrrs Rrroar w coNlEc?ron wmirrq
^overflsavgr?. ttouotrolr oR s^!E op aNy p'orn cr oRProcEss oR tx co*racflo( '"ltH Ttt8 Ra'Puauc^tror or rrnr rgrorr ror alri irr-ri6ss r r^t,, For r€
^DoRflssEE
wrL! 8a cRArtED oNLy o!{@t{Tnacr.nrrcoMp^rry^crcEpt!lroaE5rlNsllrulyF;(crprrorarrnnrrnr-"-i-i..","
AMERICAN
WEST
ANALYTICAL
LABORATORIES
Results
Anount
Dcected:
14.
i7 ,{,
Deection
Ligis
Amormt
3$*.$a&
463 West 3500 Sourh
Salt Lake Ciry, Utait
84115
[phone]
Fax [phone]
Released by:
ORGANIC ANALYSIS REPORT
Clienc WasarhEnvironmcntal Serldentificadon* 14111
Dare Saopied l{ay 13, 193 Contacc Trov Soackman
-
DarcRcceived: l@V t], !993 ReceivedBy: nonaHa1*arU
Set Description: Five Solid Samples
A4$s-ncqu!s4, EE$4&i4iuubc, DaeAnaivzed:ToalRecorrerablePeuoleum Ep-A41-8i(Exuacdotr CtffiIlydrocarbons InftuedAbsoption)
I+plggPlelD.Nusbs Ficld Sarnoie ID. Number:14111-03 Aetridgc @@cV386Nonh t00WesdcedarCity,UT
CSS SlEastWall@ 8'
Anal ical Results Total Recoverable Petroleum E drocarbons
Illts =
Conrooun&
Toal Rccoverable Peuoieum Ilydrocarbons 1.0 44.
<Value = Nonc dctccted abovc thc spcciEcd mdhod dcrrcdon timiq or a raluc darrcflects a Easorublc limit duco inrrfesaccs.
Trace. Dctccrablc amount is lowc( rh'n thc practical qruntitarion ffig fsr rhie 66mpou&L
Repon Darc 524D3 I of 1
Tlll3 xf.Foar E PiovlDD Fol rttB ExclusrvE us8 o? TIts ODn||5SEE lratvtLEcas oF suasEQUENT t 5g Op rHa !(.|$a op Tllts coMplNy o8 ANyraEraBER op rrs srarp. or aE?RoDucaro!{ oF -nru niporr nr cortrEcitorv rvmin o ,rovurrsevexr, ploMorrofa oR r^t,e oF A!{y prooucr orPRocE$ oa tr c!!{NEcrlor gafi ffa Rg-ruauclrlon or rus nsporr ror ,tri nrerosa nrer ror ana DDnEssEE wrrr aa cl^!flio oM.y oNcomR^qr. THrs coMpANy Acggpts No iEsrroNstctury gx(rrr rcr rrn ouc neirc-ivii.cr or rsspecroN
^lrDlol
AlrlLysrs rIr.i.,oD pamr
^.{D
AMERICAN
WEST
A}IALYTICAL
LABORATORIES
T
ORGANIC ANALYSIS REPORT
463 Wesr 3600 Soulh
Salt r atc Ciry, Urall
84115
Set Identification * 141 11
Couocc Trov Soacloan
RcceivaiBy Bonallayward
Anaiysis Reqlrested:
Total Recorerable Peuoieum
Hydrocarbons
I-ab Samole ID. Numbcr:
14111-04
MethodRef- Number:
EPA 418.1 (Exuaction
Infraed Absoption)
Daa Anaivzcd:
May 21, 1993
Field Sample ID. Numben
Beuridgc lvlai!_OFqy386 Nonh 100 Wcs/Cedar Ciry, UT
CSS 6i}.{orth Wall @ 8'
[phone]
Far [phone] Anal cal Results Total Recoverable Petroleum II bons
ruIS =
Cornoound:
Toal Recoverable Pemleum lly&ocubous
Dcection
Litris
1.0
Amount
Deccted:
<1..0
<Valuc = Nonc dctecrd above the spcciEcd mahod &cction limif cr a 'raluc t[ar rrfhcs a reasonablc limir duco iacrfcrcnces.
T Tracc. Dctcctablc amounr is lowcr rhan 6c prcdcal qrr^n666q1 limit fo tiis compound.
