DERR-2024-006296

\
To:
From:
Date:
Subject:
MEMORANDUM
File
Gary Astin
January 10,2001
Facility 1000789, Salem City Library
Two abandoned USTs were found at this facility, during construction for a new library. They were last
used in the 1940's or 50's. Both tanks were removed in July 2000. The closure inspection and closure
notice report that neither tank had any product or sludge. Based on the date of last use and the lack of
product or other hydrocarbons in the tanks at closure, these tanks should be considered as pre-1974
tanks with no fees due on them.
memo.frm
UNDERGRoUND SToRAGE TANK PERMANENT CLOSURE NOTICE (Revised 01/01/97)
Facility lO #t0 //7
Closure Notice p
ol (company name
Address
FACIL]TY INFORMATION
r4
at request of the owner/operator (identified below) by
Phone #
City /rzz,l State dvptrla
Tank Owner Phone # ( )
[ ] sole proprietorship [ ] partnership I I coporation
I State_ Zp_
Facility
Address.
,<
fr r. r/l fs e ,r1 State
Contacl person
Number of regulated tanks at the ,acility betore closure:_
Number of regulated tanks at the {acility afler closure:_
TANKS CLOSED
' lodicate $q sp€s'fic qtstance sloled h s8cfi tank to b€ dos€d (regdar, unlead€d, desd, xasr6 oit, etc.)
Name t/E
Address
*rRd/r3 exp.aate/rfufu2
Phone * (W\lZ /.t'
State a
cen # GS d6? exp. aateftllfut
Phone # (*/t ) zf 6f1l '
Phone # ( )
I
LUST Status ) *vee,,-
Samples to LUST Review {3t 0o
4 7l oo
Samp les in LUST File #
00
State Use On
LHD
Date Processed
Date Mailed to
/ZTank #I ui 1.
/?zti /y2a;Date lnstalled
LI\ VIhUi IMtN IAL RTSFC
FNTFP
\SE & REMEDIA:j')loil i
Capac$/drd {d)---t I
qGtrSubstance stored I 2000 i
Date last operated 0;{d I
I
r/n/at tZez;zDate closed BY
How closed
(Removed/ln place)qtnZaz /r?q,aa
IIII -
I
I
II
Address
Name
ld
State D ?//zt'
Gtr !I
1
was removed
Method Used:
I6"nt *",( lb E/a
cleaned-
Location of Closure Records
For ln-Place Closure: lanks filled
ls any cor aminated soil whicfi was over-excavated still on-site? _ Yes No Nol applicable
Was Free Product encountered during closure activities? _ lf yes, please indicate thickness, _lnches
STTE ASSESSMENT
Complete the Facility Site Plat (Closure Notice) and Sample lnformation Table (Closure Notice) on pages 3 and 4 to show the
locations, depths, and olher information on all soiygroundwater samples taken for closure. The samples must be consistently
identified by sample lD # on the site plat, table, and lab analysis reporl.r
P<r''4
ffi
Completed Facility Site Plat (Closure Notice) is attached.
The tollowing must be included (er er the distance, and direction (N,S,E,W) tmm the area of contaminalion or, where applicable,
use OH tor overhead, NP ,or not present):
_waGr LlrE
-Sewer
Une
-
t'latrral Gas
-
Storm Drain _Telephone _ Elec{rical
-
Prcperly Lhe
-
Suldings
Completed Sample lnformation Table (Closure Notice) is attached.
Certified lab analytical environmenial sample resutts are attached.
Unified Soil Classification (USC) sample resutts are attached.
Chain of Cuslody form is attached.
Sampleswer€prcperlp P4frllected If{tabeted FtrPacl<aged .f{Tnnsported
P#Samples were in sight of the person in custody at all times or in a sec{red locked place.
t certify under p6n lty o, law that the c{osure slte assessnrent at this facility was conducted ln accordance wift R311-
m (EE/fis z8o^n and 280.2) and R:!11'zL5 U.AC. and that any additional samples requir€d by R31I-2OZ! parts 28052
and 280.72 and R311-20S2(aX1) were properly collocGd.
