HomeMy WebLinkAboutDERR-2024-006292UNDERGROTJND STOEAGE TAI{K PERMAI\IENT CLOSURE NOT{Ii (Revised O1/OI/97)
'
Date u^ooFacilityID # 1000294
Date Mailed to LHD
Samples in LUST File #
Sarnples tO LUST RCViCW
LUST Stahrs
Closure Notice prepared at the request of the owner/operator (identified below)
of (company name) SECOR International Incomorated
Address 670 East i9OO Soufh 301
FACILITY INFORMATION
Tank Owner Inc.
[ ] sole proprietorship t I partrership I X] corporation
Address 10220 SW Greenburg Road.
Phone #( 801 ) 266-7100
City Salt Lake Ciw State UT 84107-t973
#(214 )841-6s92
Portland State_oR zip 97223
Facility N trrle 7-Flewen No. 24R55
Address 1620 North State Steet Orem
Contact person David
Number of regulated tanks at the facility before closure: 3
Number of regulated tanks at the facility after closure: 0
TANKS CLOSED
* tndicate the specific substance stored in each tank to be closed (regular, unleaded, diesel, waste oil, etc.)
BNts_BEW.BName Mike Mold
Quality Remediation Services, Inc.
Address P.O. Box 1044 Vernal
Name Ann Nelson
SECOR International Incorporated
Salt Lake City
State_Ul_ Zip 8mfl
Phone#(801) 266-7100
Cert. #TR 0097 ExP. Date 3-15-00
Phone#(435)781-2563
State UT 84078
Cert. # GS 1263 Exp. Date
( 801) 266-7100
1
Tank #I 2 3
Date Installed 1983 1983 1983
[,*,,*n
U;ft
IMENIAL RESPC i{sr s nrl,lEntl
Capacity 10,000 G 10,000 G 10,000 G
EN t r.lr-LJ
Substance stored gasoline gasoline gasoline APR 2 E lltttu
j
Ii
Date last operated l-19-00 l-19-00 l-19-00 I
I.l
Date closed 3-9-00 3-9-00 3-9-00
How closed
(Removed/In place)Removed Removed Removed
670 East 3900 Suite 301
Phone #
UT 84107
7-15-01
ii0i
t
It
lg.r -
cLosuRE TNFoRMATION
Ix] Fuelwasemptied [ ] Sludgew-. -emoved I x] Tankwascleaned.
Tankwas: [ ] Purged I x] Inerted. Method rce
Location of Closure Records SECOR
For In-Place Closure: tanks hlled wittr Not Applicable)
For Change-In-Service: Substance to be
DISPOSAL SITES USED:
Location Name Contact Name Phone #Date Amount
Tank(s)Atlas Steel Mike Montoya 801-731-5670 3-9-00 Tank 1,2,3
Product From Tank(s)7-Eleven2562l Tracey Cowley 8014124015 closure 10,000 gal
Contaminated Water From Tank Cleaning VJ Environmental John Christiansen 801-595-8lsl 3-9-00 300 gal
Sludge Not Appicable gal
Contaminated Water From Excavation Not Applicable gal
Contaminated Soil NE corner of pit Zb,yd'
Is any contaminated soil which was over-excavated still on-site? x Yes
-
No
-
Not applicable
Was Free Product encountered during closure activities? No If yes, please indicate thickness,Inches
SITE ASSESSMENT
Corrplete the Facility Site Plat (Closure Notice) and Sample Information Table (Closure Notice) on pages 3 and 4 to show the locations,
depths, and other information on all soiUgroundwater samples taken for closure. The samples must be consistently identifiedby sanple ID
# on the site plat, table, and lab analysis report.
[X] Corrpleted Facility Site Plat (Closure Notice) is attached.
The following must be included (enter the distance, and direction (N,S,E,W) from the area of contamination or, where applicable, use OH for
overhead, NP for not present):
N7 Water Line N7 Slwer 1i1s 830 Natuol 625 W80 Storm Drain NlO Telephone OH Electrical N30 Properry Line E25 Buildings
[X] Conpleted Sanple Information Table (Closure Notice) is attached.
[X] Certified lab analytical environmental sample results are attached.
[X] Unified Soil Classification (USC) sarrple results are attached.
[X] Chain of Custody form is attached.
Samples were properly: [X] Collected [X] Labeled [X] Packaged [X ] Transported
[X] Sarrples were in sight of the person in custody at all times or in a secured locked place.
I certify under penalty of law that the closure site assessment at this facility was conducted in accordance with Rltl1-202 (parts
280.52 and 280.72) and R311-205 U.A.C., and that any additional samples required by R311-202 parts 280.52 and 280.72 and Ril 1-
2012(a)(1) were properly collected.
Signature of Certified Groundwater/Soil Sampler
Full name of Certified Sampler Ann C. Nelson Date_+/tslo
If contamination at the facility is confirmed, any person providing remedial assistance for a fee must be a Certifred UST Consultant. The
Certified UST Consultant providing assistance is:
CERTIFIED UST CONSU NAMC David Babcock Cert. # CC0134 Exp. Date l2-31-2000
Conpany SECOR International Incomorated Phone #(801) 266-7100
Salt Lake City
ot
Address 670 East 3900 South. Suite 301
2
State-P!-84101
Thesiteplatmustbedrawntoanappropri..lbstancesstoredintanks,andotherrelevant
information. Tank and sample identification nu,nbers must be consistent with the information given on p. I and 4 of the closure notice
Facility ID# 1000294 D.u*n By Todd Peterson Date l-11-2000
ANDERSONS LUMBER
ASPHALT
It r.-tr\rr
I
I
I
I
o)ro
=-
E
UIE
o
UI
aD
rrh.r Err
FORMER
CANOFT
USI'VEST
UNDERGROUND
CABLE BOX
H20
ORAIN OHE
FOLE
NOTE:
A. 1O,qX}GAL PREMIUM UN]EADED GASOUNE UST
B . lo,(M"GAL MID GRADE UNI.EADED OASOLINE UST
C - 1O,q}GCTAL REGUI.AR UN]EADED GASOTINE UST
.<
I
ULTIMATE
CAR WASH
I
I
3
I
I
I
t
I
I
I
I
I lt
1600 IIORTH STREET
Notdt 0 30 60
sdtE(EE1)
REFER TO LEGETID PAGE
-x5s.7,t9,E4sIo
8o
lco
5
=Uo6
E(CAVATION AND
OVERE(CAVATION
7.ELEI'EI{ STORE
11O.2'1855
GAS METER
SIGNAL
llt
x = Satrple locatioN (SS-#, W$#, USC-#)
= Monitoring Wells (MW-#,)
O = Soil boring (SB-#), or Geoprobe Boring (CP-#)
O = Water Wells (domstic, livestock, etc.)
Slope of Suface Topognphy: (N, NW, W, SW, S, SE, E, NE)
knd Us€ At Sitc; _Residential )( Conrrrrcial _ lndusrial
Srmourding knd: )(Residential ] Conrrrrcial _ Industrial
Sltc Plrt M6t lndicrte Acturl Locttlons Of:
r' Current & fonrrr tanks, piping & dispenseny' Excawtiom, GW nnnitoring wells & mil stockpiles
/Laation & depth of all sarples lak€n/ Buildingis, hrrccs, & property bomdaries
zUtility conduits (sewers, tas, water, stom drairts, electrical etc.)
z Dcpth o groundwater(if eflcomtercd)
3
:
!
Compiete table for all samples that werc ;n for closure. Sample ID numbers on the ta nust be consistent with the sample ID
numbers given on the site plat and in the lab analysis report.
(in feet)below
3
4
State Certified Laboratory used: American West Analytical Laboratories
Address 463 West 3600 South City---Sa!!-L4ke tigl- State UT Zip 84113
Contact person Elona Hayward Phone #(801)
Please explain any unusual or extenuating circumstances encountered during the site assessment or closure:
The soils associated with the were sanmled 3-l 0-00) and stored on-site on olastic and
, O&G, etc).
sample (8Ol 5 mod., 8020, 413. I, etc).
Analysis method(s)aCompounds3Sample #/Lab ID Substance
stored in tank
Sample
tyP"t
Depth2
MBTEXN TPH EPA 82608SSl4ss-1 Gasoline
EPA 82608t4MBTEXN TPHss-2 Gasoline SS
EPA 82608SS4MBTEXN TPHss-3 Gasoline
EPA 8260BSSl4MBTEXN TPHss-4 Gasoline
EPA 82608MBTEXI\I TPHGasoliness4ss-5
MBTEXN TPH EPA 82608SS3.5S5-6 Gasoline
l4 MBTEXN TPHGasolineSSss-7
ASTM D2487-98ss4uscusc-1 Gasoline
USC ASTM D2487.98ss3.5USC.2 Gasoline
ASTM D2487-98t4USCGasolinessUSC-3
EPA 8260B and 6010 LeadSSMBTEXN TPHComposite of
Overexcavation'Gasoline
EPA 82608MBTEXII TPHGasolineSSComposite #2
ea $zbovS(I5 MBTEFI.I TPfI5S- ?ct Ga*lvc
v?A bzb0 6MB rgxr{ l.PrlGablircs5i5ge"+b
2
covered bv plastic. The results indicated ttrat the all contaminants were at concentrations below the soil RCLs exceDt for TPH-GRO
The 2" 3-3 soil RCLs
I certiff under penalty oflaw that I of the tank(s) described above and that I am familiar with the information on this form and
that it is true, accurate and the procedures described herein were followed during tank closure.
Signature of UST {utrDFull name of Owner -
DeNinno Environmental Manager
Retum cornpleted Closure Notice forrrg Facility Site Plat and Sarrple Information Table, SoiVGroundwater sanple lab analysis results, USC
sanple results, and Chain of Custody form within 90 days of UST Closure to:
State of Utah Dept. of Environmental a _u"_!ity
Division of Enviionmental Response and Remediation UST Section
P.O. Box 144840
168 North 1950 West
Salt Lake City, Utah 841144840
4
EPA 82608
AMERICAN
WEST
AI{ALYTICAL
I.ABORATORIES
BLANK SUMMARY REPORT
Client: SECOR
Lab Set ID: L40394
Project: 24855-Orem/026.90234 & 026.90202
Analysis Requested: SW 82608/5030A-MBTEXN/Total Purgeable Hydrocarbons
Method Blank ID: MB VOC Analysis Date: March 21,2000
Analytical Results MBTEXNITPH.P
{63 West3600 South
Salt IaI<e City, Utah
84115
(801) 26$.8686
ToUfl€e(E88')2ffi
Fax(801) 26}8f87
Units: mglke Gpm)
Compound
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
TPH Cs to ClO (cRO)
TPH C11 to Cl5 (DRO)
Reporting
Limit
0.002
0.001
0.002
0.002
0.002
0.004
0.02
0.01
Amount
Detected
< 0.0020
< 0.0010
< 0.0020
< 0.0020
< 0.0020
< 0.0040
< 0.020
< 0.010
10HReleased by:
Laboratory Supervisor
Report Date: March 24,2000
This rcport ii prcvidcd ,or the Gxcluriv. u or lh. addrc. Privilctet o, &bacqrnt u oa th. [mc ol thir mprny c rny mcmbar o, it! tlrft, c aprodudion o, thb Eport h conffitid
-,i.h rh- r/'-'rion..r 6.^6^ti^. 6? qL of .ny oaoduct d oG6. 6 in onEliil wllh tha E-oublicrtion of lhit E@rt 6or rnv ourDo* oth.. th.n ,or th. addus will bc ffrntcd only 6
ORGANIC ANALYSIS REPORT
Contact: David Babcock
Analyzed: March 21, 2000
AMERICAN
WEST
ANALYTICAL
I.ABORATORIES
453 We6t 3600 South
s6lt Irke city, utah
84r15
Analysis Requested: SW 82608/5030A-MBTEXN/Total Purgeable Hydrocarbons
Lab Sample ID: L40394-01A
Field Sample ID: SS-1
Site ID: 24855-Orem1026.90234 & 02690202
Analytical Results MBTEXN/TPH-P
({t)%:3ffi
ToU Frce (688) 253{686
Fax ($1) 26&8687
Units : mg/kg (ppm)-dry
Final Dilution Factor: 2.45
Compound
Methyl tert-butyl ether
Benzene
Toluene
Ethvlbenzene
Total Xvlene
Naphthalene
TPH C5 to C10 (GRO)
TPH Cll to C15 @RO)
7o Moisture:
Amount
Detected
33
0.0073 < 0.0073
0.0037 < 0.0037
0.0073 < 0.0073
0.0073 < 0.0073
0.015 < 0.015
0.073 < 0.073
0.037 < 0.037
<bHReleased by:
Laboratory Supervisor Rcport Date March 24,2000 Pagc I of I
Thi! rcron is provid.<r ld rh..r.luav. a of rh. .dd!!.E. PitiLto oa &t-q6r a o, Ur 06. oi Urf .o6p.ny d .ny a.ob., ot itt.t.tf, d tPod!<ti.n o{ tlt. EPdr in.onttctto.