Relccsed by:
Repon Darc 52aD3 1of 1
I}II5 REP TT E PROVIDED P(|i, THB E'(CLUSNE UIE OF TIiB ADDRI!:ISEE IITIVILEGES OF SUBSAQT'ENT I,38 OP l]le I{AME OF TIITS COMPAI{Y OR ANYM6}llEt oP trs sr^fP. oR REPtoDucrroN oP'nls rsPorr rr coriicliox ri iidii"urnsavarr. ptollorroN or sAlJ op aly pRoDUc? orprocrjs oR rlt coNNgcrrotv \rmr rtrE 8a-pu-Euclttox or rrns raporrioe aii nirro-sr rr^rl por ttlg
^orrRassEE
wtt.L sa oRAlr.rED oNLy or{@rti^cl- rtlts coMP^NY
^ccaPrs
No Rr5FcNsla&rrv rxcsvr ror;i"- orie iiir-oiiiircr or rlrsFEcnor ai{o/oR ^r^r}<r. rr a^n ! F^.nr ^r.,n
AMERICAN
WEST
ANALYTICAL
LAEORATORIES Oicnc WasarchEnvironmcntal
Darc Sampled May 13, 1993
DucReccived: N4ay 17, 1993
SctDeseiption: Five Soiid Samplcs
AMERICAN
\\IEST
ANALYTICAL
LABORATORIES
463 Wesr 3600 Sourh
Salt l-alrE City, Utah
84115
[phone]
Fax [phone]
Reieascd bt*
Cornoound:
Tool Recoveizblc Peuoleum Hy&octbons
(^(^.
ORGAMC ANALYSIS REPORT
Oienc Wasarch Environocmal
Darc Sampied: May 13, 1993
Dare Reccived: May 17, 1993
Set Description: Five Soiid Samples
Analvsis Requested:
Total Recoverabie Pegoleuo
Hydrocarbous
Lab Sample ID. Nr:rnbcr: Fieid Samplc ID* NurqlecH111-0- Beuridge N4ain Officc/386 N6th 1m wcst/Cedr City' UT
CSS T8otomCenter@ 9
Analvtical Results Total Recoverable Petroleum II drocarbons
uts =(t
Method Ref. Number:
EPA 418.1 G*racdon
Infraed Abscrption)
Set Identificadon f, 14111
Cootacc Troy Spachoan
ReccivedBy: Elonalla;nrard
Darc Analgze&
May21,193
Deection
Litris
1.0
Amormt
<Vaftrc = Nqrc dcrectcd abovc thc spccificd mdhod &Ectiou limiq s a raluc that rclleca a tEasonablc limfu dlE
o inrrftrcoccs.
T Tracs. Derectable amormt is lowls 6atr lhc tractical quaadurion limit fc this compourd-
420.
Repon Dare 524193 l of 1
Itl5 XapoRT ls provDED fol TtE EXCLUsryE Us8 o?TtE ADOrrrStES. PXtVrrlO&l Or. SUaSEQUEI\T U58 orTllE !l^Ua OF Tlitl aIUPAI{Y Ot ANY
ME AEI op rI! SIAf?. oa TEPROOUCTTOI{ OF Ttlls REFOf,T lll CONNECTIOII vml TlE aDvGxTlsEvgNr, PioMOTloN oE 5^rl oP ^l{Y
,toln cT oR
iiocEsi oR !!t clNNgcnoN wltH rHE Rg.rusuclrlot oFTtlls rcporr por
^I{y
rutposB TltaN Fot rItE ADorcssEE wlJ- 8a ctaNrED oNLY o!{
corTRAcT. TllIS Col|lp^r{y ACCSpTS NO REsrONStalutY F.XCEPT l'OtTlrri DUS le8ftl8-lt^NcF. oF ln_sP8c'lo aND/oi ^N&YSls lr GOOD F^lTll ^\D
DDII
a;,
Clienc Wasarh Eurrironncntal
Due Saoplcd: May 1.3, 1993
Duc Rccciv€d: lvlay 17, 193
Set Description: Frve Solid Saorplcs
Analysis Rcqlrested:
Totai Rccoverabic Petoleum
Ilydrocarbons
Lab Samgle ID. Numben
1411l-Method Blank
ORGANIC ANALYSIS REPORT
4
463 Wcst 3600 South
Salt I*c City, Utail
84r15
Set Idcntification ft 14111
Conacr Troy Spacloan
Received By: Eona Ha:,ward
MethodRef. Number:
EPA 418.1 (Extraction
IntarcdAbsoption)
Iield Sample ID. Numben
Me6odBla*
Dae Anahrzed:
May 21, 1993
[phone]
Fax [phone]
Relecsed by:
Anal tical Results
Iutli =
Cornpound:
Toat Recovcrablc Peuolcum Hydrocrbons
Total Recoverable Petroleum II bons
Dccction
Litrir
1.0
Amount
Deccted:
<Valuc = Nore dercctcd above rhc specified nabod dccction linit 6 1 6[gc th't t!8ccs a rcasomblc limt &E
b i[Ertcsloc$.
T Tracc. Dctcctablc arnount is lower than thc practical qpantiation linit fc this compoutd.