Signature ot Certilied Groundwater/Soil Sampler
Full name of Certified Sampler Oate
It contamination at the lacility is confirmed, any person providing remedial assistance for a fee must be a Certified UST
Consultant. The Certilied UST Consuttant providing assistance is:
CERTIFIED UST CONSULTANT Name /t/r Cert.#cc Exp. date-
ne#(Compa
Phone #Date AmountLocation Name Contact Name ,z//ffurt lank# /Tank(s)tr/a dZ.t .&aris;/t
,t/aze galProduct From Tank(s)
galContaminated Water From Tank Cleaning ltze
Sludge ,t/tzrz gal
Contaminaled Water From Excavation gal/azta
yd'contaminated &il Mre
IIIrI
Address C
2
Pho
Slate-
For Change-ln-Service: Substance to be stored
DISPOSAL S]TES USED:
FACILTry SITE PLAT (CLOSURE NOTICE)
The sile plat musl be drawn to an approprialo identilied scale. lt must show actual sanT ing locations, substances itored in lanks, and
other relevant information. Tank and sample identiriation numbors must be consistsnt with the inlonnation given on p. I and 4 ol the
closure notice
Facility lo#Drawn Dale
1l Scale: 1" =Feet
NORTH
See- a++athqoL,
St Plrt lru.t hdlc.t &tl.lLoc.doo. Ol:/ Currnr & torficr t lke. fjtrng e di!p63r6, Excava0o.rs, GW n€iito.ilg vtdb a 3o0 Aodgilar/ l-ocatirn & daph or al larpLs takan
./ Buildio$. lo,r6s, & p.Dparty borrida.is
./ Uliliv c.nduils (ac*c,!. gas, wat.( stolrll
dr.i.s. alectricat etc.)
v Oeplh ro goun6raler (il .ncount.Gd)
3
X = Sanpl6loca{oos (SS-r. ws-t, USC-,)
a . Lionnoring W6[s (MW-r,)
O. Soil borirg (Se). or Geo9rcbe Boring (GP-r)
a r Water wefls (do.ncnic, livenock. etc.)
Slogo ol Surlace Topographyr (N, NW. W. SW, S, SE. E, NE)
land Use Al S.le:
-Resid€ntial - Comme.cial _ lndustdal
SurEondang Land:
-Resrdcnlial
_ Commerch! _ lndushal
Complete table tor all samples that wer€ taken for closur€. Sample tD numbo,r on the table mu3t bo consbtont with
the sample lD numbers given on the eite plat and in the lab analysis report
r Soll (SS), Goundurater (GW), or Unifr€d Soit Ctassifcation (USC).
2 Fhal depth (in ,est) b€low grade at whidr samptes were taken-3 Contaminant compound(s) analyzed br oach samde ffpH. BTE)(N, O&G, etc).4 App@priate anat!6is methods lor conlaminant comf,o in 5 mod., E020,413.1, etc)
State Certified Laboratory used fl,^. /*^
€ach sampls (801
A/-/,4a.r-2../."/)
Sample #/Lab lD Substance
stored in
tank
Sample
type'
Depthz Compoundsr Analysis method(s)'
7Otr ,f,/2.716g?W/i-"za/ez2
t6z 6dr -
f U'/7,'T#6/eyz rr'/6Za/ tu#
I-
r
crry &.scz/ fr.4a$f h'p E ldr' z-
Contact person Pnone*tfy'A fr-J /2/2
Please oelain any or extenuating circumstances encountered during the site assessment or dosure:
I ctrtify under penatty ol law that I am the Owner of the tank(s) described above and that I am famitiar with the
inlormation on this torm and that it is true, accurate and clmplete and further, that the procrdures described herein
were followed during tank closure.