.,.,.! .r'^ -r... :.,.^---. ,,.r - 6tr( d in dlHim u{ri lh. F6ubti..ri6. 6a rhi. mn lo. ..v oul*E orlEr rh.n aor ri. .dddG eill b. .r.nl.d o^lv 6
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Reporting
Limit
0.0073 <0.0073
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
ORGAMC ANALYSIS REPORT
Contact: David Babcock
Analyzed: March 21, 2000
AMERICAN
WEST
ANALYTICAL
I.A.BORATORIES
rt6i) IrJest 35(X) South
Salt tate City, Utah
8t1115
Analysis Requested: SW 82608/503OA-MBTEXN/ToIaI Purgeable Hydrocarbons
Lab Sample ID: L40394-02A
Fietd Sample ID: SS-2
Site ID: 24855-Orem/026.90234 & 026.90202
Analytical Results MBTEXN/TPH-P
Units : mglkg (ppm)-dry
Final Dilution Faclor: 2.62
Compound
Methyl tert-butyl ether
Reporting
Limit
%o Moisture:
Amount
Detected
t4
0.0061 < 0.0061
(801) 263{685
Tou Free (888) 25$8686
Fax (801) 2538587
Benzene 0.0030 < 0.0030
Toluene
Ethylbenzene 0.0061 < 0.0061
Total Xylene 0.0061 < 0.0061
Naphthalene < 0.012
TPH C5 to C10 (cRO)0.061
TPH Cl l to Cl5 (DRO)< 0.030
Released bv:
Laboratory Supervisor Report Date:March 24,2000 Pagc I of I
Ths Epo.r E prcvid.<t d rlE .r.luic. @ ol rh. .ddrc. P.ivr.!.. oa ,ub..qe a oa alE tI@ oi lhi. 66Fny d .ny ftat . ot in .tf, o. ,.produ<tih or irn, EFrl in co.Glro.r
^--^h^6 o' -l..r.nv omdu.t.. olrr* d in o.n did *irh dr coublkrlid oa tlns ,!@n ior .nv orllba oth.r un to. th..dde,ill b. rr.nt d or y 6
0.0061 < 0.0061
0.012
< 0.061
0.030
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Contact: David Babcock
Analyzed: March 21, 2000
AMERICAN
WEST
ANALYTICAL
I,.ABORATORIES
rt63 West 35(n South
Salt IaI(e City, Utafi
84115
Analysis Requested: SW 8260B/503OA-MBTEXN/ToIaI Purgeable Hydrocarbons
Lab Sample ID: L40394-03A
Field Sample ID: SS-3
Sire ID: 24855-Orem1026.90234 & 026.90202
Analytical Results MBTEXN/TPH-P
Units : mg/kg Gp-)-dry
Final Dilution Factor: 2.51
Compound
Methyl tert-butyl ether
Reporting
Limit
7o Moisture:
Amount
Detected
18
0.0051 < 0.0061
(ffii)26ffi
To[ Frce (888) 26]8585
Fax ($1) 2618587
0.0031 < 0.0031
Toluene 0.0061 < 0.0061
Ethylbenzene 0.0061 < 0.0061
Total Xylene 0.0061 < 0.0061
Naphthalene 0.012 < 0.012
TPH C5 to C10 (GRO)0.061 < 0.061
TPH Cl l to Cls (DRO)0.031 < 0.031
Released by:
Laboratory Supervisor Report Date:
Ths ,.on ,s oovid.d rd rh..r.tu!v. e o, rh. rdd!!'G. Ptivii{6 or ub.qE 's. o, dE o@ oi ltir <6p.ny d.^y 6.i{s ol iL Lll, ! tProdudb. ot lltt EF.r h.o.rklidr.......'-, :.. i..dd .- eill tr 4.nr.i mlvm
ORGANIC ANALYSIS REPORT
Benzene
March 24,2000 Page I of I
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
ORGAMC ANALYSIS REPORT
Contact: David Babcock
Analyzed: March 21, 2000
AMERICAI{
WEST
ANALYTICAL
I-ABOR}^TORIES
{53 West 3600 South
Saltl.al<e city, Utah
84115
Analysis Requested: SW 8260B/5030A-MBTEXN/TotaI Purgeable Hydrocarbons
Lab Sample ID: L40394-04A
Field Sample ID: SS-4
Site ID: 24855-Orem/026.90234 & 026.90202
Analytical Results MBTEXN/TPH.P
Units = mglkg Gpm)-dry
Final Dilution Factor: 2.6
Compound
Methyl tert-butyl ether
Reporting
Limit
7o Moisture:
Amount
Detected
11
0.0058 < 0.0058
(nD263-8686
IioU&€e(888)26ffi
Fax(801) 26bffi7
Benzene 0.0029 < 0.0029
Toluene 0.0058 < 0.0058
Ethylbenzene 0.0058 < 0.0058
Total Xylene 0.0058 < 0.0058
Naphthalene 0.012 < 0.012
TPH C5 to C10 (cRO)0.0s8 < 0.058
TPH Cll to C15 (DRO)0.029 <0.029
Released by:
Laboratory Supervisor Report Date:March 24, 2000 Page I of I
This rcport is povid.d ,or rh. €rcluriyc ur o, tha .ddrc. PrivilcteD of sbaaqEnt urc o, ltr [ac ol thb mpeny c rny mcmbcr of it' rtrff, c r:production of thir cpod in mrE{ti6,!;.r .r- ,r!,-..i66.n. ^.^R^ri^- ^r ql. ot .nv oftluct d oru. c in onmctim wltt the eDublicati,on of thir Emrt 6or tny purpo* othcr than ,or thc tddru will bc gnntcd only 6
ORGAMC ANALYSIS REPORT
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Contact: David Babcock
Analyzed: March 21, 2000
AMERTCAN
WEST
ANALYTICAL
Lq,BORATORIES
r[63 West 3600 South
Saltlrl<e City, Utah
84115
Analysis Requested: SW 82608/5030A-MBTEXN/Total Purgeable Hydrocarbons
Lab Sample ID: L40394-05A
Field Sample ID: SS-5
Site ID: 24855-Orem/026.90234 & 026.90202
Analytical Results MBTEXN/TPH-P
(nD25v8r86
ToltFree(888)26TW
Fax(801) 26}8587
Units: mglke Gpm)-dry
Final Dilution Factor: 2.55
Compound
Methyl tert-butyl ether
Benzene
Reporting
Limit
7o Moisture:
Amount
Detected
t6
0.0061 < 0.0061
0.0030 < 0.0030
Toluene 0.0061 < 0.0061
Ethylbenzene 0.0061 < 0.0061
Total Xylene 0.0061 < 0.0061
Naphthalene 0.012 < 0.012
TPH C5 to C10 (GRO)0.061 < 0.061
TPH Cl l to Cl5 (DRO)0.030 < 0.030
Laboratory Supervisor Report Date:March 24,2000 Page I of I
This rcport is prcvid€d ,q th€ cxclu3iv. r o{ tlp .ddrc. Priyilcts oa {beqEnt ur. o, th. Mm. ol thb mpeny c rny n mbct o, itr 3trff, tr Eptoduction o, thir npo(t in conGtim
u,:.r .t- r/,,...:.-'.-n. 666^li^- ^' .rl. 6{ .nw oftvft,.r tr 6ff* d in ontdim wlth th. eDublic.tktn of lhis @d 60r .nv ourre other than ,or th€ add6a will bG e?anhd oilv m
Rereasedor,4\-\
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Contact: David Babcock
Analyzed: March 21, 2000
AMERICAN
WEST
ANALYTICAL
LABORATORIES
Analysis Requested: SW 82608/503OA-MBTEXNI/Total Purgeable Hydrocarbons
Lab Sample ID: L40394-06A
Field Sample ID: 55-6
Site ID: 24855-Orem/026.90234 & 026.90202
Analytical Results MBTEXN/TPH-P
(8[1)%3W
Io[ ftee (888) 26]8586
Fax({t)26\ffi7
Units = mg/kC (ppm)-d.y
Final Dilution Factor: 2.55
Comoound
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
TPH C5 to Clo (cRO)
TPH Cl I to Cl5 (DRO)
Reporting
Limit
7" Moisture:
Amount
Detected
18
0.0062 0.025
0.0031 < 0.0031
0.0062 < 0.0062
0.0062 < 0.0062
0.015
0.012 < 0.012
0.062 <0.062
< 0.031
aolrReleased by:
Laboratory Supervisor Report Date March 24,2000 Page I of I
Thi. aF.r i. povid.<t re rh..rlunv. !4 ot rh. .dd|t.G. Priv0.t r oa tub..glhr a oa dr Mh. olthi. @op.ny e .^, h.db.r ol it x.tf, o. r.pmdu<rion ot $ir rpdt i. .onslio.r
..,r.r.r- ,i--;L-.-r ^^-^io... el..,..vo6dud n 6ffi d in on*di6 whh rh. eoubli..tih 6a rhi. ,t@rr aor.^v Du.Eor orh.r tlt ^ ior th..dd6a will b. rr.nr.d only d
ORGAMC ANALYSIS REPORT
{6i} West 35(X) South
Salt I*e City, Utafi
84115
0.0062
0.031
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
ORGANIC ANALYSIS REPORT
Contact: David Babcock
Analyzed: March 21, 2000
AMERICAI{
WEST
ANALYTICAL
I.ABORATORIES
453 West 3600 South
Saltlake City, Utah
84115
Analysis Requested: SW 8260B/5030A-MBTEXN/TotaI Purgeable Hydrocarbons
Lab Sample ID: L40394-07A
Field Sample ID: SS-7
Site ID: 24855-Orem1026.90234 & 02690202
Analytical Results MBTEXN/TPH-P
Units = mg/ke bpm)-dry
Final Dilution Factor: 4.03
Compound
Methyl tert-butyl ether
Reporting
Limit
7o Moisture:
Amount
Detected
13
0.0093 < 0.0093
(nD26e8r8r,
TollFree(888')26}8f86
Fax(801) 26ffi7
Benzene 0.0046 < 0.0046
Toluene 0.0093 0.022
Ethylbenzene 0.0093 0.28
Total Xylene 0.0093 3.7 E
Naphthalene 0.019 E
TPH C5 to C10 (GRO)0.093
TPH Cll to Cl5 (DRO)0.046
E - Estimated value. The amount exceeds the linear working range of the instrument.
Released by:
Laboratory Supervisor Report Date:March 24, 2000 Page I of I
2.6
32
5.7
A
This report is pDvid.d ,o. the exclurivc u of tha addrc. Ptiviletes oI sba.qunt u of thr umc ol this mpeny or eny ncmbcr ol itr ltrrf, q Eproduction of thir nport in cffitin
will rh- rir,-.rioa--r ^,^-^6^^ ^. ql.6t rnv odr{u.t d orc. q h omcctim wlth the rDubli..tion or lhis emil fof.nv ourre olher th.n for thc.dd6a will ba cnntcd ontv 6
ORGAMC AN YSIS REPORT
Ctient: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Contact: David Babcock
Analyzed: March 21, 2000
r16€i VJest 35(n South
Salt IaI<e City, Utah
84r$
Analysis Requested: SW 82608/5030A-MBTE)O,l/Total Purgeable Hydrocarbons
Lab Sample ID: L40394-08A
Field Sample ID: SS-7A
Site ID: 24855-Orem/026.90234 & 026.90202
Analytical Results MBTEXN/TPH-P
Units = mg/kg (ppm)-d.y
Final Dilution Faclor: 2.78
Comoound
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
TPH C5 to Clo (GRO)
TPH Cll to Cl5 (DRO)
Reporting
Limit
7o Moisture:
Amount
Detected
t4
0.0065 < 0.0065
0.0032 < 0.0032
0.0065 < 0.0065
0.0065 0.0080
0.013 0.087
0.06s 0.20
0.032 0.056
ab\Released by:
Laboratory Supervisor Rcpon Date March 24,2000 Pagc I of I
rhi! r.ro B e6vid.<t ,or rh. .r.luiv. u ol ttr .dde. P.ivil.t.. oa Eb..qE.l u.. oa dE oh. ot thir .o.rp..y d .ny 6.6b.r of ir. .r!lf, 6 Eptodu.rion o, rrn. tPo.l in .oiGitd.!.i -, :..----. .ri. Dmn hr ..v .nM nrtD. rh.n ,.. ,h. .Ad'xc sill l, cr.nt d onlr d
AMERICAN
WEST
ANALYIICAL
LABORATORIES
(8iJt)%:3-t36&
ToU rree (888) 253{685
Fax (&1) 25+8687
0.0065 < 0.0065
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
ORGANIC ANALYSIS REPORT
1
Contact: David Babcock
Analyzed: March 21, 2000
AMERICAI{
WEST
AI{ALYIICAL
I.A,BORATORIES
rt63 West 3600 South
SaltLal<eCity, Utatt
84115
Analysis Requested: SW 8260B/5030A-MBTEXN/ToIaI Purgeable Hydrocarbons
Lab Sample ID: L40394-09A
Field Sample ID: SS-78
Site ID: 24855-Orem/026.90234 & 026.90202
Analytical Results MBTEXNITPH.P
Units = mg/kg (ppm)-dry
Final Dilution Factor: 2.58
Compound
Methyl tert-butyl ether
Reporting
Limit
%o Moisture:
Amount
Detected
10
0.00s7 < 0.0057
(n\263.w
To|Ift€e(888)26}8686
Fax(801) 26WT
0.0029 < 0.0029
Toluene 0.0057 < 0.0057
Ethylbenzene 0.0057 < 0.0057
Total Xylene 0.00s7 < 0.0057
Naphthalene 0.01I < 0.011
TPH C5 to C10 (cRO)0.057 < 0.057
TPH Cll to Cl5 (DRO)0.029 <0.029
Released by
Laboratory Supervisor Report Date:March 24,2000 Page I of I
This leport is prcvidcd tor thc cxclurivc ue oI thc rddrc. Privilcgg of ebeqEnt u oI lh. omc ol thir mpmy or any ncnbcr o, ita ilrff, or Epaoduction of thir Eptrt in cmGfiff
Benzene
ANALYTICAL REPORT
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Analysis Requested: USC
Lab Sample ID: L40394-l3,A'
Field Sample ID: USC-I
Site ID: 24855-Orem1026.90234 & 026.90202
Result
Contact: David Babcock
Analyzed: March I l, 2000
AMERICAN
WEST
ANALYTICAL
LABORATORIES
{53 West 3600 South
Salt l-ake City, Utah
84115
USC
Uniform Soil Classification Cl-Sandy Lean Clay with gravel
(nD263-W
TollFree(888) 26TW
Fax(801) 26TW7
Reteased by:
Laboratory Supervisor Report Date :March 24, 2000 Page I of I
Thi! report i3 pmvidcd lor the crclusive E o, th. rddrc. Priyilct6 of ub..qEil ura of dE Mm of this onpmy or .ny memb.r of itt rtrff, t nprduction o, thir rt?ort in co.rection
!,:.1 .T- .{t,a..i.,a--r ^. m^6^. 6r qle of .nv orodu.l o. ou*- c in onnectim wlth lhc Foublication of this rc@n iot rnv ou@ other thrn for the .ddrc will bG crrntcd only 6
ANALYTICAL REPORT
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Analysis Requested: USC
Lab Sample ID: L40394-14A
Field Sample ID: USC-2
Site ID: 24855-Orem/026.90234 &, 026.90202
Result
Contact: David Babcock
Analyzed: March ll, 2000
AMERICAN
WEST
AI{ALYTICAL
I.ABO&i^TORIES
463 West 3500 South
Saltlal<e City, Utatt
84115
USC
Uniform Soil Classification Cl-Sandy Lean Clay
(nD26}8rfr
TollFree(E88)26TW
Fax(80r) 263-W7
Released by:
Laboratory Supervisor Report Date:March 24, 2000 Page I of I
This report is prcvided lor thc Gxclutive u of tha rddrc. Privilcgo o{ ubrcqtmt u oI tl! omc oi this mpeny or .ny manbrr of itr rtrff, d npmduction o, thir nport in cotrGtkm
!,i.h.L-rr!,?.ri.-n.-r ^.^6^.i^-^"s|.^{.^w6nyarr.ltr6ffK dinonndiorwiththecoubli..tidno[lhisnmalnrrnvourtredlh.?lhrna6?rh.r.l.lir'willh.rr.nt.ddnlvm
ANALYTICAL REPORT
Client: SECOR
Collected: March 9, 2000
Received: March 10, 2000
Analysis Requested: USC
Lab Sample ID: L40394-l5A
Field Sample ID: USC-3
Site ID: 24855-Orem/026.90234 & 026.90202
Result
Contact: David Babcock
Analyzed: March I l, 2000
AMERICAN
WEST
ANALYIICAL
I,ABORAXORIES
453 West3600 South
Saltlake City, Utah
84115
USC
Uniform Soil Classifi cation SW-Well graded sand with gravel
(nD26}8rf6
Iiollk€e(888)2ffi
rax(801) 26}8687
3o^{Released by:
Laboratory Supervisor Report Date:March 24, 2000 Pagc I of I
Thir r.pod is prcvid.d lor th. Grclurivc u o, th. rddrc. Privilct33 o, rbt qmt u o, th. [Ec ol thi' mpeny c .ny n mbcr ot itr rt.fr, fi EptDduction oa thb Eport in cmctkn
^. (.1. ^, .nw 6.d{!i.l d .d ff in onndim eilh th. roubli..tion 6, lhi. m6d 66r .nv orrm oth.r th.6 ,6" rh. .d.lfra *ill ba crrntcd onlv q
American West Analytical Labs
WORI( ORDER Summary I0-Mor-00
Work Order L40394
Client ID:
Project:
Comments:
SEAIOO C1c/-r;i<
24855-Orem/026.90234 '\
QC Level:
11o t- rr'
Sample ID Client Sample ID Collection Date Date Received Date Due Matrir Test Code Storage
L40394-0lA
L40394-02A
L40394-03A
L40394-044
L40394-05A
L40394-06.4
L40394-07A
L40394-08A
L40394-09A
L40394-l3A
L40394-l4A
L40394-l5A
SS.I
SS-2
SS-3
SS.4
SS.5
S5.6
ss-7
SS-7A
SS.7B
USC.I
USC.2
USC.3
3t9t00 3/10/00 3t24t00
3t24/00
3t24100
3t24tOO
3t24t00
3t24/00
3t24t00
3124t00
3t24t00
3t24/00
3t24/00
3t24/00
Solids
E&>[HB
P.MBTXTPH.S
P-MBT)(/TPH-S
P.MBT)UTPH-S
P.MBT)UTPH.S
P.MBT)VTPH.S
P.MBT)UTPH-S
P-MBT)VTPH.S
P-MBTXTPH-S
P-MBT)UTPH.S
USC
USC
USC
PurgeFridge
PurgeFridge
PurgeFridge
PurgeFridge
PurgeFridge
PurgeFridge
PurgeFridge
PurgeFridge
PurgeFridge>c/ -n
usc
usc
usc
%
Page 1 of 1
I
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Client
^t*Nz- o Lb
Address go^rdL r<
5tc uT o4w7- Lq77
City
Phone/Fax }leto -
Contact I>rtrwJ kn is
Project Name ?aqEs - 0 l,C-l,a-
Project Number/P.O.#OZb. rtoLZ (z
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841 15
CHAIN OF
CUSTODY
(801) 263-8686
Fax (801) 263-8687
Lab Sample #_' t.\71/
Page OT L
Circle One:TAT I
LEVEL of QC
II III
State zip III IV
Lab lD No.
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SAMPLES WERE:
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Nolesr
2 Ambient or Chilled
Noles:
3 Temperature _
(lmproperly Sealed)YN
A/ores;
5 Properly PreseNed
YN
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6 Received Within
Holding Times
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A,loles:
4 Received
Labels and COC Record?