<1.0
R@nDaE524B3 1of1
Tttts rE8oir t5 movDED 8OA Its gXCLUslvE USB O?TlB ADoTllliSEE. llllvltloE! OF SUESEQUEITT Usa OF TllE N^rlg O? Tllls C!MP^I{Y OA
^dYu8}.aaR op tTs sr^Fp, ot ta?toDuc,rlo{ ot T||r! REnoFr [{ coNNEcTlor{ \l,mt TtB
^ovE8fl55.vErr.
PloMqfloN or s^!E oF
^NY
Proolrd oa
procgst or tN ctrvNEctlola vrTH THa ra-at auc^Trol{ oP .rllls FriPorr For
^xY
Pt RPosg IIAN FarR TnB AoDrEssEE lvtu. aE cr^NtED oNLY otf
CONIRACL THTS COMP^!{Y CqEPTS I{O RE5IOISIaUTY EXCEPT I,oR TI la OUE PE&t Lv^Nct OP ln_srEcTlola
^I{D/Oi ^N&YSIS
lN oOoL F^llt I
^nO
AMERICAN
WEST
AI{ALYTICAL
LABORATORIES
'1{AsATcH EtsvtRonuEilrAL trcA
cltAlN oF clJsTosr FoRrt
(Ll I
(
?c
PRCJE.'I'NUMBR
SAMPlSR
ttL4-l
Sprurnr*^J
CERTIFIGATION T 4= o4BL
SITE LOCATICN: $etz,Yc
3 Ba rJ; r',r
f4*l 0#16
1oo ula-sr %uQ,,t. i"r*
El.iJ:.i:,n:€ii+ :i:+,^.:::::5:: 1:!::;i;:::.,::aF:
I8,l
fir#
Saiu I r * 4o?I {t3 ll,
arYll
I5
4s3 lo,.3L
Ot 34
Earr (*Lll
o I lo,se I
4-53 L N;.r,+ $dlAA,I p:so
7 ee4J,l lo:L
(
Date/Trmc
'!/f
($gnaturs)DatclTrrnaV,*t /0"Y5
/ 2 tr,z>/bo
Rscsiv€d BF(Signarura)
Rscsivqd(Signaonl
Raiinquished DatelTrme
Raiinquisned Bf (Signature)R*siv€d By (SignaturelDate Time DatelTime
Daa/Trmc
s/rz /rr,
[,okr
Facility .No.
CLOSIJRE INSPECTION
06l( 7C€ BLI
Date ?3
Tank only Tank/Property
State P t'q?LO Phone - 2q//
county rrao Zip gLl-tzrtLatitudeLon91tude
Cert. #
0
I nspector
T^ch6^+^'CerE ,r0
Olrner
Name:
Stree
City:c
Name :
Phone:
Er*l D
r
I.lame:Y 9Pnt
Company:lr./A ,t
Cert ified So 1 / cround water Sa
llane:oLer
5PAa*wl ^l cert.# i,-9otl)ZCompany:h,/at Tzk a\U.
Tank fnf ormat i onOriginal #Tank
of CIo ure Temporary Pertranent Change- In- ServiceSubstance stored for Change-in-service
^)/A-
- Removed Tanks / + New Tanks a = Current a)
capa c ity
Type: FRP, Steel,
Compos ite
Substanc e
Date Last Used
Date . closed
How Closed?
Sludge Renoved?
/
Mo.
7
5oo a+.
€rEet--
vlgre oru-
atQQETJT-
slpl4s
KVAA6Vey
YE1
\e,
V€'
SDzL:lEDPurged or Inerted?
Property onlytrtr
Tank Location
Certified Tank Handler
Age of Tank
Emptied?
Te[lDorar'/ C
Ne\{ or Upgraded:
Is corrosion
Facility ID No. (OUatL
Y N
Is Leak Detection System be g monitored
Protection tem maintained?
apped and secured. .
extention.
Greater than 3 months:
Are Vent lines open.
Are lines, pumps and manways
Over 12 months:
Has a site assessment been
Has the o,/o applied for anIf Yes , Expiration D
the tank been Upgraded
te:
!o new corrosion anddetection standards
Permanent Closure or Change- in- Servi c e
General:
Does O/O have an approved Closure Plan )
Has the Fire Department been notified or closure
Has Fire Department approved Close-in-place?
Were Soii and Ground Water samDles taken
2
Has Fire Dept. been notified for Change-in-service?. . .
Were product lines: Removed / Secured/Capped in plac
Site Assessment:
N/*
N/*
)
What Methodology was
80I5 mociif ied
or Sample $n'alysis?413.1 --,' other
us ed
llere Unified Soil Classification Sar.ples taken ?