Signature ol UST Owner
Full name of Owner Date
Retum completed Closure Notice form, Facility Site Plat and Sample lnformation Table, Soiycroundwater sample lab analysis
results, USC sample resutts, and Chain ot Custody lorm whhin 90 days ol UST Closure to:
State ol Utah Oept. of Environmental Qualiw
Division of Environmental Response and Remediation UST Section
P.O. Box 1411840
'168 North 1950 West
Salt Lake City, Utah 841 l4-4840
4
€,2
I
c<-
FACILTTY SITE PI.AT (CLOSURE PLA. ,
The site plat must be drawn to an appropriate identified scale. lt must show planned sampling locations, substances stored
in tanks, and other relevant information. Tank and sample identification numbers must be consistent with the information given
on p. 1 and 5 of the Closure Plan.
Facility lD #_ Drawn Dave Johnson Date 7 /t3 /OO
q,- \
cFFsr
*
R
I\A
\\
S
\
h
1I
NORTH
E\
E_ -y
=l?.F
Scale: 1" =Feet
\N
R
\.{a(\
R
\\
s-.\
\
S(
C.
F
R
I
(>s
$
\
)
u\n
s
T
X = Sample locations (SS-#, WS-#, USC+)
e = Monitoring Wells (MW-#,)
O = Soil boring (SB-#), or Geoprobe Boring (GP-#)
a = Water Wells (domestic, livestock, etc.)
Slope of Surface Topography: (N,NW,W,SW,S,SE,E,NE)
Land Use At Site: _Residential _Commercial _lndustrial
Surrounding Land: _Residential _Commercial _lndustrial
Site Plat Must lndicate Approximate Locations Of:y' Currenl & former tanks, piping & dispensers
r/ Location of all samples to be taken
rz Buildings, fences, & property boundaries
l/ Utility conduits (sewers, gas, water, storm drains,
electrical, etc.)
4
t
RICHARDS INDUSTRIAL
MICROBIOLOGY LABORATORY, INC.?J6
55 East Center St. r Pleasant Groye. UT 84062r (8001453-12lOr l80l I 785-2500 r SLC: 18011355-5579
CHAIN OF CUSTODY REPORT
cusroME* "*%r c/>
"*r*fflz /, ://.A4izZ/t-fui4
SAMPLE
NT,,MBER.DATE TIME
c
o
M
P
G
R.
A
B
ff/ajr'
I-oCATION
> NUMBEN.
OF
OONTAINERS
N
\$
r1q
\
N.f,
R.EMAN,XS
ff{V/%, //-Utr /v x ,X {ffl ,%/a/ 7
////1/.Z L A//,/.o//zz/ 7
a-f 7 ilful // lJ //3'////4 x I 'V//f,zr.u t
lt /t 4?(f/6zz/'ra*/vllV
/t /7 v
SAMPLES RELTTNQUISHED BY:parE TIME SAMPLES RECENED BY:DATE TIME R.EASON FORTRANSFER,
ictu)1l4oo '/<-) u
)
)
ll'7rtfr
//;
RICHARDS \-,
INDUSTRIAL
MICROBIOLOGY LABORATORY, INC.
PETRO ENVIRO
P.O.8OX51365
PROVO, UT 84605
SAMPLE SITE: Salem City Sampler: Steve Lynos
Phone: [phone]
Received
Fax:
Iesf Resu/fs MRL Method
7nu00
40c
TimeLabTechs lest
AWAL Unlfled soll class.
801 s-8020
'See Attached Repod
Sample Date:
Prcparation
Anatysis
Completed
Lab Techs
AWAL
Iesf
BTEXN/TPH
Iesf Resu/fs MRL Method Sample Date:
Preparation
Analysis
Time
'See Attached Repon
8015{020
Lab Techs
AWAL
8015-8020
Iesf
BTEXN/TPH
Iesf Resu/fs
4rc
MRL Method Sample Date:
Prcparation
Analysis
Completed
,4,2'Z*
Byron Thomas, Lead Chemist
Richards lndustrial Microbiology Laboratory, lnc.