YN
Noles:
Between Sam-
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Address Q?o Abf htw *.t tL, ?c )ol
4tc uT V4r,n-tq7)
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
84r l5
CHAIN OF
CASTODY
(80r) 263-86E6
Fax i80l) 263-8687
Lab Sample Set # _Prse-a-
Circle One:
TAT I II
LEVELofQC I
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II
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City State zip IV
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Project Number/P.O.#lvoL
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LABORATORY USE ONLY
1 Shipped or hand delivered
Ambient or Chilled
Nolesi
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Received Broken/Leaking
(lmproperly Sealed)
YN
Noles:
Properly Preserved
Received Wthin
Holding Times
YN
A/otesi
WERE:
N
Noles:
nlotesr
Discrepancies Eetween Sam-
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YN
lvoles:
Tape Was:
1 Presenton Outer
YN
Unbroken on Outer
Package
YN
Present on Sample
N
NA
NA
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nL
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PRINT
PRTNTNAM=
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Date/Time
Relinquished By: Srernalure
PRINT NAME
PRINT NAME
Date/Time
Client I
p
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AMERICAN
WEST
ANALYTICAL
I.ABO&AJTORIES
453 West 36m South
S.lt Irke CitY, Utah
8l1115
Client: SECOR
Date Sampled: March 10, 2000
Project: 24855-Orern/026.90234
Lab Samole ID:
L40393-018
Contact: David Babcock
Date Received: March 10,2000
Field Samole ID:
Composite
TOTALMETALS
Analytical Results Units
Date
Analyzed
Method
Used
Reporting
Limit
Amount
Detected
Lead ms/kc 3ll3l00 60108 5.0 < 5.0
(8[t)263.W
roU Eee (888) 253{685
Fax (801) 25$€687
Released by:
Supervisor Report Datc:March 13,2000 Page I oft
?|ri. ,.6n B Dmvd.d ld lrE .r<tu.iv. u of tt .rldlt.G. Pdviht6 or .u5..qurn a oa ttt m oi $L 66p.ry d .n, o.frlE. of ir. *.t1, d r.P.od!<rion of thi. tPo.i r dtEdin..-:::r".-1- --:-t--t-t --_..-:.---*,-,_-*_.;r-_--.;^- :;-;-k.,-"--,*^rb.rr,^,^;'i.,/a'.*- rr. et,nr.rr.nrv m
INORGANIC ANALYSIS REPORT
AMERICAI{
WEST
AI{ALYTICAL
LABORATORIES
BLANK SUMMARY REPORT
Client: SECOR
Lab Set ID: L40393
Project: 24855-Orem/026.90234
Analysis Requested : SW 82608/5 03 0A-MB TE)(lt{iTotal Purgeable Hydrocarbons
Method Blank ID: MB VOC Analysis Date: March 14,2000
Analytical Results MBTEXN/TPH.P
4dlWest36ffi South
SaltlakeCity, Utatr
84115
(801) 25$8585
To[&ee(888) 263-8686
Fax (801) 25}86817
Units: mg/kg Gpm)
Compound
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
TPH Cs to ClO (GRO)
TPH Cl1 to C15 (DRO)
Reporting
Limit
0.002
0.001
0.002
0.002
0.002
0.004
0.02
0.01
Amount
Detected
< 0.0020
< 0.0010
< 0.0020
< 0.0020
< 0.0020
< 0.0040
< 0.020
< 0.010
Released by:
Laboratory Supervisor
Report Date: March 14,2000
af rp".1.' q1",d1 * * ::1y:1,5.1',-t jji5T: :::1T:-"i5::.r.I"*:s:**,r.tzr.::t:::'^::YJ:I;: i3*:H.1'T:,1fl::jm
1
Client: SECOR
Collected: March 10, 2000
Received: March 10, 2000
ORGAMC ANALYSIS REPORT
Contact: David Babcock
Analyzed: March 14, 2000AMERICAI{
WEST
AI{ALYTICAL
I.,ABORA^TORIES
463 West 3600 South
Saltlal<e City, Utah
84115
Analysis Requested: SW 82608/503 0A-MBTE)OI/Total Purgeable Hydrocarbons
Lab Sample ID: L40393-01A
Field Sample ID: Composite
Site ID: 24855-Orem1026.90234
Analytical Results MBTE)O[/TPH-P
Units : mglkg Gpm)-dry
Final Dilution Factor: 50
Compound
Methyl tert-butyl ether
Benzene
Reporting
Limit
7o Moisture:
Amount
Detected
20
(8r7)263dr8r.
no[Free(888)26}86f6
Fax(801) 26}86fJ.7
0.12 0.14
0.062 <0.062
Toluene 0.12 0.30
Ethylberzene 0.12 0.26
Total Xylene 0.12
Naphthalene 0.25 2.1
TPH C5 to ClO (GRO)t.2
TPH Cl I to Cl5 (DRO)0.62 9.7
* Low Quality Control recoveries were observed. A duplicate analysis was performed with the same
result, indicating a matrix effect .
r The reporting limits were raised due to the high concentration of non-target compounds.
Released by:
Supervisor Report Date:March 14, 2000 Page I of I
9.0
130
Thij reporr ir p.ovided ,or thc crclurivc u o, th. rdde. Privile6o oI ubrcqml u o, 6r qqrc of thir mprny or_rny mcmb.. o, itt ttrff, il aPrcduction ot thit.nPort in c
fiB#Sffi
American West Analytical Labs
WORK ORDER Summary I0-Mar-00
Work Order L40393
SEAIOO
24855-Orem/026.90234
Extreme Rush 24 hour
QC Level:firu rf
Semple ID Client Sample ID Collection Dete Date Received Date Due Matrix Test Code Storage
L40393-0lA
L40393-0lB
Composite 3/10/00 3/10/00 3/l 3/00
3lt3t00
3/t3/00
Solids P.MBT)VTPH-S
3051
ICP.S
PurgeFridge
RUSHFridge
RUSHFridge
ill|t7->4
3 -a
?dvTl 3-lt:0t
Page 1 ot 1
Client ID:
Project:
Comments:
)
)
Client trCo?- oLL CHAIN OF
CASTODY
(80r) 263-8686
Fax (801) 263-8687
Lab Sample Set # _4 yttz
Page lofl
Qa \/r b4trtlq71
Circle
TAT
LEVELofQC I
S
City State zip il lll Iv
IPhone/Fax
Contact Dc,rA
Project Name >+fr7t
Project Number/P.O.#Lb,>3
LABORATORY USE ONLY
COMMENTS
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Nolesl
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YN
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Received Wthin
Holding Times
YN
A/otesl
WERE:
N
Noles:
Y
Noresi
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Special lnstructions:
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Notesl
and COC Record?
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Date/Time
PRINT NAME
PRINT NAME
Date/Time
Address Qn €crrf Vtfil < ' t-L ,9k 7o I
AMERICAN
WEST
ANALYTICAL
. LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841 l5
,a)
Relinquished By: Srgrarure /
Received By: Srglnalure
AMERICAN
WEST
ANALYTICAL
I.A,BORAIORIES
BLANK SUMMARY REPORT
Client: SECOR
Lab Set ID: L40637
Project: 24855 Orem Tank Pull I 026.90234
Analysis Requested: SW 8260B/5030A-MBTEXN/TotaI Purgeable Hydrocarbons
Method Blank ID: MB VOC Analysis Date: April 5,2000
Analytical Results MBTEXN/TPH-P
45E! West 3500 South
Salt Lake City, Utah
84115
(ffiL)263-885
ilrree(888) 263-.868,6
Fax(801) 26\ffi7
Units: mdkg
Compound
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
TPH C5 to ClO (GRO)
TPH Cl1 to Cl5 (DRO)
Reporting
Limit
0.002
0.00r
0.002
0.002
0.002
0.004
0.02
0.01
Amount
Detected
< 0.0020
< 0.0010
< 0.0020
< 0.0020
< 0.0020
< 0.0040
< 0.020
< 0.010
Released by:
Laboratory Supervisor
Report Date: April 14,2000
ORGANIC ANALYSIS REPORT
Contact: David Babcock
Analyzed: April5,2000
AMERICAN
WEST
ANALYTICAL
LABORATORIES
453 West 3600 South
Salt Lake City, Utah
84115
Analysis Requested: SW 82608/503 0A-MBTE)Ot/Total Purgeable Hydrocarbons
Lab Sample ID: L40637-01A
Field Sample ID: ComPosite #2
Site ID: 24855 Orem Tank Pull I 026.90234
Analytical Results MBTEXN/TPH-P
Units = mg/kg-dry
Final Dilution Factor: 2.67
Compound
Methyl tert-butYl ether
Benzene
Reporting
Limit
7o Moisture:
Amount
Detected
8
0.00s3 0.061
(ffiL)25e8685
lollFree(888) 26}W6
Fax(801) 26Y867
0.0027 <0.0027
Toluene 0.0053 < 0.0053
Ethylbenzene 0.0053 0.0059
Total Xylene 0.00s3 0.024
Naphthalene 0.011 0.018
TPH C5 to C10 (GRO)0.0s3 11
TPH Cll to C15 (DRO)0.027 0.69
+ Low euality Connol recoveries were observed. A duplicate analysis was performed with the same
result, indicating a matrix effect .
Released by:
Laboratory SuPervisor Report Date:April 14,2000 Page I of I
Client: SECOR
Collected: March 3 1, 2000
Received: March 3 l, 2000
American West Analytical Labs
WORK ORDER Summary 3 I -t4ur-00
Work Order L40637
Client lD:
Projcct:
Comnrents:
SEA I OO
2.1855 Orenr l'ank Pull I 026.90234 QC Level:
It("(
Sanrple lD Client Sanrple lD Collection Date Dnte Receivcd Datc Due l\latrix Test Clotle Sto rage
I _-106.j 7-0 L\Conrpositc #2 j/-l ti00 t/3 I /00 1/ | J/rX)Solids P-Nll)'l'X/lPl I-S purgc
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Page 1 of 1
Client C), aetoQ-
City State
Phone/Fax
Contact D4,-4J -&+ict.a.it-
Project Name
Project Number/P.O.#o>3
AMERICAN
WEST
ANALYTICAL
I-ABORATORIES
461 West J600 South
Salt Lake City, Utah
841 t5
CHAIN OF
CUSTODY
(80 r ) 263-8686
Fax (801) 263-8687
Lab Sample Set * J 51
Page I ofl
Circle One:
TAT I
LEVEL of QC
(,
zip III I\/
WERE
1 Shipped or hand delrvered
Notes:
Ambient or Chilled
Nolesl
Temperature
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(lmproperly Sealed)
YN
Nolesl
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,Voles.
N
Received VMthin
Holding Times
YN
Nolesl
Tape Was:
Present on Outer Package
YNNA
Unbroken on Outer
Package
YNNA
Present on Sanple
N
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City State
Phone/Fax
Contact 1 -&rb,ic-
Project Name
Project Number/P.O.#o>3+
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
84r l5
CHAIN OF
CUSTODY
(80r) 263-8686
Fax (801) 263-8687
Lab Sample Set * I b1
Page ofl
Circle One:
TAT I II
LEVEL of QC I
o
zip III
OC Tape Was
1 Present on Outer
YN
2 Unbroken on Outer
Package
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3 Present on Sarrple
IV
NA
NA
Special lnstructions:
I
m,t.fr
ET I hl
YNNA
Unbroken on Sample
A/olesl
N NA
Lab lD No
(Lab Only)Sample lD
Eo
o
c)
oo
0)
Et:
o)
oo
x.E
o
-(o
oF
o
o
.9o
Coo
o
o
-o
Efz
d',1cs
s
es
J
LF
E,s
5.
COMMENTS
LABORATORY USE ONLY
SAMPLES WERE:
1 Shipped or hand delivered
/Votes:
2 Ambient or Chilled
,Voles:
3 Temperature _
4 Received Broken/Leakrr'y
(lmproperly Sealed)
YN
Notes:
5 Properly Preserved
6 Received Wthin
Holding Times
YN
luotes:
N
Nolesl
Labels and COC Record?
YN
Noles.
Between Sam-
xL
I Datertirne
lslar1"" Pl:,,s
3-b\to 14:95;
Q-(UN
oiGnimC
PRINT NAME
Received By: Signalure
PRINT NAME
Date/TimeSignature
Address Uaa -va+ Z@ bu*L , <l< 3ol
I
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)4 5q C+e"^TenlLd-U
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..--Datf,aaaatl---raaaaau_ _
Owner Name Facility Name
Person
)
l(su rrounding neighborhood: (check the best description of land use)
-streetAddress Kffi Nl. ,..*a,F *
State
residential industrial/commercial
_City
Tank llo. I Tank No.F ranrllo. S Tank No._Tank No._
,o,cJch lO,5C'C to,661. Estimated Capacity (gallons)
5 5 G,-.\
2. T ype (€teelt/FnP, Composite)
(--G G3. Substance Stored
othu br nt hul,r ot I4. Date last used
4. Date Closed c;r,lcxkd r*,la-x'lm G)l
5. How closed (Rmvd, inplace, CIS)Rrnr\Rr-nud
Ceft. #: GS Expiration Date:GW & Soil
\Cert. #: rRCCq? Expiration Date: QJ- l5 - CY\J
1. Owner/Operator has an approved closure plan @ * Copy of closure plan is on Site: O r.r
I
2. Product removed:Y at:
3. Sludge removed: @N ey'\).\\at:
disposed at:4. Tanks cleaned:By:
ing lnertin LEL or %5.N ere inside tank obtained obtained:
6. Product lines were: _ Cleaned, secured in place, and site:Removed,
7. Tank d 8. Soilsite:site:
PID or FID meter readings (indicate location on the site plat.):
Calibration specs:_Meter Gain or span:_
1. Soil contamination is evident: Y Depth of contamination: 0 - 3 feet _ greater than 3 feet _
2. Water contamination is evident:to water direction of surface
3. # of samples collected:
-
GW 5- rsc 4. Certified Lab:Soil
BTEXNBTEX5.Methods O&G TRH HOC MTBE orh
observed collection of samples:6. I N lndicate location and on the siteof
and submitted them to the State Lab for anr collected duplicate7.1 N
N/A confirmation samples were collected: Y N8. Contaminated soil overexcavated: Y N tf
Cert#Si c6-Date
RR, Yellow-lnspector, Pink-Facility/Owner Revised 5/98
dTAH UST PROGRAM Faority .DNo,ftYWC/Ll
Permanent Closure Inspection
l. Ownership of Tank(s)Il. Location of Tank(s) -' 7u
TANKS CLOSED
Rrnrv\ .
TANK CLEANING AND REMOVAL:
USr Remove', ffi1ftp l0O\f
SITE ASSESSMENT:
rro"' ffllnr RCE:-{ffi
t'(
lnsoector's r.!<.
J-\
\\
tv
OSURE INSPECTION SITE PLAT
NOBTH
Facil lD No
ProBoc\rnq5otr aaP
+A
*
q5)
D
+
U
$,)L-+D
U-f7,
fr
-t 't
5)'1
rLl ,
SDA I
}B
lbcc l\o.tk)
PID or FID
.TANK3
TAN\K I
Tgtpyo-rSlue-
$b.64e13
Potential Fleceptors: Distance (in feel) to the nearest:
Besidences _ Commercial buildings _
Surface water _ Underground: Sewer _
Telephone line_ Electrical line _
Property line_
Waier line_
Storm drain Other (specily
Active water well _
Natural gas line_
Comments
I
Datetaj3-Cft-fXYlnssSnatu
cert ifv that I inspected the above-named lacility on -CrI63-
Cert#
R, Yellow-lnsp€ctor, Pink-Facility/Owner Revised 5/98
I
I
I
oeca
I ?,5
U
I
ENVIRONMENTAL ROIECTION
l0/tzqLl
z
a
r(
L
I,
6I
I
,
2\
2
Joseph K. Miner, M.D., f\4.S.P.H
Executive Director
UTAll COUNIY HEATIH OPARIUBTT
589 South State Street
Provo, Utah 84606-5056
" c rea t ing heal t hy, co nmun it ies "
DIVISION OF ENViRONIMENTAL t-.IEALTH
Phcrne (801) 370-4525 O Fax (801) 370-452i
Dwight C. Hilt, E.H.S. Director
-'\.4..n
March 01, 2O0O
Ms. Ann Nelson
Secor lnternational lnc.
670 East 39OO South
Suite 3Oi
Salt Lake City, UT 84107
DERR
ENVIRONMENTAL RESPONST & REMEDIAI
ENIERED
MAR I 0 20m
i
Re: Closure Plan approval for closure of three UST's
Facility ldentif ication No. 1000294
7-Eleven lnc., Store No. 24855., 1620 North State Street, O
Dear Ann Nelson:
The Closure Plan for the above-referenced facility received by the Utah County Health Department
on, March O1, 2OOO, has been approved subject to the noted modifications, if any. This
department requires a fee of $100 per tank for the permit to remove or install, and $5O 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 approval. 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 Plan 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 (801) 536-4100
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 84114-4840.
Please submit the environmental and Unified Soil Classification (USCI sample analysis data and
Chain of Custody forms with the Closure Notice as soon as possible, but no later than 9O days
after tank closure.
lf you have any questions please contact Linda Luck at 370-8775.
Si
C. HiI , E.H.S
Director, Environmental Health
DCH/LL
enclosures
cc: Gary Harris, Utah Division of Environmental Response and Remediation
Orem City Fire Chief
Ouality Remediation Services
-'1
o2/'18/oo 10:13 FAtr 801'16 7118 SECOR SLC @ ootzool
ST,COR
February 16,2000 I n rc.rna ti r t n a.l In crt rpctral e cl
Mr. Gary Astin
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West
PO Box 11"4.840
Salt Lake City, UT 841144840
RE: UST Closure Plan Amendment
7-Elevgn,Inc. #24855
1520 North State Street
Orem, Utah
Facility ID No- 1000294
Dear Mr. Astin:
As discussed, sECoR International Incorporated has retaincd a different contractor, Quality Remediation
Services, to remove ttxee 10,000-gallon underground storage-tanks from the 7-Eleven' Inc Store No'
L[gsslocated at l620 North statc Sreet, o'eniutat. Thc tank ,grneval is schedulcd to begin March 7'
2000.
The conrractor we have hired to remove thc tanks is;
Mike Mold, TR# 0097, Exp- Date 3'15-2000
Quality Remediarion Services, Inc'
PO Box 1044
Vernal, Utah 84078
(43s) 781-2s63
Tanks, product tins5, vent lines, and piping wjll be disposed by:
Atlas Steel
4221 West 700 South
Salt Lake Ciry, UT 84104
Contact: Mike MontoYa
(801) 731-s670
Thc tanks will be ernpticd and cleaned by:
VJ Environmental
155 North 500 West
Salt Lake CitY, UT
Contact; John Cluistiansen
(801) 595-815 1
VJ Environmental will coordinate clisposal of the contaminated water/rinsate, and residual siudges at the
E'l Technologies faciiiry
6030 West 1300 South
Salt Lake CitY, UT 84104
Contact: James Overberger
(801) e73-206s
o2l18/00 10:13 FAI 801 ^(7118
h/\/t^CNLL{Ao\
The Soil/Groundwarer sampler rviii be:
Scott Brady, Cert # GS 1 I 14, Exp date 1 - 1 -2002
SECOR hternati onal Incorporated
(801) 266-7100
Please call me if you have any quesrions, (801) 266-7100
Sincereiy.