Name of state certified Lab where samples were auk"r,
-Name
S tre et N L.
s.State 1p
C I tY $wr ca*E QrYPhone 2-E) -*C FL
----
--
- t"'
Was Excavation scanned with PID or FID neter?. ..._<
trIas Bureau of Solid & Hazardous waste Notified ofcontamination? . . .
was Bureau of Aj-r Quality notified of contaminatedsoil if emission from contaminant j_s to take place?
was Bureau of water pollution Control notified ofground water contamination?
of Individual who removed Product:
Eacility ID No.
Contractors :
Name
Name AA.J Company WM a,rok Epv.Street
S ta*-e
LL NrA
trfl+t+Z p
fndividual who Cleaned tank:
Name
State U ta,r+
Compan v Wt<arctS Brurr
i t-rr- -)LAILE crf/
Pho ne
k-6 City 6o.r-r-ctTl
p o Phone
Place where tank was
Name
disposed:
Com Pany
S treeE
S tate City
Z J-p Phone
Place where
Name
Pip j-ng was disposed:
Com panyStreet
S tate City
ziP Phone
Place where
Name
Product was d5-sposed:
Compan v
S treet
S tate City
zip Phone
Place where Sludge was
Name
disposed:
UO nDanv
S tate v
Z r-p Phone
Place where
Name
Contaminated SoiIs were disposed:
Conpany
ZLP Pho ne
Contaminated l.Iater was Disposed:
Company
S treet
State Citv
Place where
Name
S treet
S tate cit v
z:-p Phone
If any
p Ieas e
of the above isexplain why:
different than indicated on the Closure plan,
OFFICE
GRAVITY DRAIN
SHOP
NA GAS METER
U
U
^'
GA. USED OIt TANr
5OO CA. FUEL OIt TANK
VENTS
^A
Nf
wii;
, Y,,&i/0t
.f I
I
J..t\
\
s
4e
'''*''t;\*t)a,
Y
t
0 05\)rtq r0t lrll {tfl
,P-"n
CAR WASH
L.; i;,y t;'J- .! /1, qca,^/1>\
L"EGEND
l' Soll rarnplo locrtlon ETEXN EPA 0020 modtfh4 Tpll tO15 modflod
U t nlflcd rol dsrlflcrtlon
E 5oll rernplc locetlon TPH EPA COl5 modftcd ild BTEXN EpA tO2O
I
N
I
,oo
At?loxrArATE tcflr uu
p
FIGURE 1: SITE MAP, BETTRIDGE PHILIIPS
q ft, j"Uy rar^/"r ,{ fh- fqr*r. Trfr+r,.A f" ,1"{*n)^- (yL-,( 6r\ .lzmi^o(in-,^
MA.y Wl 'Oovvt trfu. _
d /t/, "'l h" t- lr/ aftrdr, ," /.- a-?a /^/ S*.. r/o (",6/.a^c/ Lf 7rT /a,/^a^luar^L4 €nc/irda.
1m,tx cn^{a^i*loh-
-/-L.Ol\lltL;htlt l6T1
2 Pou,
rll/
{o
Ei301 EA5 3?8
i 3:i"*0.'ot'J", ,.A- No tnsurance Coveraoe Provrded
.nDsMr I). not rrse lor lnlernalronal Marl*"**' (s"" qsr6'se1 GKA/mw
ood,(o
E
o-
KEN BUTTRIDGE
385 N 100 W
"tt'rififl"dibY ur lqtzo
+6000015 $
Rosriicred Delrvery Fee
Beturn Aoceid Showms
ro whom & oale DelNs.ed
FeMn Aece'pr Showr.g lo Whom
Dale, and Add.e3se's address
s
-SENDEfl:. Completo itsnrs 1 and/or ? rn,. Complote items 3, and 4, r, i. Print !oL.r name and a4dre.ri (
r€tvrn this cad ro you.
. Attach rhis form ro the r.(tr i ,
I elso wish to r€coive'
following servicos (for sn
foe):fom 30 that w€ can
n, on ths b8ck il spac6 1. n Addr6ssee'6 Addr66s
Consult master for fee
)elowlhs anicle numbor 2. ! Restrictod D6livory
I
3, Article Addres$ed i r):
KEN BETTRIDGErEN BETTP.IDGE DISTRIBUTING INC
386 N 100 w
CED\R CTTY UT E4120
6. Signature iAgentl
FSF;;T8J-l; No"enil*;
4b. Sorvic€ TvDe
D B/sietered
,' ! tnsured
C.,nilied ! coD
4a. Article Nllmber
P 301 585 323
n Exprees Mail n
8. Addressoe's Ad
ond foe is paidl
h.E
7. Dats oI Dolivsry
I r,,(l 1so1-287{66 DOMESTIC RETURN
for
14 /1 ,,gr,tuyL &sffida/..b. Sr0naiurMA(l(lrer.:c A
1
State *f litai:
May 15, 1993
T IL E COPY
A
Michael O. l-eavitt
Govmot
Dianne R. Nielson, Ph.D.