Time
'See Attached Report
Page I of I
55 East Cantor St. Pleasant Grove UT 84062 (800) 453-1 21 0 (801 ) 785-2500 SLC (801 ) 355-5579
E-mail [e-mail] Website www. inconnec{.com/-rimlab
Date Report Printed Thursday, August0i,2000
$dnple lD'
</ 205;1RICHARDS
INDUSTRIAL
MICROBIOLOGY LABORATORY, INC.
55 EaEt Conter SL Pbalant Grovs UT 8/t062 (8Oo) 4591210 (8Ol) 785-25m SLC (801035
E{all ltrhb@lnconn€ai.Gom Website rr$w' lnconnaci'comFrlmlab
Chain of Custody Report Subcontractors
Customer Name: Richards lndustrial Microbiology Laboratory' lnc
American West Analytical Laboratories
Sample lD
2643.10885
Type:: Grab
2653.10992
Type:: Grab
2655.10997
Type:: Grab
2656.il004
Type:: Grab
2557.',11011
Type:: Grab
Data and fime Sempled Sour6
OZI?r2O0O i0:OO;OO AM THE DANNON COMPANY Jones spring
# ot Contain€rs: 2 Note:
O7r2@OOO 1O:35:OO AM OREM CITY WATER RECLAI'ATION
* ofcontalng6: 1 Note
o7l19r2ooo 11:08:OO AM PETRO EWRO l0'South
* oI Containers: 2 Note: 8015{020
O7I19/2OOO 11:t5:00 AM PETRO ENVIRO 12 3" Middb
#ofcontaine6;3 Nole:8015-8020
o72O2OOO t0:52:00 AM Flying J Effluent
# of Containers: I Note:
Teslr Requested
TOC
Ammonia
Unilied Soil Class. BTEXN/IPH
BTEXN/TPH
Phenols
)
PIPE
2656.11005 0Z2Ol2OoO 10:54:00 AM Flying J Efiluent
# ofcontaineB: I Note:
Sultute
Type:: Grab
2656.11006 O72Or2OO0 1O:55;m AM Flying J Efiluent Sulfide
Type:: grab #olcontalnets:1 Note:
SoUTH DAVIS CO. SEWER IMPRoVEMENT Ssmpllng Manhols Cyanide
Note
mples Relinquished bY:Date Time Samples Received BY:Date Time Reason for Transfet
-l-'Ltao o\@ Transpo(
/-<)
)
Page 1 of 1
26ss.10998
Type:: Grab
0711912000 3:00:00 PM
# of Containers: I
It
WORKORDERSummaT
Client ID: Rlcloo
Project:
Commcnts: PA Rush
2l-Jul-00
Work Order L42051
QC l*vel:
\orfr
Srmplc ID Clicnt Semplc lD Collcction DstG Drtc Received Drte Du?Mrtrit Tcst Codc Storrgc
L4205l4lA
L4205142r'.