SE COR I nte rn atio n a I Inco rp orated
David K. Babcock
Senior Engineer
Utah Ccmfied UST Consulunr #CC0l34
SECOR SLC @ oot z oot
Ann C- Nelson
Assistant Scientist
Ccrtified Sampler # CS 1263
UTAH COUNW HEALTH DEPARTMENT
589 south state street, Provo, Utah 84606 Phone (801) 370-4s25 Fax (s01) 370-4s21
Appl ication for Upg rade/Closu rell nstallation pe rmit
for Underground Storage Tank Systems
oate 2-4 -@
UST Owner
Name:
Add
Gontractor
Name
Add TV
ip /44t*Phone:ile-?77/c
one:_
en. *77o-317Crwaa )7
Tank Location
Name/Busi
Add
7i p:-P
n Upgrade (lndicate upgrades and exacily for which tanks:)
D Cathodic Protection (specify type)
tr Spill Buckets
D Overfill Prevention (specify type)
tr Tank Lining
Fee ($50 per occurance) paid? . . . . .
Tanks
X Closure
Number of tanks beings closed
State approved closure plans noted?
Fee ($100 X No. of tanks) paid? .
fl lnstallation
Number of tanks being installed
lnstallation plans provided? . .
(Note: PlanS mus{ be approved prior to issuing a permit)
Fee ($100 X No. of tanks) paid?
Piping (Specify Ty
D lnstallation
D#,/wy'
YNnn
.2
YNDD
YNtrn
YNnnYNtr!
YN.tr n
YNtrnYN.tr tr
@"t*
Fee id?
Amount of Fee
OD
Fee must be paid prior to issuing permit)
Permit No Application approved by.1 {,,SignatuApplicant Name
Upgrade/Closure/lnstallation Date @
qlac- h
tJto4
U NDER GHOUND STOFI
L LY
ate Beceived
eviewer
Date LHD Approved
ate mailed ro State
rgluuz,/u0l)
STA USE O
Date Recerved
ate Mailed (o LHD
Date Received From LHD
02,'0,1/00 I1:11 tAI d0l /r{ 7II6
AGE T LOSU RE PLAN
5LC0i( 5LL
A Contractor may PrePare this Closure Plan as the ownerloperarofs agent. In preparing the Closure plan, the Contractor
musl act with the owner/operatods knowledge and approval. The owner/operator must sign the Closure plan.
This Closure Plan issubmined in compliance with the requirements contained in R31 1-202 Subpart G and R3l f -204(U.A.C.)
closure PIan prepared at the request of the owner/operator (idenrified uerowl oy Ay1 r,. N€(gan
of (company name)SeLdz apta,c.Nel lslJ tL :a5J4.Phone * (lbt\ z-b'-1too
Address 610 €W( Zqoo 9o H ol C ity 4p.Wl,.-State L,r+ Zip oAtoa--
FACILTTY IN FORMATION
Tankowner 1' zuzves f,Nc .Phone # @t4 \9 /41 -l8qz
[ ]sole proprietorship I lpartnership ffi corporalion
Address 2-l t t tJoU-f x veu-Ciry -D*t\tr State]y,_ zip 19zoL4
Total number of regulated underground tanks at this site 3
. lndicale the speciflc subsEnce stored in each tank to be closed (regular, unteaded, diesel. waste o , elc.)
For waste oil tanks: Have degreasing or other types ol solvents been stored or mixed with the waste oil?
Yes (identiiy if known) No't af ptdcable No _ Nor known _
Analysis for lead or other contaminants may be required prior to disposal ol contaminated soil or other material. (Check with
your disposal lacility.)
jTank #21I
9Lel ,h."1 5L-t
e$)9$3 19.b3
[0,000 -6 tqow -G t0p0o-k
Typ€ (Steel,FBP,etc.)
Date lnsralled
Substance slored'
Capacity
breol*.,v 6sol,w-6,<nl,n, -
Date last operated I lzqloo t fzt loo lz,/ f oo
Bemoved,/ln Place/
Chanqe in Service?It*wrr Qzu"ou.L A)$'o;,4
r
(rev. l zo r/s8) FAclLlrY o* I 0O 7 Q \
Reviewer/Date Approved_
Mor. Revtew/Dare
Facnfty Name'7- eveQ€i +1oQ-€ NO. 2 Aq-,c,<
Address lhzo Nl0p-1 H E-T e--rg s-rr.'re-] city ,fzEt'^ state L^.T zip F4 os'7
Contact person -DrWiJ B.--!- r-az tr- phone # ( %t )Lbb-1 t^o
Total number of regulated underground tanks at this site !9_09 closed 3
TANKS TO BE CLOSED
I
02104/oo 11: I2 tAI 601lqt, 7I18
TANK REMOVER Name Ke tsi ^ Vn,^l)'' le, e cerr. # rR Olq+ e*e. o^tu 1l I l?not
Llai uuJ/ uuo
Phone #(8pt\ 33q-9232
SbCOR SLC
Compa |1-ommzt-;n I *r,t;ctc lJn ti *') lc J
Address q3? €. blh Streel City O.n Aen State UT Zip Zqqoqq
Company
Address
SOIUGROUNDWATER SAMPLER Name Ann Ne {So.a Cert. # GS l2-Ir3 exp. aate? -17-7,001
Pho;re # (Wl \?Cob'7(0O(c OO lrnkt rnut'lo'-'q (,rn,
bW ea* qoo .9vtk 90l 5l,c
Before the closure plan is submitted for approval, the local health and fire departments where the facility is located
must be COntaCted. t the lacility is in Beaver, Carbon, Emery, Garfield, Grand, lron, Kane, Salt Lake, San Juan, Wasatch, or Washington county
contact DERR (UST) at (801)536<100 instead of the local health disticl. You stil! must contact the local lire deoadment in these counties.
CONTACTLOCALHEALTH DISTRICT Nameof Dist. lrtl*tn G.,*i*l I,(o$-tlL De-.ef oarc 2'2-oo
Contact L',nla. Luc.k ritte
CONTACT LOCAL FIRE DEPT. Name of Dept
contact L,.r rv Bollq, A
vf\t(
Title Ft re Marghal
Phone * Qot-Z-tO-?.lOO
Date 2 -z- oo
Phone # gOL- ZU-_A.]
@A * 271-ToLDISPOSAL INFORMATION
Tank(s) will be disposed at: Facility Attas Sleel
nooress 6aS Sovlh Fr-celoaa Bl.ra{. city
Contact perso n - 3-, t\ t{a.n\en
?.o, o state (J7 zip31leDl
Phone #(eot | 373- qZZq
Product lines will either be: v removed or _ cleaned, secured in place, and capped.
Vent lines will either be: X removed or _ cleaned and secured open.
Piping will be disposed at: Facility A.l\a.s <{-.<l
Addr oe b 7<5 ,|f^ fl.ce BI Ci Provo State L zip-Z'/6OloJOwrU
Contact person Sill Hanlen
Tank(s)will be emptied by: company
Tank(s) will be cleaned by: company
Contaminated water in the tank/rinsate will be disposed at: Facility
Contact person
Tank(s) will be:purged or rendered inert by the following method
c.t t
Phone#$ol \37j't122#
Phone #(aot \ z ,b -332(
Phone *( SOtl zgo'3324
Phone #( $ol ) z*o - 3\24
c
Residual sludges will be disposed at the lollowing facil
Contact person eJ
City /.\<s* JorJera State UT Zip cqOts9
Phone #( aol \ zzD - 33 zcl
FOR CLOSURE IN.PLACE ONLY
[ ] Approval for in-place closure has been granted by the Local Fire Department.
Fire Dept Phone#-Contact Date-
I I Approval for in-place closure has been granted by the Local Heaith Department
Health District_Phone#
[ ] Substance to be used to fill tank
Cont Date
State uT Zip 04to?
Lr€e K.h I
ead,ers 4lS2 ()esl Lb?O S Drl1.
02i04i00 1l: I3 l.'A\ SUllqti TIlE StrUUl< sLC rg) uu4/ uut)
r.r.rNTAi'INATtrN MA TEET IALS [tttQ'r Erc htcE]n QEI\ AT aN aal'EE TA B r tr trAr-il lTv
All materials generhted 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 oi contaminated soits may be required prior to any soil
management activities. Any person providing remedial assistance for a fee, including aeration and over'excavation (of more
than 50 yd), must be a Cerlified UST Consultant,
Contaminated soils generated as part of tank removal are to be disposed at the followrng facility:
E.T, Tzchnol oc\es Address 31"{L desl -zl oO S o ola-So,ll Lclr,e;b
a,"," lrT zt o 4q tZo Contact pe rson Crce3Neui\le Phone#(?rlf\q77-0731
SITE ASSESSMENT
A site assessment must be performed for all UST closures and change-in-service. Site assessments must be
performed as outtined in R311-202,Part280.72 and R311-205 (U.A.C.). lf contamination is suspected. additional
samples must be cotlected at the location where contamination is most likelv to be oresent. lf oroundwater is
encountered. a soil sampte must be collected. in the unsaturated zone. in addition to e?ch oloundwater samole.
Soil and groundwater samples must be analyzed for the compounds shown in the f ollowing table, using appropriate
lab methods.
Substance
or Product
TYPE
Contaminant Compounfu to be Analyzed ANALYTICAL
METHODSI
Soi[, Groundwater
or Surface Water
Gasoline Total Petroleum Hydrocarbons (TPH); and Benzene, Toluene,
Ethyl benzene. Xylenes, Naphthalene, (BTEXN) and MTBE
8015 Modified Ud
EPA 8020 or 8260
Diesel Total Peuoleum Hydrocarbons (TPH); 4! Benzene, Toluene,
EAryl benzene, Xylenes. and Naphthalene (BTEXN)
8015 Modified and
EPA 8020 or 8260
Used Oil Oil and Grease (O&G) or Total Recoverable Petroleum
Hydrocarbons (TRPH); 45! Benzene, Toluene, Ethyl benzene,
Xylenes, Naphthalene (BTEXN) and MTBE; 4! Halogenated
Volatile Organic Compounds (VOC's)
EPA 413.1 or 418.1
and EPA 8020 or 8260
and EPA8010or8260
New Oil Oil and Grcase (O&G) or Total Recoverable Petroleum
Hidrocarbons (TRPH)
EPA 413.1 or 418.1
Other or
Unknorvn
Total Petroleum Hydrocarbons (TPH); and Benzene, Tolucne,
Ethyl benzene. Xylenes, and Naphrhalene (BTEXN); and
Halopenated Voladle Organic CompourQs (vOC's)
8015 Modihcd and
EPA 8020 or 8260 and
EPA 8010 or 8260
rAlternative methods or test procdures allowed for 413.1 are 1664 or 5520(b), and 418.1 may also use 1664 or 5520(0. The DERR is now
accepting ttle use of the E000 method series to replace the 600 method series for water aualysis. Note that analytical method numbers may change
or be replaced (e.g., 8020 can be upgraded to, or replaced with' E260 if desired, etc.). Check with the DERR, your certifred sampler, or your
ana.lyti c-al laboratorY if you have questiors regarding t}e proper analytica.l method(s) to use for your sampliog Progranl
Complete the Facility Site plat and Sample lnformation Table on pages 4 and 5 to provide site assessment
information.
CONTAMINATION INFO RMATION
lf contamination at the facility is iusoected or contirmed, the information must be rePorted to the Executive Secretary (UST)
at (801) 536-4100 within Z+ nowsjhsDivision of Water Ouality must be notified at (801) 538-6146 if Free Product is
encountered or il surface water has been impacted. lf contamination is conlirmed, any person assisting in the remediation
process for a fee must be a Certified UST Consultant.
J
0.2(04/0.J Il:I4 l-A\ 60I/Zqd TIIti Sh.UUR SLC (l(,Ui/UUb
ThesiteplatmuStbedrawntoanapprosamplinglocations,subStancesstored
in tanks, and other relevant information. Tank and sample identification numbers must be consistent with the informationgiven on p. 1 and S of the Closure plan.
Facility tD # / ooz?q Drawn ay Kees ia"+-D'rk Date t I tt /oo
1r
NORTH
ANDERSONS LUMBER
ASPHALT
Scale: 1 = 3OFeet
l1 rr\
:
rr\rr
5t-+59-l
rr\rr
\rr
CANOPY
+99-a
l1
ULTIMATE
CAR WASH
D
ASPHALT I
Il
o
I
I
I
|t
to
a
1
I
I
@
STORM
DRAIN
X = Sample locarions (SS+. WS+, USC+)
e = Monitoring Wells (MW+,;
O = Soil boring (SB+), or Geoprobe Boring (GP+)
O = Warer Wells (domesric. livestock, erc.)
S lopc of S urface Topography: ( N,NW@.SW,S.SE.E.NE)
l-and Use Ar Sirc: _Residenrial f,Commercial _lndusrriat
Surrounding Land: _Residenrial f,Commcrcial _lndusrrial
Site Plat lr{ust Lndicate Approximate Locations Of:
y' Current & former tanks, piping & dispensersy' Location of all samplcs ro be raken
rz Buildings, fences, & prope(y boundaries
r' UlJliry conduirs (sewers. gas, water, storm drains.
eiecrncal, erc.)
r
1600 NORTH STREET
r:l I
Ao
Bo
lco
uJ
htfozoo
55-Z
YJ
3
tUeo
T.ELEVEN STORE
NO. 24855
i
*o
I
I
I
$q
rl
il
il
fl
rl
rl
ilGAS METER
t1 r1 l1
t
a
CDco
=E
tu
IUEFU'
UJF
Fo
I
I
!
I
I
I
I
!
o
FIRE
TRAFFIC
SIGNAL
' FEE-A3-
r1.19 trr-\ but
2AAA A?tA2 /\urrie'loourrao*D codP".'"'' " "
Complete lable {or all samples to O" ,*"n ,ffi
'l Soil (S S). Gl9endw{tr (O}Y), or Unilied Solt Ctassifcafon (t SC}-
+:l uvr// vuu2r4 A41 6?4? P,@3/93
2 AgPror.-dlF[h in lect belc'.i g.r.d€. The ilqua,ed minimrrr altB asse5s.ne.l samgtes must De rax€n a o,2 ,eet betgw a€ bac5tyoative 30it inEdaEs3 Cod.miooDl cgtiroundr &, ba a alyr€d ,or e8crl s8nple (hm Ub,e On p. 3).4 ApgnprislB anstysb mooods lo. cooEminant cDmpound(s) In €ac|l o.mpte ilro.n raoc on p, s).
Approximate 6epth to grDundwater in the vlciniry of rhe tank:
Begional grourdrtrater 8ow direction: \J . SlJ
1o {eeL
Sample t Subsitan ce
stored in
tanl(
Sanple
tyPet
compoundi Analysis method(s).oepth'
SS.I Czas ol; "e 5e TeB imBzExN AL6OB
SS -2.,s t7
3S -3 ,s
59 -t1 5S t7
53-,a9 q.<
55- to 4e
45->q.c I
u9c-l Ubc tt uje tr,t1ft1 Dz.|97-?z
vgc -L v5e r3 v9.]gru oztts?-?r
USE.3 {L/9C t3 urL L)f457t1 a7-?g
I r
I I
I IIII
IIIIIIIIIIrI
State c€nilied Laboratory ro be u
eoqeE" lba Uc,* 260o laefL crry
Conlacr person
lc
kc C;state_LLlzp gt l/s:
Phone #(g o IZL 3-862;L
c AI
Ploase erplaio any unusual or extenuating citcurnstances ex pected regatding lhe site assessmenl or closur€:
Qur ^ke")
(
I celtity under penalty of lawthat I am the orvner/aperato
tie lntorfistion on thls form and that lt ls true, accurate
h€rein will be tollowed cluring
Signarure of tank osrner
r or lhe tank(s) relerenced abcve and that t am familiar with
and complele, and further, that the procedures deseribed
Enviroumen(rt I$anager
sl
HIFull Name ot tant owner Date
TNTAL P. A3
55
4s
| ,z-
02/L8/00 09,:54 FAX 801 286 7118 SECOR SLC
SECOR International IncorP ordted
Salt Lake CitY Offt.ce
670 East 3900 South, Suite 301
satt Lake city, utah 84107-1973
Phone
(801) 266-7100
FAX
(801)266-7118
t///21 t/
DEiiR
INVIRONMENTAL RESPONSE & REMEDIAIION
ENTERED
Blsm
BY
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+++ DERR E ootzoos
+)To
FAX NO:
Phone 5Vb^DO
Time
gO6n--
Job N
Pages (Inctuding 5
g/.our\rA+/t s+,-T?.s
H€^l.at^r Tnr A)/1/\
(0 ttz..
0t t<c^u l11ftl^
02/ L8 / 00 09:54 FAX 801 286 7118 SECOR SLC ++-+ DERR @ oonzoos
SECOR
February 16,2000 IrN le4rr'tctti onal Into rltora,tecl
Mr. Gary Astin
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West
PO Box 144840
Salt Lake City, UT 84114-4840
RE: UST Closure Plan Amendment
7-Eleven,Inc. #24855
1620 North State Stect
Orenu Utalt
Facility ID No. l0oo294
Dear Mr. Astin:
As discussed, SECOR International Incorporated has tetained a diffcrent contactor, Quality Remediation
Sovices, to remove ttrec 10,000-gallon undergtound storage tanks ftom the 7-Elevc:t, Inc Store No.
24855located at 1620 North State Steet, Orem, Utah- The tank removal is scheduled to begin March 7,
2000.
The conbactor we have hired to remove the tanks is:
Mike Mold, TR# 0097, Exp. Date 3'15-2000
Quality Remediation Sen'ices, Inc.
PO Box 1044
Vernal, Utah 84078
(435) 781-2s63
Tanls, produd lines, vent lines, and piping will be disposcd by:
Atlas Steel
422lWest 700 South
salt Lake ciry, uT 84104
Contact Mike Montoya
(801) 731-s570
The tanics will be emptied and cleaned by:
VJ Environmental
155 North 500 West
Salt Lake City, UT
Contact: John Christianseal
(801) s9s-81s1
VJ Environmental will coordinate disposal of the contaminated water/rinsate, and residual sludges at the
ET Technologies facilitv
6030 West 1300 South
Salt Lake City, I-II 84104
Contact: James Overberger
(801) e73-2065
o2/18/o0 09:54 FAX 801 268 7118
The Soil/Groundwater sanpler will be:
Scott Brady, Cert # GS I I14, Exp date l-I-2002
SECOR Iatemational Incorporatcd
(80r) 266-7roo
Please call me ifyou harc any qucstions, (80i) 266-7100.
Sincerely,
S ECOR Inurnatio nal Incorporated
Ay/\/t^U{t &fr\
AIm C- Nelson
Assistant Scicntist
Cenified Sanplcr # cS I 263
+++ DENR
David K. Babcock
Senior Engineer
UtaI CErtified UST Consultant #CC0l34
sEcoR slc A ooE /o os
t0//zE/
SECOR
February 16,2000 I nternationa I Inc orporate d
Mr. Gary Astin
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West
PO Box 144840
salt Lake city, uT 841144840
fi.c L do
RE: UST Closure Plan Amendment
7-Eleven, Inc. #24855
1620 North State Street
Orem, Utah
Facility ID No. 1000294
Dear Mr. Astin:
As discussed, SECOR lnternational Incorporated has retained a different contractor, Quality Remediation
Services, to remove three 10,000-gallon underground storage tanks from the 7-Eleven, Inc Store No.
24855located at 1620 North State Street, Orem, Utah. The tank removal is scheduled to begin March 7,
2000.
The contractor we have hired to remove the tanks is
Mike Mold, TR# 0097, Exp. Date 3-15-2000
Quality Remediation Services, Inc.
PO Box 1044
Vemal, Utah 84078
(43s) 781-2s63
Tanks, product lines, vent lines, and piping will be disposed by:
Atlas Steel
422lWest700 South
Salt Lake City, UT 84104
Contact: Mike Montoya
(801) 73t-s670
The tanks will be emptied and cleaned by:
VJ Environmental
155 North 500 West
Salt Lake City, UT
Contact: John Christiansen
(801) 59s-81s1
VJ Environmental will coordinate disposal of the contaminated water/rinsate, and re sidual sludges at the
ET Technologies facility
6030 West 1300 South
Salt Lake city, uT 84104
Contact: James Overberger
(801) 973-2065
,d
67O|.)ctst-i9OOSottth.Sritc-J0l.Sctltl.ctkea'itt',t1'ti4 107-197.J (tiol)266-7100 (,901)26(t-Tlltil:a.r u'u'u'.secor.c()nt
^
The Soil/Groundwater sampler will be:
Scott Brady, Cert# GS I I 14, Exp date l-1
SECOR lnternational Incorporated
(801) 266-7100
Please call me if you have any questions, (80
Sincerely,
S E C OR I nternatio nal In corpo rated
,/
h/\/\^CNtukn\
Ann C. Nelson
Assistant Scientist
Certified Sampler # GS 1263
) 266-7100.
David K. Babcock
Senior Engineer
Utah Cerlified UST Consultant #CC0l34
02/04/00 10:35 FAX 801 266 7118 sEcoR sl-c
UNDEBGROUND STORAGE TANK CLOSURE PLAN (TEV. 1ZO1l98)FAcurY rD# l@o a q q
LHD USE ONLY
Date Received
Reviewer
DatE LHD Approved
Date mailed to State
Tank Owner 1- btj\Jen ?Arc.Phone*1!)!1fuftQ542
I lsole proprietorship [ ] partnership D( corporation
2 ?tl tJ00-vL l.LE City DAT State]gi--.lE 20r,1
@ooz/ ott
Ll 0o
r.(00(
Received
te Mailed to LHD
ate Beceived From LHD
eviewer/Date Approved
gr. Review/Date
Address
$q1 0 rJo.4q,c.qFacility Nam el -e.vev€
Address lhLa r.logtx <1*rs slreeer ci\---W!-State-lAaZl I Aos1
Contact person DrwiJ B*.Lr-a.' t-Phone # (\'lJrb too
Total number of regulated underground tanks at this site 3
Total number of regulated underground tanks at this site to be closed
-3-TANKS TO BE CLOSED
. tndlcate lhe speclfic substanco storcd in sach taJS( lo be closed (regdar'unl€d€d, dlesel, wasle oil, etc.)
For waste oll tanks: Have degreasing or other types ol solvents been stored or mixed with the waste oil?
Yes (identity il known)lA No Nol known
Analysis lor lead orother contaminants may be required priorto disposal o{ contaminated soil or other material. (Check with
1
32riTank #
9V"l,bol9Le.lType (St€el,FRP,etc.)
!p.b3$s3e$)Date lnstalled
t4ou'r,tqow -6P,ooo-(lCapacity
6rt<almz b*ol,,.o-brsolw,Substance stored'
tlz,tfoot lzqloollz,tlooDate last operaled
Vbt\o'l,r,llL*.o.r"I Q;lna.iaLBemov€d/ln Place/
Change in Servlgel-
Ir
I
II
you. disposal taclllty.)
closure Plan prepared at the request of the owner/operator (identified below) oV- Anf:l!<-k-?1-_-
of (company name) EeCo(2 ZNaEPT.TAT iorr tL ?{a. Pnone * (%t\ 2-6L-1toD
g46r"u Q,-to g*tt 4oo gogtvl
,Aw'tW Zol cty *lP.l.+.-lL.- State[iL+ Zp 94to?-
A Contractor may prepare this Closure Plan as the owner/operatofs agent. h preParing tfie Closure Plan, the Contraclor
must act with the owner/opetatofs knowledge and approval. The owner/operator must sign the Closure Plan.
This Closure Plan is submitted in compliance withthe r€quirements contained in R311'202 Subpart G and R311'204 (U.A.C')
FACILITY INFORMATION
02,/04/00 10:35 FAX 801 266 7118 SECOR SLC @ oo3,/ot1
Address ?3?b1h Streel State UT Zip zc q04
SoIUGRoUNDWATER SAMPLEF Name An Nelso"4
Com Sec,or I**vno*iot^a( , Xnc.Phone # (Nl't Ztob-?tO0
Address bw ht+ LA00 .Cvrk 7ol City 5Lc State UT Zp o+t 0lL
Belore the closure plan is submitted tor approval, thB local heanh and flre departments where the ,acillty ls located
must be contacte d. tt he lacitty E in Beavet, Catuon, Emety, Aatfidd, GraN, lrcn, Kane, San Lak, San Judn, Wasa/t,t' ot washlngton coatv
@1tacr DER? UST) at (801)53H1OO instaacf ot he tod hedth dsnid You still must conhct lhe local the deDanment in these @mtes.
CONTACT LOoAL HEALTH DISTRICT Name of Dist.oate 2'2'oo
6on1r"1 Lin)Ltrc.\<Tifle Phone* fu):Z1o-La\o
CoNTACT LOCAL FIRE DEPT. Name of Dept aate 2-2-OO
Contact Lor Trtre -Es9--0Aare'hal:.-P\ne
* @l:&1:Z.i
Cn ,*) or Zz1-To2DISPOSAL INFOBMATION
Tank(s) will be disposed at: Facility A E e Pee.l
Address Gc 5o "|h F'rce d.a*, BlvJ.CitV ?.coro--State-.,j1!Aq"Al
contact person 3-, t\ tt a- n \e n Phone # (Aol \ 373- 4224
Product lines will either be: -IL removed or- cleaned, secured in place, and capped'
Vent lines will either be: ->L removed or
-
cleaned and secured open-
Plptng will be disposed at: Facility A.l\a.l gtcel
nuoress GE5 5o u*L frcel o",, Bl u4.Ctt4--2r-gat-a-state t/7 ZiP z./601
Tank(s) will be emptled bY: company
Tank(s) will be cleaned by: company
Phon6 #( g,et I z% -332'l
Phone#(80tl2$6'394
Contaminated water ln thE tank/rlnsate will be disposed at: Facility
contact person
Tank(s) will be:
e Phone # ( tal ) 2.go- 3\z+
_ purged or rendered inert by the lollowing m€thod:
Residual sludges will be disposed at the following tacil
Address t lI 32 Qcsl 8T7O So.ril"citv-lJ<sllltlea- state-Ul z 99oEs
Contact person o Phone #( aol \ z*o -3324
FOR CLOSURE IN.PLACE ONLY
I I Approval for in-place closure has been granted by the Local Fire Department.
Fire Dept.--Phone#Contac Date
t
c
f
[ ] Approval lor in-plaoe closure has been granted by the Local Health Department.
Health District-
2
[ ) Substance to be used to fill tanks
Phone#Contact--Date-
IANK REMovEH r.rur" - l(/Ui yr V.r^ l-Ji iu re- cert. *g..,]Qf4T Exp.date-llJl4le
companv Aonma;al gertas (lnllmile4 Phone# ( ?Dt \ 33q'923o
cert. # GS l2-lr3 Exp. date ? - L7'7rt01
o2/04/oo 10:36 FA.X 801 266 7tL8 SECOR SLC
CoNTAMINATED MATERTALS MUST BE DtSpoSED AT AN ACCEPTABLE FACILITY:
All materials generhted 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 ol contaminated soils may be required prior to any soil
management activilies. Any person providing remedial assistance lor a fee, including aeration and over-excavation (of more
than 50 yd), must be a Cefiified UST Consultant.
Contaminated soils generated as part o, tank removal are to be disposed at the lollowlng iacility:
E.T- a.erjl*e Address 36tA t)cs+ ?-too So .rlL ity Sa
state ltf zip-9lJ-zo-contact person C-rea N €ui lte pnone #(*)1 \ q77-073t
SITE ASSESSMENT
A site assessment must be performed for all UST closures and changlln-sarvlce. Site assessments must be
pertormed as oulllned in R3'11-202, Part280.72 and R311-205 (U,A.C.). lf contamination is suspected. additionat
samples must be collected at the location where contamlnatlon ls most likelv to be pJesent. lf qroundwater is
encountered. a soi I sample must be collected. ln the u urated zone. ln addltlon to each o ndwater sample.
Solland groundwater samples must be analyzed for the compounds shown ln the followlngtable, using appropriate
lab methods.
Substance
or Product
Type
Contaminant Compounds to be Analyzed ANALYTICAL
METIIODS'
Soil, Groundwater
or Surface Waler
Gasoline Total Petroleum Hydrocarbons (TPH); and Benzene, Tolucne,
Ethyl bcnzcnc, Xylenes, Naphthalcne, (BTEXN) and MTBE
8015 Modifrcd
EPA 8020 or 8260
and
Total Pcuolcum Hydrocarbons (TPH)| AES! Benzcnc, Toluene,
Ethyl benzcne, Xylcnes, and Naphthalcnc (BTD(N)
8015 Modified gggl
EPA 8020 or 8260
Used OiI Oil and Grcase (O&G) or Total Recoverable Petroleum
tlydrocaftons (TRPH); gqd Benzcnq Tolucne, Ethyl benzene,
Xylcncs, Naphthalcne (BTE(N) and MTBE; 349[ Halogenated
Volatilc Organic Compounds (VOC's)
EPA 413.1 or 418.1
and EPA 8020 or 8260
and EPA 8010 or 8260
New 0ll Oil and Grcasc (O&G) or Total Recoverable Petrolcum
Hydroca6ons (TRPH)
Other or
Unknowa
Total Pctrolcum Hydrocarbons (TPH); ggd Bcnzcne, Toluene,
Ethyl benzcnc, Xylencs, and Naphthalcnc (BTH(N); and
Halogenated Voladle Organic Cornpounds (VOC'S)
8015 Modified and
EPA 8020 or 8260 and
EPA 8010 or 8260
Alteruative nrelhods or tcsl pro.edurcs sllowcd for 413.1 are 1664 or 5520(b), ard 418.1 llay also us6 1664 or 5520(0. Tbs DERR is now
accepting thc use of the 8000 tnerhod scrlcs lo replacc Orc 6fi) mcthod s€ries for $al€r snalysis. Note thar ualyticsl nethod nurbers m:ry change
or b€ rrplaced (e.9., 8020 csn be upgreded to, or r.placad wlth, &160 il dedre4 etc.). Ch.ck with the DERR, your crrtified sampler, or your
aaalytical laboretory if you hrv. qrc6tiols r.gardiDg thc propcr atrdytical Erethod(s) to use for your sampliDg progratE
Complete lhe Faclllty Site Plat and Sample ln ormatlon Table on pages 4 and 5 to provlde slte assessment
informatlon.
CONTAMINATION INFORMATION
It contaminalion at the lacility is susoected or gglIil|gd, the intomation must be reported to lhe Executive Secretary (UST)
at (801) 536-4100 within 24 hours. The Division of Water Quality must be notified al (801) 538-6146 il Free Product is
encountered or if surlace water has been impacted. ll contamination is contirmed, any person assisting in the remediation
process for a lee must be a certilied usT consultant.
3
@oo4/or1
Diesel
EPA 413.t or 418.1
02/04/oo 10:37 FAX 801 266 7118 SECOR SLC
Facirity rD *J9o4u-Drawn By Kees Ua4-Diit
1I Scaler 1"= U Feet
tt-1 5t-l
rf-fr
@ooE,/011
Date DO
ULTTMAIE
CA.R WASH
FACILITY SITE PLAT (CLOSUBE PLAN}
The site plat must be drawn to an approp;;;i;;;;IiEesc.le. ll ,nust show planned sampling locations, substances stored
in tanks, and other relevant informaiion. Tank and sample idenlification numbers must be consistent with the information
given on p. 1 and 5 oJ the Closure Plan.
NORTH
ANDERSONS LUMBER
ASPHALT
ti
q,cl
=E
FutrUc,Flt
IllF
U'
I
I
I
I
rt-
D
CANOPY
+at-r
I
I
I
$
I
I
g
I
I
I
I
DRAIN
X = Sample locarions (SS+. WS+, USC+)
e = Monitoring Wclls (MW#,)
O = Soil boring (SB-#), or Gcoprobc Boring (GP+)
a = Wstcr Wells (domcstic. livcstock. etc.)
ilopc of Surfacc TopoFaphy: (N,Nw@,sw,s'SEE,NE)
Land Use A( sitc:
-Rcsidcntial Kcommcrcial -lndusrrialsurrounding L-a,ld:
-Rcsidential
Xcommtrcial -lnduslrial
Site Plat Mrrit Indicate ApplodlDatc Locatiols Ot:
y' Currcnt & fonn6 tanks, pipi[g & dispcnscrs
y' lrcation of all samples to be takcn
y' Buildings. fcnces. & propeny boundaries
/ Utilily conduits (scwqs, gas, watct, storm dta,ns,
elccrrical, etc.)
I li
1600 IIORTH STREET
4
ll tl
a a
ao
Bo
lco
Y
=trle
7.ElEI'EN STORE
I'1O.2t1855
H
G,o
oo
55-Z
\rr
I
ir-rr
I
I
GAS METER
Ir
I
I
I
I
!
I
I
I
a
SIGNAL
ASPHALT
sToRl/
o2/04/oo 10:38 FAX 801 266 7118 SECoR SLcFEB-g3-Z@/A A?,82 TTA.SOUTHLFND CORP.
Complete fabl. lorall sarn'lis to O" ,"*an roffi
I Sd (S€). OrE /rnrirar (gtt\t), ar2 larpilx..hF,th h leet brb{.9r.6e. tnt5 Cqrtrt|inrnl oorrpcund! t b.. alfedt AgrnprilD ErEly{lb
"!e!ro&,or ao6E nltranl corlpourC6) 16 rct ssmC.on 9. 3r-
Appro$mEta @plh fo gEundrrrtor h fhe vir:inily of the ranlo:l€cL
Bagbnal grourdwater fow dil€ciion:STJ
-1 214 e4r 674?
A oo6,/ol l
P,A3/A3
Ur{0d Eolt Ct83str6i&n (trsc1.
lqtrc( mioifirll r,& sgesrncrl
for a!.tl la|npl6 (t9li lsbte go P. S}.
samdes musl ta Elori a 0A tcd bebw Aa bect6ty'rlrfre soit i erlacB.
(tD.n EDte
ao
sampne *substanoc
stor6d in
tank
SaErptr
tyPct
9cpt}l,campoundd Antlysls rn.t Dd(s).
ss- I G.,€oli^c 3e t3 TenlmRzcrrv azboB6s -z es t7
33 -3 9s l3
3a -4 95 t?
t3-f $s tr.€
39-to 59 4.E
1s- 7 4s Lt.U I tugc-l u9e l?sle Dzl27-?zvsc-L v5c t3 uac hs OZt(s?-"guse.3 !I u9c t3 u9L ?c1 *-ASTn o *-?
I r
r
IIIIIIrI
rIIrIII
II
IIrIIT
State Ceil.lied LaDoEtoty to be 4 A
tc
lc
state_Llll $'ilt
Con6ct prrson Pho/,,a*(rol l, zt 3-768L,
Plossr axphin any unuanal or cnrnuaung drcullgt3nces €rgac8ad egarding lha site assesErnrd or closure
f.cn),A kc
I cen y under ponatty of larythat t an th!owDer/opcrato?o, fhe talrf(s] r.tcn nceC abovG .nC that I am la]n iliar wirhttlc lntcrmatsn 6t thls form and that lt la truc, acEuraE and completc, and furflEr, thet lh€ procedurra describedheralD Yrill be followe.l durino
Signatrc ot trnk owner
Full Name ot Ent owre,Environncatd
5
Mraager Dato
SI
HI
I
TOTAL P. A3
02/04/00 11:37 FAX 8015364242 DEQ DERR @ oot
*** TX REP0RT ***
** E**{{*rlc ******* **{<***
TRANSMISSION OK
TXIRX NO
CONNECTION TEL
SUBADDRESS
CONNECTION ID
ST. TIME
USAGE T
PGS. SENT
RESULT
L7 22
18013704521
ENYIRO HEALTH
02/04 11:34
02'47
6
OK
DATE:
AGENCY/FIRM:
FAX COVER S}IEET
STATE OF UTA}I
168 North 1950 West
Salt Lake Ciry, Utah 84116
(801) 536-4100
Mailing Address:
P.O. Box 14840
SaIt Lakc CitY, Utatr 841144840
FAX NUMBER (801) 359-8853
f-
UTAI{ DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVRONMENTAL RESPONSE AND REMEDTATION
Oo
UTO
Ml- 370 -qsJ_lFAX NUMBER:
FROM:
COMMENTS:
.>
PAGES TO FOLLOW: 5
f4
*u(a
-4tO
UTAH UST PROGRAM Facility lD
Release Detection I on Checklist
l}"
tl\
I
ft. Location of Tank(s) rXul. Ownership of Tank(s)
lll. Tank lnfOfmation Complete for each tank. ll facility has more than 4 tanks, complele information for
Facility NameOwner Name 1-tl
street Address
I u >o A/ . statrL
ZipCod,e
Tank 4Tank 3
*.^il^-?a4[
Address
StateCity A4arr,"^-City
tianks on separate form.
County
Phone #Contact Person At UST Location
Tank 2Tank'lNumber of tanks at facilitY: ]
Area Code Phone Number
(V".)-rvn YES NO -*e€+Yes NoCurrent year tag is displayed
-'tE' No Yes NoG)-r--
-YES
NOTank presently in use
lf not in use, date last used
lf not in use, depth of product in tank (in inches)+lqB3Month and year tank installed --+voK, -Capacity ol tank (in gallons)
Pnp*AtuLd {,U^-Substance stored
-)
STr?e -Material ol construction of tank (steel, FRP' etc.)
Material of construction of piping (steel, FRP, etc.)
u-
--}
O4a/-A.{Piping type (pressure, suction, gravity, etc.)
lV. Release Detection For Tanks lndicate the method(s) used lor tank. Complete the appropriate checklist lor each method used.
Emergency Generator tank (leak detection delerred)
-->Xf(i
-
Method used (enter method used and complete appropriate lorm)
. Release Detection For PiPing lndicate method(s) used and complete appropriate tank checklists
dLddu.-..P1 -Xin&- &Method used (complete separate form where applicable)
R5R.{lra,ohlaAaAutomatic Line Leak Detector type and model
I ->qDate of last Leak Detector performance test
alV4A
Date of last Line Tightness Test
Test result (pass/fail)+'bl qt -a
Test result (pass/fail)
No. UT
No leak detection required (must answer "yes" to all
Name and company ol certified tester
Yes NoOperates at less than atmospheric pressure
Yes NoSlopeof piping allows ALL product to drain into tank when suction is released
Yes NoHas only ONE check valve, located directly under pump
Above information is verifiable; use comments section below to document how it is veritiable
certity that I have inspected the above-named facility on
{lmth, day, yoar, tm)(print nem)
NoYes
cP
Signature of Owner or Owne/s Representative Present During lnspection:
lnspector's
Distribution: White-DERR, Yellow-lnspector,Revised 2/4/99
Certificate of Compliance on site?
Wl fOertiricate
Year:
-
\.t+^h -a
?-
D
.au
question$96w)
I
UTAH UST PROGRAM Facility lD r,ro. I oooi94
rrosion NS
R
Please complete all information for each tank. Use additional forms as necessary if the facility has more than 4 tanks.
LL
Tank 1 Tank2 Tank 3 Tank 4
Ycq NoYes Yes -\Yes NoThe UST system is lilled by transfers of 25 gallons or less. ll yes, spill
and over{ill prevenlion is not required
Yes No yes\-No
-
Yes No
Yes--NoEr
>
Yes NoW4
ls there a spill containment device that will prevent release of product into
-the environment? lndicate type: Spill bucket <5 gal., Spill bucket >5 g
ls lhere an over ention device installed on the tank? lndicate type
-pall float (in venr .r), Automatic shutoff (in fill pipe)' Alarm, or Other
(specify) t
ngt
{r
Containment sump at tank fill.
Yes No Yes No Yes No Yes NoFor overlill alarm only: ls the alarm located where it can be easily seeh
and heard by lhe deliverY driver?
Yes No Yes NoYes No Yes NoFor overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
Tank 3 Tank 4Tank 1 Tank 2
Tank Tank-->Tank<A-Tank
Piping PiDino Piping/Vih-
lndicate the type ol corrosion protection: Non-metallic (NM), Composite
steel (CS), lnternal lining (lL), lmpressed Current (lC), Sacrilicial Anode
(SA). or Not protected (NP).
Sub-Pump Sub-PuqQ.s Sub'Pump
Oispenser
dW
Dispense.Dispenser
_-)dWe
lndicate the type ol corrosion protection on Flex connectors and/or Swing
joints: Booted (B), Total containment (TC), Not in contact with soil or
water (NC), Cathodically protected (CP), Non-metallic (NM) and Not
Protected
l{ tank or piping has been
lpgraded, indicate date uPgrades
7 were performed:
Tank lining
Tank cathodic protection
Piping cathodic protection
ol the
J+F-No-Yes No.,'E,^
-7t"Yesresults of the last two cathodic protectio
6 months of installalion and
(withinn tests are avai
3 thereafter).
volts voltsvoltsvolts
Tank. Tesler
'--.-fDate
voltsvoltsvoltsvolts
DateTester
Sub'Pump
volts
Sub-Pump
volts
Sub-Pump
volts
Sub-P!mp
volts
Dispenser
volts
Dispenser
volts
Dispenser
volts
Dispen*r
voltsDateFlex. Tester
Comments
IDate
PresentOwner's
Yes NoYes No Yes NoYes No
checks are available. (Equip. check ired 60 days.
For impressed current system: The results oJ the last lhree equipment
lnspector's Signature
nature ol
Distribution: White'DERR,Pink-Facility/Owner Revised 2/4/99
2ffi3 ) ruo\-:-
for eachtest. Record the lowest set.mosl cathodicrecentRecordTESTSresultsPROTECTIONCATHODIC
UTAH UST PROGRAM Facirity
Manuracturer, name and model number of
than 4 tanks,
3
tanks form.
tankYesorNolor
Tank 1 Tank 2 Tank 3 Tank 4
Delrice documentation ls qyq!!q!!g !!$t!e (e.9., owner's manual).Yes No -Tes no Yes No
Records on site document that the system was properly lnstalled and callbrated
(system and tank setup report).
Yes No Yes No Yes No Yes No
System is maintained in accordance wath manutacturer's lnslructions (records are
available on site).
Yes No Yes No Yes No Yes No
-jfhe probe ls located at the center of the tank. !l no, lndicate tllt correctlon tactor lrom' the tank setup report.-tfcc-fifTitr:
NoV.,'Tltr:
Yes No
TIIt:
Device can measure the height of the product to the nearest 118 of an lnch Yes No
>
Yed No Yes No
Vae NaDevice monltors the in-tank liquid levels over the full range of the tank's internal
height
Je?r!_o Yes No
--Ic. NoA monitorlng box is present and there ls evidence that tho device is worklng (1.e., the
device ls equipped withJol! of paper for results documentatlon)
No Yes No
,2ddumentation ls avallable demonstratlng that the Automatlc Tank Gauge performed
\ a valid leak test at least once a month lor the last 12 months
Yes @ )Yes @ Yes @ Yes No
lf no, for which months was a valid test not performed? (epeclfy months and year, use '
space below i, necessary)
hry t*11
dv*',M A"lqs
The tank was lilled to at least the mlnlmum level rcqulred by the manulacturer's
equipment protocol to ensure a valld leak te3t
Yes No Yes No Yes No Yes No
The tank capaclty is within the upper and lower size llmits required by the
manufacturer's equipment Drotocol to ensure a valid leak test
--+c+-tlF +Fxo Yes No
Yee NoHave any of the leak test reports lndlcated a lalled tsst? !f yos, specify ln the space
below the month, year, and what follow-up actlons have been taken.
Yes G e Yes No
Yrr------U^Documentation of performance claims lor tho automatlc leak test teature is available
and shows the ability to detect leaks ot 0.2 gph with 95% or greater probabllity ot
detectlon and 5% or less probabllitv of false alarm (3rd DarW certlllcatlon).
'-f
Yes No
lndicate month(s) ol invalid or missing test:
lndicate month(s) ol any falled test:
Signature of Owner or Owner's Representatlve Present During lnspection
lnspector's
Dlstrlbutlon: WhlteDERR, Yellow-lnspector,Rcvl.cd A8\99
Automatic Tank
/--,_
ffi)""-
@"..
\
Mr. William Moore
Utah . DERR
November 10, 1998
Page 2
The Southland Corporation
S.I.R. Reporting Stores
November ,l0, 1998
7-Eleven Store #Address City
1 851-12932qwnsn 1157 California Ave Salt Lake City
- 1851 -19587tc:atota 341'North Main Tooele
'1851 -22707Zooort4 180 North Main Kaysville
' 1851-23099qoo rogs 21A2 S. State Street South Salt Lake
' 1851-23578fts) zB t 2041 West 5600 South Roy
.1851-25117qatozq 287 West 3300 South Salt Lake City
'1851-25472orcn$6 405 North Main Logan
' 1851 -26352t2<gz3s 1900 West 6000 South Roy
'1851-26690qq:qse 4100 South 6400 West West Valley City' 1851 -26718q<rro{ l 2703 South 8400 West [ylagna
1851-26794+sna4o 109'South 300 East Salt Lake City
1851-26999r+cptorq 175'East 800 South Salt Lake City
'1851-29512qoorHq z 3634 West 3500 South West Valley City
1852-16%5qoorq tq.1 0600 South 700 East Sandy
1852-22232uoorcls 5585 South 900 East Murray
'1852-22933r1apss"12288 South 700 East Draper
' 1852-22%5qooro ro 3180 West 5400 South lAreqt Valley City
4852-23387u,:rto<-t 5900 S. State Street Murray
'1852-23746qrpro l3 9015 South 700 East !andy'1852-23851 loooz8g 12OO West Center Orem
1852-24633poo2s3 794 North State Street Orem
1852-24855ttxozqq 1620 North State Street Orem
1852-25039zuotz<17 East Main Street Delta
1852-2594*tootozo 8002 South State Midvale
1852-26357qoc,pzt 47OO South 4000 West West Valley City
1852-27028,rcuoso 6032 South 900 East Murray
\-
November 10, 1998
Mr. William Moore
State of Utah DERR
168 North 1950 West
Salt Lake City, UT 84116
THE
SOUTHLAND
CORPORATION
)','r
-:.6rt11
RE: Change in Leak Detection Method
Dear Mr. Moore:
Effective with this memo, Southland is changing the method of leak detection at
the attached referenced sites to Statistical lnventory Reconciliation (SlR).
Simmons Corporation is the vendor that Southland uses. A new tab will be
placed in the Red Compliance Manual at the site indicating this change.
Please call should you have any questions.
v,
DeNinno
Environmental Manager
C: Gary Altman
Peggie Betz
Andy Garcia
Andy Poku
Environmental Services Department l0ll0 S.\V. Creenburs Roaci, Suire +70, Portland, Oregon 97223
Phone rj0.l) 9----:13 Fa-\ {it).1) 245-3438
t98
Zip Cod.
A,r. Cod6 Phon Numbor
Contact P6r6on At UST Locetion Phonr ,
St.t6City
Numb.. ot t.nkB at fecilitvr 2
Own6r Nam6
Add.ess
Zip Codo
rqg
Expi.ltion
City
Ito
Cortilicato of Complilnc. on tito?tt
F.cility Namo
St o6t Addross
County
''/Trnk liltod on C6nitic.to ol Comolianc6 ,/c)a
Tenk oiaBentlv in Lr6a 6)iYee I Yos No
lf noi in u6o, dat6 la61 ussd
ll nol in Us6- deoth ol oroduct in rrnk lin inchesl
Month and v6er lenk inslellBd ,q8,. -
CaDacitv ot tsnk lin q8llonsl tok --->Substence stor€d lvV-rl l-^-P^g-"n.
Metoriel of construction 6I t.nl lsr6el. FRP- 6r..1
M.terial of conBtruclion ot DiDind l.re.l. FRP- .rc l FPP -\ffi ffiffi
lnvgntory Control/Tank Tiohtn6s6 T66tino
Autometic Tenk Geuoino
Menual Tank Gauoino
Vaoor Monilorino
Groundwator Monitorino
lnt€rstitial Monitorino
strtiBlical lnventoav Reconcilistion {SlRl
Line Tiohtn.sB Tsstino
Vaoor Mgnitorinq
Groundwat6r Monitorinq
lntorstitial Monitorino
SleliEtcal lnventory R€conciliation lSlRl
Commonts:
certify that I havo ed facility onrWth6
Sign.ture ot Ownsr or Owngr's Rsprsasfialivo P.gssnt During lnsfEction
lnspsctor'6 Signaturo
Disiribution: Whit.-DEnn, Yellow Npcctor, Pink-Fecility/Ownor
:::i:::i:ii:i:i:i:i s
Tank I Tank2 Tank 3 Tank 4
Yes @ Yes @ Yes Yes NoThe UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
No@,No Yes NoNols there a spill containment bucket or another device that will prevent
release of product into the environment?
No
1
@No+Yes Nols there an overlill prevention device installed on the tank? ll yes,
indicate the typ6 of device: Ball float (in vent line), Automatic shutotf
(in fill pipe), Alarm, or Other (specify)
Yes No
J
Yes No Yss No Yes NoFor overlill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
Tlnk 1
Yes No
Taak 2
Yes No
Tank 3
Yes No
Tank L
Yes NoFor overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
TanksA-Tank Tank
-->
Tank
l-lmFR.P--ry Um
lndicats the type of corrosion protection: Nonconodible material (FRP),
Composite steel (CS), lntemal lining (lL), lmpressed Cunent (lC),
Sacrificial Anode (SA), or Not protected (NP). lf FRP or CS do not
complete the remainder of this section.
Yes No Yes No Yes No Yes No
ll the UST is not protected, was the tank/line installed before May 7,
1985? lf yes, corrosion protection is not required until Dec.22'
1998; do not complete the remainder ol this section.
Yes No Yes No Yes No Yes NoThe results of the last two cathodic protection tests are available
(within 6 months of installalion and every 3 years thereafter).
l,3a ?P*'
Tank
-[, ]55l.tt'
Tank
* 1" Xjg+dts
Tar*Tank
volts
Llm
volts
Um
volts
Llre
volts
Llm
volts
Results of the most recent cathodic protection test.
Name of
Test
Yes No Yes No Yes No Yes No
lL
For impressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
60 days.)
lnspector's Signatu
meets 1998 upgrade requirements.
#E Overfill prevention for
understand that the following marked items must be completed by
Signature of Owner or Owner's Representative Present During
I Corrosion protection lor piping assoc. with tank(s) #
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the retrofit was completed.
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner
@
@ @
December22,1998inordertomeetthe1998upgraderequirements:!Spillpreventionlortank(s)#'
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 tank 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.
No,@Record of last Tank Tightness Test available on-site No(@ No.€4 Yes No
Date of last Tank Tightness Test lka --->
Result of last Tank Tightness Test. lf fail, specify in comments section what
actions have been taken to correct the problem. Has DERR been notified?
Fail@ @"@ Fail Pass Fail
Type / Brand of test equipment used:
Name and company of tank tishtness t""t"r,f guV\)()rLt(t-fllLt Utah Tester Certification Number: UT 11J47
0.1 gph with 95% or greater probability of detection and 5% or less probability of false alarm (3rd prrty cortification)
lnventory volume measurements for regulated substance inputs, withdrawals.
and the amount still remaining in the tank are recorded each operating day
No Yes NoYes No
Documentation of performance claims for the Tank Tightness Test is available and shows the ability to d€tect leaks of Yes No
Yes No
lnventory is reconciled monthly (sum of daily over and short for each month
is compared lo 1o/o ol tank's flow through volume + 130 gallons)
Yes .l_vwel
No
0'1t\-
NoYes
4-Ur!-
Yes No Yes No
Which months exceed the allowable over-short? (specify month and year)
lnventory Control records are maintained and available for the past 12
months for each tank
Yes No.a,r.fr o<x
NoYes,
-$.tLl-
Yes No Yes No
Records include monthly water monitoring to the nearest 1/8" 1^11lhfl/f \ yr. No Yes No Yes No Yes No
Monthly water readings are used to adjust monthly inventory balances lt Yes No Yes No Yes No Yes No
Yes NoAppropriate calibration chart is used for converting product level
measurement to gallons and is available for review
No Yes. No+Yes No
Yes NoDispenser pump has a current calibration sticker or appropriate
documentation
Noo Yes+No Yes No
NoA drop tube is present and it extends to within one foot of tank bottom
Owner/operator can explain inventory control methods and demonstrate acceptable gauging techniques
Yes No
The volume of product in the tank is measured using a Gauge Stick G'
lf a gauge stick is used, it is long enough to reach the bottom of the tank Yes No
lf a gauge stick is used, the bottem of the gauge stick is:Acceptable Worn
lf a gauge stick is used, it is marked legibly and the product level can be determined to the nearest 1/8 of an
inch over the full range of the tank's internal height
Comments
Yes No
Signature of Owner or Owner's Representative Present During I
lnspector's Signature
Distribution: White-DERR,, Pink-Facility/Owner
o
Date:
Set 1 Tank 1 Tank 2 Tenl 3 Tank 4
Automatic Flow Restrictor (if yes. indicate model in comments soctionl Q..r \tr$rb"^R..tr
Automatic Shut-off Device (if yes, indicate model in comments sectionl )
Continuous Alarm System (if yes, indicate model in comments sectionl
No(rQRecords of last Line Leak Detector performanco test are available on-site No G) No Yes No
Date of last Line L€ak Dstoctor performance test -4lqu-
Result of last Line Leak Detector performance test Fail
,6:J
Fail{,",)FailG)Pass Fail
Set 2
No{a NoRecords of last Lina Tightness Test ar6 available on-site No Yes No
Date of lsst Lin€ Tightness Test
G"") ,,u fp"". ) rrttResult of last Line Tightness Test 6*,) ,,u Pass Fail
Utah Tester Certification Number: UTName and
(if yes, use Vapor Monitoring checklistl
of certified tester
Groundwater Monitoring (if yes. use Groundwater Mgnitoring checklisr)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnvontory Reconciliation tSIRI (if yss, us€ SIB checklistl
Other approved method (if yes, use other method checklistl
Records of last Line Tightn€ss Test ar€ available on-site Yes No Yss No Yes No Yes No
Date of last Line Tightness Test
Result of last Line Tightness Test Pass Fail Pass Fail Pass Fail
Vapor Monitoring (if yes. use Vapor Monitoring checklistl
Groundwator Monitoring (if yes, use Groundwater Monitoring checklist)
lnterstitial Monitoring (if yes, use lnterstitial Monitoring checklist)
Statistical lnventory Reconciliation tSlBl (if yes, us6 SIR checklist)
Oth€r approved method (if yes, use oth€r m€thod checklist)
:.;:::ll[c::r}affi';;D[tlotffi.,.Heouifid,i.i ::Iti*nrr.: .:Li.:ffi.:itf.ffi,. .fi
Operates at less than atmosph€ric prassure
ffiffi
::::i:::::::::rrr::::::rrr::::::::::::::::::::::::;ri:::::ii::::ri
g.ttmt*I,l:,:,,,,,,':':,:,:,i:i:,:,:,ii:i::
Yes No Yes No Yes NoNo
4
Yes
Slope of piping will allow ALL product to drain into tank when suction is
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 below to document how it is verifiable.
Yes No Yes No Yos No Yos No
Comments
tr/Y /*'/Z I[/
Signature of Owner or Owner's Representative Present During lnspection
lnspector's Signature:
Distribution: White-D ERR, Yellow-lnspector, Pink-Facility/Owner
G)
fr";),{a
Y/qo ---^7
Pass Fail
FACILITY SITE PLAT Facllity lD No.toooel4
NORTH
*\*".V
C*n.Al&txto
XD *u
rL
<Y/ T r) 3Y
. !)r"-.)\
A
IJ ,*
o
l,t*O C NJ
X t- uu , Q.L[ W*'il AT'e, p,\r+L
Show locations o, all buildings, streets, tanks, piping and oispenser istands. lnoicate locaton and depth ol all samples collected by the sampler and the lnspector. Also indicatethe location of any reported PID or FID readings.
Potential Receptors- lndicate distance (in feet)lo the nearest: Residences Buildings Buried utilities
OtherActive water well _Surface water _
rcnh. day,
c"a*7Ip6>g 1,Date
r Vi ri i a*t \),ir*Lkt -certify that I the above-named facility on
lnspector's Signalure:
(p{lntllam,
t
D
( o o D1X,l
Michael O. kavitt
Governor
Dianne R. Nielson, Ph.D.
Executive Dircctor
Kent P. Cray
Director
DEPARTMENT OF ENVIRONMENTAL QUALITY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 144840
Salt Lake City, Utah 84114-4840
(801) 536-4100 voice
(801) 359-8853 Fax
(801) 536-4414 T.D.D.
September 16,l99l
TO Southland Corporation
C/O Bob Deninno
19033 W Valley Hwy
Kent, WA 98032
Janet J. Keller
Environmental Scienlist
RE: Non-compliance of underground storage tanks at Facility I.D. # 1000289, 1000282,1000293,
1000294, 1000295, L000296, and 1000291.
To continue to maintain valid Certificates of Compliance, each facility must be in compliance with
Federal and State Rules and Regulations. Compliance reviews, performed on06130197, indicate you
have not satisfied the requirements of the Act and are out of compliance. To achieve compliance you
must do the following:
Facility #1000289, 1200 W Center, Orem:
1. Submit evidence that proper Inventory Control is performed on UST(s) # 1 - 3 by:
a. Documenting that the liquid volume in each UST is measured, each operating day, to within
one-eighth inch, including measurement before and after each delivery, and reconciled to
daily withdrawals.
b. Documenting that inventory records are reconciled monthly to determine the total overage
or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
one percent of the UST's monthly throughput.
c. Documenting that the water in each UST is measured to within one-eighth inch, at least once
per month, and the water measurements (converted to gallons) are used to correct the
monthly inventory reconciliations.
Facility #1000282,210 N Main, Springville:
1. Submit evidence that proper Inventory Control is performed on UST(s) # L - 2 by:.
a. Documenting that the liquid volume in each UST is measured, each operating day, to within
one-eighth inch, including measurement before and after each delivery, and reconciled to
daily withdrawals.
,
Underground Storage Tank Section
-
PageZ
b. Documenting that inventory records are reconciled monthly to determine the total overage
or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
one percent of the UST's monthly throughput.
c. Documenting that the water in each UST is measured to within one-eighth inch, at least once
per month, and the water measurements (converted to gallons) are used to correct the
monthly inventory reconciliations.
Facility #1000293,794 N State, Orem:
1. Submit evidence that proper Inventory Control is performed on UST(s) # 1 - 3 by:
a. Documenting that the liquid volume in each UST is measured, each operating day, to within
one-eighth inch, including measurement before and after each delivery, and reconciled to
daily withdrawals.
b. Documenting that inventory records are reconciled monthly to determine the total overage
or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
one percent of the UST's monthly throughput.
c. Documenting that the water in each UST is measured to within one-eighth inch, at least once
per month, and the water measurements (converted to gallons) are used to correct the
monthly inventory reconciliations.
Facility #1000294,1620 N State, Orem:
1. Submit evidence that proper Inventory Control is performed on UST(s) # 1 - 3 by:
a. Documenting that the liquid volume in each UST is measured, each operating day, to within
one-eighth inch, including measurement before and after each delivery, and reconciled to
daily withdrawals.
b. Documenting that inventory records are reconciled monthly to determine the total overage
or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
one percent of the UST's monthly throughput.
c. Documenting that the water in each UST is measured to within one-eighth inch, at least once
per month, and the water measurements (converted to gallons) are used to correct the
monthly inventory reconciliations.
Facility #1000295,419 S State, Orem:
1. Submit evidence that proper Inventory Control is performed on UST(s) # 1 - 3 by:
a. Documenting that the liquid volume in each UST is measured, each operating day, to within
one-eighth inch, including measurement before and after each delivery, and reconciled to
daily withdrawals.
b. Documenting that inventory records are reconciled monthly to determine the total overage
or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
one percent of the UST's monthly throughput.
c. Documenting that the water in each UST is measured to within one-eighth inch, at least once
per month, and the water measurements (converted to gallons) are used to correct the
monthly inventory reconciliations.
Page 3
Facility #1000296,496 N University Ave, Provo:
1. Submit evidence that proper Inventory Control is performed on UST(s) # 1 - 3 by:
a. Documenting that the liquid volume in each UST is measured, each operating day, to within
one-eighth inch, including measurement before and after each delivery, and reconciled to
daily withdrawals.
b. Documenting that inventory records are reconciled monthly to determine the total overage
or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
one percent of the UST's monthly throughput.
c. Documenting that the water in each UST is measured to within one-eighth inch, at least once
per month, and the water measurements (converted to gallons) are used to correct the
monthly inventory reconciliations.
Facility #1000291, 222W 300 S, Provo:
1. Submit evidence that proper Inventory Control is performed on UST(s) # 1 - 3 by:
a. Documenting that the liquid volume in each UST is measured, each operating day, to within
one-eighth inch, including measurement before and after each delivery, and reconciled to
daily withdrawals.
b. Documenting that inventory records are reconciled monthly to determine the total overage
or shortage for each UST, and the variance is compared to the allowable of 130 gallons plus
one percent of the UST's monthly throughput.
c. Documenting that the water in each UST is measured to within one-eighth inch, at least once
per month, and the water measurements (converted to gallons) are used to correct the
monthly inventory reconciliations.
The above information must be submitted to this office by lll30l97. If it is not received by the date
specified, we will commence the revocation process of your Certificates of Compliance.
If you have questions concerning this matter or need any assistance, please contact Janet Keller at
(801) 536-4121.
I ooozqLl
THE
SOUTHLAND
CORPORATlON
October L, 1996
Mr. Bryan D. Whiraker
Underground Storage Tank Branch Manager
State of Utah
Department of Environmsnlql eualrty
Division of Environmental Response and Remediation
168 North 1950 West, lst Floor
Salt Lake ciry, utah 94116
Re: Change of Release Detection For Atl 7-Eleven Gasoline Stores in Utah
Dear Mr. Whitaker:
During the past few months, this office has received a number of non-compliance letters on theunderground storage tanla at many of The Southland corporation's ("Sorittrland,s,,) operating
7-Eleven gasoline stores.
Most of the non-compliance issues involve the run time of the tests being conducted by theAutomatic Tank Gauge ("ATG"), and also question the percent of invintory being used.Another related issue was the failure of the ATG to successfully conduct the required monthly
leak test.
It has become evident to this office that circumstances at some stores do prevent the ATG from
testing monthly. Also, although it is believed that the third party certification allows for
testing at varied levels and run times, until these issues can be resolved, effective immediatelyit has been decided to change the method of release detection from the ATG to annual tank
testing plus inventory reconciliation for all 7-Eleven gasoline stores in Utah.
Southland will continue working with Utah to correct these perceived problems, and as soon as
they are resolved, it is Southland's intention to switch the gasoline stores in Utah back to the
ATG method of release detection.
The ATGs will remain in the stores and will continue to be monitored as part of our
compliance program. They will, however, be marked so as to alert your inspector that they
are not currently the method of release detection.
This letter should also be considered the response for any non-compliance letters received
involving ATG issues, including the letters listed below from Mr. William Moore.
crrvpl.rcc ccnrcr E:rsr / l7 ll N,rrrir H.rskcll Avcntrc r,r.,,i,*lIrJ:lri(A-l9o(r o Mnrlrn{ AdLlrcss: Liox 7ll / l)rll:rs. .rx 75lll_r)_ii
October 1, 1996
Mr. Bryan Whitaker
Page two
7-Eleven Store
#25534, Salt l,ake City, UT
#20137, Riverton, UT
#22567, Riverton, UT
#22933, Draper, UT
#23387, Murray, UT
#23850, Murray, UT
#25948, Midvale, UT
#22232, Murray, UT
#25760, Salt Lake City, UT
#18345, West Jordan, UT
#22965, Taylorsville, UT
#23844, West Jordan, UT
#23848, West Jordan, UT
#22967, Salt l,ake City, UT
#23746, Salt Lake City, UT
#25946, Sandy, UT
#25791, Salt Lake City, UT
#16345, Sandy, UT
#27028, Murray, UT
#25117, Salt Lake City, UT
#23901, West Valley City, UT
#26357, West Valley City, UT
#26690, West Valley City, UT
#29512, West Valley City, UT
Non-Compliance
Tnspector lrtter Date
William Moore 8119196
William Moore 8/21196
William Moore 8122196
William Moore 8128196
William Moore 8128196
William Moore 8128196
William Moore 8128196
William Moore 8128196
William Moore 8128196
William Moore 8129196
William Moore 8129196
William Moore 8129196
William Moore 8129196
William Moore 8130196
William Moore 8130196
William Moore 8130196
William Moore 8130196
William Moore 913196
William Moore 913196
William Moore 914196
William Moore 9l12196
William Moore 9/12196
William Moore 9111196
William Moore 9l12196
Facilitv ID
#4001040
#4001002
#4001005
#4001009
#4ffi1037
#4001038
#4001020
#4001033
#4001043
#4001001
#4001010
#4000987
#4001014
#4001011
#4001013
#4001019
#4001018
#4001419
#4001050
#4001039
#4001015
#400t021
#4000985
#400t442
Inspect Date
8t16t96
8t20t96
8t20t96
8t20t96
8tzy96
8t2U96
8t21t96
8t22t96
8t22196
8t23t96
8t23t96
8t23t96
8t23t96
8t27 t96
8t2',1196
8t27 t96
8t29t96
8t29t96
8t29t96
8t30t96
9t4t96
9t4t96
9tst96
9t5t96
Should you have any questions, please don't hesitate ro call me at (214)841-6592.
Sincerely,
The orporatlon
Hilliard
Environmental Manager
South,/Central Region
KH:cg
Judy Woodley, Southland, 0148
Laura Picht, Southland, 0147
William Moore, UDERR
Bob DeNinno, Southland,
Ron Radle, Southland, 188
w
finEVill
Zip Codc
Numbor
Conhct Porson Al UST Locltion Phon€ ,
Pho
City
4,,e?r rr N]
Own6r N6m6
Addro8s
Aro. Codo
tblo u SlaIz- $
F.cility Nlme ? _ll
Stroot Addrrss
City
No
Codosttrllr 64Ds
C€nificlto ol Complilnco on site?
County
6;)Trnt li.t .l6n C.rtifi.et oI Comdli.nce a,rt;)Tenl Dresentlv in u36 6)Yaa No
ll n6r in rB. .lrt. h*l u.ed
It not in uce- d6olh ol oroduct in lenk lin incha6l
lqY4 -M^nrh rn.l v.a. rrnk inrlrlled
foKCr..cirv of renk lin dellonsl toK loK
Mv)tl,,l^-Srhst.nce slored Px/*"t
M.r..i.l 6l construcrion of r.nk Isteel. FRP- 6tc.l _______..._)
Mrre.irl .f .6n.truction df DiDino Isteel. FRP. 6tc.l
4.,\1444./,
Edittl*ii:gdiii{d ffiEifrsisiri$E id
Fmarden.v Geno.stor tsnk ll6ek deteclion d6tdr6dl
.
iiiiii*iillafii:iriri:ii:i:iiiiii
--.>
4.**
i.tifisttfit,i{ii{t ia
lnventory Control/Tank Tiohtn66s Tostino
Ar,r^mrtif Trnk Grudind ---_>
Mrn"rl Trnk Geudind
Vrn^. Mdnit.rrind
Groundwbter Monitorino
lhr.r.tiri.l M.nit6rind
srethticel lnventorv R6conciliation lSlRl
TEIffiffi
ii*l$r!t*Itiii.:iliititii
,-*-ffirE
i:lliiiiliftiiilt iiiiirdi:iJ
v//
-
Autdmatic Line Leek Datector
,.ffiEffiiri[d{: i:iiiriiirii=->
Line Tidhtness Testino 5
VeDor Monitorino
G16r hrlw.rrr M6nit6rind
lntaTstitiel Monilorino
Strti.ti.rl lnv.nldrv R...nciliari6h lSlRl
lLar Zgcortify thatI
ln6p6ctor's Signaturo
inspoctod th6 Ebovs-namod facility on
Dato
Signaluro ot Ownsr oa Owngr's Boprosontative Pro6ent During lnspoclion
Diltribution: Whito-DER8, Yellow.lnsp.ctor, Pi acility
ii:i::iiir:iii:i:i :i.11
drtsi
6*fi> No
SIIP" -
alrh6' .^^.^w.,1 m-rh^i liirii.qre 6.m. ^t m.rh^.ll
Manufacturer, name and model number of
Tank 1 Tank 2 Tank 3 Tank 4
rt t'I\U -'rerlo Yes NoDevice documentation is available on-site (e.9., manufacturer's brochures, owne/s manual)
Yes No@+.-Yes\ No
---/
Yes NoRocords on site document that tho system was installed, calibrated, and maintained
according to the manufacture/s instructions (if no explain below)
-{rbF-lltrf*l-'w-reslruo Yes NoA probe is present in the tank (checked by inspection)
>!E-(fes)-+tr G-N;n"7 No Yes NoDevice can measure the height ol the product to the nearest 1/8 ol an inch
Yes \No Yes NoDevice monitors the in-tank liquid levels over the full range ol the tank's internal height
Yes No yes.- No
-/
Yes NoA monitoring box is present and there is evidence that the device is working (i.e., the device
is equipped with roll of paper for results documentation)
Yes @ Yes o No@ Yes NoDocumentation is available demonstrating that the Automatic Tank Gauge was in leak test
mode at least once a month for the last 12 months
"9qsffiQ''Q+ A ffilf no, which months are missing? (specify months and year)
JYes NoNo Yes --{oThe tank was tilled to at least the minimum level required by the manufacture/s equipment
protocol to ensure a valid leak test
Yes No
Yes No Yes'3No
--7
Yes NoThe tank capacity is within the upper and lower size limits required by the manufacturer's
equipment protocol to ensure a valid leak test
Yes NoYes&Have any of the leak test reports indicated a lailed test. ll fail, specify in comments section
what actions have been taken to correct the problem. Has DERR been notified?
Yes No
-
Yes No
Yes NoDocumentation of performance claims for the automatic leak test feature is available and
shows the ability to detect leaks ol 0.2 gph with 95% or greater probability of detection and
5olo or less probability of false alarm (3rd party certification)
Yes No Yes No
Signature of Owner or Owner's Representative Present During
lnspectols Signatu
Distribution: White.DERR,
,G") *
6+-*
6"fu
No
/^nmmanta.
Tx* I T.r* 2Set 1 Tr* 3 Ttt* 4
R:T-aubmatic Flow Bestrictor lif y6!, indiclto modal in commGms 86ctionl RT
I
Autom.tic Shut-off Dovica lil y6s, indicate modll in commonts s6ction) )
Contlnuou6 Alrrm Systom (it yeE, indicato mod6l in commcnts Eoctionl /-\(Vor-l tto @ No 6e NoR€cords ol la6t Ling Loak D6t6ctor porrormlnco tolt aro availabl6 on-sit6 Yos No
Dato of last Lin6 Loak ogtoclor porto,manc6 toat --2
Fril
n-t(faec/@ r"u 6]) r"uRa6ult of last Lino Loak Dotoctor porfo,manco toai P!r8 Fail
Sot 2
NoG-)Rocord8 of last Lino Tightnoas T6st sre .vailabl€ on-sits
z7','' I/ lfss )No 6U*Y6s No
Dat6 of l.st Lino Tighlness To6t
Rosult ol last Lin6 TightnosE Tgst FEil/*"/6),,u 6;)PaBa Feil
(iI
t tah T6sto, Conilic.tion Numboi:
Monitor MonitorinO chockli6t)
Nams and ol cortifiod to6t6r
Groundw6t6. Monitoring (if yos, us6 Groundwtter Monitodng ch.cklistl
lntor6titial Moniloring (it y66, us6 lntorstitial Monitoring chscklast)
StstisticEl lnvsntory Roconciliation [SlR] {if y6s, uso SIR chockli6t)
Othor approvod mothod (if ys6, uss othsr mothod checklist)
Rocordc of last Lin6 Tightnoss Test are evaileblo on-sito Y66 No Yos No Y6s No Y6B No
Dat6 ol last Lins Tightness Tost
Rosult oI last Lino Tightnoss Test Pa6s Fail P6s6 F.il P.s6 Fail Pass Fail
Vapor Monitoring (if yos, use Vapor Monitorihg checklistl
Groundwat6r Monitoring {if y6s, us€ Groundwat€r Monitoring chockli6t}
lnterstitial Monitoring (il yos, u6e lnterslitial Monitoring checklistl
Stati8tical lnvontory Roconciliation lSlRl {it ye6, uso SIR ch6cklistl
Operat66 at l66s than atmospheric prss6uro
m6thod (it , use othor mothod chscklist)Othor rffi
lliltihti;:t:il:iriiilliri:;!i
No Yoo NoYo6 No Yos No
Slop€ of piping will allow ALL product to dr.in into tank when suction is
16loaSod
Yos No Y6s No Ye6 No Yos No
HaB only OJ{E check valv€, located diroctly und6r pump Yos No Yo8 No Yes No Y.s No
All abov€ intormation on suclion piping is VERIFIABLE, us6 commonts
seclion bslow to document how it is vorifiable.
Y66 No Yss No Y.3 No
Comments
Signature of Owner or Owngr'6 Rsprossntativo Present During ln6p6ction
Dat€
3il'{tt=-
EII
Distribution: Whit€-DERn, Y
:itXrffililill*,-t 1ffiffi iffim
ruir-ffiffiffii#sf
i*,,st#iiffifi*iHffitrifr ffiflHtifin#*rB*{[:ffiffi
Fsil
lnspoctor's Signatur6:
Tank 1 Tank )Tenk 3 Tlnk d
Yes NoYes@The UST system is filled by transfers of 25 gallons or less. lf yes, spill
and overfill prevention is not required.
Yes No
@ Nols there a spill containment buck€t or another device that will prevent
releass of product into the environment?
No Yes No Yes No
/f;\ No\)Brffi!,
A'PO go,U
Yes No
l-L^t vl"r<,
lbll/r.eFhft
Yes No-ffix Yes No
ff+ ^^^r4il
ls there an overfill pr€vention device installed on the tank? lf yes,
- indicate tho type ol device: Ball floal (in vent line), Automatic shutoff
(in fill pipe), Alarm, or Oth€r (specity)
For overfill alarm only: ls the alarm located where it can be easily
seen and heard by the delivery driver?
Yes No Yes No {,trt {14 fa4:&) *"
For overlill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?
Tank I
Yes No
fank 2
Yes No
Tnnk 3
Yes No
Tank 4
Yes No
Tmk
3H
T.nk T.I*
Lim
lndicate the type of corrosion protection: Noncorrodible material (FRP),
Composite steel (CS), lntemal lining (lL), lmpressed Cunent (lC),
Sacrificial Anode (SA), or Not protected (NP). lf FRP or CS do not
complete the remainder of thls section.trRP-Um ->Llm
lf the UST is not protected, was the tank/line installed before May 7,
1985? It yes, corroeion protection is not required until Dec. 22,
1998; do not complete the remainder of this section.
Yes No Yes No Yes No Yes No
The results ol the last two cathodic protection tests are available.
(within 6 months ol installation and every 3 years thereafter).
Yes No Yes No Yes No Yes No
- l,\7uott"
Taa*
- l. )S-vdts
Tar*
_ l.Jf, vorts
Trr*Tank
volts
Results of the most recent cathodic protection test.
?a,wl lloirw 5
Name of
Test NJ A vofts
Um Um
voltsruA NA votts
Llre Llm
volts
,r
For lmpressed current system: The results of the last three
equipment operation checks are available. (Equip. check required every
60 days.)
Yes No Yes No Yes No Yes No
lnspecto/s
I
lf the tank has been retrofit (lined or cathodically protected), indicate
the date the retrofit was completed.
December22'1998inordertomeetthe1998upgraderequiroments:!Spillpreventionfortank(s)#,
! Overfill prevention for tank(s)#_ ! Corrosion protection #
ity meets 1998 upgrade requirements
tor tanf{s)
{r^"u
understand that the following marked items must be completed by
Signature of Owner or Owner's Representiative Present During I
I Corrosion protection for piping assoc. with tank(s) #,
Distribution: White-DERR,
4isAfih
$pilli,:,Overfitl;artd..,ffiiiosi$fi
HEffi
'Ofi :ffi
:;1i1;;;;::::.:;.''.:,:...:::...i..flt.tllliiiiffifr il ,,i.i,tl ilOGH#ffi.,
$plrudvEft H[ ::iFnEttffiiol.t
yes ]'lQ-
@
tt-oatn
UPGRADE NOTIFICATION
\
FACILITY SITE PLAT Facltity lD No. I O OO2-q4
NORTH
rc
FJ
X o
C
,\d-
\!.
#,#
C""qn-2h
X
,0
i.
t aoo N.
Y l^N lt-uk- dutuh*
the location of any reported PID or FID readings.
Potential Receptors- lndicate distance (in feet) to the nearest Residences
Active water well Surface water Orn"]-
Buildings Buried utilities
(o.lnt Etr€l
certify that I inspected the above-named facility on
lnspecto/s Signature:cen*77-&?b oarc
leu, dru)
B
x
,^^--^^l^.
May 15, 1995
THE
SOUTHLAND
CORPORATION
Mr. William Moore
State of Utah
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West, 1st Floor
Salt Lake City, Utah 84116
MAY 2 2 ts95
Re: Change of Contact
Dear Mr, Moore,
This will confirm my phone conversation with you in which you were notified that I am the contact
for The Southland Corporation (Southland) for all environmental issues in the State of Utah.
J'v64
Effective immediately, please address all correspondence to the following:
OERR
ENVI RONMENIAL RESPONSE & RTIVIEDIATiCI 1
ENTERED
BY
As an additional item, if possible, could a copy of all correspondence be addressed to Southland's
environmental consultant at the following address:
Mr. Ken Hilliard
Environmental Manager
The Southland Corporation
2711 North Haskell Avenue
Dallas. Texas 75204
Mr. John Wainwright
Senior Project Manager
SECOR International, Inc.
4001 South 700 East, Suite 250
Salt Lake City, Utah 84107-2178
Phone # (214)841-6592
Fax # (214)841-6727
Phone # (801)266-7i00
Fax # (801)266-7118
please disseminate to all appropriate DERR personnel, Your assistance is greatly appreciated
CORPORATION
)
Environmental Manager
Central Region
Gary Davies, Southland Bob Vasquez, Southland
Bud Good, Southland John Wainwright, SECOR
i
r
I
1
I
05/3L/95 1{: O5 tt tol{ss 8Es3 Drv EliY REsp B-E\.--- riEsrEgE F-IJEL Eeu
UST lnstallatiorr/Upgrade Noti, -rtio'n
The Utah Underground Storage Tank (UST) rulas (Utah Adminisrarive Code Fi3:1-Zo3-31 reqirtn thar UST lnsallers nstify
the Erecutive Seryetary, Uuh Solid and flaz:61693 Wasta Control Boud, 3O days belore instelllng or upgrading rny
regulaled UST aystem. Thb lorm has bccn prepared to aseist )rou ln providing rhis lrdonnatlon Betorc lrfsElllng or
upgrading an UST system, please complete thir lom and ratum h lo the DMslon of Environmentd Hesponsa erd
Bemediation at the address bclow. ll eny tanks or linrs era pmov=d or replaced, r Ctosun Plan lor tlrore trnks or llnes
must be submitted and approved, and a silr arsessrDcnt must be pcdormed at closurc.
L ooozQT
Faduty lDf (tl not a new facility)24855 I I Ncw lrrstaltilon [x I Upgrade
Dats wort wlll commencr July, 1995
s
Tank Owner _Ihe_!_9q!hla.qd Corp_qteliqn Phone f,( 303 ) 740-9333
7167 South Alron CU e"gr"rooa $atc-.,1Q_Zp_-E-Q!12___
16 o02
4
Conaa Person in cneroe of tanxs
Fecility 7-11 Store
Addrcss 1620 North Stat CrtV Oi"io I.IT Z,p-&4.95:t '-
Contast Phone t (801 ) 2 6-6862
Not known at this time.' To be notified
CertilirdTanklnsrallarNameas soon as contraqtor is selected Ceilf Exo- datE
Phone *(
Address Crty,_ State_
'l
lnsullation/tlpgrade lnlormation
Tank *
lnstalllupgrade
Capacity (gallons)
Type (FBP, Steel, eta)
Substane: !o be stored
Piping Typ.e (Press., Suction. Gravity;
Tank Leak Datection method
Line leak detestion mathod
Form ol Conosion Protec'lion
Spill device to be lnsilalled (Y/N)
Over{ill device to be lnstalled (Y/N)
1
-
Uoerade.
10.000
Gasoline
Press.
Y
Y
'2
Upgrade
10 .000
Gasoline
'Press.
Y
Y
J
,rHrr*
10.000
Gadoline
.' ' 'Press.
ATG
Y
Y
JUN--]995
ED
ATG ATG
/
A
Unusual or Grtlnurtlng cireumstancrs To instal 1 f1ex connectors at"'MPDts and'S'T'P' Is
Mall completed lorm tc:tltah Department of Envimnmcntal Ouality
Div'sion of Environrnental Flesponca rnd Remedietion
168 North 1950 Wasr, 1st Fler
Salttake Clty, Utrh 84116
Bcdd By- No&c ErntTo OIOJStan Ure Only: Detr Rrc'd th taIDE
1
February 15, 1995
Mr. Therron Blatter
Department of Environmental Quality
168 North 1950 West, 1st Floor
Salt Lake City, Utah 84116
STCOR
Science &Analy'sis Cotoordt i otl
hu,i ronmenlal furyineering
#..\
$\
RE: Notice of N Underground Storage Tanks
Facility
Dear Mr. Blatter:
Enclosed you will find the documentation requested in your notice. Item #1 is addressed on the
cathodic protection test survey sheet. Item#Z is addressed on the tank history reports. All tanks
have a minimum of five (5) months with complete and passing tests.
If you have any questions or need more information please call me at (801) 266-7IOO.
Sincerely
SECOR International Incorporated
4001 Soutb 700 East, Suite 250, Salt Lake Cit.y, tlT 84107-2178 (801) 266-7100 ,801) 266-71ls FAx
Technician
SECORFebruary 15, 1995
Regular
MidGrade
Premium
.\a/cllr'r, rr htqi tt.:fri tt.q. lltrlltlsri (.t ttfiortttit tt t
-
I 1t t t' i n )t t tn ( t t I ( t I I.tt,qi t r tri rr,qSouthland Corporation
P.O. Box 711
2711 North Haskell
Dallas, TX7522I-0711
Dear Sirs:
The following is our report of the Cathodic protection survey made on the subject tank system on
January 30, L994.
7-Eleven Store #24855, 1600 North State, Orem, Utah
Facility I.D. #1000294
TANK PIPING
-t.29
-r.28
-1.3r
fiberglass
fiberglass
fiberglass
LEGEND:
Tank/Soil Potential and Piping/Soil Potential. The soil potential must be -0.85 nrv or more
negative to be protected.
Sincerely,
SECOR International Incorporated
M
Cathodic Protection Tester
4001 South 700 East, Suite 250. sqlt Lake citt" tlT 84107-2178 (801) 26(t-7100 (801 ) 266-711t] FAX
DEC-19-1994 74| lA
. wc-16-1994 LLto,?
MlctE O. t lvtlt
Oatgrd
Dlonc R. Mdrot, ft D.
8tr ttrlrt Dldl(r
Xott ?, GraYDk*
SOUTHLFND CORP.
FRt ri SA.JT}{-FND I'E}ITnIN TU
State of tltah
DSPARTT,IB.IT OF ENVIRONMENTAL QUALITY
onisroN or ntranomcrrat RBSPoNSE A]'ID REMEDIATToN
$t l{od! l9J0 w6t ltt Floor
S,tt hL citY. UtA 84116
(gll, J3(F.100
G0,)35*8853 Pu
(801) 536-1414 T,D,D.
Decanbor 12, 1994
TO:
RE:
Southlrnd Corp.
Atm: Bud Good
7167 Sorth Altor W8y
En8lewoo4 CO 80112
Non-compliancoofuudergoundstongetankatT.Eleverr|E62:24855,1600NonhStao'oten,
Urah, Fscility LD. *100q294
Tho Uteh Undcrgound Storage faoX (UST) Act provi&r that thc Ercanlvc Se'rctsry (USI) may
rwoke a Cedficate of Comptlgncc ii iii, i",.*io.A that a facility is not in subsantid compliencc with
dl rrate 8Dd fcdorel UST statutq3, nrlcr and regUlations'
AtrherequestoftheExecutivosegu,ry(usD,rheDivlaloaofEnvironmenalResponseand-
iilffi;"1DERR)i.tr*na "
*ffiur.e,o'icu' for-tbe-underground storaSc lsnks ot {galoJe;;Iil. Ti;;;pliarice revie*, perroiroca g.n Autyr t5, 1994, hdtcotes you have not sgtisfied thc
G;#;; oi G l" *a
"ro
oiiii compUaoce.- To achieve conrglianca vou mutt do thc followlng:
l.submftdocumontationtoshowthatyoghEvehedaqualificdcathodlcprctecdonteset--
test your cethodic protaction sysrcn whhln thc last throo yoats'
2. Subrnlt eYidcncc that pNPer AutorBtlc Tu'k GauFi!.8 6rtl).is pryryl:i*'t Y*'-'
uy documcnting ,r," 6, iirg *y."m performs , ieal test at lcast onoe I month. The
lnsp".tor report"i'rh.l i,,;i;i;"rds rrcre nor avdlabls for lday, June, nnd July of
1994'
Pleago rotum a coPv to-thls spoed memo with thc abovo i"" t"',3i$ffi-tf;.Ti."$Jiir,.a, *.iiffini* t-tt i,i submtttcd to this offioe by 01'1-s'95' U-it is t
wilt commcncc the revocation proccis oi io,'ceninca6 of compliance. If you harr-e quostlons -;;;;;fi,ht; *uti* o, "..ati*.iii.q pte8sc conract T1l€!.ror Bhtrer ar (801) 5354100.
Pird06 C. ..rt lloa PaF.
nztq Eat 6?2z P.zn/ar7
t21A64tb(4( e.v4