Exrcutive Diretor
Kent P. Gray
Dir4tor
DEPARTMENT OF ENTVIRONMENTAL QUALITY
DIVISION OF EI{VIRONMENTAL RESPONSE AND REMEDIATION
150 North 1950 West 2nd Floor
Salt llke City, Utah 84116
(801) 5364100
[phone] Fax
[phone] T.D.D.
ERRU-0221-93
CERTIFIED MAIL
RETTIRN RECEIPT REOUESTED
Ken Betridge
Ken Bettridge Distributing, Inc.
386 North 100 Wesr
Cedar City, Utah 84720
sln(es ce& {v-- (cr^ &W+
Aatdo;/ tarlL \aghu^ rcw)eQ
G, w,tl 6^ "frq ). WOHrr
N(,;\
/a^1, i" shd/*l -sa,l.,'*J
RE: FACILITY ID #600001 6 kAil. (,bu,W Wb. yuWp,y. V
?tl-r,Y or, yl,q {u*J ,
Dear Mr. Bettridge:
The Utah Underground Storage Tank Act (Act), regulates undergrcund storage tarks (UST) and imposes
certain obligations on the owner or operator of a facility having underground tanks. The Act specifically
requires the owner or operator of a facility, with underground petroleum storage tanks, to meet the
fol lowing requirements :
Register the USTs
Pay an annual registration fee
Pay an arurual Petroleum Storage Tank (pST) Fund fee
Meet specific technical and performance standards
Meet certain financial responsibility requirements
Maintain adequate tank records
Participate in the PST Fund
Precision test the tank and lines as a requirement to participate in the pST Fund
The Division of Environmental Response and Remediation (DERR) records indicate you own or operate
two USTs located at 386 North 100 West, Cedar City, Utah
Information provided to the DERR indicates your facility is not in compliance with the following
requirements:
1. The DERR has not received any documentation to establish that these USTs have been properly
closed.
Printed on recycled paper
;
:,
AUTHOR'S NAME
DATE SUBMITTED:
SECRETARY
AUTHOR
SECTION MANAGER
BRANCH MANAGER
DIVISION SECRETARY
AUTHOR
SECTION MANAGER
BRANCH MANAGER
ASSIGNMENT SIGN.OFF SHEET
,rt 414=.
CORRESPONDENCE #:
0J2/ - 7J
/-t
i vn-, e,t ")
C-/ [
DIVISION SECRETARY
-r?
MAILED OUT. DATE AND INITIAI:
DRAFT APPROVAL. DATE AND INITIAL:
FINAL APPROVAL - DATE AND INITIAL:
1 A
Facility ID 6000016
Page 2
2. The DERR has not received a copy of a precision tank tighfiress tesr as required to qualify for t]re
PST Fund.
The DERR has not received an application for the PST Fund or issued a Certificate of Compliance
to Ken Benridge Distributing Inc.. for the tarks at the facility identified above.
In order to satisfy the requirements of the Act you must do the following:
l. Submit an updated notification form indicating: tr) the rype of piping (pressure, suction or gravity)
on both tarks, 2) the form of leak detection that will be used on both tanks, and, 3) that
automatic line leak detectors have been installed on all pressurized lines (if any) and one other
form of leak detection is in place on all pressurized lines.
Submit a complete copy of a precision tark tighnress test for tanks #l and #2.
Submit an application for the PST Fund and obtain a Certificate of Compliance for the faciliry
identified above, containing tanks #1 and #2.
The Act gives the Executive Secretary (UST) of the Utah Solid and Hazardous Waste Control Board
(Board) the power to enforce rules made by the Board by issuing Notices of Agency Action or Orders.
The Act, Utah Code Arm., Sections 19-6-407 and 19-6408, also gives the Executive Secretary QST) the
power to assess a civil penalty of $1,000 if an owner or operator of an UST fails to register the tark.
$1,000 for failure to pay fees within 60 days of due date, and assess interest on the unpaid balance. Other
violations of the Act may result in civil penalties of up to $10,000 per day.
This letter will advise you that your failure to compty with the requirements of the statutes and rules may
result in the issuance of a Notice of Agency Action or Order and the assessment of a civil penalty.
Please contact Gary Astin at [phone], should you have any questions.
Sincerely,
P. Gray,Secretary (UST)
Solid and Hazardous Waste Control Board
KPG/GKA/mw
William J. Coffrnan, M.S.P.H.,E.H.S., R.S.. Director, Southwest Utah District Health Departrnent
Wayne Thomas, DEQ, District Engineer
3.
2.