L4205 r -03A
L42051{38
2655. I 0998/Pctro Enviro
2656.11005/Flying J
2656.1 1006/Flying,
2657.1 l0l Usouth DavisC?/l9l00
W
TOC-W
NH3-W
P.MBTVT?H.S
BTX.PREP
mH-s
usc
P.MBDUTPH.W
Bfi-PREP-W
TPH.W
PHENOLS.W
Phcnols_Prcp
s04-w
s2-w
CN-T_Prcp
CN.TW
7m100 6l/l/00
8nl00
Sntoo
8/t/00
8/t/00
8nt00
8/l /00
8/l/00
8/l/00
8/t/00
8/l/00
E^n0
Elv00
8/l/00
8/l/00
Watcr
Solids
Watcr
july 2l
july 2l
PurgcFridgc
ba
bb(
bo(
PurgcFridgc
bs(
bb(
july 2l
july 2l
july 2l
july 2l
july 2l
july 2l
2
I
(
L42051-04A
L42051-048
2
I
L42051-05A
L42051-06A
L4205t-0't A
I/205r-08A
(
Page 1 of 1
American West Analytical Labs
*
2643.10885/Thc Dannor C7 ll7 lO0
2653. I 0992/Orun City W a'l 120100
2655.10997Peto Enviro 7/19/00
2656.11oo4/TlyingJ 7t20t00
A
Analysis Requested: USC
ANALYTICAL REPORT
Clienr Richards Industrial Microbiology
Collected: July 19, 2000
AMERICAN Received: July 21,2000
WEST
Contact: Peggy McNicol
Analyzed: luly27,2000
ANALYTICAL
T.ABORATORIES
Lab Sample ID: L42051-03B
Field Sample ID: 2655.10997[Petro Enviro
463 west 35oo south
Site ID:
Salt lake Gty, Utah Result USC
841!5
Uniform Soil Classification sw-sm=well graded sand with silt
(801) 25$8685
TollFree(888)263-8686
Fax(801) 26}868,7
Rcleascd by:
Laboratory Supervisor R4ort Datc:August t,2000 Pagc I ofl
Thir Eport is prcvided ,or thc .rclu6ivc ux of th. .ddsw. Privilcges oI rub!.qwnt w ot tha Mmr of thir €ofip.ny ot rny member of its- steff, or rrprduclion of tNt.nPost in conftif
ORGANIC ANALYSIS REPORT
AMERICAN
WEST
ANALYIICAL
I..A.BORAJTORIES
Client Richards Industrial Microbiology
Collected: July 19, 2000
Reccived: July 21,2000
Contact: Peggy McNicol
Analyzr,d: July 26, 2000
MBTE)O{/TPE-P
Analysis Requesrcd: SW 8260B/5030A-MBTHN/Total Purgeable Hydrocarbons
Lab Sample ID: L42051-03.
Field Sample ID : 2655.10997 lP etro Enviro
Site ID:
463 West 3600 South
s"tt t *" city, uur, AaalJrtical Resultr
84115
Reporting
Limit
7o Moisfure:
Amount
Detested
19Units = mg/kgdry
Final Dilution Factor: 2.5
Compound
Benzenc
(801) 25$8585
TollFree (8S8) 26$8585 Toluene
Fau(fir)?3}A587
Etbylbenzene
Total Xylene
Naphthalene
T?H C5 to C10 (GRO)
TPH Cll to Cl5 (DRO)
Rclcascd by:
Laboratory
0.0025 <0.0025
0.0050 <0.0050
0.0050 <0.0050
0.0050 <0.0050
0.010 < 0.010
0.050 < 0.050
0.025 <0.025
August 3, 2000 Pagc I of IRcport Darc:
Thn'ru@rt i5 o.ov'd.d for Ul. .:.lurv. w ot tt! .dd@. P.ivilc6c! o, .u!r.qul s of th. Mhe oa lhit .Mp.ny o. .^y .6b€r o, it! ir.ft, or tProdu.iion oI lli. dPori in .onN.tio
, lill J,.ir*--t, p*od or -!. ot.n, p,odu.r d paa. or in oamam wrlh rh. kpubl,..rion ot rtu;npon 60r.ny purpo* oth.r rh.n lor E.ddt!.g *illbe t'.nred only on
.*t .ii. rr'r. -.p-v l*pr. rc dponxb'l r ;raPl ,or ri. du. F!rdh.M! o, 'n.!E l'o^ rnd /o. .Mlrn6 in t@d h'rh .nd .(cordint to th€ rut.. ol rhe r!.d. .nd or r.4nc.
