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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 ) ) 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. (Lab Only)Sample lD Eo(,o o C) 0, E Eo oo x.E o = =(E oF o o .gocoo o 0,o Efz q- {L 112 5ciuo rASss COMMENTS /,, -l I x 2 59-Z \ '[7;(7l I ,x J 5e-1 l1: zt X L/q5- +l, t+1 )XI J <t-E I t4 45 X G g5 -b 1150 x )E5-+1qo)I I x 3 c|-+a l>Za x ?<<-+b lsao 1_ tt\<q-h i46 *ovt) SS<l5D )l4ovn t')(e - r0 Y tltu 5 t t-tot-l) LABORATORY USE ONLY SAMPLES WERE: 1 Shipped orhand delivered Nolesr 2 Ambient or Chilled Noles: 3 Temperature _ (lmproperly Sealed)YN A/ores; 5 Properly PreseNed YN /Vores; 6 Received Within Holding Times YN A,loles: 4 Received Labels and COC Record? YN Noles: Between Sam- Tape was: Present on Outer YN Unbroken on Outer Package YN Present on Sample Unbroken on Sample Y /Volesl N NA NA NA NA PRINT NAME L 0 c(0rr /vuoPRINT NAME PRINT NAME PRINT NAME Special lnstructions: , "l/-\"'/o).r-)r* ht^ , tr l/7/);..'"$ 2g,>^ '-{///T ilIf5Ul s I Date/rimeReltnquished By: signalure I Date/rimeReceived By: Sigrlature ZWL07/b 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 '|zn t/ of II Iil ,L City State zip IV Phone/Fax Contact T>n.*r-)-A- Project Name >4Og;_Ctcttt, Project Number/P.O.#lvoL Lab lD No. (Lab Only)Sample lD E o)o(1, oo o) E Ec) oo x L o = -(s oF o o,cocoo o o-o EJz \) :COMMENTS /)USc- |7<@ VA )1 X l.l U'L->I larso 5 I x -_ rS t/5L-4 L v:at 9 I Special lnstructions: \,^-tf,r'..,"'r4hx b.'Y en ^ -oUn\ -C, rtlf' oNl/il/--+Y LABORATORY USE ONLY 1 Shipped or hand delivered Ambient or Chilled Nolesi Temperature _ Received Broken/Leaking (lmproperly Sealed) YN Noles: Properly Preserved Received Wthin Holding Times YN A/otesi WERE: N Noles: nlotesr Discrepancies Eetween Sam- ple Labels and COC Record? YN lvoles: Tape Was: 1 Presenton Outer YN Unbroken on Outer Package YN Present on Sample N NA NA NA Unbroken on Sample YNNA Nolesl Received By: nL -o4 PRINT PRTNTNAM= o Date/Time Relinquished By: Srernalure PRINT NAME PRINT NAME Date/Time Client I p x ) 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 .xL o = -(u oF 6 (1,c'6 coo o oo E,z 7.-IsiI!+IF<F- .J s) e.\s 5 s D as oo oo oO q) E Eo ooLab lD No. (Lab Only)Sample lD L ><Kqfp I oo( *',,,.aStle v I 1 Shipped or hand delivered Ambient or Chilled Nolesl Temperature _ Received Broken/Leaking (lmproperly Sealed) YN Noles: Properly Preserved Received Wthin Holding Times YN A/otesl WERE: N Noles: Y Noresi -'i \ Special lnstructions: U Y Notesl and COC Record? N ivolesl Between Sam- Tape Was: Present on Outer Package YNNA Unbroken on Outer Package YN NA on Sample N on Sample NA NA Date/Time o )-tv.a PRINT NAME PRINT l',t\ r.),56 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 ) trA}f,Effi J't4no ) AW l.u26 E 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 Received Broken/Leaking (lmproperly Sealed) YN Nolesl 5 Properly Preserved ,Voles. N Received VMthin Holding Times YN Nolesl Tape Was: Present on Outer Package YNNA Unbroken on Outer Package YNNA Present on Sanple N Unbroken on Sample YNNA Nolesl ) Special lnstructions: f' mrs.fr EI NA Lab lD No. (Lab Only)Sample lD E o)o o) o C) o) E l= c) G,o x o -(! oF o o) .g(l coo o o -o E fz tc\C\ NqA J4-F E ^f5.I COMMENTS I Y i I I I I I Datlnimelslarl* H:os PRI 3-b\to t4 :05* Q-(NL Relinquished PRINT Byr Slgnature PRINT NAME PRINT NAME Date/Time Date/Time I necdrveO Sy: SiS*W" - - LABORATORY USE ONLY Labels and COC Record? YN Notes. Betlveen Sam- Address bao -Ea+ 3@ 9"^*L- t <l< 3r I 5e. \,T m1q-nv3 )4SS r f -re,r,-TanL iLJ,l I I I i I l II l I I I i I I i I I t I I I I I I t I I I I I l SL I I I - .. -l-_- _ i! ---.arma a aa-ratrI-laa'raaE _ Client C)--\q_ 5ec vT t+yft -t173 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 YN 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 I )4 5q C+e"^TenlLd-U I -l I II l I I I I I I I I 5 I ..--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 n llardCopyToFollow 9- oo +++ 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