3.
cc:
Dt-
toRelrly
1
Utah
Health Departnent
April 20, 1993
Ken Bettridge Dist.P. O. Box 338
386 N. 100 Id.
Cedar City, Utah 8U72O
354 Fast 6fl) South Suite 30 1. ST. CEORCE UTAH 84770
(Health Clinic) 550 East 600 South. ST. GEORCE. UTA|I 84770
25 SouthMdn HURRICANE, UTAH 847J2
88 F.ct Fiddlers Canyon Ro.rd. CEDAR CITY. LrTAH 84720
245 South 200 F.ast. KANAB. UTAI-I 84241
P.O. Box 574. 609 North Main. PANCUITCH. UTAH 84259lSSWest 100 North, P.O. Box t4. ESCAT"ANTE:UTAH E4726
P.O. Box C. 580 E&st I 00 North. BEAVER. Lrl'AH 847 t5
P.O. Box 51. HILDALE. UTAH 84284
ntrrl
E
D
Dn
Dtr
644-2537
676{800
82&4397
43&2482
E74-2469
(80t
l80r
lsor
iao r
laor
lao r
{Bo r
(80 r
(80t)
tl lt
Ittl
67ffi528
67p.t79
6354458
5E6.2457
UTAH DEPAHTHEruT OF
ENVIBOI,I h4 HNTA L QUAI.ITY
APR23 tes3 *
DIV. OF ENVIHOI.IT.lENTAL
RESPON,ST A Nii er a,4[DrATlo]r
Closure Plan Approval for
Underground Storage Tanks at
Ken Bettridge Dist. llain Office
386 North 100 t{est
Cedar City, Utah 84720Facility ID *6000016Dear Owner,/Operator:
The Closure PIan for the above-refereneed facility, received bythe southwest utah Pubric Health Department on u-g-93 has beenapproved subject to the noted modifieations, if any. Thisdepartment and the local fire department must be notifLed ?Zhours before beginning closure activities. The Southwest UtahPubric Health Department charges a $250 permit fee per site upto for:r tanks, and $50 for ever1r tank over four tarrks.
Our records indicate that your proposed soil,/groundwatersampler's certification expires within 6 months. Please ensurethat your certified soil/groundwater sampler has a validcertificate during closure activities.
Any proposed change to the approved Closure Plan must besubmitted in writing and approved by our office beforeimplementation. rf contamination is suspected or found duringclosure activites, you must report it to the Division ofEnvironmental Response and Remediation (DERR) at (801) 536-tr1OOwithin 24 hours of discovery.
Enclosed is a copy of the "closure Notice'r form which must becompleted and submitted to the Executive Secretary (UST). Theclosed tank records rsill then be removed from the tank feebilling lists. Please submit the environmental and Unified SoilClassification (USC) sample analysis data and Chain of Custody
forms with the Closure Notice as soon as possible, but no laterthan 9O days after tank elosure.
Re
Paee 2
If you have any questions, please contact Jer:i'!z Jorgenson at 586-
2tt37 .
Sincerely,
William K. Dawson, R. S.
Encironmental Health Director,/SWUPIID
trllO,zJJ,/md
Enclosure
cc:Division of Environmental Response and Remediation
llalme Thomas(Local Fire Department )
( Consultant, etc, )
UNDEHGEOUN D STOHAGE TANK CLOSU RE PLAN
lDae Recerved
evrewer/Date Revrewed
evrewer Recommendation
iDale LHD A pDroved
Care maxed to Stare
Closure Plan preDared al tne reque$ of the owner/operaor (ide ilied below)Terry De11ar
oi (comoany name) I{asatch Elvironmental, Inc.phone # [phone]
Acioress 1 trlest Calif Ave.. Ste B
('ev. ozlsls2) FAcrury D# (lilln.ntl
ii
City Salt Lake Ci ty Stare_U!_ Zp 84104
A Comraaor may preDare this Closure Plan as the owne7operator's a-oenl ln preparing the Closure plan, the Contraaor
musi act wrth the owner/operatofs knowiedge and aoDroval, The owner/operator musit sign the Closure plan.
inis closure Plan is submined in compiiance with tne reouiremems contained in 8311-202 subpan G and 8311.204
Site Name Ken Bettridse Dist. Main fice
fNLY
)
)3
e Revrewed
HM BeviewDae
ate Receved
Mailed ro LHD
Received From LHD
Recommenoation
Totai numoer ol underground tanks at this slte to be closed
Tank # 1
Aoe of tank
Caoacry m Fd.
Subs. $ored' used oj-I
UTAH DEPARIMEI.IT OF
Et'lvtRONil?SNi L oUAatTy
RqSPoNSE ANgEE:iEptAfl ou
StarelE_ Zp 84720
Phone 586-24tL
1
DaIe last used
' lndicde the speciric sub$ance $ored in the Emks ro De closed (regular. unteaded. dieset, wasle oil, etc.)
For waste oil tanks: Have degreasing or other types of solvems been $ored or mixed wlth the waste oil?
No Not knownYes (icje ity if known)
!'aE.ry\adml ba @!11'2
Tank Owner Ken Bettridqe Dist. phone # (901 ) 596-2411
i I d5a (incjiviouai dohg business as) i j sote proonerorsnip [ ] pannersnip (.oror.oon /166sgss Box 338 386 Norrh 100 l{esr City Cedar City Sta-e UT Zip__g@g__
SITE INFORMATION
,i661ss5 386 North 100 West Cedar City
Contaci peGon Ken Bettridge
Total number of underground tanks a thts ste 1
-.ANKS TO BE CLOSED
, -n1lgg3
TANK HANDLEH/REMOVER Name oen.#@-
Adoress 2251 I{est California Ave., SEe B Cn-v salr Lake ciry 84104Lt9
SOIL/GBOUNDWATEB SAMP LER Name Tom Gavigan Cen. # Gs0439
84104;a661sse 2251 tr{est California Ave.,SteB Ort-v Salt Lake City Stare uT zip
Dixie DisposalTank(s) will be disposed at: Faciliry
96src55 1985 East 2300 South City St. Geor State Ur Zi
Conta person Ed Bundv Phone#(B0l\ 673-4279
Proouq lines will either be: :L removed or _ secured in place and capped.
Vent lines will either be: _l removed or _ secured open.
Picing will be disposed a:: Farilrr-v Dixie Disposal
Address 1985 East 2300 South CiN St. Geor
Comaa De:'son Ed Bundy Phone #r 801
StateIIT Zp-.
t 673-4a279
tr{asatch krvirorunental, Inc.Tankfs) will be emplied by:
Tank(s) will be cieaned by:Wasatch Envirorunental, fnc.
Tank(s) will either be: _ Durged or :L renoered inen by the loltowing method:
Dry ice method
(comparry)
(comparry)
Residual sludges will be disposed a the tollowing tacitity:E.T. Techno 1o g1e
Aooress 6030 West 1300 Sourh I,lest Val1ey City
S
State IIT Zp 84TL9
Contaa person Cindy Anderbers Phone # | 801 973-2065
THE FOLLOWING M ATERIALS MUST BE DISPOSED AT AN AC BLE FACIUTY
All mlterirE Ecnctdcd lrom UST clo3urca ,nust bc mlnlgcd end dispoecd ln a msnncr thd dos3 not phcc tho3c
]nateriels in dirrct cor act wlth thc environmenl lt aerltlon of contaminded soll ls proposrd, prior lpprovll wlll br
required by the 5(ccutivc Sccraary a8 p.rl of the Concctlvc Astlon Plan rcguirlmcnta. On.rn! stockplllng ot
contlminslad solls may bc teguirrd Prior to rny soil mlnrgemcfi .s{lvl{ss. Check box below lf ser.$on is planned.
An altctnate disPoaal taclllty must be idct m6d in the.vGnt thrt dlspoeal rsther th.n.rraton is undcnsken. lt 3oll
is aerated, any neccaaary PGrmlts mual be obt.ined |rom thc Division of Alr ousltty at [phone].
I I lf iound, contaminared soil will be aerated.
Coniaminared soils are to De oisDosed a the lollown-o tacilry:E.T. Technologies
Aocress 6030 West 1300 South Ciw West Va11ey City zipState III 84LL9
Conia3,l Derson Cindv Anderbere Phone# ( 8Ol- \ 973-2065
conramtnared water is to be disDoseo the loltowtng iacihty E.T. Technologies
466ygss 6030 West 1300 South West Val1ey City srare E ao
Coniad Derson Cindy Anderberg
Cit-v
Phone # (801 I973-2065
84119
7
DISPOSAL INFORMATION
Stare u
li the iank(s) are to be ctosed in-ptace. aDprovat mu$ be obralned irom the Local Fire Depanmem.
Dae aoproval grafied _ Coniaa
For Closure in-place: Sub$ance to be used to fill tanks
SCNT.iCT LCCAL HEALTH DISTHICT Name of Dtsi. Sortthr.ro<t Hanlth Dist, Date
3onaa-. Jerrlr C,eorgenson 1 Titte Ervironnental Health APhone *5 2t+37
C9NTACi LCCAL FIRE DEPT
3oniaa Dave Bently-
!'{ame of DeDt.Cedar City
Title Chief Phone # 5
SITE ASS=SSMENT
A site sssesament must be oerlormed lor atl UST closures and change-in-service. She assessments must bc
oertormed as outlined ln 8311.2A2Pafl280.72 and 8311.205 (U.A.C.). lf contamination is susoected. addltlontl
samDles musl be collested Ei the io contaminatlon is most likctv to De Drescnt. Soil and Grounowlter
samptes must be ana[zed lor tne eompounos snown in the tlblc below, usrng thc appropriste l8b method.
indicate the number of samples to be anallzed by each method:
Gasoline (TPH and BTEX|: _ Soil
-
Water Diesel (IPH and BTE(N):
-
Soil
-
Water
Oll or Used Oll (O&G or TRH and BTilNI: 2 Soil
-
Water
other:_NumoerolsamotesAnalvsismemodtobeused|
Aporoximate oe9th to -orounowaer in me vicintry of the ranks: (or Feer
Numoer oi Unified Soii Classiiisatrcn (USC) samoles to De takeni-
S:,are Cenified l-aooratory to De used: Amerlcan ![est Analytical Laboratorv
Aooress 463 West 3600 South Sel!_l,ake Crty Stare-[ Zip -/-
Sontaq pe!'son Jotur Yaqamoto Phone # I 801 '\ 263-8685
CONTAMINATION INFOBMANON
ll con:amination is oetected or susoeaed, based on the site assessmenl the intormaion musi be reponed to the
Sxeornrve Secretary PSI e [phone] wilhin 24 hours. The Division of Water Oualrtv mu$ De notilied at (801) 53&
6146ifcontaminaedgrounoraerorsurtacewaeristound.tlcortaminaionisconfirmed.a@
consultant should assisi in the remeciianon Process"
ln the evem tha contaminadon is tound, the erwironmemal consuham will be:
Comoanv Wasatch Inc.
looress ON Salt Lake City Srare_[ Zio 84104
Coniaa Derson Terry Dellar phone; 1 801 1972-8400
I certlf-v under penalty of law that I am the owner/oDerstor of the taciltty relerenced above and that I am famllier with
the intormatlon on this torm ano that tt is true, accurate and complete. and further, that the procedurcs descrlbed
SUBSTANC=
D J \JFI=U
M=THODS TC B= USED
GBOUNDWAT=B
CCMPCUNDS I
sorL
ioul Psuorrum rworoceroonr ITPH)
Bcnzcnc, Torurne. E:rrvtortuanc. Xvlcncr (BTD0
80:5 Modilicd
EPA EOAO
EO:5 Moditiod
EPA 6& ot 62{
Gasonno
?oul Pcrorrun rrvoroceroons (TPH)
Bcrurno. Toiurnc. E:,wtoorucnc. Xvlonor. N.gilh.Ln IBTE(N)
3O:5 Mosifa.6
EPA E@
E0'!5 mooilioo
EPA 6@ or 6?.
Drescl
I
ull
Usco Oil
Cii sno Gr;r* rO&Gi or Torel RosorronDp nvorocroons (TBHI
Bcnzcnc. T oruene. 3:twtocrusnc. Xvpncg. NlDtrtntlcnc IBT=KM
EPA 413.1 or 418.1
=PA
8m0
I =pr
elg.r or 418.'l
I
=PA
602 or 621
ADgrgDnarG 3PA mernoc 8s rDDtovoo ov tnc Excculo Sccrctll
herern will be lollowed during
Date 3- 'd ls
Date
Ciner I
Title
SITE PI-AT r\.
The sne plat mu$ show all builcjings.. 'lls. lines. disoensers. unoerground u )s, proposed sarnpling localons anedepths. substances stored in ranxs. dlru orner tmponant ,ealures.
Facility or Location lD No
-
Building, erc. outlines
Tank & Line outlines
Creeks, Rivers
-s-s-s- = Sewer
€€'9'= Gas
DateDrawn
NOBTH t
1. lndicate sannole locations, depths and sample type (soil, groundwater, unified soil classilication)2. lnclicate tElnk number thal conesoonds with informatron given on page one ot the closure plan.
F - ^ -,. ,-o "^"0 = Monitoring Wels (MW-#,) '-"-ii AnF ! i 1:i3
X = Sample Locaions (SS-#, WS-#,)
[ ] = Waer Weils (domestic. tivesock etc.)
-pp-p. = Power .t-t-t. = Teleohone
-w-w-w- = Water -d-d-d- = Frencn Drains
Kev:
Lines:
a r\
FENCE
5OO GA. USED OIt TANK
LEGEND
^l, Soll unple locetlon TRPH EPA 4lE.l and ETEXN EPA EO20 end
helogenated orgenlc compounds EPA EO|O
U Unlfled soll clarlflcetlon
l,
U
FrIIc,
tn
jnr
3
oo STORAGE
GARAGE
A??ROXIMATE SCALE (ft.)
5
/
I
N
I
o
FIGURE 1: SITE MAP, STORAGE GARAGE
Ym lt5/Fl
t0 20