ORGANIC ANALYSIS REPORT
Client Richards Industrial Microbiology
Collecrcd:July 19,2000
Roceived: July 21,2000
Contact: Peggy McNicol
Aaalyzcd: Iuly 26,2000
AMERICAN
WEST
ANALYTICAL
I,.A,BORA.TORIES
4li3 West 36$ South
salt t ke city, utah
Analysis Requested: SW 8260B/5030A-lvIBTHO.{/Total Purgeable Hydrocarbons
Lab Sarnple ID: L42051-04A
Field Sarnple ID: 2655.10998/Petro Enviro
Site ID:
Analytical Results MBTE)C{/TPH-P
84115 Units =mg/L
Fiaal Dilution Factor: I
Comoound
Methyl tert-butyl etho
Reporting
Limit
Amount
Detected
({1)26?W
ToU R€e (888) 26&8686 BenzeBe
Fax(n0Z6WT
Toluene
0.0020 < 0.0020
0.0010 < 0.0010
0.0020 <0.0020
Ethylbenzene 0.0020 < 0.0020
Total Xylene 0.0020 < 0.0020
Naphthalene 0.0040 0.0060
TPH C5 to ClO (GRO)0.020 0.54
TPH Cll to C15 (DRO)0.020 < 0.020
-Thc pH of the sa,rnple was >2.
Rcleascd by:(
La,boratory R.port Da&:August l,2000 Pagc I of I
Thi. Erorr i. ercvid.d ls ti. .r.lu!iv. a o, rh. .d.lr.r*., P.ivilctet oI tub*quent u oa lhe MN o, tha @dp.ny o. .ay h.ober oI ili irlll, or Ep&du.tron of tN. r.Po in .on...non
wrrl tir dvt;rirocat, D,omoaEa or uL ot .ny pNdur or pro..!r, 6 ir ollmtion *iih the Fpubli..tion of lhit r.pon ior rny pupo* oth.r th.s io. th. ddr will bc tt..led only on
ORGAMC ANALYSIS REPORT
Client: Richards Industrial Microbiology
Collected: July 19, 2000
Received: July 21,2000
Analysis Requested: TPH by SW80l58
Lab Sample ID: L42051-048
Field Sample ID : 2655.109981P etro Enviro
Site ID:
Analytical Results
Contact: Peggy McNicol
Analyzed: August 1, 2000
Extacted: July 30,2000AMERICAN
WEST
ANALYTICAL
LABORATORIES
{ti!} west 3500 Sorith
Salt lake Gty, Utah
84115
TPH.E
Units = mg/I
Final Dilution Factor: I
Comoound
Total Petroleum Hydrocarbon @RO)5.0 < 5.0
Rcpon Da!c:August 2, 2000 Pagc t of I
Reporting
Limit
Amoutrt
Detected
(fil)26UW
Toll Frce (888) 2638686
Fax(8[q2A*W7
Rclcased by:
Laboratory rsol
Thi. ePon ir Prvid.d fot UE .idu.iv..r_ol th. ..ld..!a, Privn€aet ol sub..q4nt u- of UE m. oI lhi! omp.ny .r .^y m.Db.t oa ir! 5t.1 , d Fprodu.tio. of thL rport in (onGrion
.o.Ertl" Thi. .6psr..ert rc dPo8ibilitr.rePr lor rh. du. Frlord.re o, ,oF-uon .nd/or.dlya. in good t.th.nd ..io.aint ro rtE tu16 oi d! l..d. .n l o{ *i. .
A ORGAMC ANALYSIS REPORT
Lab Sampl e lD: L4205 l -04B
Field Sarnple ID: 2655.10998/Petro Enviro
Site ID:
Analytical Results
Client: Richards Industrial Microbiology
Collected: July 19, 2000
AMERICAI{ Received: JulY 21,2000
WEST
AI{ALYTICAL Analysis Requested: TPH by SW80l58
T.ABORA;TORIES
Contact: Peggy McNicol
Analyzed: August l, 2000
Extracted: July 30, 2000
463 West 3600 South
SaltLal<e Gty, Utah TPH-E
84115
(801) 26,$8586
TollFree(888126Y8686
Fax(801) 26ffi7
Units = mglL
Final Dilution Factor: I
Compound
Total Petoleum Hydrocaxbon (DRO)
Released by:
Laboratory
Reporting
Limit
Amount
Detected
< 5.0
August2,200o Page I ofl
5.0
..:,_ i ,
-:!{;.
This ,or tha rxclusiv€ u*of atE rddres. Privilc8cs of subsquent ur€
any Droducl or pccs, ot in conmction with
of th€ Mme of
Rcport Datc:
thir company or any m.mber o, its stafr, orreporl ir prcvidld
th. rdvPiliemanl,ommotion or sl,e o,the re-publicalion o, this report for rny PurPos othe! thar
ORGANIC ANALYSIS REPORT
Lab Sample ID: L42051-03B
Field Sample ID : 2655.10997 IP etro Enviro
Site ID:
Analytical Results
Contact: Peggy McNicol
Analyzed: August 1, 2000
Extracted: July 31, 2000
463 West 3500 South
salt Lake city, utah TPII-E
8a1$ Uuits=mg/kg-dry
Final Dilution Factor: I
Compound
Total Petroleum Hydrocarbon @RO)20
oZ Moisture:
Amount
Detected
<20
2l
(fii)253-W
Toll Free (888) 2538586
Fax [phone]
Rcleased by:
Laboratory Rcport Darc:August 2, 2000 Pagc I of I
y h {E rdvlnrsent, prononon oi aL ol rny prcdq.r d pss., or in @nNtion with the Fpubliorion ol thi. Epo,r !o. rny purpo* orh.r thrn to. rh. .ddti$.. will b. tr.nt d only on
dt..r Thi. orpey ....pt rc dponlbilnv .ropl fo. th. ds. per6otarne ol idP.dio..nd/or. tynr i! tood f.iti .^d .aoldint lo th. rula oI th. l!.d. lrd ol *i.@.
Client Richards Industrial Microbiology
Collected: July 19, 2000
AMERICAN Received: JulY 21, 2000
WEST
ANALYTICAL Analysis Requested: TPH by SW80I5B
LABORATORIES
Reporting
Limit
t
ANALYTICAL REPORT
Client: Richards Industrial Microbiology
Collected: July 19, 2000
Received: July 21, 2000
Analysis Requested: USC
Lab Sampl e lD: L4205 1 -038
Field Sample ID: 2655.10997tPetro Enviro
Site ID:
Result
A
Contact: Peggy McNicol
Analyzed: July 27,2000
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3500 South
Salt Lake City, Utah
84115
USC
[phone]
Toll Free [phone]
Fax [phone]
Uniform Soil Classification
Released by:
Laboratory Supervisor ReportDate:August l,2000 Page I of I
of the addressee. Privile6r: ol sub*quent use of the name ol this companv or anv member of its statf, or reproduction of this report in connection
for the addressee will be granted only on
This repolt is Provided tor the exclusive use
with the adve, tisement, promotion or sale of any product or PaocesS.or in connection with the re-publication of this report tor.ny pu!pose othea than
sw-sm=vell graded sand with silt
l
. ),{'.
Owner Name
loo ?.
'8?r
_Address-zO d
Code
Area Code Phone Numberi?,2-z??o Contact Person
-Dalzr- -\ a\rftsan
_Sunounding neighborhood: (check the best description of land use)
-X residential
-
industrial/commercial Other
-cit, oalern
Facility Name
StateLIT Zio Code3'l'daz
Street Address55 3.
TANKS CLOSED Tarrk No. I Tank No. 2 Tank No._Tank No.Tank No._
1. Estimated Capacity (gallons)l6c:o 4m
2. Type (Steel, FRP, Composite)s -S
3. Substance Stored w (
a=5
4. Date last used - lq63 -M
4. Date Closed 7-Zm '7'Zun
5. How closed (Rmvd, inplace, CIS)fZ"r..rl ?.-.,J
Orioinal#of tanks Ll{- - Closedtanks Z + Newtanks [-t)L = #of tanksremainino LtK
GW & Soil Sampler: $+q.rt.o L[-o^.Expiration Date:Ceft. #: GS
UST Remover:Cert. #: TR Expiration Date:
is on Site: @rator has an closure ol closure1N N
_->,,at:2. Product removed: Y
removed: Y E3.D at:
4.Tankscleaned: Y@ By: -+Rinsate disposed at:
5.N here inside tank obtained %i lnertino. LEL or %obtained: /EL
6. Product lines were: _ Cleaned, secured in Removed, dand site:
7. Tank disposalsite: St te 8. Soil site:
Gain or span:_ Calibration specs:_
PID or FID meter readings (indicate location on the site plat.):
Meter
reater than g leet
p /21'1. Soil contamination is evident:of contamination: 0-3 feetN
2. Water contamination is evident:'sr t)esnto water direction of surfaceN
cw Ssoit I usc3.#of 4. Certified Lab:collected:
5.Methods O&G TBH HOC MTBEBTEXTPH
6. I observed collection of Y N lndicate location and of samples on the site
Nles and submitted them to the State Lab forcollected7.t
8. Contaminated soil overexcavated: Y N N/A confirmationtf
Cert#Date:
Distribution:Yellow-lnspector, Pink-Facility/Owner 5/98
l. Ownershio of Tank(s)ll, Location of Tank(s)
TANK CLEANING AND REMOVAL:
were collected: Y N
CLOSURE INSPECTION SITE PLAh
NOBTH
Facili lD No
C
.F
h
B
TJ
vto
\o
t
E
o/2-
c
a
5
l--z\x\
-.*
\
PID or FIO re
7Q1 \t t, ioQ/
o+q<?4_
o
-!
Alt
Potential Receptors: Distance (in leet) to lhe nearest:
Resioences 15Qt commercial building "
(W'
Surface water
-
Underground: Sewer 1![-1pl
Telephoneline.,t3\0qZElectricattine*u,@Stormcirainy'Jhother(speciIy)-
Prop"rty tin"--.ld _da
Water line O'
Active water well
Natural gas line_
Comments 4
i+
certily that I iU the
r's
named facility on
Ce Date
, Yellowlnspector, Pink-Facility/Owner
(
Joseph K. Miner, M.D., M.S.P.H.
Executive Director
9
,
E
q
c
I
i
s
UTAII COUW EATIH OEARIIAI
589 South Stat6 Street
Provo, Utah 84606-5056
"crcalii| healthy cot muniti?s
July 1 9, 2OOO
Re: Closure Plan Approval f or two UST's
Facility ldentification No. I 000789
Salem City Library 55 South Main Street, Salem UT
The Closure Plan for the above-referenced facility received by the Utah County Health Department
on,July 13, 2O0O, has been approved subject to the noted modifications, if any. This department
requires a fee of S1O0 per tank for the permit to remove or install, and $50 per upgrade, including
one charge each for removal and installation of lines, which can be obtained at the above address
within 72 business hours prior to closure or installation activities. This department also requires
you to schedule our inspector well in advance to be on site at your closure or installation
activities. The local fire department must be notified 72 hours before beginning closure or
installation and may have additional requirements.
The Closure Plan approval is effective for a period of one year from the date of approvat. lf
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 an approved Closure PIan must be submitted in writing and approved by our office
before implementation. lf contamination is suspected or found during closure activities, you must
report it to the Division of Environmental Response and Remediation (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} Kent Gray, 1950 W North Temple, Salt Lake City, UT 841 14-4840.
Please submit the environmental and Unified Soil Classification (USC) sample analysis data and
Chain of Custody forms with the Closure Notice as soon as possible, but no later than gO days
after tank closure.
lf you have any questions please contacr Linda Luck at 370-8775.
Sincer
DTRR
ENVIRONMENTAL RESPONSE & REMEDIATION
ENTERED
C. HiII, E.H.S.
Director, Environmental Health
DCH/LL
BY
enclosures
cc: Gary Harris, Utah Division of Environmental Response and Remediation
Salem City Fire Chief
Petro Enviro
262 00
DIVISION OF ENVIRONMENTAL HEALTH
Phone [phone] O Fax (801)3tO4521
Dwight C. Hilt, E.H.S. Director
Mr. Dave Johnson
Salem City Public Works Director
30 West 1O0 South
Salem, Utah 84653
Dear Dave Johnson: