DERR-2024-006475

APR-29-04 THU 01r21 Pt1 FAX NO.P, 02?
\-,\-, q/0 l417
Precis i on
Line Tightness
And
Leak Detector
Test Results
Prepared fon
Prepared on;
February 8'l',2004
Ry:
Precision Tcsting "fcch., Irro.
I I 149 Sandy Gr_rlch ltoacl
Sancly, UT 84094
Central Valley Water Rec.
800 West Central Valley Road
Salt l.akc City, Utah s4llg
Faoility ID #4001487
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APR-29-04 THU 01r21 PII FAX NO.
Precis io n Testing Tec h., lrrc.
I I IJ9 Sundy Gul<:h Routt
,fattly, Ut' tiJ09l
80t-.t95"2606
80 I -576-99?5 .fit-v
Certification
Date: 0Z/OBIC4.
Iiacility ID: 400t482
Central Valley Watcr Rcc,
800 W. Central Vallcy Rd.
salt Lake city, ur g4l lg
'l'cst Datc: 02106/04
Test Number: 020604-tRJOpcratou Ron Johuson
Utah Certificare No-: Ul'0006
Line Lcak l)etcctorsThe mcchanical lirre leak dctectors at the above location wcrc tested in accorcla,ce wil.h usEp^ 40CF'R 280.44(a).
P, 03
prelssu rized prod uct Lines
J'he above location has been tcsted trsing the ACIIRIT-E7hI pipelinc Tester (modcl00-16102)" Thispipcline lcak dcteotion systcm rnccts all iequircrrrcnts set forrh by NFPA 32g-g7 and LJsllpA 40 cIRPart 280 ernd has reccived third party certification-
Pleu-se see thc enclosed T'hinl pnrty certilication fr>r details.
Unlcaded
Dies€l
Rcd Jaoket
Rod Jackct
55 psi
55 psi
.0037
.0028
Pass
I)ass
TestLcak
Unleadcd
I)iescl
I(ed Jackot
Rcd Jack.et FX2DV
I t6-030
I l6-059
Non-Frrnctional
Furrotional
I
APR-29-04 THU 01r21 Ptl FAX NO.P, 04
I
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Prec:ision Tesling T'ech., Inc,.
I I 149 Snad-y Guldt lloott
Srtttly, UT 54094
801-41)5-260(t
B0 l-576-9925 fix
Test Rcsults
Date: 02/24/04
F'acility ID: 4001487
Central Vallcy Water Reo.
800 W. Ccrrtral Valley Rd.
Salt L,ake City, U'[ g4l1g
Test Datc: 02124/04
'Ibst Nurnb er: 022404-2R)
Operator: Ron Johnson
Utah Ccrtificate No,: UT0006
I,ine Leak Detectors
The linc lcak detestors at thc above Iocation wcre te.sted in accordancc with USDPA 40CIrR 280,44(a).
Ptptluct ID Leak Detector Leah Detector Tesl Results
Red Jackct FXIV I l6-0s6Unleaded Ifnnctional
W(!tq87\-
STATE Of,'UTAII
DEPARTMEIYT OT ENVIRONMH\TAL QUALITY
DTVISION OT' EI{VIRONME}.ITAL RESPONSE AND REIVIEDIATION
168 North 1950 W€st, lst Floor
Salt Lake City, fl'T 84116
(801) s39100
FAX NUMBm (E01) 359-8E53
TO B;tt Fo:(
1-
AGEI,{CY/FIRM \,
FAXNT,]MBffi.:-+
FR.OM:
COMMEI.ITS:
5s6-qt0
FAX COVER SHEET
DATE: q/q lqf
t:
iq
PAGFS TO FOLLOW:
I
1
,I
Michael O. Leavitt
Govcrnor
Dianne R. Nielson, Ph.D.
Er@urive DiEtor
Kent P. Gray
Dirctm
CC,
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 Nonh 1950 West lst Floor
Salt L-ake City, Utah 84116
(801) s36-4100
(801) 359-EE53 Fax
[phone] T.D.D.
l?+
'rcr\l l-ct(,e C,l-., LIT
Date la\o7
c-.'1 I 11
rJ
Dear Tank Owner or Operator:
T\e 1992 Utah Legislature passed Senate Bili 116 to amend the Underground Storage Tank Act ("ACT") that
requires payment of the yearly registration fees, Petroleum Storage Tank ("PST") fund assessments, processing
fees, late penalties and interest. The ACT states that if any of the assessments are not paid within 60 days
after the due date any Certificate of Compliance in effect lapses.
Our records indicate that you
assessments and late penalties
have
or-t
not paid your yearly registration fee and interest of - or your fund
. Therefore, you are hereby notified that your CertificatetGq,c F
In order to receive product you must obtain a new Certificate of Compliance by documenting you are in
compliance with release detection on your tank(s) and line(s), by submitting a copy of the most recent
tightness test(s), paying your assessments, paying the $150.00 recertification fee, and making a new application
to the PST fund.
of Compliance for facility ID
FtCc, t cc::-t C,',r-l-'a,(
a Certificate of Compliance y
investigating and cleaning up releases are no longer covered under the PST fund.
Notice of payment problems may not be given in coming yqrs. Please take care to monitor your own records
to assure compliance. You will be held accountable whether you receive a notice or not .
Please call the UST Section at (801) 53G4100 if you have any questions.
U}T Scientist
C C;
KPG/TKB/cb
Printed on recycled PaPer
\it"t*t..
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cc:
cannot
v 4oclLt8";\-.
Michael O. I*avitt
Govcrnor
Dianne R. Nielson, Ph.D.
Exeurive Dirctor
Kent P. Cray
DirEttr
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West lst Floor
Salt L-ake Ciry, Utah 84116
[phone]
[phone] Fu
[phone] T.D.D.
Date: ra\o7f f Y
Dear Tank Owner or Operator:
T\e 1992 Utah Legislature passed Senate Bill 116 to amend the Underground Storage Tank Act ("ACT") that
requires payment of the yearly registration fees, Petroleum Storage Tank ("PST") fund assessments, processing
fees, late penalties and interest. The ACT states that if any of the assessments are not paid within 60 days
after the due date any Certificate of Compliance in effect lapses.
Our records indicate that you
assessments and late penalties
KPG/TKB/cb
t
"\\\",vr. C;U/a^.,,b \Ia,rvl..
havp not paid your yearly registration fee and interest of - or your fund
of'1e_(rc_A__. Therefore, you are hereby notified that your Certificate
of Compliance for facility ID No.
a Certificate of Compliance your s) cannot recei
investigating and cleaning up releases are no longer covered under the PST fund.
In order to receive product you must obtain a new Certificate of Comptiance by documenting you are in
compliance with release detection on your tank(s) and line(s), by submitting a copy of the most recent
tightness test(s), paying your assessments, paying the $150.00 recertification fee, and making a new application
to the PST fund.
Notice of payment problems may not be given in coming years. Please take care to monitor your own records
to assure compliance. You will be held accountable whether you receive a notice or not .
Please call the usr section at [phone] if you have any questions.
T Scientist
cc:
Printed on recycled paper
\
Cenlral Valley Water
Reclamation
Facility
,xlHfRi,'$,EltTJ^?r"
MAY 1 3 1994
-r'r'J6$SJXnf BI'$5$'lt"-
May 12, L994
CERTIFIED MAIL P 879 227 383
RETT'RN RECEIPT REOUESTED
Mr. Kent P. Gray
Division of Environmental Response & Remediation
Underground Storage Tank Section
168 North 1950 West First Floor
Salt Lake City, Ut 84116
r?!
'ft1wi iam H. Fox
Special Projects Engineer
WHF/sme
enclosures
a 910?t
ry
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'lrzsznz {L
Dear Mr. Gray:
Enclosed is our information concerning the non-marketer
Petroleum Storage Tank Fund assessment. If there is other
information that you require or desire, please contact me.
S ereIy,il/
cv
800 west centrat Vailey Road, salt Lake city, UT 841 19-3379 . [phone] . FAX [phone]
d
ag
. Facility lD #
This letter, or an equivalent, must be signed and included with your application and fees.
PREvIoUS PoLLunoN INcIDENISAH DEPARTMEiiT oF
ENVIRONMfNTAL QUALITY
Mr. Kent P. Gray
Executive Secretary (UST)
Utah Solid & Hazardous Waste Control Bqard
ocr 0 5 1993
DIV. OF ENWBONMENTAL '
RESPONSE AND RLMEDIATIoN
Dear Mr. Gray:
As required by paragraph 19-6-413 of the Utah Underground Storage Tank Act, I have performed a tank and
line tightness iest on each underground storage tank at my facility, and based on this test, there has not been
a relelse of petroleum. Additionall-v, based on "custcmary business inventory practices stanCatds" ! a'.n not
aware of any release of petroleum from my tanks.
signature owner/opera
pstapp.trm 07129,€3
(po t{fl
,T
OR
I have had the following releases of petroleum (detailed below; also mention any action you took to clean up
the release).
signature of owner/operator
Failure to rcWft previous rcleases could void your coverage under the Petroleum Storuge Tank Fund.
Michael O. Leavitt
Govcrror
Dianne R. Nielson, Ph.D.
Excuuvc Dirc!c
Kent P, Gray
DirEtfr
TO trd.
Enclosed is the information you requested regarding:
Tank Notification Form
Tank Closure Plan
Tank Closure Notice
Certified Tank Installers & Removers
State Certified Labs
Certified Tank Testers
Certified Groundwater & Soil Samplers
PST Fund Information
Date:
From:
6 -3-n
utah UST Administrative Rules
Utah UST Act
EPA UST Regulations 40 CFR 280
Billing lnformation
Release/I-eak Information
MUSTS for USTs
Dollars and Sense
Leak Detection lnformation
\
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
150 North 1950 West 2nd Floor
Salt Lake City, Utah 8al l6
[phone]
[phone] Fax
[phone] T.D.D.
FACILITYI.D.# \WItI8 7-
An
t/
Other:
Message:
-il, ,^^-<
If you have any questions, please contact me at [phone].
Sincerely,
F :\ERR\S UPPORT\UST\FINAL\FORMS\SPMEMO. FRM
P"J *-+*,
pflnled on recycled paper
DF 50 STATE OF UTAH
Division of Finance
WARRANT REOUEST
FY94 I
VENDOR NUMBER 1099 OR INTIALS OEPARTMENTAL NO.
CENTRAL VALLEY WATER RECLAMATION DEPARTMENT Environmental QualityVENDOR NAME
ADDRESS
DIVISION
ADDRESS
8OO WEST CENTRAL VALLEY ROAD
SALT LAKE CITY UT 84119
Environmental Response &
Remediation
168 North 1950 West-lst Flr
Salt Lake Clty, Utah 84116
AMOUNTINVOICE NO UNIT PRICE
40289 FY94 Refund ot overpayment of UST Req Fee #4001487 154.75
40289 FY94 Refund ol overpmt of PST Fund Fee *4001487
TOTAL:
IIIIIIIIII
CONTRACT PURCHASE-CONTRACT NO.
OTHER PURCHASES
ACOOUNTANT
SUPPoFT sEav MANAGER AUDITED BY
1t11t94
ORG ACCT ACTIVITY AMOUNT RESERVATION NO UNITS
4849 E66900 154.75
4899 2740 E70000 261 .81
-IIII
IIIIIrIIIIIIIII
-IIII
IIIIIrIIIIIIIII
-IIII-IIII
IIIII
IIIIIIIIIIIII
DEPARTMENT HEAD OR AUTHORIZED AGENI
BAANCH MANAGER
DATE
COMPUTATION
CHECKED BY
DATE
DIVISION OF FINANCE NO.
DESCRIPTION
261.81
416.56
l, the understigned, certily that the above listed ltems or seMces
were required for otfical state use and werg rscsived, that the
charges appsarlng herson are corgct, that no part ol sam6 has
b€en paid and request that a warrant be drawn in payment of he
amount dua. Funds ara availabls.
TASK OPT
2324
UNLcRGROUND STORAGE TANK PT\ -,GRAM
bnent Form
lo't -q3
Date:
#:
ADDRESS:
O\ZVNER: CV W C-D.
(cirde one or more)
REFI-]ND DELETECHARGES
fr^t
Reason for , @gSmH$T Re-bill yes \fuo
U
^,
Tv^anE{or FunA'tqLZ
4, trunl- 14
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ture:
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oltlFI{
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OF REQUIRED)
Vm6er
OF REQURED)
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^:,n'q\ e- 4-t 1- \ \-*I I ; 1. 11 !^.tJL d.t,i i.r'.- ** L;317
Michael O. [ravin
Govoor
Darure R. Nielson, Ph.D.
Ereutrvc Dietor
Kent P. Cray
Direrq
TO:
DEPARTMENT OF ENTVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
150 North 1950 West 2nd Floor
SaIt take City, Utah 84116
[phone]
[phone] Fax
(E0l) 536-4414 T.D.D.
DA Z7
FROM: rffivwzefLoeu-VT q)+ilq
RE: NON.COMPLIANCE OF UNDERGROUND STORAGE TANKS AT
UTAH;FACILITY ID# 4 CO t481
To continue to maintain a valid Certificate of Compliance, the facility must pay all assessments within
60 days of the statutory due date for each yearly or quarterly assessments or the Certificate of Compliance
automatically lapses. A review of our records has shown that the following payments are lacking:
llt Annual Tank Registration Fee Assessment(s) and late payment penalties remain unpaid and arewThis will cover the fiscal year(s) 1988,
t I Annual or quarterly Fees for the petroleum storage Tank Fund and late payment penalties remain
unpaid. Please submit a check for $-to bring you up to date as of the end ofthis fiscal year. This would cover unpai6 pslrolgrrm Storage Tark Fund assessments for fiscalyean 1991, '92,'93 urd '94. The amount past due up to the end of the current quarter is
Xl comments: l..Eo d*<'O'l'q3 i< 2^dQ'tar*tr ?€r IND 15.oo to. oo r-oC
1
zq2
past due. Please submit a chepkfor
'89, '90, 'gl,'92, 'el, anO !q+. )
e.)
+
+
tl ae14
Please
nr NDq3
D ' q2 . bra,Edtwn {t fh i s arn asrtf d s a, s re4*s*ed vla,,pLvnu orl
3.retum a copy of this speed memo with the above items to speed processing. q.zlq
The above information must be submitted to this office by lot13
received by the date
this matter or need
If it is nor
have questions conceming
at (801)s364100.
Kf']?
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FUND. RECORD3
4 Pay Amount
01> $500 " 00
02> $250.00
03> $80.00
04> $-150.00
05> $-95.00
06> $-8s.00
Check/rOT Date
06-25-92
07 -22-92
07 -27 -92
08 - 04-92
05-17-93
06-2s-93
Check No.
037656
XFR 91
XFR 92
XFR FEE
XFER TO F
XFR TO 94
Org. IDT
N/A
AccI. IDT
N/A
(r-3 /3)
Rcvd by
CCC
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WEM
WEM
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FI,IID PAYIVIEMT INFORMATION
1) IJoc. rD [4001487] 2) Year t93l 3 ) O/Vil Protect tYl
10 Pay Dates Fund Paid Proc. paid pnlty paid
01> 06-2s-92 $s00.00 $.00 $. oo
02> 07-22-92 $2s0.00 $.00 $.0003> 07-27-92 $80.00 $.oo $.0004> 08-04-92 $-1s0.00 $.00 $.000s> 0s-17-93 $-9s.00 $.00 $.oo06> 06-2s-93 $-8s.00 $.00 $.oo1,6 Principal Process Owed Penalty Owed Interest Owedt $. ool t $. ool t $. ool t $. ool
CHAI{GE ?
FI'ND. RECORD
Owner Name and Address
FUIUD RECORD EIiIITRY AIiID UPDATE
fnt. Paid Tot,al Paid
$. oo $soo. oo
$. oo $2so. oo$.00 $80.00$.00 $-1s0.00
$. oo $-es. oo$.oo $-8s.ooUnpaid Bal. Overpaymentt $. ool t $. ool
(r-1,/3)
Irocat.ion Name and Address
CEIiIIIRAL VALLEY WATER RECIJAI"IATION
8OO W. CEIiITRAL VALIJEY RD.
sALr LAKE CrrY ) tut) {Aarrs
{cutttnar, vAr,r,Ey wATER RECIJAMATToN } {
{eoo w. cEIifrRArJ vAr-,I-,Ey RD. 1 {
{sar,r LAKE crrY } {ur} {e+rro} {
01 FAC.ID [4001487) 02 Year 194]04 Qtr. Tanks Assess. Due 1--'
/Qtr. /Qtr(oId) Dare01>1 4 $75.0007-01-9302>2 4 $75.0010-01-93
03 Invoice NumberPnlty PnltyAmount Date
Rate/r{ $7s.oo}Process O/w
Fee Date ProE.07-01-93 N10-01-93 N
140289 l
Process
Fee
$10.00
$10.00
Annual Projection t $300.001 totar Quarterly Assessments
13 Payment Check.No.Pay IDT Org. IDT Acct.. Date Rec.
01> $85.00 xFR 93 06-25-93
Unpaid Balance { S.OO1 Over Payment Credit { S.OO1
CHANGE ?
[$1s0.00 ]Rec. By
TIrV
FI'IID. RECORD3
1) Loc. ID
4 Pay Amount.
FI'IID PAY-IUEIIT INFORMATION (I-3l3)
[4001487) z) Year 194) 3) O/W Protect, t ]
Check/IDT Dat.e Check No. Org. IDT Acct,. IDT Rcvd by
^01> $85.00
10 Pay Dates
01> 06-25-93
02> 07-01-93
06-25-9 s
Fund Paid
$8s.00
$-10.00
Proc. Paid
$.00
$10.00
Pnlty Paid
$. oo
$.00
1ntr. Pal_ct
$.00
$.00
Tot.al Paid
$8s.00
$.00
XFR 93 TLV
1-6 Principal Process Owed PenaIE,y Owed fnterest Owedt $. ool t $. ool t $. ool t $. ool
CHANGE ?
Unpaid Bal. Overpaymentt $. ool t $. ool
t
FUND. RECORD3
4 Pay Amount
01> $500.00
02> $2s0.0003> $s00 " 00
04> $250.000s> #-420.00
06> $-80.00
Pay Da
06-30
1-1,- 1,4
06-10
06-2s
07 -27
07 -27
^t
Check/IDT Date
06-30-91
1"1"-1,4-9]-
06 - t0 -92
06 -25 - 92
07 -27 -92
07 -27 -92
l ltI
FUND PAY-IUEIiTT INFORT1IATION
3 ) O/sI Prot,ect tYl
G-3 /3)
1) Loc" ID [4001487]2) Year 1921
Check No.
033814
033040
03 7033
037656
XFR FEE
XFR TO 93
Acct,.
N/A
N/A
N/A
N/A
Rcvd by
SI-,D
SLD
CCC
ccc
WEM
WEM
org.
N/A
N/A
N/A
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IDT IDT
tes
-91
-91
-92
-92
-92
-92
10
01>
02>
03>
04>
05>
05>
t6
t
Fund Paid
$s00.00
$2s0.00
$s00.00
$2s0.00
$-420.00
$-8o.oo
Proc. Paid
$.00
$.00
$. oo
$.00
$. oo
$.00
Pn1ty Paid
$.00
$.00
$.00
$.00
$.00
$.00
Int. Paid Total Paid
$.00 $s00.00$.00 $250.00$.00 $s00.00$.00 $2s0.00$.00 $-420.00$.00 $-80.00Unpaid Bal. Overpayment.t $. ool t $2so. ool
Principal Process Owed Penalty Owed Interest Owed
$. ool t $. ool t $.ool t $. ool
CHAIiIGE ?
FIIND. RECORD FUND RECORD ENTRY AIitD UPDATE
Owner Name and Address
CENTRATJ VALLEY WATER RECI,AIVIATION
8OO W. CENTRAI-, VAIJLEY RD.
sAr-,T LAKE CrrY ) {Ur} {a+rrg
(r-L/3)
IrocaEion Name and Address
CENTRAL VAIJIJEY WATER RECIJAIYIATION
8OO W. CENTRAIJ VAIJIJEY RD.
sArJT r-'AKE CrTY ) {Ur} {AarrS
01 FAC.ID [4001487) 02 Year t93]04 QEr. Tanks Assess. Due
/Qtr. /Qt-r(oId) Dar.e
01> 1 4 $125.00 07 -01,-92
02> 2 4 $125.00 07 -01,-9203>3 4 $125.0007-01-9204>4 4 $125.0007-0t-92
01> $500.00 037656
02> $250.00 xFR 91
03> $80.00 xFR 92
04> $-150.00 xFR FEE
Unpaid Balance { +.001
N/A
03 Invoice Number 11,1,1,1,2 I Rare/t{ grZS . OO }Pnlty Pnlty Process Process O/WAmount Date Fee Fee Dat,e Prot.
t$s00.00
II
Rec. By
ccc
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WEM
$.00)
N
N
N
N
lAnnual Projection t $500.001 totar Quarterly Assessments13 Payment Check.No.Pay IDT Org. fDT Acct. Date Rec.N/A 06-2s-92
07 -22-92
07 -27 -92
08 - 04-92
Over Payment Credit t
CHANGE ?
t It
02> ]-t-]-4-9L
03> 07 -22-92
^$250.00
$-2s0.00
Check/IDT Date
06-30-91
11- 14 - 91
06-1-O -92
o6-2s-92
07 -2',1 -92
07 -27 -92
$.00
$. oo
II
$250.00
$-2s0.00
Overpa)rmenE.t $.001
$. oo
$. oo
16 Principal Process Owed Penalty Owed InE,eresE Owedt $. ool t $. ool t $. ool t $. ool
CHANGE ?
FI'IID . RECORD FI'ND RECORD EMTRY AND UPDATE
Olrner Name and Address
CENTRAI, VAI,I.,EY WATER RECIJAMATION
8OO W. CENTRAI., VAIIJEY RD.
sAr,r rJAKE crrY ) {uT} {84119
Unpaid Ba1 .t $.001
(r-
L,ocation Name and Address
CENTRAI., VAI.,IJEY WATER RECIJAMATION
8 O O W. CENTRAI., VAIJIJEY RD .
sAr.,r r,aKE crrY i {ur} { e+rrs
t/31
01 FAC.ID [400148?] 02 Year to2l.03 rnvoice Nuriber [4499 ] naue/r{gr25.OO}04 Qtr. Tanks Assess. Due Pnlty Pnl_Ey process process O/w/QEr. /QLr (OId) DaCe Amount Datse Fee Fee Dace prots
01> 1
02> 2
03> 3
04> 4
$187. s
$187. s
$187. s
$187.50 07-31-91
0-30-91
1-30-92
4-30-92
Annual erojection t $500.001 Total euarterly Asaessment,s13 Palment Check.No.Pay IDT Org. IDT Acct. Date Rec.
01> $500.00 033814 N/A N/A 05-30-91
02> $2s0.00 033040 N/A N/A 11-14-91
03> $s00.00 037033 N/A N/A O6-LO-92
04> $250.00 037655 N/A N/A O5-2s-92
Unpaid Balance { S.OO} Over pay'ment, Credit.'qzD
-8o tr? q)
CHANGE ?
FI]ND. RECORD3 FI]IID PAYMENT INFORMATTON
1) I-,oc. ID [4001487]2) Year [92 ]3) O/W Protect
4
4
4
4
010000
Y
Y
Y
Y
lt$7s0.00
Rec. By
SLD
SI,D
CCC
CCC
{ $2s0. oo }
tYl
IDT4 Pay AmounE
01> $500.00
02> $250.00
03> $5oo. oo
04> $250.00
05> $-420.00
05> $-80.00
Check No.
033 814
033040
037033
o37556
XFR FEE
XFR TO 93
AccE.
N/A
N/A
N/A
N/A
Int. Paid
$.00
$. oo
$-oo
$.00
$-oo
$. oo
Unpaid Bal .
Rcvd by
SIJD
SI.,D
ccc
WEM
WEM
Par-d
00.00
50.00
00.00
50.00
20.00
org .
N/A
N/A
N/A
N/A
ay
06
11
05
06
07
07ri
Datses Fund Paid Proc. Paid pnIt.y paid-30-91 $s00.00 $.00 $.00-1-4-91 $2s0.00 $.00 $. oo-1-0-92 $s00.00 $.00 $.00-2s-92 $2s0.00 $.00 $.00-27-92 $-420.00 $.00 $. oo-27-92 $-80.00 $.oo $.00ncipal Process Owed Penalty Owed Int.eresc Owed
To
$-80.00
Overpayment.
taI
$s
$2
$s
$2
$-4
10 P
01>
02>
03>
04>
05>
06>
16P
$. oo
$. 00
(r-3 /31
IDT
10 Date of Pa)rment,
01> 05-25-93
15 Prin. Owedt $29s.001
CHANGE ?
Fee Paid
$9s.00
Penalty Owedt $.001
Pnlty Paid
$.00
fnE.erest. Owedt $8. s31
Unpaid Ba1 .t $303 . s3l
InE.. Paid
$. oo
Total Paid
$9s.00
Owner Name and Address
CEI{TRAI-, VAIJIJEY WATER RECI'AMATION
8 O O W. CEIiTTR,AI., VAIJI.,EY RD .
sArJT rJAKE CITY ) tUr) {e+rrS
FI'ND RECORD EIiI]TRY AND UPDATE L/3)(r-II
01 FAC.ID [4001487] 02 Year [91104 QE.r. Tanks Asseaa. Due
/QEr. /eEr (o1d) DaEe01>1 4 $125.0007-30-9002>2 4 $125.00 11-01-9003>3 4 $L25.0001-31-9104>4 4 $]-25.0004-30-91Annual Projection t $500.001 Tot.a1 Quarterly Assessments
13 PaymenE. Check.No.Pay IDT Org. IDT Accts. DaE,e Rec.
01> $s00.00 0283s2 N/A N/A 08-15-90
02> $250.00 033040 N/A N/A 11-14-91
03> $-250.00 xFR 93 07-22-92
Unpaid ealance {$.00)Ower PaymenE. Credit { +.001
CHANGE ?
FIJITD . RECORD3 FI'IID PAYMEM| INFORMATION (r-3 /31
1) Loc. ID [4001487]2) Year [91]3) O/w Protect tYl
IDTCheck/IDT Date Check No. Org. IDT Acct.08-1s-90 028352 N/A N/A11-14-91 033040 N/A N/A07-22-92 XFR 93
03 Invoice Nunber [446 ] RaEe/T{$12s. OO}Pnlty Pnlty Process Process O/WAmounE. Date Fee Fee DaE,e ProE.
t$s00.00
Rec .
KiTK
SLD
GKA
Rcvd by
K.fK
SI,D
GKA
N
N
N
N
l
By
4 Pay Amount.
01> $500.00
02> $250.0003> $-250.00
10 Pay Dates
01> 08-15-90
Fund Paid
$s00.00
Proc. Paid
$.00
fnt. Paid
$.00
'I',OEa-L Pa1Cl
$s00.00
Overpalment
t $.001
FIJND. RECORD
L,ocat.ion Name and Address
CEIiIIIRAI, VAI,I,EY WATER RECIJAMATf ON
8 O O W. CEIiTTRAIJ VALLEY RD .
sALr LAKE CrrY ) {m} {earrs
PnlE,y Paid
$.00
UPDATE.IIID.RECORD' Owner Name and Address
I CENTRAIJ VAI.'I.'EY WATER RECLAMATION]
[ 8 0 0 w. CEI{TRAIJ VALLEY RD . ]
I SAI.,T I.,AKE CITY ] tUT] [84119]
16 I'NPAID BAI.,ANCE {18 StaEe Billing Act.ion $.00i
CIANGE ?
UPDATE . TND. RECORD2
4 Check/IDT Date
01> 06-30-91
Amount.
$50.00
17 OVER PAYMEIiI'T
19 Date of State Bill t
a ng
$.00)
ther SEate Actsion
1
1
2I DAL
0
0
eofO
4-02-9
8-]-4-9
1) Loc. ID [400148?]2) Year [88]3 ) O/W ProE,ect. [Y]
Rcwd.
sL,D
(r-2/2)
byCheck No-
033814
IDT IDT Acct,.
N/A
org .
N/A
10 Dat.e of Pal,'ment
01> 06-30-91
15 Prin. Owedt $.001
Fee Paid
$s0.00
PenalEy Owedt $.001
PnlE,y Paid
$. oo
Int. Paid
$. oo
Unpaid Bal .t $. ool
OverpaymenE.t $. ool
CHANGE ?
UPDATE . IND. RECORD
Owner Name and Address
I CENTRA], VAIJITEY WATER RECL.,AT'IATIONI
[8OO W. CEMTRAI., VAIIJEY RD. ]
[SA].,T IJAKE CITY ] IUT] t84119]
INDIVIDUAI, FEES RECORD UPDATE G-I/2)L,ocaEi_on N€rme and Addresa
I CENTRAI., VAI.,I,EY WATER RECI-,AMATION]
[ 8 O O W. CEIiTTRAI., VAI.,I.,EY RD . ]
I sAr.,T r.,AKE CITY ] ttrTl t 84119l
01 Iroc. ID [4001487] 02 Year [88] 03 Invoice [4 ] 04 Void tyl05 No. of Tanks a 21 06 Fees Assessed t $50.001 07 Due Date I l08 Penalt,y t I 09 Penalty Date t l10 Pa)rment. check No. rlr org. rDT Acct. Date Received Received By01> $s0.00 033814 N/A N/A 06-30-91 SLD
20 Other SEat.e AcEion
01> ADD 2 NON-NOT TANKS. INST
02> ADD 2 NON-NOT. TANKS
TNDTVIDUA! FEES RECORD UPDATE (r-t/2\
LocaE,ion Name and Address
I CEIiERAI, VALIJEY WA?ER RECIJAI,IATION]
[8OO W. CENTRAI, VAIJIJEY RD. ]
ISAIT LAKE CrTY I tUTl [84119]
FEE PAYMEI{IT INFORI'IATION
ToEal Paid
$s0.00
Interest Owedt $.001
01 Iroc. ID [4001487] 02 Year [89] 03 hvoice [11689 ] 04 Void tNl05 No. of Tanks t 4l 06 Fees Assessed t 9100.001 07 Due Date t O9-25-g9l08 Penal-Cy t I 09 Penalty DaCe t l10 Pa)ment. Check No. IDT Org. IDT Accts. DaEe Received Received By
01> $50.00 o247oo N/A N/A 10-17-89 SB02> $50.00 033814 N/A N/A 06-30-91 SIJD
15 rrNPArD BALANCE ( S.OO)18 StaE,e Billing Act,ion
01> COMPIJIANCE BII'IJING
20 Other SE.at.e Action
01> TANKS INSTAILED
02> ADD 2 NON-NOT. TANKS
UPDATE . IND. RECORD2
17 OVER PAYMENT {19 Dat.e of St,ate Billing
09-12-89
FEE PAYMEI{T INFORMATION
3) O/w Procect. [Y]
$.oo)
(r-2/2)
1) L,oc. ID [4001487]2) Year [89]
4 Check/IDT Date
01> 10-17-89
02> 06-30-91
10 Date of Payment,
01> 10-17-89
02> 06-30-91
15 Prin. Owedt $.001
Amount
$s0.00
$s0.00
Fee Paid
$50.00
$50.00
Penalty Owedt $.001
Check No.
024too
033814
IDT IDT AccI,.
N/A
N/A
Rcvd. by
SB
SI,,D
org .
N/A
N/A
Pnlty Paid
$.00
$.00
Int.eres! Owedt $.001
Int.. Paid
$.00
$.00
Unpaid Ba1 .t $.001
Owerpayment
t $.001
UPDATE. IND. RECORD
Owner Name and Address
I CEI{TRAI, VAI-,I,EY WATER RECI]AMATION]
[ 8 O O W. CEIVTR,AI., VAI.,I.,EY RD . ]
[sAr,T IAKE CrTY ] tUTl [84119]
INDIVIDUA]-I FEES RECORD UPDATE (T-I/2)
IJocation Name and Address
I CEMPRAI.I VAI.'I.'EY WATER RECIJAMATION]
I I0 0 w. cEIil]IRAL, VAITLEY RD . l
I SAIJT IJAKE CITY ] tUTl [84119]
01 Loc. ID [4001487] 02 Year [90] 03 hvoice larT 43 I 04 Void [N]05 No. of Tanks t 41 06 Fees Assessed t $180.001 0? Due Dat.e [ 10-01-89]08 Penalty t I 09 Penalcy Dat,e t l10 Palment. Check No. IDT Org. IDT Acct. Dat.e Recej.ved Received By
01> $90.00 024100 N/A N/A 10-17-89 SB
CHANGE ?
21 Date of Other Stat.e Action
06-13-89
04-02-9t
ToE.al Paid
$s0.00
$s0.00
CIIANGE ?
N/A
$.oo)
Amount
$9o. oo
$90.00
Fee Paid
$90.00
$9o. oo
Penalty O!'/edt $.001
Check No.
024100
03 3 814
05-30-91
IDT IDT AccT.
N/A
N/A
Rcvd. by
SB
SLD
02> $90.00 03 3 814
15 IJNPAID BAI,ANCE {18 SE.ate BiIling Action
O 1> COMPI.,IANCE BI],L
20 Other Stat.e Action
01> CERT OF REG
02> ADD 2 NON-NOT TANKS
CHANGE ?
4 Check/rDT Date
01> 10-17-89
02> 05-30-91
S I,D
1) IJoc. ID [4001487]2) Year [90]
1? OVER PAYMENT {19 Date of SE.ate Billing
09-12-89
21 Date of Other State AcEion
11- 06 - 89
04-02-91,
FEE PAYMENT INFORMATION
3\ O/w Protect [Y]
$.00 )
(r-2/2)
org.
N/A
N/A
10 DaEe of Pa)ment.
01> 10-17-89
02> 05-30-91
15 Prin. Owedt $.001
Pnlcy Paid
$.00
$.00
InE,eresE Owed
I $.001
InE. Paid
$. oo
$.00
Tocal- Paid
$90.00
$90.00
Overpalmentt $.001
CIIANGE ?
UPDATE.I}TD.RECORD
Owner Name and Address
I CENT&AI., VAI.,I.,EY WATER RECIJAMATION]
[ 8 O O W. CEIiTTRAI.J VAIJLEY RD . ]
I SAI,T I.,AKE CITY ] tUT] [84119]
Pa)rmenE
$90.00
$90.00
16 I]NPAID BAI,ANCE {18 St.ate Billing Action
O 1> INITIAI, BIIJIJING
INDIVIDUAI, FEES RECORD UPDATE (T-7/2)
Location Name and Address
I CENTRA], VAI.,I.,EY WATER RECIJAMATION]
[8OO W. CEITTRAIJ VA.LIJEY RD. ]
I SAIJT IJAKE CrTY ] tUTl t841191
17 OVER PAYMENT {19 Dale of SEaEe Billing
06-07-90
01 Loc. ID [4001487] 02 Year [91] 03 Invoice [13280 ] 04 Void tNl05 No. of Tanks t 4l 05 Fees Assessed t 9180.001 07 Due Dare [ 11-23-90]08 Penaltsy t I 09 Penalty Dat.e t lCheck No. fDT Org. IDT Acct. Dat.e Received Receiwed By0283s2 N/A N/A O8-1s-90 K.rK033814 N/A N/A 05-30-91 SLD
10
01>
o2>
$.00 )$.00)
N/A
UPDATE . TND. RECORD2
Unpaid Bal .
t $.001
CHANGE ?
UPDATE . IND. RECORD2
4 Check/rDT Date
01> 08-15-90
02> 05-30-91
1) Loc. ID [4001487]2) Year [ 91]
06-24-90
21 DaEe of Other St,ate Action
08-17-90
04-02-91
FEE PAYMEIiE INFORMATION
3) O/w Protect [Y]
(r-2/2)
Amount.
$e0.00
$90.00
Fee Paid
$90.00
$e0.00
Penalty Owedt $.001
Check No.
0283s2
033814
IDT IDT ACCt,.
N/A
N/A
Rcvd. by
KJK
SI-,D
org.
N/A
N/A
10 DaE,e of Pa)rment.
01> 08-15-90
02> 05-30-91
15 Prin. Owedt $.001
PnlEy Paid
$. 00
$. oo
InE.erest. Owedt $.001
Tota1 Paid
$90.00
$90.00
Unpaid BaI .t $.001
Overpaymentt $.001
INDIVIDUAI., FEES RECORD UPDATE (T-7/2\
Location Name and Address
I cEIirrRAL, VAr.,L,Ey WATER RECLAI{ATfON]
[800 w. CEIiTTRAIJ VALL'EY RD. ]
[SAI,T LAKE CITY ] IIJT] 184119]
I 04 void [Y]
Due Dat,e [ 10 - 31- 91]nalty DaEe t lceiwed Received By-92 WEM
17 OVER PAYMET{T { $.00}
-91
-91
Other St,ate Action
-91
-92
01 IJoc. ID [4001487] 02 Year [92] 03 Invoice [105 No. of Tanks t 4l 06 Feea Assessed [ 9180.0008 Penalty t I 010 Palment Check No. IDT Org. IDT AccE.. DaE
01> $180.00 xFR FI,ND 0
16 I'NPAID BAIANCE { $.OO}18 Stat.e Billing Act j.on
01> FY 92 BIII,ING
02 > EY 92 BIIJIJING
20 OE,her Stat.e Act.ion
01> ADD 2 NON-NOT. TANKS
02> 2 TANKS REMOVED
8795
l079Pe
eRe
7-01
13
08
of
L4
o4
19 Dat.e
05-
11-
21 Dat.e
08-
03-
of SCaEe Billing
CHANGE ?
02 > REPRINT fNITIAI-,
,20 Other State AcE.ion
01> CERT OF REG
02> ADD 2 NON-NOT TANKS
Int. Paid
$.00
$.00
CHANGE ?
UPDATE. IND. RECORD
Owner Name and Address
I CENTRA]., VA].,I.,EY WATER RECI.,AMATION]
[8OO W. CENTRAIJ VALI'EY R.D. ]
ISAIT LAKE CITY ] II'T] [84119]
UPDATE . IND. RECORD2
1) Loc. ID [4001487]
4 Check/rDT Date
01> 07 - 01- 92
FEE PAYMEMP INFORMATION
2l Year 1921 3) O/w Prot,ecE.
Check No. Org. IDT IDT Acct.
XFR FI]ND
Amount
$180.00
tYl
Rcvd.
WEM
(r-2/2)
by
10 Dat.e of Payment
o]-> 07 -01-92
15 Prin. Owedt $.001
Fee Paid
$180.00
PenaIE,y Owed
t $.001
Pnl-Ey Paid
$.00
Int,eresE Owedt $.001
Int. Paid
$.00
Total Paid
$180.00
Overpa)mentt $.001
Unpaid Ba1 .t $.001
CIANGE ?
UPDATE . IND. RECORD
Owner Name and Address
I CEIiTIRAL VALLEY WATER RECLAMATION]
[ 8 0 0 w. cEIilltRAIJ VALLEY RD . ]
I SAI.,T I]AKE CITY ] IUT] [84119]
16 I'NPAID BAI.,ANCE {18 SE.aEe Billing Act.ion
O 1> FY 9 3 BII.,IJING
02> FY 93 BII.,IJING
2 0 Other SE.at.e Act.ion
$.00 )
CHANGE ?
INDTVIDUAI., FEES RECORD UPDATE (T-I/21
Location Name and Address
I CENTRAIJ VALLEY WATER RECI.,AMATION]
[ 8 O O W. CEIiERAIJ VAIJIJEY RD . ]
I SAI.,T LAKE CITY ] IUT] [84119 ]
17 OVER PAYMENT { S.OO119 Dat,e of SE.at.e Billing
05-26-92
05-26-92
21 Date of Other St,ate Action
UPDATE. IND. RECORD2 FEE PAYMEIVT INFORMATION (a-2/2)
01 L,oc. ID [4001487] 02 year [93] 03 Invoice t2563L 1 0a Voiil tNl05 No. of Tanks t 4l 06 Fees Assessed t $390.00j 07 Due Date I O7-Ot-92j08 Penalty t I 09 PenalEy Date t l10 Palment Check No. IDT Org. IDT Acct. Date Received Received By01> $240.00 xFR FIJND o7-o7-92 WEM02> $150.00 xFR FUND o8-o4-92 WEM03> $95.00 xFR FUND 05-17-93 Tr.,V
-1) Loc. fD [ 4 0 014I7l
1
3 ) O,/W prot,ecE.
org. rDr IDT AccE.
Inc.
tYl
Rcvd. by
WEM
WEM
TLV
TLV
Tot.al Paid
$240.00
$1s0.00
$es.00
$-9s.oo
Overpayment.t $.001
Amount
$240.00
$1s0.00
$9s.00
$-9s.oo
2) Year [93]
Check No.
XFR EI'ND
XFR FI]IID
XFR FI]ND
XFER 94
10 Dat,e of Pa)rment
o]-> 07 -ot-92
02> 08-04-92
03> 05-17-93
04> 06-25-93
15 Prin. Owedt $.001
heck/ rDT Dat.e
1> 05-25-93
Fee Paid
$240.00
$1so. oo
$95.00
$-es.00
Pena1t.y Owedt $.001
AmounC
$es.00
Pnlty Paid
$.00
$.00
$. oo
$.00
Paid
$.00
$.00
$.00
$. oo
fnterest, Owedt 9.001
Unpaid Ba1 .t $.001
01 Loc. ID [4001487] 02 Year [9al 03 rnvoice [405 No. of Tanks t 4l 05 Fees Assessed t $39O.OO08 Penalty t I 010 Palment Check No. IDT Org. IDT AccE. DaE01> $95.00 XFER 93 o
CHAIIIGE ?
UPDATE.IND.RECORD
Owner Name and Address
I CENTRAI, VAIJIJEY WATER RECI..AMATION]
I I0 0 w. CEIiTTRAL VAIJIJEY RD . ]
I sAr.,T LAKE CrTY ] tUTl [84119]
16 I]NPAfD BALAIiICE { $303.53i18 SEate Billing Action
01> FY 94 BII,IJING
02> FY 94 BILLING
20 OEher State AcE.ion
CI{ANGE ?
1) l,oc. ID [400148?]
INDIVIDUAL FEES RECORD UPDATE G.I/2)Location Name and Address
I CEIiMRAI, VAIJIJEY VIATER RECLAIIATION]
[ 8 0 0 w. CEIiTTRAIJ VAIITEY RD . ]
I sAr,T LAKE CITY ] tuTl [84119]
I 04 void [N]
Due Date [ 07-01-93]nalt.y Date t lceived Received By-93 TLV
1? OVER PAYMENT { S.OO119 Date of State Billing
05-17-93
05-17-93
21 Date of Other St.ate Action
0289l079Pe
eRe
6-25
FEE PAYMEMT INFORMATION
2) Year [94] 3) O/w Protecr
Check No. Org. IDT IDT Acct.
XFER 93
Rcvd.
TIrV
4C
0
by
'4 Check/IDT Dat.e
01> 07-01-92
02> 08-04-92
03> 05-17-93
04> 06-25-93
UPDATE . IND. RECORD2 (r-2/2)
.\'
STATE OF UTAH
DBPARTMENT OF ENVIRONMENTAL QUALITY
DIVTSION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
150 North 1950 West, 2nd floor
Salt Lake City, UT 84116
Mailing Address:
PO Box 144840
Salt Lake City, UT Ull.4-4840
(801) s36-4100
FAX NUMBER (801) 3s9-8853
FAX COVER SHEET
DATE: lc' 1 'c'13
TO lccrA
AGENCY/FIRM. A' / i^I C. >
FAX NUMBER:41V-42?:c)
FROM:
PAGES TO FOLLOW: 7-
coMMENrs: ?aq - TIUS Mg # aSteEG
$ r9c,. oo wu s \(GL. See fr,\ytl IQL ctttd Vvnd '"b)q 4 ftt,Ttvr's
(lrndvwj dut- to
br,rra<.bz B.
ft o'r qu),Rorr sn y< new
r5r krrs art-fi nally cLt
fovLt e ,t"na witt 'fuY'1u
0n iu,5,[rit'v',i' €t- Ct- drd
gt1
FOFI
DATE ,,*= ll )'17 A.M
,P. M
tvt f?-o--r-L kberts
OF
PHONE
tr FAX
AREA CODE NUM BEFI EXIENSION
tr IVIOBILE
AFIEA COOE NUMBER TIME TO CALL
IVIESSAGE
Zat
9a- z.e -to :ro
Ult trl4\^^r*,.<L ^ .rrrlni*
SIGNED T
TOPS FOBM SOOzP
LITHO IN U.S.A.
MPORTANT MESSAG
TELEPHONED
CAME TO SEE YOU
PLEASE CALL -<
WILL CALL,AGAIN
WANTS TO SEE YOU RUSH
BETURNED YOUFI CALL SPECIAL ATTENTION
r+...-t...\,
JND. RECORD FIJND RECORD ENTRY AND UPDATE (T-I/3)
or,rrner Name and Address Location Name and Address
{ CENTRAI., VALLEY WATER RECI,AMATION } T CENTRAL VALLEY WATER RECLAIT{ATION }
{8OO W. CENTRAL VALLEY RD. } {800 w. CENTRAL VALLEY RD. }
{sALr LAKE CrrY } tUT} {84119} {SALT LAKE crrY } tUT} {84119}
01 FAC.ID [4001487] 02 Year [93] 03 Invoice Number [11112 ] Rate/T{$125.00}
04 Qtr. Tanks Assess. Due Pnlty Pnlty Process Process O/W
/Qtr. /Qtr(o1d) Date Amount Date Fee Fee Date Prot.
01> 1 4 $125.00 07-01-92 N
02> 2 4 $12s.00 07-01-92 N
03> 3 4 $125.00 07-01-92 N
04> 4 4 9125.00 07-01-92 N
Annual Projection t $5oo.ool Total Quarterly Assessnents [$500.00 ]
13 Payment check.No.Pay IDT org. IDT Acct.
01> $s00.oo 03?656 N/A N/A
02> $250.00 XFR FRO}{->
c.
,..,-o,." 4T,
03> $8o.oo xFR FROMT
04> $-150.00 xFR rEE
Unpaid Balance t $.00)
CHANGE ?
FI'ND. RECORD3
1) Loc. ID [4001487]2) Year [93 ]
FT]ND PAYI.{ENT INFORI.{ATION
o6-25 92
-22-92
o7 -27 -92
o8-o4-92
Over Pa)rment Credit {
3) O/w Protect
-f-1-/'
check No.
o37 656
XFR FROIII
XFR FROM
XFR FEE
XFER TO F
XFR TO 94
Acct.
N/A
Rec. By
ccc
GKA
WEM
WEI'{
$.00)
(r-3 l3)
Rcvd by
ccc
GKA
WEM
WEIII
TLV
TLV
org.
N/A
IDT
tYl
IDT
o6-25-92
o7 -22-92
o7 -27 -92
oa-o 4-92
05-]-7 -93
o6-25-93
Check/IDT Date
o6-25-92
07 -22-92
o7 -27 -92
o8-o4-92
05-17-93
o6-25-93
10 Pa y Dates Fund Paid Proc. Paid Pnlty Paid rnt. Paid
01>
o2>
03>
04>
05>
06>
$500. 00
$250.oo
$80.00
$-15o. oo
$-9s. oo
9-85.00
$. 00
$. oo
$. 00
$.00
$. oo
$. 00
$.00
$. oo
$.00
$.00
$. 00
$. 00
.00
.00
.00
.00
.00
.00
Bal .
$. 001
$
$
$
$
$
$id
$250. 00
980. oo
$-1s0. oo
$-es. oo
$-85. oo
Overpaymentt $. 001
16 Principal- Process owed Penalty owed Interest owed Unpa
i $.ool t $.ool t $.001 t $.001 t
CHANGE ?
FUND. RECORD FIJND RECORD ENTRY AND UPDATE (T-I/3)
owner Name and Address Location Name and Address
{ CENTRAL VALLEY WATER RECI,AMATION } T CENTRAL VAI.,I.,EY WATER RECI.AI,TATION }
{8OO W. CENTRAL VALLEY RD. } {800 W. CENTRAL VALLEY RD. }
{SALT LAKE CrTY } {UTi {84119} {SALT LAKE CrTY } {UT} {841,19}
4 Pay Amount
01> $500. 00
02> $250.00
03> $80.00
04> $-15o. oo
05> 9-95,00
06> $-85.00
FIJND. RECORD
Owner Name and Address
CEI{IRAI.,, VAI,,IJEY WATER RECIIAMATION
8 O O W. CEIVTRAIJ VA].,].',EY RD .
SAIJT IJAKE CITY ) {uri {8 4119
FI]IID RECORD EIiITRY AND UPDATE (r-t/3)i{L,ocacion Name and Address
CEIiMRAI., VALLEY WATER RECI,AMATION
8 O O W. CEIiII|RAI, VAIJIJEY RD .
sArrT rrAKE crrY ) {ur} {84119
01 FAC.ID [4001487] 02 Year
04 QE.r. Tanks Assess. Due
/eLr. lelr (oId) Date01>1 4 $250.0007-31-9102>2 4 $250.00 10-30-9103>3 4 $250.0001-30-9204>4 4 $250.0004-30-92Annual Projection t $1,000.00113 Pa],'ments Check. No . Pay IDT Org .
01> $500.00 033814 N/A
02> $250.00 033040 N/A
03> $500.00 037033 N/A
04> $250.00 0376s5? N/A
Unpaid Balance { S.OOI
CHANGE ?
FI'ND. RECORD3
1) IJoc. ID [4001487]2) Year [92 ]
21 3 Invoice Nunber [4499 ] Rate/T{$250.00}Pn1ty Pnlty Process Process O/Amounts Date Fee Fee DaE.e Pr
Total Quart.erly Assessment.s
Date Rec .
06-30-91
11-14-91
06-70-92
06-2s-92
Over Pa)rment Credit
FI]IID PAYMENT INFORMATION (r-3/3t
3) O/w ProEect
w
oE.
N
N
Y
N
lIDT AccE, .
N/A
N/A
N/A
N/A
t$1,000.00Rec. By
SI,D
SI.,,Dcrn
(1t1t1
{ $.oo )
IDT
tYl
IDT4 Pay AmounE
01> $s00.00
02> $250.00
03> $500.00
04> $2s0.0005> $-420.00
05> $-80.00
Check/IDT Dat.e
05-30-91
11-14-91
06-10-92
06-25-92
o7 -27 -92
07 -27 -92
Check No.
033814
033040
037033
o37 6s6
XFR FEE
XFR TO 93
Rcwd by
SI,D
S I.,D
CCC
WEM
WEM
Totsa1 Paid
$s0o. oo
$2s0.00
$s00.00
$2s0.00
$-420.00
$- 80.00
Overpalmentt $.001
org .
N/A
N/A
N/A
N/A
AccE.
N/A
N/A
N/A
N/A
10 Pay Dates
01> 06-30-91
02> L]--14-91
03> 06-10-92
04> 06-25-92
05> 07 -27 -92
06> 07 -27 -92
Proc "
15 Principal Process Owed PenalEy Owed Interest $.ool t $.ool t $.ool t
Fund Paid
$s00. oo
$2s0.00
$soo. oo
$2s0.00
$-420.00
$-8o.oo
Paid
$.00
$.00
$.00
$. oo
$.00
$.00
Paid
$.00
$.00
$.00
$.00
$.00
$.00t Owed
$.001
nlP Ey hr. Paid
$
$
$
$
t
$
Unpaid
.00
.00
.00
.00
.00
.00
BaI .
$.001
CHANGE ?
r FAC.ID [4001487] 02 Year [94]4 Qtr. Tanks Assess. Due
/Qt-r. /QEr (old) Date01>1 4 s75.0007-01-93
02> 2 4 $75.00 10-01-93
4 Pay Amount
0r.> $85.00
03 Invoice NunberPnlty Pn1tyAmount Date
l4o28e l
Process
r'ee
$10. oo
$10. oo
Rate/Tt
Process
Fee Date
07-01-93
10- 01-9 3
$7s. oo)
olw
Prot
N
N
Unpaid Balance t $. oo1 over Payment credit {$.00)
CHANGE ?
liecl t', F. .{faH
FI'ND. RECORD3
1) Loc. ID
(r-3 / 3)
[4001487]2) Year [94]3) o/w Protect [ ]
rD ry;
lo?o,oc
FI]ND PAYMENT INFORMATION
check/ IDT Date check No. Org. IDT Acct.06-25-93 XFR FROII
10 Pay Dates
o1> 06-25-93
02> o7 -01-93
01 Loc. ID [40005 No. of Tanks
Fund Paid
$8s. oo
$-10. oo
L487 )o2
Proc. Paid
$. 00
$10. oo
93
06 Fees Asses
OB Penalty IIDT orq.
aid
.00
.00
03 Invoice I
Int. Paid
$.00
$. 00
Unpaid Bal.t $. 001
IDT Rcvd by
TLV
.00
Overpaynentt $.ool
PnIty P
$
$
16 PrincipaL Process Owed Penalty O$red Interest Orredt $.001 t 9.001 t $.001 t $.001
CHANGE ?
UPDATE . TND. RECORD INDIVIDUAL FEES RECORD UPDATE
Owner and Address
I CENTRAL VALLE TER RECI,AMATTON
[800 w. CENTRAL
I SALT I,AKE CITY
RD.It 441L9
(r-L/ 2)Location Name and Address
I CENTRAL VALLEY WATER RECLAMATION]It
)[-"-
l
l
l l
09te
l04void[]07 Due Date [ ]Penalty Date t lReceived Received By
otal Paid
$es.
10 Pa)rment check No.IDT Acct.Da
^!ruD
Annual Projection [ $300.00] Total Quarterly Assessnents [9150.00 ]13 Payment check.No.Pay lDT Org. IDT Acct. Date Rec. Rec. By
01> $85.00 xFR FROI! 06-25-93 TLV
01 Loc. ID [4001487] 02 Year [93] 03 Invoice 12563t I 04 void [N]05 No. of Tanks t 4l 05 f'ees Assessed [ $390.00] 07 Due Date I O7-OL-921
08 Penalty t I 09 Penalty Date t l
Pa
UPDATE. IND. RECORD
Ordner Name and Address
I CENTRAL VALLEY WATER RECI,AMATION ]
[800 w. CENTRAL VALLEY RD. ]
I SALT r,AKE CrTY ] tUTl t84r-191
INDIVIDUAL FEES RECORD UPDATE (T-L/2)
Location Nane and Address
I CENTRAL VALLEY WATER RECI,AMATION ]
[800 w. CENTRAL VALLEY RD. ]
I SALT r,AKE CrTY ] turl t841191
17 OVER PAYT,TENT t $.00)
19 Date of state Billing
o5-26-92
o5-26-92
21 Date of other State Action
FEE PAYMENT INFORMATION (r-2 / 2)
3) o/w Protect [Y]
10
01
o2
03
240 . OO
9150.00
$9s. oo
Check No. IDT org. IDT Acct. Date Received Received By
xFR FIND O7-O7-92 WEll
XFR FIJND OA-O4-92 WEU
XFER FROM 05-17-93 TLV
$.00)16
18 State
01> FY
02> Fy
20 Other
BALANCE {Billing Action
93 BILLING
93 BILLING
State Action
CHANGE ?
UPDATE. IND . RECORD2
1) Loc. ID [ 4oo1487 ]2) Year [93]
4 Check/ IDT
01> 07-01-
02> 08-04 -
03> 05-17 -
04> 06-25-
Amount
$240.00
$150.00
$95. oo
$-gs. oo
Fee Paid
$240. oo
$1s0. oo
$95.00
$-95. oo
check No.
XT'R FUND
XFR FUND
XFER FRO
XFER 94
Date
92
92
93
93
Interest owed
t $.00l
Org. IDT IDT Acct.
Int .
Unpaid Bal- .t $. 001
.00
Overpa)rment
t $.001
Rcvd. by
WEII
WEM
TLV
TLV
aI Paid
$24o. oo
150.0
aid
.00
.00
.00
.00
Paid
$. 00
$. oo
$. 00
$. 00
PnIty P
$
$
$
s
$
9
CHANGE ?
UPDATE. IND. RECORD
owner Name and Address
I CENTRAL VALLEY WATER RECLAMATION]
[800 w. CENTRAr.., VAr_,r.,EY RD. ]
I SALT r,AKE CrTY ] [UT] [84119]
TNDTVTDUAL FEES RECORD UPDATE (r-L/2)
Location Name and Address
I CENTRAL VALLEY WATER RECLAI,IATION ]
[8OO W. CENTRAIT VAL,L,EY RD. ]
I SALT r,AKE crTY ] turl t841191
10 Date of Payment
01> 07 -01-92
02> 08 -04 -92
03> 05-17 -9 3
04> 06-25-93
15 Prin. olred
t $. 001
Penalty owed
t $. 001
$-9s. oo
01 Loc. ID [4001487] 02 Year [94] 03
05 No. of Tanks t 4l 06 Fees Assessed I08 Penalty I
a9 I 04 void [N]07 Due Date [ 07-01-93]
Penalty Date t l
Invoice 2
10 Payment check No. IDT Org. IDT Acct. Date Received Received By
01> $95.00 XFER 93 06-25-93 TLV
17 OVER PAY!.IENT {$. o0)
$390.00
9
State Billing
-93
-93other state Action
16 UNPATD BAT,ANCE { $302.46}
18 state Billing Action
01> FY 94 BILLING
02> FY 94 BILLING
20 other State Action
CHANGE ?
19 Dat
0
0
21 Dat
eof
5-L7
5-L7eof
I'EE PAYI.{ENT INFORMATTON
2) Year [94] 3) O/w Protect
Check No. Org. IDT IDT Acct.
XFER 93
4 Check/IDT Date
01> 0 6-2 5-9 3
10 Date of Payment
01> 06-2 5-9 3
15 Prin. owed
[ $2e5. 00 ]
CHANGE ?
(r-2 / 2t
Amount
$95. oo
tl
Rcvd. by
TLV
Fee Paid
$es. 00
Penalty owed
i $.001
Pnlty Paid
$. 00
Interest owed
t $7.451
Int. Paid
$. 00
Unpaid Bal.
t $302.451
Overpaynent
t $. 001
-APP\iea f6 fzeS
W
Total Paid
$9s. oo
UPDATE. IND. RECORD2
1) Loc. ID [ 4001487 ]
\
State of Utah
DEPARTIVIENT OF ENVIRONMENTAL QUALTTY
DTYISION OF ET.IVIRONMENTAL RESPONSE AND REMEDIATION
150 North 1950 West 2nd Floor
Salt kkc City, Utah 84116
(80r) 53G4100
[phone] Fax
(801) 53G4414 T.D.D.
,^
Michael O. L,eavi(
Gwmr
Dianne R. Nielson, Ptr-D.
Exeuivc Distq
Kent P. Gray
Dtcaq
TO Facility r.D.#_l@L|!?
FROM: &ru As{4n
Date: ?/ts/ls
Your application for coverage under the PETRoLEIJM SToRAGE TANK FtrND is incomplete. Thefollowing additional information is required before your application can be processed.
t I The results of your Tank&ine Tighnress Test and a copy of the field report need to be submitted to thisoffice.
t I You must document that you have leak detection on: [ ] your tark(s) [ ] your piping
t I A Notification Form @PA Fomr 7530-t Revised 2-g2), registering or upgrading your tarks, needs to befilled out and submitted to
t I Arurual Fees for
[r-']- Arnual Tark Fee Assessments remain unpaid. Ple.Qse submit a check for $ 9Z4b . This will cover the
T1,[:ff'r?f]#;']!;,l,lik i:Tm, rais's wh4 t" *@*g* esi a)J' n- t sc
[v'{ You have not completed the form declarin-g "PREVIous PoLLUTIoN INCIDENIS.' please complete theenclosedform. Plir'a -ry\&+rw-{* g. h"qls thskk4 s/lz-,tu/d/ oud no",,ftq;r;
the PETROLEIJM STORAGE TANK FUND remain
This would cover the fiscal years lggl, ,92,'93 and
unpaid. Please submit a check for
'94. The amount past due for the
t I Your "APPLICATION FOR NON-MARKETER DISCOIJNT" is defective for the following reasons:
t ] The release has not been characterized or maintained its cleanup schedule to the satisfactionofyour project manager, and the Executive Secretary (UST).
[/ Please retum a copy of this speed memo with the above items to speed processing.
t vI Other (below):
rhwlcs.
Please note that you will not be covered under the PETRoLELM SToRAGE TANK FuND until the abovementioned items are completed. If you are currently a LUST site, and your Fund application has beenapproved, any further releases wilt be covered by the Fund. If you have any questions concerning this,please call the Division of Environmental Response and Remediaiion at (g0r)ise-4100.
Printed on recycted paper
current quafier only would be $_
't,?
Facility ID No-?oo/t/ 9 t
fnspectcr Cerc
CLOSITRE TNSPECTION
nry
Stace C.4 f
CounE'
Date
tr
Z
/1r-rnar
ll-..*
q i-rao
L:LY.
T
Y_,- €
Prc=e=tt'c;1y
P!rc:ip
z
E,:
1
Cl--56r.
^:!.,.LILV.
?hone:
l.C:,.=.
Cci:panY:
?
.lc;.iE.
Ccnpanv:
rl
2 or
l,atituie-- r,onEi
.. i.
L_UE
Cert. f -02 /
s' :i
mol,er
Tvoe of Closg-ra LJTemPorarY
Substance stored for Chanqe-
I an.ng=-J;:-Servj-ce
1n-serv].ce
Tank Infornaticn ooriqinal #Tank ,^
No'
\\
- P.emoved TanksI __2-
* l{e',r Tanks - 4..*+--i-
- Le-€:i9
l.ge o: Tank
CrpacitY
Tvpe: FR'P, Steel,
Ccnoos tte
Subscance
Date Last Useci
Date.Closec
Hc'.; Clcsec?
E:lpcie<i?
Sluoge P.enove<i?
CIeaned.?
atC{nl
5
ENVIRONMEN CIUALITY
DIV. OF ENV OTJUINTAL
I
I
I
Furgeo or Inerted?
(8Y
t Inspectcr
'6' 7 , o,q
t ,)o l* ^,1
Art{ I f q'rr ,lf
N^, ,t/a-11,, ot/a-,
trt ^ I l,)f-r-'L ^rjP)
tCl
I
I FnocrssrL-I
1'y'''
$Ias the ExIf Ye
Gain
Facility ID No-
cavation scanneC vith a PID or FID neter?s, Ifhat were the Readings, Make of iletor Span sett and Calibration
6F
N!
,//'
Are the:e An1, signs that iniicate contanination t<i soiLsor crcuni Water? . .n 0. .. .: .
I.tas Eu:eau oi Solid & HazarCcus Haste l{otified of
Contanination?
k
Iv'ai Eureau oi Air Qua).ity liotifi;d of Contaninated Soilif enisslon f:cn tite ccncaninant is to take place?.. -
! ..:'
Iv-as Eureau of liater PoIl-ution Cont=sl Notifie<i .cf
Grounci I'iater Contatrination?
Contractors:
Nane of Incividual vho reruoved Pro<iuct:
Nane Co;noany
Stree
State
ci
Zip Phone
Nane cf Inciviiual
Nane
\who Cleaned Tank:\
Cl-raor
Stace
citv
Place uhere Tank was DisPosed:
Name
C {--a or
Stata zip
Place where PiPins was DisPosed:
Name
(l-raol
Stace zLp
L 1D
where Froouc*- was DisPcsed.:
Z
SI- G L*) E /l
Phone
Ccnpan
ci IY
Phone
c ciilDany
ci ty.
Phone
Dl:r-o
NaEb
Qi.roc i-
State
ci
Phcne
Place uhare Sluiqe was Disposed:
Nane ConDan'
Street
state ZLo
Ci t,/
Phone
'ce/{,?)
_1
I
a
:4'
Temcorarv Closure
Netv or UPgraded:
Is Corrcsion Prot
Is the Leak Detec
Greater than 3 nronths:
Lre Ven-. Lines oP
Are Lines, PunPs
Over 12 nonths:
cf
Street
state
Facility ID No.
ection Systen uaintained
7
N
')
tion Systen stil1 being nonitcr={?.._
\
en )
lias a Slte Lssessnegtt'i:een done? ......
Iias the o/o applieC for an ex+-ention?
If Yes, Expiration Date:
lias the tank been Upgraoed to ne',r Corrosion and Leak
Detectibn staniarCs?.
sur
General: \ \
-t--''
: '
Does o/o have an aooroved CLosure PLan? - - -.--4
-r'iias the Fire Departnent been Notified of closure?... . L./
I{as Fire Deparunent given approval to Close in Place? - - - -
o
Site Assessrnent:
liere Soil anci Ground liater
and Han';ays Cacoed and^ Securad?
.i
sanples taken?
ei Lab vrhere Sanples were taken:
I{as Fira Departnent been notif ied for Change-in-service.. . '/
t{ere Product Lines: Renov "d
y1""*"UTaupPeC in pfu"I
What, Mer--hccolcgy was used for Saaple *na1ysi.s?
80L5 ncclfieci 413 - 1 Other
iiere Uni.fie<i SoiI Classif i.rrion Sanples Taken? /
Na:ne
Name it
L D
CT
Phone
..4r"?_-
Place where Contanina ted Soils
Nane
Streec
State Zip
Place uhere
l{ane
Ccntaninated Water was Disrcs ed:
\
Iacility fD No.
vere Dispcised:
ci t1'
Phone
Streec
JLdLC
ci ty
Phone
If any of the above is different than indicateri on the'clcsire Pi::r, ilease
ex-olain whY:
L lrl
\
..6 t
^
FACILITY ID.qa0t191
PsT PROCESSING CIIECKLIST
Year q3
Not
Applicable
Non-Marketer Discount
Unacceptable Acceptable
,-/
Previous Pollution Incidence
. LUST FilEpfr ""ff"*Iil*iu
J
-+-
o']t, SIKP olu ,Lr'/Y/N
Y/N
TTT
- Verify tank/ l j.nes
vs registered
Documentation ok?
- Rate ok?
t-/
if, f- Zae,, hds ap
Y/N
Y/N
Y/N
Y
YI I
Fund Paid
FY 92
FY q3
FY 91
t/
Q7 ,./ Q2,/ Q3 t/ Q4 l./arZaz-As ./ aqL
QL rQ2 -/ Q3 / Q4 /
Fees Paid Y/N
r q't
t r Ftt-yolt[93
FY BB?
FY 89?
FY 90?
FY 9 ].?
-/
v
V
.-/
t-/
qu 9oZ.L16 t^tlrA,t
Lo rra€r1,[
I?'1FY o
Compliance
Conpliance Outstanding?
Leak detection required?
- Notification up to date & complete?
,rl'[q?lication? 0.uJ $,, 2 r'r*, l.l.I" WoQ/App
L-'t-
Y lN /\)
Y/N Y r\
Y/N Y
for"
9p. ne^o rfs[S r-
Date QualifiedDate Issued
Review completed and certificate issued by 4M
SUPPORTffi
,3
FsrP<oC , F,q4\ Jaro.r.ary et Hq<
I
lHt
ETIVIRONMENTAL
April 22,1992
Neil Blosch
Sheer Structure
1325 South Main Street
Salt Lake City, UT 84115
Sincerely,
Dear Mr. Blosch,
.
Enclosed please find the results of the tank tightness tests performed on the
two - 1000 gailon tanks at the Central Vailey Water Conservation District
Facility, 355 West 1300 South, Salt Lake City, Utah.
Both tanks tested tight und.er the the National Fire Protection Association
(NFPA) criteria #329. A tank which is leaking or gaining less than 0.05
gallons per hour (gph) is considered tight-under this criteria. Consequently,
itr" tunt also met lhe less-stringent EPA definition of a non-leaking tank.
This definition states that a tank is tight if the calculated leak rate is less than
0.1 gallons per hour GPh).
Please let me know if you have any questions.
/*(
Bert A. Hill, MSPH
UST Program Manager
Enclosures
fr-l
...rj,
:r i:-
lrousrntnt Hrltrx lHconPonerro
640 E. WtitltricToN AvENUE Snrr Lffit CtW UmH 84 106 Te lEptiont: 801 '466'2223 Fu 801 '466€616
' i .-:'-rl'
n?
ne
. Test,a
ourct elevation in tank (-.r
Re=u I- ts
i nc he= ) - 77 . t)t:t
endpoints of the se lected
o+ 1.1O4 mV in 61 minutes
of 169 mL in 61 minuttes
at 05:41:4i:) and enci= al-- 06:4i: r:).! 'starts at O5:41:4O and ends at O.r:4J: {15-
rL(n on t--t4/'?7/q? at t)5:41:4tlt.
IeveI data for thiE analvsis sf-arts
temperatLtre data for this ana).ysis
:hE volta-eP change for ts cal. i brat i on volurme of 1O mL was O.O65 volts
1at the
c han-oe
E hange
f,irect read i ngs talten
=how an auditor P robe
This is a gross level
analysis per i od
and 26 seconds.
and 26 Eeconds.
E / honr
is
g rtrss
c hanqE
Tai.iing all the data into tronsideration by performing a leaEt square
regreision o* Ievel on time gives an auditor probe sloPe of 1.111 V/houtr.
Thus. the gross Pi'oduct volume is increasing 171'3 mLlhottr'
The coeffiiient of correlation for the level data ls 99"72'
Using the calculated ternperatutre slope o+ 11' Qt)t:t477 degrees
and ihe coe+ficient of expansion. the e++etrt of temperature
an incresse in volume of O.5 mL/hoLtr
The coe+ficient o* correlation for the temperiture data is
.subtracting the computed teinperature volutme change f rorn the
prodr-rct ,o1.,*= changE yields a temperature corrected volume
of 17O.8 ml/hourr or aJ. D451f, ggl/hour.'.\
',/Syste,m complies Nith N-F.F.A. *339 criteria (+'/- O'r-)g GFH)
-/ System does not comply with N.F.P.A..S5?9
/-/ T anl:. leak indicated
/-/ le;l inconclusivel
/-/ A\r or VaPor traP indicated
/ -/ Iemperature instabi IitY
/-/ lnproPer installation
test condutcted by Eert Hill' UT 0171i
criteria (+/- O. O5 GPH):
.2EignatLrre: 6.-r/ (4_/
test witnessed by NeiI Eloschl signature:
Additional comments:
opet'ator'' s commentE for thiE test:
system
--l
Ite
ltE
.Central Val1ey flater Reclamation District - East Tank
Testl Re=r.r L ts
:duct elevation in tank (in i nches ) - 82. Otl
run on 174/21i 9" at OB:54: "9.leveI data for this analysis starts
temperature data for this analysis
at O8:57:45 and bnds at O?:58:55.
starts at OB:57:43 and ends at O9:58:55'
gross
change
-he voltage change for a calibration volume of lt) mL was O.066 volts
endpointE of the selected analysis period
of O.11? mV i,n 61 minutes and 1? seconds'
of L7 mL in 61 minutes and 1" seconds'
,irect readings tallen at the
now an auditor Probe change'his is a gross level change
r"all i ng aI1 the data i nto tronsi derat ion by performi ng a least square
-=gr"==ion of level on time gives an auditor probe slope of O.CI59 V/hour'
=hur=. the gross product volume is increasing 8.9 mL/hour"
The coeff icient of trorrelation for the level data is 6-='97"
Jsing the calculated temperature slope of r).OO73OS degrees C / hour
.=.nd ih* .o*ff icient of er:pansion, the effect odi$ppc.ralyt" is
3n increase in volume of 7.3 mL/hour
Tir= coeff icient of correlation for the temperatLtre-data i= ?8.27.
:utbtracting the computed temperature volume change from the
:rodurct volume change yields a ternperatutre corrected volume
=i 1.4 mL/hourr ots O*OOO37 gal/hour'
U"/
./;(i System cornplies with N.F.P.A. *3?9 criteria (+/- o-05 EPH)
i_/ System does not comply with N.F.P.A. *S29 criteria G/- O.OE 6PH):
i-/ Piping lea[,: indicated
/-/ Tank leak indicated
/-/ Test inconclusive:
/-/ Air ot- VaPor traP indicated
/ -/ Temperature instabi I itY
/-/ IrnproPer- installation
r-est condutcted by Eert Hi I 1, UT O171i signature:
te=t witnessed by NeiI Blosch; signature:
-1r1zr ator' g comment= fot' this test:
=_\/ =_-t_efft
-icd i f- i c'na 1 commentE:
March 26, 1991
Mr. Kent P. Gray
Executive Secretary (UST)
State of Utah
Division of Environrnental Response and Remediation
Department of Environrnental Qual,itySaIt Lake City, Utah 84114-4840
Subj ect:Closure Notice for
Underground Storage Tanks at the
Power Generation Building
Central Valley Water Recl,anatj-on Facility
800 W. Central Val1ey RoadSalt Lake City, Utah
Facility rD No. 4ool487
Dear Mr. Gray:
Attached is a closure Notice !'rith an Attachment, a site p1at, andLaboratory Reports and Chain-of-Custody for the subject facility.A Closure PIan hras submitted to IvIr. Therron Blatter of your staff
on February 4, ]-992. l,Ir. Dale Urban is the designated LUST project
Manager.
If you have any questions or need additional infornation, pleasecall us at [phone].
Very truly yours,
n
EER STRUCTIJRE
h
han H onan aan
VH:sh
Attachments
cc: IIr. Ronald Roberts, central Valley Water Reclamatj.on Facility
ovrdrovD{r8 H(P DTr),(r.fV
E-L l}
a-rt$
TANK OWNER Na mgCentral
CLOSURE NOTICE
Facility ID #4001487
Val lev Water Reclamatioa Paci l itv P hone 97 3-9r 00
tc
odress 800 I{.BoardCentral VaI l ey Road
Citv Sa lt Lake city State ur Zio 84119
T{NK OPERATOR/LOCATION Name, Title Ron Rober s. Di rector of Enqineerin o
Business Name aI
u 1C 1
alle t{la at i
I
{- }proprietorstig- - f Y:| eorporatiorS - - [ -fpartnership.Phone [phone]
Address 800 W. Central valley Road
TANKHANDLER/REMOVER Name Sheer St ructure
Address I8 01{. 3030 S. Salt Lake city, uT 84115
SOIL/GROUNDWATER SAMPLER Name vahan Hoon an i
Address 180 l{. 3030 S.SaIt Lake City, UT 84115
Cert. #TH-0249
Pho ng 466-5730
Phone
n
T}'PE F [x] Permanent [ ]Temporary [ ] Change-In-Service
Perm anent or Ch an ge-in-Service
Date Closed 3 / 4/92 [;] Removed [ ] In-place
Ix] _ Fuel was emptied.[x] Sludge was removed. [x] Tank was cleaned.
,-ank was: [ ] Purged, [x ] Inerted. Method Used:
l-ocation of Closure Records Cent ra1 VaI lev }{ater Recl amat i on Facilitv
{drr gra
Substance to be stored for Change-In-S ervice N/A
Te m oo ra r.v
Date of Closure N/A [ ] Fuel was emptied.
or, Vo by weight of total capacity of UST:Residue depth remaining in tank N/A
[ ] Corrosion protection equipment is operating. [ ] Release detection equipment is operating.
3 months: [ ] Vent lines open Cap/Secure: [ ]lines [ ]pumps [ ] manways
13 months: [ ] Permanently closed [ ] New/Upgraded [ ]Extension
TANKS CLOSED
Tank # 2
A-se of tank 6 6
Capacity 500 500
Subs. stored* Lube oil-6Es oi I
Pr(e last tsed 3/2/92 3/2/92
.rdicate the specific substance slored in each tank closed ( regular, unleaded, diesel, waste oil, etc.)
N/A
cirv salt Lake citv county salt Lake ziP 84119
Dr\7 Tae
Cert. # GS0468
466-57 30
I)ISPOSAL SITES USED:
Tank: salt Lake county Landfill
Product from Tank: Aduanced Petroleum Recvcl inq Date i/5/g?
^tclge: Advanced Pet ro I errm R ecyc I i n g
Contaminated Soils: N/A see attachment
Contaminated Water:G rorrn d water n t encountered Dateo
Date 3/5/92
Date 3 / 5192
Date
Number
Amount
Amount
Anrount
Amount
97 4-6920
5
5
SITE ASSESSIVIENT (A copy of the lab analysis report must be attached to this notice)
Groundwater samples: TPH: [ ] 8015 modified; Oil & Grease: [ ] 413.1
Other:BETX:
BETX:
Resuhs:See attachment
R.rult.t
Soil samples:TPH: []8015modified;Oil'& Grease: P( I 413.1
[ ] 418.1
[ ] 8020
[ ] 418.1
lxl 8020
Certified Laboratory:Utilitv Testin Laborat orv
Acldress:R75 S Chc tnrrt St - Sa I t I,ake ci t UT
,^r-
"t
artr"r" t (A copy of the form must be attached to this notice) At t ached
Samples rvere properly: [ { Collected [x ] Labeled [x] Packaged I x ] Transporterl
t )d Samples were in sight of the person in custocly at all times or in a securecl locke<J place.
I certify underpenalty of larvthat I am famitiarrvith the information on this form and that it is true, accurate
and complete and further, that the procedures described herein rvere follorved during tank closure.
Signature of UST Orvner/Operator
Full name of Orvner/Operator Ronal d Roberts pxlg
Shw\ust\all\clplll'rrr2 licr.iscrt Ot /Ot /9t
Other: Purqeabl e Hal ocarbons 8010 ,
ATIACHIIETT
CI,OSURE NOTICE
central Valley water Recl-anation Facility
Facility ID No. 4oo!487
800 w, central Valley Road
salt Lake city, Utah
On March 4, L992 two 500-ga11on fiberglass underground storage
tanks used for lube oit and waste oi1 were removed frorn the
facility. They were erroneously reported as 1000-ga11on each in the
closure Plan submitted to DEQ on February 4, L992. The tanks $rere
positioned on a 15.5 ft x 8.5 ft concrete pad. The tanks and the
excavation were inspected by Fire Chief Robert Adams, city of South
salt Lake Fire Departnent, and Mr. Trevor Burborough, Underground
Storage Tank Special-ist, SaIt L,ake city and County Health
Department. There lrere no holes on the tankl however, top of the
waste oil tank was stained, suggesting possible waste oil- overfl-ow.
The tank excavation fill rnaterial consj-sted of pea graveL and
tended to cave in during excavation and cover the excavation floor.
On March 5 the excavation walls were shored allowing renoval of the
fill material fron the excavation corners beyond the concrete pad.
Four soil samples (sanples ss#l- through sS#4, Iocations shor^/n on
the Site Plat attached) were collected from the native naterial at
a depth of approxinately one foot below the concrete pad at each
cornar of the excavation. Soils consisted of fine-grained sand with
layers and lenses of silt and clay (SM, Sc). Laboratory test
results are presented below. Laboratory reports and chain-of-
custody are attached.
TEST RESULTS
oiL and Grease(413.l,)Purgeable Halocarbons & Aromatics(8010 & 8020)Samr)le
ss# 1
SS#2
SS#3
SS#4
105*
L70
26
29
ND
ND
ND
ND
* concentrations in rTrilligrams per kilograrn or parts per nillion
(ppn).** Not detected above the detection limit specified in the report.
on March 13 Mr. Dale Urban, Environmental Scientist, Utah
Department of Environmental Quality, j-nspected the excavation and,
upon reviewing the test resuLts, stated that due to the presence ofoil- and lrrease in the soil samples the facility would be placed on
the Leaking Underground Storage Tank (LUST) list; however, because
the concentratj-ons were below the Reconmended Soil cleanup Leve1s
(RcLs), no further action \^rould be necessary at this time. Mr.
Urban authorized installation of tvro new tanks in the excavation.
SITE PLAT
The site plat must show all buildings, tanl<s, lines, dispensers, underground utilities, proposed sampling location
and depths, substances stored in tanks, and other important features.
Facility or Location ID No 400I487 Drawn vahan Hoonan i an Date 3/20/92
1
North
POWER GENERATTON BLDG.
DOORS
GAS PAD
o
o
-ol
OrCONCRETE
WASIE OIL TANK
GRASS
ss*2 ss#A-.rF-----
usc ss#3 ss#l
+--f-
UBE OIL TANK
1!___t
GRASSDRIVEWAY
CENTRAL VALLEY ROAD
1. Indicate sample locations, depths and sample !?e. (soil, groundwater, unified soil classification).l. Indicate tank number that corresponds with information given on page 1 of the Closure Plan.
Ker.:----- Building, etc. outlines
Tank & Line outlines
Creeks, Rivers
-s-s-s- = Sewer
-8-8-8- = Gas
0 = Monitoring Wens (MW-#,)
X = Sample locations (SS-#, WS-#,)
[ ] = Water Wells (domestic, livestock, etcr)
-P-P-P- = Power
-w-w-w- = Water
-t-t-t- = Telephone
-d-d-d- = French Drains
I
I
I
I
I
I
I
I
I
I
tJ-r t L t-y -r-ES-r I N(3 L AB(^lA-roFrY
875 SO. CHESTNUT ST.P. O. BOX 25005
SALT LAKE CITY, UTAH 84I25
PHoNE: [phone]
March 9, 1992
Environmental Professionals AssociatesP. O. Box 1 1367
GIendale, Ga 91226
Attent i on: Mr. Vahan Hoonan ian
Subject: Oi I and Grease Method 413.1/9070
CVWR F
Sample col Iected: 05 Flarch 1992
Sample Received: 05 March 1992
TOTAL RECOVERABLE OIL AND GREASE
Test No,Test R esults
3-05-92-05 SO IL SAMPLE NO. 1
Test i n9
105 ppm Oi I and crease
170 ppm oil and Grease
25 ppm Oi I and Grease
29 ppm Oi I and crease
Date Ana I yzed:
06 MAR 1992
3-05-92-06 SO IL SAMPLE NO. 2
Date Analyzed:
05 MAR 1992
3-05-92-07 SO IL SAMPLE NO. 3
Date Ana I yzed:
06 NAR I992
3-05-92-08 SO IL SAMPLE NO. 4
Date Analyzed:
06 MAR I992
UT IL ITY TEST ING LABORATORY
Dw ?/",^D. M. Thorsen
4t
-
U -T I L IAY -TE S-T I NGi LAEI
875 SO. CHESTNUT ST.P. O. BOX 25005
( R A-TOFI Y
March 9, 1992
Env i ronmenta I Professionals Associates
P . O. Box 1 1367
clendaIe, ca 91226
Attent ion: Mr. Vahan Hoonan ian
Subject: EPA 8010 Testing
CVWRF
Sample Col Iected: 05 March 1992
Sample Received: 05 March 1992
SALT LAKE CtTY, UTAH 84125
PHoNE[phone]
PURGEABLE HALOCARBONS - EPA 801O
USING PURGE & TRAP METHOD 5O3O
su I ts KTest No,
3-05-92-05 SO IL SAMPLE 1
Date Ana l yzed:
06 MAR 1992
UT IL ITY TESTING LABORATORY
Ch 'l oromethane
Bromomethane
D i ch I orod i f I uoromethaneVinyl ch loride
Ch I oroethane
Methyl ene chloride
Tr ich Iorof I uoromethane
1,1-Dichloroethylene
1,1-Dichloroethane
trans- 1, 2-d i ch loroethy 1 ene
Ch loroform
1,2-Dichloroethane
1, 1, 1 -Trichloroethane
Carbon Tetnachloride
Bromod ich I oromethane
1 ,2-D i ch I oropropane
ci s- l, 3-Di ch loropropy l ene
Trichloroethylene
D i bromoch I oromethane
1 ,1 ,Z-Iti ch I oroethane
tnans- 1 ,3-Di ch 1 oropropy I ene
2-Ch I onoethy I vinyl ether
Bromoform
1, 1,2,2-Tetrach loroethane
Tetr ach 1 oroethy I ene
Ch I orobenzene
1 ,3-Dichlorobenzene'I ,4-Dichlorobenzene
1 ,2-Di ch I orobenzene
t L
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5,
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
5.
Kg
Kg
Kg
Kg
Kg
Kg
K9
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
K9
K9
K9
Kg
Kg
Kg
K9
K9
Kg
K9
K9
Kg
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
n
U
n
0
0
n
n
0
0
0
0
vs/Ks
vs/ps/
us/ps/
vs/ps/
ps/
ps/
vs/
us/
tts/ps/
ps/
vs/ps/
rs/ps/
ps/
rs/rs/
us/rs/
vs/ps/
vs/ps/
vs/
us/
rn J"h-,^ '7rTt4
LJ-rrr_r^Y
Test No.
3-05-92-05 SO IL SAMPLE I
Date Anal yzed:
06 MAR 1992
UTIL ITY TESTING LABORATORY
TEST t NG LABC-.A.-TORY
875 SO. CHESTNUT ST.P. O. BOX 25005
March 9, 1992
Env i ronmenta I Professionals Associates
P . O. Box I 1367
Glendale, Ca 91226
Attent i on: Mr. Vahan Hoonanian
Subject: EPA 8020 Testins
cvv{RF
Semple Col lected: 05 March 1992
Sampl e Received: 05 March 1992
SALT LAKE CITY, UTAH 84125
PHoNE: [phone]Os
PURGEABLE AROI4ATICS - EPA 8O2O
USING PURGE & TRAP METHOD 5O3O
1
ps/K9
ps/Ke
ps/Ks
ps/K9
ps/Ks
uslKs
ttg/K9
ttg/ Ks
vs/Ks
0
0
0
0
0
0
0
0
0
5.
5.
5.
5.
5.
5.
5.
5.
5.
Test Results uqlKq. uqlL (oob)
B6n z ene
To I uene
Ch I orobenzene
Ethy I benzene
1 ,3-Dichlorobenzene1,4-Dichlorobenzene
1,2-Dichlorobenzene
xy I enes
Naphtha 1 ene
D. M l"Ly*,* r*
March 9, 1992
Environmental Professionals AssociatesP. O. Box 11367
G1endale, Ca 91226
Attent i on: Mr. Vahan Hoonanian
Subject: EPA 8010 Test i ng
CVWRF
Sample Col lected: 05 March 1992
Sample Received: 05 March 1992
UT ! L TAY TE S'I- t NGT LAEt
875 SO. CHESTNUT ST.P. O. BOX 25005
< \AToRY
SALT LAKE CITY, UTAH 84I25
PHoNE: [phone]
PURGEABLE HALOCARBONS - EPA SOIO
US ING PURGE & TRAP METHOD 5O3O
Test No.
3-05-92-06 SO IL SAMPLE 2
Date Ana lyzed:
06 r.lAR 1992
UT IL ITY TEST ING LABORATORY
Ch I oromethane
Br omomet h an e
D i ch I orod i f I uoromethaneVinyl chloride
Ch I oroethane
Methylene chloride
Tr i ch I orof I uoromethane
1,1-Dichloroethylene
1,1-Dichloroethane
trans- 1, 2-dich loroethy I ene
Ch I oroform
1,2-Dichloroethane
1, 1, 1-Tr ich loroethane
Carbon Tetrach loride
Bromodichloromethane
1,2-Dichloropropane
ci s- 1, 3-Di ch loropropy I ene
Trichloroethylene
Di bromoch I oromethane
1, l, 2-Trichloroethane
trans- 1, 3-D ich I oropropy I ene
2-ch I oro€thy I vinyl ether
Bromo form
1 ,1 ,2,2-Tetrach l oroethane
Tetrach loroethy I ene
Ch I orobenzene
1,3-Dich'lorobenzene
1,4-DichlorobEnzcne
1 ,2-Dichlorobenzene
< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0( 5.0( 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0< 5.0
vs/Ks
vs/K9pslK9
vs/KspslK s
rs/Ks
v9/Ksps/Ks
ps/Ks
H9lKs
us/Ksps/Ks
us/Ksp9/Ks
vs/Ks
vs/Ksps/Ks
ps/Ks
us/Ks
vs/Ks
vs/Ks
vs/Ks
[.r9lKsp9/K9
ps/Ks
vs/Ks
vs/Ks
vs/Ks
p9lK 9
Th rsen
1l
Test Resu I ts uglKq. ug,/L (oob)
U-TILIAY -TE.S-T-INGt LAB
875 SO. CHESTNUT ST.P. O. BOX 25005
| ?A'-roFtY
March 9, 1992
Env i ronmenta l Professionals Associates
P. o. Box 1 1367
Glendale, Ca 91226
Attent ion: Mr. Vahan Hoonanian
Subject: EPA 8020 Testing
CVWR F
Sample Col lected: 05 March 1992
Sample Received: 05 March 1992
SALT LAKE CITY, UTAH 44125
PHoNE: (80t) 973-8305
PURGEABLE AROI.IAT I CS - EPA 8O2O
USING PURGE & TRAP METHOD 5O3O
Test No.
3-05-92-06 SO IL SAMPLE 2
Date Ana I yz ed:
06 MAR 1992
UT I L ITY TEST ING LABORATORY
Test Results uslKq. uqlL (oob)
pg/Kg Benzene
!r9lKg To I uene
Ch I orobenzene
Ethy I benz ene
I ,3-Dich lorobenzene
1 ,4-D i ch lorobenzene
1,2-Dichlorobenzene
Xy I enes
Naphtha 1 ene
5.
5.
5.
5.
5.
5.
5.
5.
5.
1
uslKs
uslK9p9lKs
HslKs
H9lK9ps/Ks
ps/Ks
0
0
0
0
0
0
0
0
0
D ?4[rS n
IJ -I- I L TAY -TE S'T I NG 1- AET(NA]-ORY
875 SO. CHESTNUT ST.P. O. BOX 25005
SALT LAKE CITY, UTAH 84125
PHoNE: [phone]
March 9, 1992
Env ironmental Professionals Assoc'i atesP. O. Box 1 1367
Glendale, Ca 91226
Attent ion: Mr. Vahan Hoonanian
Subject: EPA 8010 Test i n9
CVWR F
Sample Col Iected: 05 March I992
Sample Received: 05 March 1992
PURGEABLE HALOCARBONS - EPA 801O
USING PURGE & TRAP METHOD 5O3O
Test No.
3-05-92-07 SO IL SAMPLE 3
Date Ana lyzed;
06 MAR 1992
UT IL ITY TEST ING LABORATORY
I oromethane
omomet h an e
ch lorodi f I uoromethane
ny I ch I or i de
l oroethane
thy I ene ch I or i de
i ch I orof I uoromethane
1 -D ich I oroet h y I ene
1-D ich I oroethane
ans- l, 2-d i ch Ioroethy I ene'lorof orm
2-D i ch loroethane
1,1-Trichloroethane
rbon Tetnachloride
omodichloromethane
2-Dichloropropane
s-'l , 3-D i ch I oropropy I ene
'i ch I oroethy I ene
bromoch I oromethane
1 ,2-Iri ch I oroethane
trans- 1 ,3-Di ch I oropropy I ene
2-Ch I onoethy I vinyl eth6r
B r omoform
1, 1,2,2-Tetrach loroethane
Tetrach I oroethy I ene
Ch'lorobenzene
t ,3-Dichlorobenzene1,4-Dich loroben z ene
1,2-Dichlorobenzene
ch
Bn
Di
ch
Me
Tr
1,
1,tr
ch
1,
1,
Ca
Br
1,
ci
Tr
Di
1,
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
5.0
s.0
5.0
5.0
vs/Ks
uslK9
uslKs
vs/Ks
vs/Ks
u9lKs
v9/Ksps/Ks
vs/Ks
uslKs
us/Ks
u9/Ks
us/K9
vs/Ks
us/Ks
us/Ks
v9/K9
vs/Ks
v9/Ks
H9lKs
v9/Ks
vs/K9
tts/Ks
HSlKSps/Ks
vs/Ksps/Ks
vs/Ks
vs/Ks
1fA".^
D T or sen 1t
Test Resu I ts uslKq . uqlL (oob)
u-rrr-r^Y
Test No,
3-05-92-07 SO IL SAMPLE 3
Date Anal yzed:
06 MAR 1992
UT IL ITY TEST ING LABORATORY
-T.ES-T T NGI L.ABAATOFIY
875 SO. CHESTNUT ST.P. O. BOX 25005
March 9, 1992
Env ironmenta l Professionals AssociatesP. O. Box 1 1367
Glendale, Ca 91226
Attent i on: Mr. Vahan Hoonanian
Subject: EPA 8020 Testin9
CVIVR F
Samp'l e Co l l ected: 05 I'larch 1992
Samp I e Received: 05 March 1992
SALT LAKE CITY, UTAH 84125
PHo E: [phone]
PURGEABLE AROHATICS - EPA 8O2O
US ING PURGE & TRAP METHOD 5O3O
vs/Ks
HslKsp9lKs
ttg/ Ks
vs/Ks
u s/Ks
vs/Ks
v9/Ks
ttg / Ks
0
0
0
0
0
0
0
0
0
5.
5.
5.
5.
5,
5.
5.
5.
5.
Test Results us,/Ks. uslL (ppb)
Benzene
To I uene
Ch I orobenzene
Ethy I benz ene
1,3-Dichlorobenzene
1 ,4-D i ch I orobenzene
1,2-Dichlorobenzene
Xy I enes
Naphtha I ene
w --/1 t
ll/w-,--
U M Th orsen
1
U]-ILIAY -TES-TING LAB(\AToRY
875 SO. CHESTNUT ST.P. O. Box 25005
SALT LAKE CITY, UTAH A4125
PHoNE: [phone]
March 9, 1992
Env i nonmenta l Professionals AssociatesP. O, Box 1 1367
cl endal e, ca 91226
Attention: Mr. Vahan Hoonan'i an
Subject: EPA 8010 Test i ng
CVWRF
Sample Col Iected: 05 March 1992
Sample Received: 05 Harch 1992
PURGEABLE HALOCARBONS - EPA 80'IO
USING PURGE & TRAP METHOD 5O3O
Test No.
3-05-92-08 SO IL SANPLE 4
Date Ana I yzed:
06 MAR 1992
UT IL ITY TEST IN LABORATORY
Ch I oromethane
Bromomethane
D i ch Iorodi f I uoromethaneVinyl ch 1or i de
Ch I oroethane
f4ethy I ene chloride
Tr i ch lorof Iuonomethane
1,1-Dichloroethylene
1,1-Dichlonoethane
trans- l, 2-di ch loroethy I ene
Ch I oroform
'I , 2-D ich I oroethane
1, 1, 1-Trichloroethane
carbon Tetrachloride
Bromodichloromethane
'I ,2-DichIoropropane
ci s- l, 3-Di ch Ioropropy I ene
Trichloroethylene
D i bromoch loromethane
1,1,2-T" i ch I oroethane
trans-1 , 3-D i ch I oropropy I ene
2-Ch I oroethy I vinyl ether
Bromoform
1 ,1 ,2 ,2-Tetrach loroethane
Tetrachloroethylene
Ch I oroben z ene
'I ,3-Dichlorobenzene1,4-Dichlorobenzene
1,2-Dichlorobenzene
< 5.0 us/Ks
us/Ksps/Ks
us/Ks
us/Ks
vs/Ksps/Ks
usl Ks
Fg/K9p9l K9
Vg/K9
us/K9
uslKs
vs/Ks
H9lK g
vs/Ks
vs/Ks
vs/Ks
v9/K9
u9/Ks
USlK€'ps/Ks
ps/Ks
uslKs
us/Ks
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Test Resu lts uqlKq. uqlL (oob)
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Test No.
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Date Ana I yzed:
06 MAR 1992
UT IL ITY TEST ING LABORATORY
-TES-T I NG T-AB
875 SO. CHESTNUT ST.P. O. BOX 25005
SALT LAKE CITY, UTAH 44125
PHoNE: [phone]
PURGEABLE AROI'IAT ICS - EPA 8O2O
US ING PURGE & TRAP METHOD 5O3O
&aronv
March 9, 1992
Env i ronmenta I Profess ionals AssociatesP. O. Box 11367
Glendale, Ca 91226
Attent ion: Mr. Vahan Hoonanian
Subject: EPA 8020 Test i n9
CVWR F
Sampl e Col lected: 05 March 1992
Sample Received: 05 March 1992
1
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875 South Chestnut Street
Salt Lake City, Utah 84104
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Central Valley Water
Reclamation
Facility
Jtly l, 1992
UTAH DEPARTMENT OF
etlVtnONiieNTAL AUALITY
JUL I tt 1992"/
DIV. OF ENVIBONMENTAL
NCSTONSE AND AEMEDIATION
Underground Storage Tank Section
Division of Environmental Response and Remediation
1950 West North Temple
Salt Lake City, UT 84114-4840
Attention: Theron Blatter
RE: Central Valley Fund Assessment Fee, ID 4001487
Based on my conversation with Mr. Blatter, I have now completed the "non-marketer
discount" forms for the previous two years (see attached). I am also enclosing documentation
obtained from Garth Miner at the Salt Lake County Health Department verifying the removal
of two tanks at the Central Valley site one year ago. These are identified as "unknown" on
our bill.
I am requesting that this information be incorporated in the calculation of our
assessment. Since we have made recent payments, I understand that we wili receive some
credit, to the extent that our current charges will be greatly reduced or perhaps deleted.
Should you have any questions, please contact me.
S Y,
^-a1 J,"k-
L. Roberts
Director of Engineering
RLR:ah
enclosure
800 west central Valley Road, salt Lake city, UT 841 19-3379 . [phone] . FAX [phone]
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July 1, 1992
Iob No. 4515.02
Client No.
TASK ORDER
Task Order No.:
Date
I
To:DMJM
220 Fast Morris Avenue, Suite #300
South Salt I-ake City, Utah 84115
Pursuant to the provisions of a Task Order Agreement for Professional Engineering Sewices,
hereinafter referred to as AGREEMENT, entered into on the 1st day of January 1990' by
central valley water Reclamation Facility Board (identified as owNER therein), and
CONSIJLTANT to perform the services described herein in accordance with the terms and
conditions of said AGREEMENT.
The services required under this TASK ORDER are identifled and attached hereto as
Exhibit'A.'
The services required hereunder shall commence upon CONSIJLTANT's receipt of the
TASK ORDER and be compieted by February 14, 1993.
For the services required under this TASK ORDER, CONSIJLTANT shall be paid on
a lump-sum basis with a fee of $450,000.
Aclnowledged:
Central Water DMJM
By:4 By:
L. Roberts,P.E.George E. Patience, P.E.
Its:Its
u.
m
Authorized:
Date:
Chief slneer
..(/? 1',-Date
Division
CENTR,AL VAIJ,,EY WATER, RECLAMA'TION FACILITY
NII:RIFICATION FACILITIES DFSIGN
SCOPE OF PLANNED ET.IGINEERING SERYICES
Planned engineering sewices to be performed under this agreement comprise and are [mited to
those specifically set forth in this Exhibit. These services are related to the design of the
nitrification facilities for the Central Valley Water Reclamation Facility Board. If, during the
course of performing the planned services, the Board and Engineer find that additional tasls are
requted of the Engineer, such tasls will be negotiated and performed as special engineering
services under sqrarate task order.
Major facilities that are anticipated to be included in this project are:
. Four nitrifyrng trickling filters (NTF's)
. Distribution prping and channels
. NTF pump station
r Effluent flume
The level of effort and associated costs for the design of the NTF's, as detailed in this scope of
work, is based on the nitrification study of December, 1991, which located the new tanla and
pumping station immediaGly west of the existing secondary clarifiers.
PRELIMINARY DESIGN SERYICES
Prior to initiation of the detailed design of nitification facilities, the key design criteria and
facility requirements for the nitrifying trickling fiIter (l{IF) treatrnent process alternative wi-ll
be firmly established during a preliminary design phase. An engineering report summarizing
these components will be prepared for review by the Board and staff.
Task 10.fi) - Data Review
Review EPA/State mandated seasonal ammonia discharge requirements of 517 mgll,
Evaluate TSS, BOD, and ammonia limits and compare to the criteria used in the
nitrification study; assess impact on proposed facilities. Assess diumal ammonia loadings.
Exhibit A
July 1, 1992
Page 1 of 7
'1O.2
EruIBIT A
Task 11.00 - Technical Tours
This task involves arranging and accompanying State water quality staff members, Board,
and key staff on tours of nvo full-scale NTF projecs located in Nevada and Colorado.
This activity is considered critical for State staff so that they can evaluate the performance
of the separate stage NTF process. This budget anticipates participation by two members
of the Engineer's project team.
Task 12.00 - Process Design
Based on the expected NPDES discharge requirements and the data review' establish firm
design criteria for the major treatment process units. Identify all facility improvements
necessary to meet the design criteria. Produce design data tables and process and
instrumentation drawings (P&ID's) for the NTF nitrification process.
Task 13.00 - Cost Estimate
Update the construction cost estimate prepared during the nitrifrcation study based on the
recommended facilities.
Task 14.fi) - Predesign Work Session
Hold a one-day work session with technical reviewers, and staff to discuss and evaluate
all information generated in the preceding tasts. The results of the work session will be
the basis for the predesign report.
Task 15.fi) - Predesign Report
A predesign report will be prepared describing the plan for NIF nitrifrcation facilities
including design criteria, recommended facilities, and an updated construction cost
estimate. Forty-percent design level P&ID and layout drawings will be prepared as part
of the report. Ten copies of the report will be provided to Central Valley staff.
DETAILED DESIGN SERVICES
Exhibit A
July 1, 1992
Page 2 of 7
TO.2
Foltowing completion of the predesign report, the deuiled design of the nifification facilities
will commence. Detailed design services will include the preparation of plans, specifications,
contract documents, a fina.l construction cost estimate and document printing. Specific work
tasks will be as follows:
Task 20.00 - Preoare General/Civic Drawings
Plant layout and hydraulic profrle drawings will be developed under this task. In addition,
the design of a final effluent flume, outside piping, paving, grading, soil berm along 9th
West, drainage, and civil engineering items required for the project will be designed under
this task. Eighteen contract drawings for generaUcivil design will be prepared.
Task 21.00 - kepare Process and Instrumentation Diagram Drawinss
The preliminary P&ID's prepared duriag the predesign will be developed into fully
detailed process design drawings under this task. these drawings will show the
relationship between processes and subprocesses, and will define the basic process
operation and control schemes. These drawings will serve as process summaries, design
control, and construction aids. Ten process design drawings will be included in the ftnal
contract drawings.
Task 22.fi) - Prepare Structural and Architectural Drawines
Structural design work for foundations, buildings, process structures, supports, handrails,
repair and modification to existing structures, and miscellaneous special conditions are
included in this task. In addition, this task includes preparation of architectural drawings
for the NTF pump station and the provision of a scope of work for geotechnical services.
The architectural treatment of this structure wiJl be compatible with existing buildings.
Twenty-two contract drawings for the structural/architectural work will be prepared.
Task 23,00 - Prepare Mechanical/HVAC Drawings
Mechanical design will include the preparation of equipment and control data sheets;
design and layout of mechanical systems for the NTF's and NTF pumping station,
including internat piping; and preparation of mechanical contract drawings. Twenty-one
mechanical drawings will be prepared.
Task 24.00 - Prepare Electrical Drawinss
The eiectrical design includes determination of power requtements, design of electrical
distribution systems, motor control centers, lighting and circuit diagrams, and electric
motors and switchgear for the NTF facilities. Fifteen contract drawings for electrical
design will be prepared.
Task 25.00 - Prepare Instmmentation Drawings
Instrumentation design includes determination of specific control systems for the specified
mechanical systems and integration into the plant. The graphic display and control panel
Exhibit A
Illy l, 1992
Page 3 of 7
TO.2
at the plant operations center will be updated to reflect new control systems and display
components. Three instrumentation drawings will be prepared under this task.
Task 26.00 - Specifications
This task includes the preparation of the draft techdcal specifications, the final technical
specifications, the general conditions, and other project related specifications.
26.01 - Prepare Draft Specilications. At approximately the 7O-percent completion
levd, draft specifications will be prepared. These specifications will include general
conditions and technical @ivisions I through 17) specifications.
26.02 - kepare I'inal Specifications. A final set of contract specifications will
be prepared prior to the bidding phase. This task includes preparation of bidding
and contract requirements specifications and final revisions to the technical
specifications.
Task 27.fi) - Construction Cost Estimates
This task includes the preparation of intermediate construction cost estimates and the
Engineer's opinion of the final estimated construction cost. This task includes:
27.01 - Cost Estimate Updates. The Engineer will prepare an opinion of
estimated construction costs of the project, based on the 50-percent completionJevel
plans and specifications. This estimate is to be provided to Central Vailey on or
about October 1,1992.
27.02 - Final Construction Cost Estimate. The Engineer shall update the cost
estimate opinion prepared in Subtask 27.01; this will be used as the Engineer's
estimate for bidding purposes. Estimates will be based on the final submittal set of
plans and specifications.
Task 28.00 - Ou Control Meetines
This task includes preparation for, and attendance at, two review meetings during the
detailed design. Review meetings will include the review of project development at
roughly 50- and 70-percent completion levels by the Board and staff, and by principals and
senior engineers of DMJM-BC not directly engaged in the project design for determining
general conformance to company standards, good engineering practice, constructibiiity,
and proper application of technology.
Exhibit A
Iuly 1, 1992
Page 4 of 7
TO.2
A thorough coordination check of the design documents will be performed at roughly the
90-percent design completion levei in an effort to make all work depicted in the documents
for various design disciplines clear, consistent, and as constructible as possible. The
design will be finalized based on this coordination check and other design review
comments.
Task 30.00 - Desim Submittals
This task involves final revisions and assembly of the 9O-percent completion level plans
and specifications. This task includes:
30.01 - Finalize Contract Documents. Once all review comments are received,
the design plans and specif,cations will be revised. Comments will be incorporated
into the final documents.
30.02 - Document Submittal. The final submittal shall consist of preparing 50
sets of half-size plans and specifications for the Owner.
T ask 40.00 - Bid Period Assislenee
The bidding process will be administered by the Central Valley staff with assistance from
the Engineer. The Engineer will assist staff in responding to vendor/contractor requests
for information during the bid period. Preparation of an addendum (if necessary) and
conducting one prebid meeting are aiso included in this task.
Task 41.00 - Design Management
Administration and supervision of design work will be performed by work tasla in this
phase. Services provided will include review of work products by managerial level
engineers, planning and monitoring budgets and schedules, correspondence with Central
Valley, supervision of Engineer's project staff, and preparation of monthly invoices and
status reports. Project management includes the following work tasla:
41.01 - Prepare Project Management PIan. At the start of the project, a detailed
plan will be developed to effectively manage the design activities throughout the
project duration. This plan will identify project milestones, work products, budgets,
schedules, and quality control measures to be utilized. This plan will be updated at
various milestones in the design period.
41.02 - Project Management. Project management task includes assignment of
project staff, review of engineering work performed by project staff, project
coordination, pianning and monitoring of work budget and schedule, correspondence
Exhibit A
July 1, 1992
Page 5 of 7
TO.2
Task 29.fi) - Desisn Coordination Check
with Central Valley and others, and preparation of a monthly invoice to Central
Valley. This task also includes assistrnce to Central Valley with respect to
developing changes in scope of work and general contract administration.
41.03 - Scheduled Project Meetings. Project meetings will be held with Central
Valley staff to discuss project status. Project meetings will be scheduled to occur
twice monthly.
Task 42.fi) - State Aooroval
Assist Central Valley staff in gaining state Water Quality Depaflment approval of the
nitrification project, This task is budgeted to include one project review meeting with the
State staff.
Task 43.00 - Surveyi Geotechnical Services
This task involves the contract administration and direct costs related to acquiring
necessary additional survey and geotechnical data for the site to aid in the design of
facilities.
OWNER FT]RMSHED SERVICES
Services furnished by Central Valley are provided to assist the Engineer in the design of the
nitrification facilities and include the following:
1. Timely review of all intermediate submittals including:
. Reports
. Progress drawings
o Technical memos
2, Provision of additional ammonia sampling and testing of teafinent plant sfteams.
Exhibit A
Iuly 1, 1992
Page 6 of 7
TO.2
i
OTIIER
The scope of work is also based on several other assumptions as follows:
1. The design wiil be completed as follows:
Notice to Proceed I,ane 24, 1992
Predesign report (25-percent level)August 14, 1992
5O-percent review October 1, 1992
70-percent review October 30, 1992
90-percent review November 20, L992
Finaf bidding documents December 18, 1992
Bid period Ianuary 1, 1993
through February 14, 1993
Contract award, construction period, startup February 14, L993
through December 30, 1994
2. Drawings will be submitted to the state at the 70- and 90-percent completion stages
of the project.
The finai bidding document availability schedule is based on the Engineer receiving
review comments on the 90-percent documents within two weeks of their submission.
3. The scope of work is based on a single set of contmct documents for the project.
Exhibil A
July 1, 1992
PageT of7
TO.2
cvw
{^),^
Cenftal Valley Water
Reclamation
Facility
Utah Bureau Environmental Response
P.O. Box 16690
SaIt Lake CitY, UT 84115-0690
loatusT
Kw(5
May 29, 1-992
RE: UST Fund Assessment
We are rnaking payment for the above-referenced assessment
based on amend.menLs-to sone of your information. This will
confirm that the unknown rrUNK'r storage tanks, identified in the
billing, had been removed from the premises in June of 1991 and
therefore, are not subject to this billing.
In addition, we have also changed out the 550 gallon lube
and used oil tanis and replaced them with 1OOO gallon-sized
tanks. They received State approvals following installation-
Gentlemen:
RLR: ah
EIY,
*"ak {.
L. Roberts,F
Director of Engineering
+fqb
ta+[ ^**/^ **l**, tlztlov ?*lo at*
s
W"fr,;(
fftu8,,hrh rh,frz
tid,va.l') b L'; ]'tv*
w w,r) chr. ,o/'' s /'
rPstlk * Z r€wt'rcJ'
tud lat &^ *f
P S f'a/,p , h, k ^01il
dWg
800 West Central Valley Road, Salt Lake City, UT 84119-3379. [phone]. FAX [phone]
qoa/qs,
Cenlral Valley Water
Reclamation
Facility
Utah Bureau Environmental Response
P. O. Box 15590salt Lake city, uT 84116-0690
l,c'<W t\
YscA& 1r
YL-o."''e-
tn t-L'e'
wrb
t ;.--1.r'J Ajf)u'/1
br Iln)t
6 t^*'t"he-
Yiay 29, t992
t'
we are naking payment for the above-referenced S sessment
based on amendrnents to some of your information. This will
confirm that the unknown nUNKr storage tanks, identified in the
bi11ing, had been removed fron the prenises in June of 1991 and
therefore, are not subject to this bilting.
In addition, we have also changed out the 550 galLon lube
and used oil tanks and replaced then lrith 1000 qallon-sized
tanks. They received state approvals following installation.
Si reIy,
,-"2{ad.
Ron d L. Roberts,,8.
Director of Enqineering
RLR: ah
UTAH DEPAHT}IENT OF
ENVIRONUFi,ITAL OUALIW
JLIN O 8 1992
Dtv. or riivir{0NMENTAL
RESPONSF ai{l-\ nrrrFDlATlO[l
b
<-
800 West Ce ntral valley Road, satt Lake city, uT 84119-3379. [phone]. FAX [phone]
cv
centlemen:
RE: UST Fund Assessment
:a *t
FILT COPY
Reply to: State of Utah
Divisron of Environmental Besponse and Remediation
Department of Environmental Ouality
satt Lake city, utah 84114-4840
(usr)
Control Board
. .... :
DEPARTMENT OF EI\TVIRONMENTAL QUALITYDIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
Norman H. Bangerter
Govemor
Kenneth L. Alkema 1950 West North Temple
Executive Direcror . Salt Lake Ciiy, U_tah
Kent P. Gray , (8O1) 536-4100
Director .: (801 ) 536-4099 Fax
ERRU-171-92
Ron Roberts
Central Valley Water Reclamation
u00 West Ceritral Vallev Roatl
Salt Lake City, Utah Sqng
Re: Closure Plan approval for Underground Storase Tanks at the Power Generation Building, 800 WestCentral Valley Road. Salt Laketitu- Ui;h -'"-
Facility Identification No. 400148i "
Dcar Mr. Roberts:
'l'he Closure Plan for the above-referenced facility, received by the Division of Environmental ResponseItnd Remediation (PER,R) on,February i0, 1992,' has be-en qp'provecl irf,i.it to-til;oftd ffidifi;;ii;r,
i].,.ny. Local health and. fire departments must be notified 7/ trouri tef6re beeirriiie-.toiure actiuitiei.I he local agencies may have additional requirements for closure or may chargE inspEction fees.
ily propgsed change to an approved Closure Plan must be submitted in writins and approved bv theolttce ot the Executive Secretary before jmp_!e11e1tation. If contamination is susflected dr'found Oirringclosure activities, you must repdrt it to the DERR within 24 houri ,rf riis.nr"ry.
Enclosed i:?^99.py of the "Closure Notice" form which must be completecl an<l submitted to the Executive
*::llry^ IY,:II ,The closed tank ,":or9! may then b.e removed frbm the. fee uittin[iis1r.- iteur. luu-iiSample Analysis data and Chain of Custody forms with the Closure Notrce as soon u. poriifi!, ili-;;later than 90 days after tank closure.
If you have any questions, please contact Therron Blatter at [phone].
Sincerely,
March 2, 1992
Utah
KPG/TSlra
1t-b
Enclosures ,'Irnt Wt.?x,74/
Sqnt-N{ine1 Sa!. Lale City/County Health Department
Salt Lake City Fire Deoariment
Neil Blosch, Sheer Srrdcrure, lu0 west 3030 South, sLC. ur. g4115
cc
c rr\support\dmd\tnk-cls.28
Pnnted on recycied paper
t.
1R (rev.01/0r/9r)
-ate Received
evieu,er/Date Receive
Reviewer Recommendatio
.'..i' j.''
aciliry'ID #
Date Received
Reviewer/Date Reviewe Z
ate mailed to Stat eviewer Recomme ti
EHM Review/Da
Closure Plan prepared at the request of the owner/operator (identified below)r{pi I Rl
of (company n:.me) sheer Structure Address 180 w- 3030 s- sa1 t Iake City.
tl.l.ah R411 5 Phone # ( 801)466-5730
,\ Contractor may act as the owner/operator's agent to prepare this Closure Plan. The Contrictor musr act wirh
the owner/operator's knowledge and approval.
This Closure Pl-n is submitted in compliance with R451-202 Subpart G and R451-204 (U.A.C.)
if owner is a sole proprietorship, dba, partnership
cress 800 W. Central Valley RoadT-
Salt Lake City, Utah 84119
''e Name
)
Poqrer Generation E:ilding 4or,
' ,.'-.)
6 5
%
'tqr*r-*oT,rrhp oi I
InJJse-
Waste Oi 'l
Inllse-
800 W. Central Vallev Road'PCC
SaIt Iake City, Utah 84119 Contact perso Ron Rc,berts
Facilrrl, Identification Number (found or, billing fornrs, 7 digit #)4001 4A7
Total nui iber of undergrou nd tanks at this site 6
-t'oial number of underground tanks at this site to be clolsed
.I.,\\KS TO BE CLOSED
1'/
Phone #( 801)973-9100 E<t.
107
UTAH OF
QUALITY
FEEI i_E$ZWbfank #
Aqe oi tank
Capacity
S rrbs. store d '
Date last used
= =!u=
gF Etil,r fi 0 ;$iu tr+l+*t_
RESP0N,q E Aii s fi EIJ Etniior.l
' Intlicate the specific substance stored in the tanks to be closed (regular, unleaded, dieset, \\,asre oil, erc.)
For rvaste oil tanks: Have degreasing or other t)?es of solvents been stored or mixecl with the *,a.ste oil?
.;\'es (identify if knorvn)No Unknorvn "u
v
SITE I]*FOR\IATION
Ou'ner's Nanre
Phone #( 801 973-e100
\Ii HA I Na,tne Cert. #4-oza 9
.{ cc ress 180 w- 30 ?0 S- Sall Take Citv^TII:h 84115
D I S PoSAI- INFOR]\,IATION OI^AI ^}OLJ"vfbc mo<hol ot-71
''?- /. l a-,4 l''fl '
Tlrnk(s)rvillbedisposedat:Facility.Fil.o.gr--l-r^ri].|l.r:vlar.rnrrnaA.:'.-..
SOI L GROU)*DIVATER S.-\IIPLER Name Vahan Hoornnian Cert.
idress 30 -25
de;hrss rirssib.l.e-ft:ture use.
Contact w/a Phone #n/a "
Procjuct lines rvill either be: x removed or
-
secttred in place and capped.
\/ent lines rvill either be: x r€rnovt?d or
-
secured open.
Pipinguiil be disposed at: Facility n'ir^,, 6aqs pips w'il'l he c nt-rninated and dismsed of at
.d&kes+a local rnicioal landfiIl.
Contact Phone #N
Tlnk(s) rvill be emitied by:
Trrrik(s) rvill be cleaned by:
(company)
tuft-anr.prl pafrnl arrm Rpr.yr.'l i ng ?- (company)
Tlre tank(s) rviil either be:
-
purged or x rendered inert by the following method:
Carbon Dioxide {Dry Ic*/-
t/
Rc rdual sludges will be disposed at the following facility:Adranced Petroler-un Recnclinq r'
4783 Dri'e, Kearns,.-,Jclress
Conr,ct Cathv Phone #(801 ) 964-9444
li rhe tank(s) are to be closed in-place,:approval must be obtainecl from the Local Fire Department.
Date approval granted N/A ,-Contact - N/A
IiI:ITOIIO \\.INT: N{^TtrRIAI S I\IIIST NF'.IAr)NqrlN AT AN A(-(-I?PTA I Ii Ii^(-IT IT\"
.\ll nrrterials generated from UST closures must be managcd and disposcd in a manner that does not place
thos, rnrterials in direct contact lvith the enyironment.
Conraminated soils are to bc disposed at the follorving facilitv:E:r Ehnofsdeq'-
\ rltlress fiflai'tr^:
Contact Tbd Phone #( 801)973-205s
Crinranrinatecl u,ater is to be disposecl at the follorving facility:Adrranced Peb:oler:rn Recycling tz
..r. clrl re.ss 4783 Shakestone Drive, Kearns, U!4b
C<lntact Cathv Phone #(t101 ) 964-9444
Iicontaminated soils are to be aerated, the necess:try permits must be obtained from the Bureau of Air
Qualiri, (538-6108). In addition, a detailed aeration pl:rn ntust be submitted to the Executive Secretary
(USI') before this Closure Plan can be approvecl.
*4soa,aa
()
Src
Contact Garth Miner Title UST Inspecto-Phone #[phone]
CO\TACT LOCA-L FIRE DEPT. Name of Dept.Salt Lake Citv Fire Dept.
Contact Ver I InsDector Phone #[phone]
SITE ASSESS}IENT
CO\TACT LOCAI HEALTH DISTRICT Name of Dist.
Approximale depth to groundwater in the vicinity of the tanks:
Croundwater sarnple lab analysis to be used:
x "/ EPA473.|EPA 418.1 Other
Soil sample, la5 analysis to be used:
Healti Dav(izglgz
oa&lnln
A site assessment must !,,e performed for all UST closures and change.in-service. Site assessments must be
p.rro...a as outlined in iu51-202, Part 280,12 and R451-205 (U..{.C.). If contaminr.tion is suspected,
"dditional
samples must be collected at the location where contamination is most Iikely to be present.
10 Feet.
Appropriate 8015 modified method
ApPr 80 15 modified methoda/-o
x t EPA 413.1 EPA 418.1 Other
State Certifled Laboratory to be used: Itj1itv rbc.ting ralr)ratory
Address 875 S.Chestnut S treet Sa It Iake City utah
973-830s Contact Don thorson
il TI T R
If crntamrnation is detecte,' or suspected.based on the site assessment, the information must be reported to the
Executive Secretary GST) .t (801) 538-63 38 within 24 hours. The Bureau of Water Pollution Control must be
norified at [phone] if cont aminated groundwater is for,nd. If contamination is confirmed, a qualified
e nvironmental consultant should a ssist in the remediation Process.
ln rhe evenr rhat contamination is fcund. the environmental consultant will be:
N ame Vahan H@tratli.n Company
Artrrrp<q 180 W. 303C S..
-
City Salt Lake City
r]41 15 Phone #f801 ) 466-s730
1
The Closure Notice Form, sample results, and Chain of Custody Forni must be completed and returned to the
Bureau of Environmentai Response and h.emediation within 90 days following UST clbsure.
I ccrtify under penalq,of larv that I am the omer/operator of the facility -referenced above and that I am
familiar riith tlre information on this form and that it is true, accurate and complete, and further, that the
procedures des-'ribed herein *ill bi rved during tank closu re.
'
.i'r
l'itle
ature of ormer /op:rator tuaL "(
Date L
Title
%/^a for total vnlati le organic crm[rlrndc
7io 841 J5 Phone #
Sheer Struciure
Srrre. ut.ah
-
Zip
,,/
SITE PI-AT
The site plat must show all buildings, tanlr, lines, dispensers, underglound utilities, proposed sampling location
aild deprhs, substances stored in tanJcs, and other important feafures.
l
Faciiiry or I-ocation ID No. aooranz Drawn Neil Blosch Date 1/29/92
OV*4%.rr.i[\-, tYh ne.i I t4rs,/LNonn II
vicr fV-wrte A- t ? I I.o.
RCI.IGHING FILTER.S
s',[e @ rsdt.r''ot o 3 ftJl- R -4rl -2-b{
(]}I\iTRAL \ELLEY. ROAD
DRfVH^rAY
ss#1 h6
tr rB
GRASS
1OOO GAI;I.ON NEI.T OIL
1OOO USED OIT,
a
GRASS
o
l-r----
Building,'etc. outlines
Tank & Line outlines
Creeks, Rivers
-s-s-s- = Sewer
-g-g-g- = Gas
J.lorB
7
oo
F--{ J2 rrfSsTf
o.H.DmRS
PRODLICT LINES
PG,IER GENTRATION
BUILDT}IG
] Indicate sample locations, depths and- sampl? typ.. (soil, groundwater, unified soil classification).?. Indicate tank number that coriesponds with inforriration given on page I of the Closure Plan.
t
I
I
I
I
i
,
I
-P-P-P- = Porver
-w-w-w- = Water
-t-t-t- = Telephone
'd-d-d- = French Drains
Ke-r':
t
I
I
I
I
0 = Monitoring Weils (MW-#,)X = Sample locations (SS-#, WS-#,)
[ ] = Water \\/ells (domestic, livestock, etc.)
I ..( J).
<fi'$,<a ,-
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TANK SrIE AT CENIRAL
VAIJ,EY FACruTY
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fnJ awz1
FY El 2ed C"'r 9-
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ca0 n-dtut
szc ta 67
I'l 5tz,sz
U.M-b, 4 uul
xa*t p^{ {r,*
Sz, ttoui"T or*1ta,y*af
FOR
DATE ME -"2sr€s
M
OF
AREA COOE NUMBER EXTENSION
111- 3:3O
t<a la,^tu d;/"n lz no*
8m u)6^lru^! ckll u'fil
Sond nl
L*rl Jlor^
SIGNED u - Fu,'h
LITHO IN U.S.A.
TOPS @Y FORM 3OO2P
P. or.-- K
TELEPHONED CATL
.!
MESSAGE
I Lloot487 )
4l
FOR
DA
3F
PH(]N
AREA COtrE NUMBER EXTENSION
MESSAGE tJ), y^u6qo elrl 2:tc tk",llall\.k
SIGNED
LITHO IN U.EiA.
TOPS GY FORM 3OO2P
D
o
:CcmDiiance i,_sDense ua te
Closed Out
-:1SDeCCOr
I
2
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5
N AIt{E
CITY
t
SLC
INIIIAL ]NSPECIION & COMPLIANCE SUMMARY FORM
tJo0,,lr^'A;
COUNTY/STATE
)
ztP
CONTACT TITLE PHONE
Tank operator Ind.dba _ Corp. Other Oate(acquired/Inc.)_
STREET
C ITY COUNTY ztP
CONTAC T IITLE PHONE
V IOLAII ON,/
COMPL IANCE
,^i .t/ <J cooryn{l^.j-[DATE
Act i on 0ate
' 3,c :
Act i on Suspense Date Pena I ty
$_
lST CONTACT
2ND CONTACT
3RD CONTACT
4TH CONTACT
N0v
OROER
FILE
EPA REFERRAL
N0v
ORt) ER
CLOSE OUT
*lr4l )
O FY?A,
t.
FiNAL ASSESS}IENT
t
$
$_
$_
$_
Tank owner _Ind. dba _ Corp. 0ther oate( acqui red /Inc.) _
STREET )
FACILITY NO.BUSINESS NAI.IE
,tui)
dba _ Corp.other oat e ( a c q u i red / I n c . )_Ind.
NAME
STREET
CITY STATE ZIP ACQUIREO-
In Co$ ance?
# t/N)IANK #
STATUS
AGE
;A PAC I TY
[,IATER IAL
I NTERNAL
EX TE RNA L
P I PING
SUBSTANCE
LAST USEO
CLOSURE
CERTI F I CATION
RELEASE t)ET.
I)ATE t)UE
SPILL/OVERF I Lt
RELEASE OATE
COMMENTS:
INSURER
I
0""\
il|,-7 548U
P roo e rt,/ owner
Financial Resoonsibi I itv
MEIHOD-POLICY-EFFECTIVE DATE-
,N,U,t/,
^j-A1tu./i
l "lN
V
/\
Central Val1ey Water
Reclamation
Facility
July 3, 1991
Mr. Gary Astin
Bureau of Environmental
Response and Remediation
288 North 1460 West
Salt Lake City, Utah 84116-0690
Dear Mr. Astin:
RE:Underground Application, Central Valley
Water Reclamation Facility
This is in answer to your questions of me of July l, l99l regarding our application for
registration of our underground fuel and storage tanks:
The diameter of the two lube oil storage tanks is 6 feet.
There was a discrepancy in some of the information that had been sent to your
office with regard to the pipe material for the pressure lines in the fuel
dispensing tanks. I have researched the information and determined that the
lines are made of a fiber reinforced plastic material. The piping was installed
by F.W. Jones & Associates.
3. Page 5 of the application form has been completed (see enclosed).
If you have any questions, please call me.
1
2
RLR:js
Enclosure
frECENED
JuL I $91
+dr*:'si#s*i'*
Styctd\
( =/a^J,/ /
-(RonaldY. Roberts P.E.
Director of Engineering
cv
800 West Central Valley Road, Salt Lake City, UT 84119-3379 . [phone] . FAX [phone] Ext. 125

Norman H. Bangerter
Govemor
Suzanne Dandoy, M.D., M.P.H.
Executrve Diretor
Kenneth L. Alkema
DiEtor
Bureau of Environmental Response and Remedratton
288 Nonh 1460 Wesr, p.O. Box 16690
salr Lake city, utah 84116-0690
(801 ) 538-6338
: t\
.l ."* -,-i'* , i.v -.i__*^-
DEPARTMENT OF HEALTH
DTVISION OF EN\TIRONMENTAL HEALTH Facirity t.o. *ltIll_( ( 7
5t*'06f(
DATE:
TO
tl
FRO
5 o I 4,b-(t Srr **u*- k - -rt
+s:
A tl'n i
Form 7
,4.u
Annual
Le
Your application for coverage under the PETROLEUM SToRAGE TANK FUND is iricomplete. The
follorving additional information is required before your application can be processed.
Xl Tht results of your Tank/l ine Tightness Test and a copy of the fielcl report need to be submitted to this- office. /tqa_ tM lt- pcae d+ tr-e- lar}, c>-. Lube'o;l .leoL5
D( You must document that you have ieak detection on: [ ] your tank(s) p(your piping
b4 .r' Notification Form, registering or upgrading your tanks, needs to be filled out
530 (Revised 9-89)) . ,t/."4 o ee zx*!;p l,ilr l*,LA*+Li*
I ank Fee Assessments remain unpaid .%.P"'ES"J,*fr ck for $
aud submitted (use
I'o.rt*rn'+,i/
This will cover
the fiscal year(s) '88 '89 '90 '91 (circle the applicable).
t I You have not completed the form declaring "PREVIOUS POLLUTION INCIDENTS." Please complete
the enclosed form.
i ] Annual Fees for the PETROLEUM STORAGE TANK FUND remain unpaicl. Please submit a check
This would cover the fiscal year '91. The amount for the current quarter only woulclfor
beS
t I Your "APPLICATION FOR NON-MARKETER DISCOUNT" is defective for the following reasons
t I The release #
satisfaction of
has not been characterized or maintained its cleanu p schedule to the
your proJe ct manager, and the Executive Secretary (UST).
'[\{ftease return a copy of this speed memo with the
t I Other (below):
"HEE€{VE
JUL 8 B$
n . RECEIVED
IPIOcesslng.
JUL - 3 1991
OF ENV ATION
TANK FLIND until the abovePlease note that you will not be covered under the pE
mentioned items are completed. If you are currently a LUST site, and your Fund application has been
approved, any further releases will be covered by the Fund. Ifyou have any questions concerning this, please
call the Bureau of Environmental Response and Remediation at (801)538-633g.

F^r,
xt
I\}
oF conPu lrcE (@nPl€rE FoR Alr NErv Ar|D UFG8 DED T t{lci AT THB LOCATpil)
frnf,U. I Trr*ltb.-rer*tu:3LT.rt( 5.rdffion Nu,rt t ,n*.2-r.rr,rs.-}
A holbr crifrrd by rrf..d
pFhg m.n rdur.rr
8.nm[.r orffi.d or hr.d by tlr
hpa.lmlnfrgTrq
0. mlEon h.pd.d bf .reht.ltdqh..t
D. halffin hop-!.d rd
rm.urr.d by hCaltrilhg T.nq
E urnuhctn/r lnnd&n cfidr-
llnrh.I.brncoqnrd
F. A,!dr.i oa0Ed dd by S:rr!.
rgrnry. Plcu rprcily,
i-hndihl
PPIM!PIPINGPPHOTAIIX
a
PFI}IG
Eaf7E
T xt(PFlrlc TAT{K
x
TAT{X
x
llGEI-}IT
Z B.Lrr. D.l.ction (M!rt !I thsl Tply)
UL E I99I
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ll
3. SpI rd Ov.rliu hcabn
A ov.rlil d.v'E hdrf.d
8. SpU d.ub. h.irl5
arJlrwLog..xlanxto
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^/D
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ol trrno.,Polbn /
O TH: i c.tfiy the
hlLr:
t^r{K
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EwEE
EA lllnuallmk Oarrlrl
B. TlnX rithrnGr lGlhg
C. hv.nbry ontob
D. Arrbmlrb tlnk grDghg
E V.por monlbring
F. GrounM.r nFnlorhg
G lntrrttiel monffi1.dol6L w.ll.d
tankDPlrte
H. lnt rctital lrcntahg,lEndlry
oofltlhmanl
I Atbmtb lino lrdr dd.cE{t
J. ih.lighir.t t drg
K Clrh.r n thod.hlnd by
hplemcnling Agency. Plor
.p.dfy.
EEEE
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t:]t_lEEnEE E
I-L
her 5
Central Valley Water
Reclamation
Facility
.ilJ,TH,P,IEfl +I[ETI^[T,,^
ocro?ffiql
,'B'X,i
'9["[ill|$]YF[I+lo,
Dear Mr. Howard:
This is to inform you of our intent to remove two old underground diesel storage tanks
that exist on our plant site. It is our understanding from telephone converstaions with you, Mr.
Jim Thiros and Ms. Janet Kellar of the State Division of Environmental Response and
Remediation that these tank are "non-regulated' and do not need a State UST Closure Plan. As
discussed with you, these tanks were used for storage of diesel for use in supplying fuel to
furnaces that supplied heat to a plant process. Never-the-1ess, we have enclosed a proposed
closure plan.
The two tanks were installed in about 1954 and 1962 and have not been in service for
at least 15 years. We are having to excavate around these tanks to determine their size and
characteristics.
I hope the enclosed information is sufficient to satisfy all the requirements of tank
removal. If not, please contact me so that we can remove these tanks as soon as possible. We
would like to schedule a time during the week of October 13, 1991, for you to come to inspect
the site before we remove the tanks.
Sincereiy,
Mr. Cary Howard
Underground Storage Tank Specialist
610 South 2nd East
Salt Lake City, Utah 841 11
WHFjs
Enclosures
cc: Mr. Jim Thiros
October 4, 1991
#4m/z/47
/-rL4;^Z/frt
William H. Fox
Special Projecs Engineer
800 west central valley Road, salt Lake city, uT 84119-3379 . (801 ) 973-9100 . FAx (801 ) 973-9100 Ext. 125
cvwR F
fri
CLOSURE PLAN
FOR
TWO 500 GALLON (APPROXTMATELY) DTESEL TANKS
AT
CENTRAL VALLEY WATER RECLAMATION FACILITY
October t, 1991
INTRODUCTION
Central Valley Water Reclamation Facility has discovered that there are two 500 gallon
(approximately) diesel storage tanks buried on the plant site. These tanks have not been used
for at least 15 years and need to be removed from the plant site. Because we know so little about
these tanks, we have had to excavate around them to expose them so we could get approximate
size and characteristic data. The soil that was removed from around the tanks has been placed
on a concrete pad so that if soil contamination has been a problem, we will be able to treat the
soil that has been removed. In order to proceed further, we propose to proce€d with the outline
listed below.
PROCEDI]RE
Test the contents of the tanks to determine what materials are in the tanks and in what
quantities.
We propose to dispose of the water in the tanks in the influent to the waste-water
treatment plant which we operate.
We propose to have a contractor waste oil hauler pump the diesel out of the tanks and
dispose of the fuel in his normal manner.
We propose to steam clean the tanks to remove any traces of diesel fuel from the tank.
We propose to cut the tanks into small pieces with an acetylene torch and have the pieces
hauled to the dump.
We propose to inspect the sites where the tanks were removed to see if leakage or
contamination has been a problem. If contamination is evident, we propose to sample the
soil on both sides of the cylindrical tank to determine the extent of the contamination. We
will excavate the contaminated soil and remove it to the concrete siab for aeration until
the contamination is at acceptable limiS, We propose to replace the uncontaminated (or
decontaminated) soil in the excavation site to refill the hole.
If there is no contamination present, we propose to replace the soil in the hole in the
excavation site.
1.
2.
3.
4.
5.
6.
I \
:-r-cr- :tY _D.U
PST PROCESSING CHECKLIST
rear q I
t
g7
llon-t'{arketer Discount
unaccepcable Accept 't^
1333
i.Iot
Applicable
Previous pol-Iution Incidence
- LUST File
- Forn fncluded
Y/N /
Y/lr Y
i
I
TMIA
- tlerify tank/Iines\/s registered
- Docunentati_on ok?
- Rate ok?
(-
Tautt Au/;1,r s((n' z{*1t",^ls
u(:lrr- zoi(kr,Lr
lf;';r'&!,"z bit t!*'lYu'4' ru; d^'il^ bP" l"'*
oJwp funhr,tu
f4+d,
_/
rxt \rt(Yltt t/
'{/n t/
Y/N t-/
^V,&Fund Paid 6- FY el Y/N
,/""= paio
V -Fy aa?
/'bhl- FY as?
vl t - Fy 90?
-rr pipr\ FBP*.5,,1, sd",/ 7 - an' 7"{'
(rels LD, +S a. z{*( fawLs
Nuds splt(oouo"P'fi
2 o i{ t-orlr I ,ret) no L0 ar L}D - lf86
Y /Ii
L,/E r
',({,taql-,+-
tatttr
- FY 9L?
Compliance
1YT B/ compliance oursrandins? y
^\t-*/ 7 Leak derection required? y
,\\t)K,Z tlyliftcation up tc date & compler-e? y
/
r"/Appf ication? Dv
/w ft , .,r\v I'J)Dli'-"' -
/ l\ c,1tt t-+f-,"" /,p,"f ,\
"
rlrilfnl"'firr' ' ]
/N !
{qzl pfiL
ffr
Date Qualified
Rer,,ie'.,r ccmpleted and certificate issueC bv
suPPoRT \ CE \ CHECKLT ST . PS?
JUI u g Bgr
":
t'r1 {ur{
+ciL (
Acr+.
t/
cv
JUL- 3-gI I,IED 15:02 CETIIAL I/ALLEY }IATER REC FA)( NO. BOI g?i.QzBO
Central ValleV Water
Redamation
Facility
ne rfl
- "7r
r'L,F ' ', r, '
tG. i".
.\ULSXISl
uyp-[,]"ift$&Qffi*'
t Aqtdisfr.^
P. 0l
FA]I COVER SHEET
Date
To
E.AX Phohe
Speclal rnstructions
--_-
.-
******** *r************* **
Nuaber of pages sent inctualng thle page:
Please.call (g0l) 923-9100 ext- L00 if you have probleraereceivlng thic transurieeion or do not rEcelve ari paEes,
* * * ** ** * * ***r* * * ** f, * i * * * * *
cv
JUL- 3-gI }IED 15:02 CEilIRAL UALLEY I.IATER REC FA}( HO. BOI 97L{2BO
Central Valley Water
Redamation r
Facility
InIy 3, 1991
Mr. Gary Astfur
Brueau of Environruental
Rcsponrc atd Remediation
288 Nffh 1460 West
salt I,atB City, UtEh S411m690
Dear Ml. Astinl
RE:
RoMs P.E"
Direcbr of Engineertng
RLR:js
Enclosur€
P, 02
Uodergxoutrd Applicatior, Cenhal Valley
Wa&r Reclamation facility
This is in answer to yourquesHqns of rne of luly 1, 1991 regardiqg our application forrqgisftadon of our urrdergrouud fuel and storage tanlq:
1. The diameter of the two lube oil stonags tanks is 6 feet.
2- There was a dismcpancy rn some of the infsmation that had been sent to your
offfpe with regard to the pipe matcrial for the prcssure lines in the firel
dispensing tanks, I have researched t&e iufurmation and determined that ths
lines are made of a fiber reinforcert plastic material. The piping was inshlled
by F.W. Iones & Assooiates.
3- Page 5 of the application fsrm bas bccu complehd (see encroeed).
If you have any questions, please cqll me.
&t wf
E00Westcenrral Valley Road, SBlt Lalte City,uT 8411e-s37e . (801) e73€100. FAX (801) 97s-9100 Ext. re5
JUL_ 3-91 I.IED 15:02 CEUI&AL VALLEY I,IATEB REC FA}{ NO. BOI 9TLQ2BO P, 03
!
I
It
r...lr:-.F-.
F_tf, r,e ,ii :_ iAi:
DEI_A.RT1fENI oF HIIALTITDrvlgroN or rmwnonrnrrMer, HEALTIINqrmanH.n ng"nu !Oom !
$rrtaan: Ihadoy. M.n..U-p.ff- i
ErBulrroDlErq.
Icnnrth L rlltrcna Jur* .i
Btrlr9su Of Etviro,nrEr{il Respcrse g1d R.fi€GAlEn
s€8 North t46o whs, Po. 80r lE6so
Salr t*a|3 clty, UBn B4l rE{6&}
(€or) Esg-6938
Facirity I.D- #fiD!4gy
g?{-trtf{
Your application for cPveragc
'nder the PETROLEUM sroRAGB TAI\IK FT.JI\[D is Gcornpletc. Thefollorving additional informaiiou l, iiqr""a before pur application can be processed.
KI Th" results of your.Tank (L$yTightrress Tesr and a cqpy of the fiell report need ro be submitted to thisorrice. iqa r"e rt,*j;;+-+;-#[L,^ Ar,,6e a;r {o*ts
ffi You must docuruent tbat you have leek detectiou on: [ ] your tank(s)[(yo* piping
H out aBd subuitted (use
,t ln t*.*lu)
IJ
This will cover
I I You have notomPleted the form declaring "PREvlous poLLUTIoN INCIDENTS., please completc
I J Annual Fees for
for
be
tbF PETRoLEUM SToRAGE TAI'IK FUND rernain unpaid. ptease submlt a checkThis would cover the nu"rr iurr 'ili-^iil" *ro*t for the surent querts onry would
[ ] Your "APPLICA'ION FoR NON-IvIARKETER DIscouNT,is defective for rhe following reasons:
[ ] The release #has uot been characterized or maintaincd its cleanup sc.hedule to the
Seeetary (UST).
sarisfaction of your project maaager, and the Executive
}{Please reflutr a coPy of this speed rlerro with the abovc items to spced ,.,**.?SCEIVED
I I Other (betow):JUL - s pgl
Please note that5ou will no-t be covered tnder the PETRoLEI M sroRAGE TAIIK t'tJDIr) Erfil the aboveil?,1ffi1#1i..ffi,":ffiH*r'f,'"'Jr.f- gurcnltv e t usr at , ;d r,rr;'r#d appr,cetion ree ueeucafttn"d"*i,"lrrii**;;iliffi ;f"TrT.mfr*fffi m,Wm;d;"-hsu,i,Ipr]*.
JUL- 3-sl tlED 15:03 CEUIRAL VALLEY I.IATER REC FA)( N0, 801 P, 04
oF oorlPuiltrcE (6aPLEIE Fil A}ID UFBHTDED TATTII(8 AT TTGT LOGATPilIXI. CEHNFIoATPIT
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P. 05
AUTO}IAT IC COVER SHEET
DATE I JUL- 3-gl [.lED 15: 04
TO:
FA}{ #: 5386694
FAH #: 801 973 9280
O5 PAftES I^IERE SENT
(INCLUDING THIS COVER PAGE)
FROI{: CENTRAL VALLEY 6IATER REC
PA:rrrY LD. * -goolqS ? -
PETROLEUM STORAGE TANK FUND APPLICATION
FACILITY INFORMATION:LOCATION OF TANKS:
Owngf Name: central val I ey llater Recl FaciIit y Facility Name: central Vallev Wate. Reclamation Facility
Street Address:800 },i. Central Val'ley Rd Boa rd Stfeet Addfessl 800 west central vallev Road
City Sal t Lake City
County : Salt Lake
State: u;h Zip Code:8411 9
Phone:[phone]
Contact efsOn: Ronal d L. Roberts Contact efsOn: Ronal d L. Roberts
City
Cou
Sal t Lake City
Sal t Lake
State:
Phone:
Utah zip Code: 8411e
(801 973-9100
[ ] Marketer, or non-marketer with annual
[ ] Non-marketer with annual monthly thro
monthly throughput greater than 10,000 gallons.
ughputiess than 10,000 gallons (Must verify).
DES CRIPTION OF UNDERGROUND STORAGE TANKS:
2 3 4
2 2 6 6
Tank #
AQe lyears)
Capacity (sar )
Substance
6000 6000 550 550
Di esel Unl eaded Casoline Lube Oil Lube Oil
fank #
Pass/Fail
2 3 4
Pass Pass Pass Pass
CERTIFTCATE OF REGISTRATION
I All Underground StorageTanks
] ll registr-tion TANK Fees have
(UST) at this facility have
been paid.rr{D
T,or,
co MPLIANCE WITH UST REGULATIONS:
,l
ls the applicant culxl Yes t escribe item (s) of non-compliance:
rrently in compliance
No -- lf "No" please d
ith all Federal, State, and Local UST regulations
PREVIOU s PoLLUTIoN INCIDENT(S)
Have vou ever had a pollution incide
t I Yes - lf "Yes" Please Provide LU
nt at vour facilitv?
ST (Leaking Uriderground Storage Tank) lnformation:
No - lf ',No,, olease attach a letter stating that under customary business inve.ntory" b;;"iiq;;til<iiiOJyou are not;ware of any release fiom any tank(s) at this facilityI x]
PST FUND FEES
I Full payment for every tank at this
I Quarterly payment(s) for every tan
facilitv is included with this application.
k at this facility are included with this application
I certify und6r penaity of law that tho abo/e representatiolts tnade by ms aro trus and correct.
Applicant's signature:x ,/*Date signed:t7*,J Z (/r7/
TYPE OF OWNER:
1
TANKTIGHTNESS TEST
1
1. CERTIFICATE OF REGISTRATION:
t\d All Underground
[] Registration Tanr
Storage Tanks (USTs) have been registered - Form 7530 (Revised g-Bg).
k Fees have been paid - 1988/1989 ; $2sltanUyr, 1990/1991 : $4S/tank/yr
2. COMPLIANCE WITH UST REGULATIONS:
[d I am in compliance with release detection requirements.
I
I I Tanks installed before 1965 or unknown: release detection by Dec. 19g9.
[ | Tanks installed 196$1988: release detection to be completed by my compliance date.
I I Release detection completed upon installation.
f4 I am in compliance with all other Federal, State, and Local UST regulations.
3. PST FUND FEES.. ANNUAL FACILITY MONTHLY THROUGHPUT:
IJ lam a marketer, or ! am a non-marketer
than 10,000 gallons.
with annual facility monthly throughput greater
I I $ZSO paymenVtank: Fiscal year (Juty 1, 1990 - June 30, 1991).
il !u..3rterly
payments @ $62.50/tank (Due the 1st day of Jul, Oct, Jan, and Apr).
h{ ! 3m a non-marketer ryilltqUVq!f*acilU_fng1!r:rl.V tnrqgg]pqt lessthan 1o,ooo gallons
I I have oompleted the APPLICATION rOn ruon:MARK-ETERS DtSCouNi- forfi-
t I $tZP .paymentAapk: Fiscal year (Juty 1, t99O - June 30, 1991).
*l- . . I I Quarterty pgymeds @ $31.25/tenk (Due the lst day ot Jut, Oc.t, Jan, and Apr).
... .,-.
4. TANK & LINE TIGHTNESS TEST..ACTIONS REQUIRED AFTER TEST:
D{ 4ll systems.pass the tank and line tightness tests.
t ] I am submitting the resufts of the tahk tightness test and a copy of the field report.
t ] l]ltanks do not meetthe requirements set by rule regarding tank tightness testinq.
[ ] I have contacted the State UST office and will submitlvidenlce of a-plan for revievi.
5. PREVIOUS POLLUTION INCIDENTS:
[ ] I have completed the pREVtougpoLLUTtoN tNctDENTS
under customary business inventory practice standards, I am
tank.
form which states whether
aware of any release from the
6. INDEPENDENT FINAN ASSURANCE records at
[]lhaveobtained rements for the first $25,000/release:
r facil
[ ] Commercial lnsurance I I Surety Bond
tI
I I Sell lnsurance
I I Risk retention group
I I Guarantee
I I Letter of Credit
I I ! nqye.qbtained independentthird-party financial assurance by my comptiance date
[ ] I will obtain independent third-party financial assurance by my compliarice date.
*See explanatlons under "Hotfl do I get started?,
Trr* t5. 3 Tlnk ib. 4 Trr* No.
-
STORAGE TAl.116 (CompbL lr
TukNo. I TankNo. 2
IX DESCRIPTIOI{ OF U
Tr* ldcndficdbn Nurrber
t nk Etthb locdon)
Cunrnty h tJ..
TrmpoilrfyOulol tL
Prrmarnty otl ol Ur
Amcndmrntd lrt'ormltbn
Err--u
t. Stt ! dTank
(mett only onc)
1985 198 5Z DrLsl h3lalldion (nnJycer)1989 198 9
550 5503. Eltirilr.d Taal Gapar*ty (gdlom)6,000 5,000
x
No
Reinforced
lhermoset
Reinforce
Thermoset
No
4. llacfilol Constnabn
(llr* r[ fiat appty]
&pttalt Corled or Baro Std
Cdtodlcalty PrEt ct d S:trl
Eporf Coacd Std
Compoc[. (Stccl wlth Fbcrglus)
Fbeqlsss Relrdorcrd Philic
Unrd lniorbr
Double WdLd
Polyethylcnc Tmk J.ck.l
Concrata
Eradion Unrr
Unknown
Olhcr, Plcer lp.dty
Has tank been repairrd?
x
No
x x x x
Fberylass Bcirdorccd Phldc
Copp.r
Cdodicdly ProLctcd
Doublc WslLd
ScsrOryy Coarinmcnt
Unktstt
Olhcr, Plear le.dfy
5. Pptng (Maerhl)
(M.rt dllhdt apply)Barc Std
Cralvanizcd Slecl
x
No
x
No
x
No
x
No
Suclirn: mvrlvo dtrnk
Su&n: vdvc d trnlt
- Prresun
Gnvlty F..d
Haspphg brn npdrcd?
6. PFhs Oype)
$ftttrIthdrpply)
T
-
Prf 3
No
7. SuErrr. Currtlrtf or Lart SlDr.d' h G,id.d Oulr tI bf Volumo
Garotrn.
D|cc.l
- CrrtolDl
Xaruaoa
Hcdrp OX
t !.d OI
Oh.r.PLo?.cly
Hazadour Subtars
CEBGLA nsllr. rldrbr,
CAS numbcr
N/A
Trnk I\b. 2 Trd( 1r.1-3;
Lube oiL
N/A
Trr*15.4 Trnk No.
x
N/A
X TANKS OUT OF USE, OR CHANGE D{ SEBVICE
f. Cb.he ol T.r*
A Bdrna.d d.t Lrt u3.d
(moJClyryaar)
B. Enimal. dale tank ctos.d
(moJd!y/y.rr)
C. Tank wrs rrmov.d lrom grgund
D, Tenk uar tcd h gatnd
E 1:nk liil.d rfll$ In.rt mlt rilt
Dccrbr
F. Change h:crub -#d#tr
)
,-
2. Sl!. A....smcnl Comdcf.d
A .rr ol! Llkd.t cl.d
hg! 4
x
Trnk ldcndhicn'Numb.r
Mirlurr ol &baarcco
Plesr. sp.dry
T
lx
l- N/A
I
il-
ll--
l-ll
I
6t*
rtoHrr
June 21, 1991
Utah Department of Health
Bureau of Env Response & Remed
P. O. Box 16690
Salt Lake city, uT 84116-0690
R
\r,
AU EI E
Jufiz | 0, L
sslfi{ffHyitftffisi
Dear Sir:
Transmitted herewith are applications for underground
storage tanks and copies of leak testing that confirm the tanks
do not leak.
We will be submitting payment at a later time.
Si ly,
^"r/L(Ronald . Roberts, P.
Director of Engineering
RLR/ct
8OO West Central Valley Road, Sah Lake city, uT 84119-3379. [phone] . FAX [phone] Ext. 125
Cenlral Valley Water
Reclamation
Facility
'\
PETROLE\,rvl STORAGE TANK FUND Ch,iCKLIST'
1. CERTIFICATE OF REGISTRATION:
N All Underground Storage Tanks (USTs) have been registered - Form 7530 (Revised 9€9).
[] Registration Tank Fees have been paid - 1988/1985] = $2Sltank/yr, 1990/1991 = $aSfiank&r
2. COMPLIANCE WITH UST REGULATIONS:
f{tamincompliarynts.
[ ] Tanks lnstalled betore 1965 or unknown: release deleelion by Oec. 1989.
Dl Tank3 installed 196S1988: reler3e d€tection to be completed by my compliance dale.
[ ] Releese detection completed upon instalLtion.
[ ] I am in compliance with all other Federal, State, and Local UST regulations.
3. PST FUND FEES - ANNUAL FACILITY MONTHLYTHROUGHPUT:
[ ] I am a marketer, or I am a non-marketer with annual facility monthly throughput greater
than 10,000 gallons.
I I t250 paymenulank: Fiscal year (July r, 1990 - June 30, 1991).
[ ] Quaaerly payments @ i62.50/tank (Due the lst day ol Jul, Oct, Jan, and Apr).
D(
I1
I am a non-marketer with annual facility monthly throughput less than 10,000 gallons.
I have completed the APPLICATION FOR NON-MARKETERS DISCOUNT form.
[ ] $r25 paymenulank: Fiscel year (July 1, 1990 - June 30, 1991).
[ ] Quarterly payments @ 13t.25^ank (Due the 13t day ot Jul, Ocl, Jan, 8nd Apr).
I I All systems pass the tank and line tightness tests.
I I am submitting the results of the tank tightness test and a copy of the field report.
[ ] All tanks do not meet the requirements set by rule regarding tank tightness testing.
[ ] I have contacted the State UST office and will submit evidence of a plan for review.
4. TANK & LINE TIGHTNESS TEST - ACTIONS REQU]RED AFTER TEST:
5. PREVIOUS POLLUTION INCIDENTS:
p{ t have completed the PREVIoUS PoLLUTIoN INGIDENTS form which states whether
under customary business inventory practice standards, I am aware of any release from the
tank.
6. INDEPENDENT FINANCIAL ASSURANCE (Keep records at your facility):
ffi I have obtained financial responsibility requirements for the first $25,000/release:
tr{ ser lnsurance
[ ] Risk relention group
[ ] I have obtained independent third-party financial assurance by
[ ] I will obtain independent third-party financial assurance by my
[ ] Gurrantee
I I Letter o, Credil
I I Commerchl lnsurrnce tI Eond
I I Other:
co D
'See exflanations under "Horr do I get started?"
JUtr 2 r flll '., 7
-"siHi"iffif,[srW*t
/1^\
F/trlrn' U} L-----
PETROLEUM STORAGE TANK FUND APPLICATION
FACILITY !NFORMATION:LOCATION OF TANKS:
Ownef Name: central vallev water Recl Faci I i ty FaCility Name: central valtev water Reclamation Faci lity
Street Address@ "i Street'Address@
City:Sa lt Lake Ci ty City:Salt Lake Ci ty
County County:Sal t Lake: Sa 1t Lake
State: utuh 7ip Code:841 19 State: utah Zip Code: aqirg
Phone:[phone] Phone: (8or ) s73 -er oo
Contact n: Ronal d L- Roberts Co ntaot PefSOn: Ronald L. Robe.rs
TYPE OF OWNER:
[ ] Marketer, or non-marketer with annual monthly throughput greater than 10,000 gallons.
[ ] Non-marketer with annual monthly throughput less than 10,000 gallons (Must verify).
DESCRIPTION OF UNDERGROUND STORAGE TANKS:
Tank #2 43
AQe (vears) 2
Capacity ( gar )---E666-Substance Di esel
HECE26
550
Unleaded Gaso'line Lube 0il Lube 0i'l
JIITz I
-----------.-1-TA-TANK TIGHTNESS TEST
:-{lYl
lank #
Pass/Fail Pa ss
2
Pass Pass Pa ss
3 4 UIATT ['EPT. OF HEALTHBUNEAiU€FENVIREffiIET{'ftt-Feqotru.f
^ '.tF - P.. F-' ^-r^. !
CEBTIFICATE OF REGISTRATION
[ ] All Underground Storage Tanks (UST) at this facility have been registered.
[ ] All registration TANK Fees have been paid.
COMPLIANCE WITH UST REGULATIONS:
ls the applicant currently in compliance with all Federal, State, and Local UST regulations
I x ] Yes [ ] No - lf "No" please describe item(s) of non-compliance:
PREVTOUS POLLUTTON INCTDENT(S
Have you ever had a pollution incident at your facility?
[ ] Yes - f "Yes" please provide LUST (Leaking Underground Storage Tank) lnformation:
I x] No - lf "No" please attach a letter stating that under customary business inventory.
practice standards you are not Eware of any release fiom any tank(s) at this facility.
PST FUND FEES
[ ] Full payment tor every tank at this facility is included with this application.[ ] Quarterly payment(s) for every tank at this facility are included with this application.
L4 la1ne,,* *tl /g- d/,wrd )w," 2t,t11/
I certify under p€natty o, law that the abo/e representations made by m€ are true and corect.
Applicant's signature:Z /*k Date signed:l44 /f
I
6
6000 550
1
A
FTSUTT ID.I
PREVIOUS POLLIJTION INCIDENTS
To:Mr. Deruris Downs
Executive Secretary
Utah Solid & Hazardous Wastes Committee
Dear Mr. Downs:
As required by paragraph 26-L4e40,4 of the Underground Storage Tank Act, I have
performed a tank and line tightness test on each underground storage tank at my facility,
and based on this test, there has not been a release of petroleum. Additionally, based
on "customary business inventory practices standards", I am not aware of any release of
from my tanks.
0a1 /
of owner/
OR,
I have had the following releases of petroleum (detailed below; also mention any action
you took to clean up the release).
BUREAU OF ENVIBONUENTALQFqrrnhrrr AA.^ -F' "-.-utTl0hl
trtI
signature of owner/operator
Failure to report previous releases could void ]rour coverage under the Petroleum Storage
Tank Fund.
\ l"\^ -\ -{.. \\ \ 'k/w\-\
lt-8f,
ENvIRONIlIENTAL
May ,l3, 1991
Ron Roberts
Central Valley Water Reclamation
800 West Central Valley Boad
Salt Lake City, Utah 841 19
RE: Besults ol Tank Tiohtness Testino
Dear Mr. Roberts:
Si
atrick E llsworth
UST Precision Tester
Certificate #UT-o059
encl: Tank Tightness Test Results
Line Test Besuhs
Enclosed are the results of tank tightness testing performed on the gasoline and
diesel underground storage tanks (USTs) located at the dispenser island of the
Ce ntral Val ley Water Reclamatio n f aci lity. The-lwQ-lan[s-testedl0ht. This
means that the lanks meet the National Fire Protection Association's (N.F.P.A.)
#329 criteria for a non-leaking tank. This criteria states that a tank is tight il it is
not leaking or gaining fluid at a rate greater than 0.05 gallons per hour. The
produci supply piping lines also tested tight (leak rate less than 0.01 gallons per
hour).
It you have any questions, please leel lree to contact me.
Wie\d<'
RECEIVED ,
Juil2tffl
UTATi OEPI. OF HEALTH
BunH\"u,.gF"F*vnq!{H}T l,
RECEIVED
t€
MAY ffi1991
. lilDUsTn,aLHE LTH hconPonarED
640 E. WTLMTNGToN AVEBUT SALT LAKE ClTy. UTAH 84106 TETEPHoNT: 801.466.2223 FAx 801"466.9616
c.v.w.H.
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3i-,:Fli-t.L n'-I ;.f iit:-..' i-,r-:r..i :.-,
=,i t=mp..Efi..i'-il'E vali-irre ih;.r,,le fi-;il ihc:
,* : e i C.-- ; -i=,rip€I-n'tirre i ii:- iu==t.Etri v= i r_i,r-i;.a
(1 , i:tij6EiJ qa.'! / heqr "
-' li
| '-.
-.L----
t y/*1,=t** co,rrp I ie..s r.t:th rr" F. F,,i
,' _r/ 5',r= ; gm dg;a"= r'1,:it i an:-- ]. .y *r i'i h
i_/ Fiping .ie+i,: indicetE.i
/ _,/'I'c:.fll:t i.eaH ii-icic€1.tefr
i _i Te=t t ncrtnc i;-;-1, i ve:
+lf,"=j ci-ite;.i; t+/-- i:r.i.]:: Gi:,i.il
i.j" i, F " r+- *f,::=,:;.:'iE..''.;. i-;-,' -
,r_/ Air- or u;.pcr tr's-ip :r;ijii:ateC
i _/ Teirrp e r- e.t r: i'e : n=t e. i= ": i i t y
,t -r' i mp rcpei'- i n=ta i i =-rt i an
teEt. condir=ted by Feti-ici,: E.i. i=r.r*,-tfi *(:]a-rS?i Eigna.ture
:;=I, i;iti';es:=.qti i::.-: i :t.':-iei = i.,:,',et,.ti-=l
RIAL HEALTH INCORPOR
640 EAST WILMINGTON AVENUE
SALT LAKE CTTY, UTAH 84106
(801) 46S2223
D
CLIENT:CatiAc t)acct( dtn.l/.( tcca*rrtonl
INDT T .E
Phone:t?-9rtP
Address: @ D*t Gofrtou fug (ooo
Une ldentification:1)e*-.1
Angle Check Valve:
Pump Make:ubmers uction:
Number of Dispensers:Pressure of Line Test:*l
Was 'Tank Auditor' Utilized to Confirm Status of Check Valve?lrt
Time el
Extractable Check Valve :
Ko.i- {t*{
o
Lq
1
2 D
D I
t/3'c-
7
HESULTS:
Totat Change (irches)( )
=aategtnrl 1z_5fr)
x20 ml / in -i. Time (minx ) X 60 min/hr
Allo,vable = 95
aa
mUhou r (.025 gals.)r (.01 gals.)
Suction
Discharge
'l rght Untestable:
6?
Tester, cert. No.Signature
o^,", /47 /o /n/
Commenls
VOLUMETBIC / PBESSURE LINE TEST
Change
d
Pressuret/s
v(_R-
E
6._
Une Test ln onnalion
6-15-90
i--,r,,-,r ;-' 1,; ii i t=..=.''\,*1..=]lr?;;
t :;;,;;: l, -rr., ft.;,, i 5,s:i
Tar:i: t*=t: n;r Bt'=tei-ri ver=ion 2. 1l'-r r-EIeagea t:t1/7i,/Aq
c,pa:-atCt- t s c,=mfrent=:
Tanl.r
Da.'i:e 1,. t_ime
C':inF*rn'r' n.3.fie -
8,t97 t-r.i:1I;
X=n-.-r'a.L V;.L J.ey i-jEter Recia.iirat:.a:-.
Tsnl.,: iD ',J.==,=i i ne
Tgni.,: Lscat.ic,n Di=pe;-i=*i- i=Ls.nJ
Fi-c,dr-rct r n te-iiii.:l
Ci-i=ts:riei- canta,=t
--1i --'-lirllliJ
F..tn i.lirb=r-t=
F htrn.= nuir'nber' 973-FLQrit
Street/biri lciing a.dci'e== - Brlil i6s=i Cent-ra1 Val ley Flas.dCity, E'LE'.Er iiFr etc 5*1t !--ai.le trit,v. Utaii
f,urst;iiri*r- F', fi # i'i,,'#;
?;.:rir ca-nEcit-y (g*iir:lng'j, gt:t-t,-t -/
T'enir Ciameter (incheE) ?E__/Fiii di-qr:re-r-er (inche=) 4
FiiL to t;.nl-': top (rnche=.i
Ebs=rved AF'I 7h. tt-,
Ea=erved terrfr*rs.tr-ri-e iF) 5-.'. OiJ
r-Lii I Hr-LEU Hl-L .1 "i'7L.!.Lrr-.'Ci:ef ef expa.n=.ien (F) c,i: {i r-i.(-}fiO7+i:t{}
+1,j. vaLves c ic=Ec y
iz vgi-rt res'tr ic'red - n
Steel or +iberela== tianli +
Li :isr- 'i=Hls aiJ: L.r-,,-,,.rn'r -
-__L.-- -t
:- )--_li :ri iiiJr... I I+ tar{: F.t r Il :'-!!:-:
5i-ig"i-- i,=r :"r" Il,;"i j. ne r-;-',rjc FLiiTiF
u! *1 ;i i: iF i- ;. r-- r= r- ;i i. i-i i- = t"j'ieg: c,:ndurct-ed *V F'.=ti- rsi.; i1 i=i,+sr-th *{:3*=?
T'egt- l+:''!:ness,=d by nEne
:-------.L-r tilrt:rrHtir h
Te-t
Otoa:a,at ei.Eva.+L i. Gn i n 'i8i,!,. t i n
Resul f,. t-
i .:r: ne= ] - 1f,E. 0L'
t==: r-Lin r:i1 i:i=,jr:;8,i5 i Er: (:,i; i?: 47.
The ievei data fsr- thi= anaiy=i= =tarts;.t (:t6!44:4;r anG ei'l.:= ai {-}E:t:}7::9.
The t=inper-s.tiir-e Certa t=r thi= a.naiysi= =*.*r-t= "-:t t:)6!"5:47 and €.nfl-n:. ar- {:!B::::i:;J'
The voitage ch;.nEa ior a. ca.li.bration volrtne of 3t-t mL wa= *.(:!?O v=lts
Iir-ect r-eaCing= t;.i':'en ;.t- t-he endpeint-E cf
sh,=lv s.i-r ar-iC:.tr-rr pr-3lrE ChArrE= Cf 1.=?9 mU'i--hi= is a 'jr.=:-s Level. rhanq= ei f,1" rnl-
!!-- --1--!-JI ttH \Hrtrt i Hli
in Ei minnr:==
i n 6i rtt i nut tlr=
+ .+ - I . ,- i - - -.- ; .- --ie.lrclay=f = L.qi r,-'u
--i iP,
Tailing al l tl''re inter-medi=.te d;rta into censideration by trerforminE a
least -€,quar-e regrEs.=ian of ievel. an tin:e gives En autditsr probe =lcpeof -1. 081 voltgr'hoitr-.
Tilurs. the grEEs protrLl'="- volt-tme ig dropping ?41 mL./hourr'
i.-lsing the ;;.Lriri;.te,: 'iefiipEt'a:Lti'a slope of -t-t. f-ttl73ii CegrEss C ,' hcil:'
anE the c:effici=ni;i ei:pansi,:n, the effect;* ternper-al,ure is
a c-3;rsagg i.n vc, l.r-.tni* ci :''ii.5 il-./hr
'/.r/iynrr.un, c,:ii:.,.-:*:; r,.;i.t;-, a=.::..A. *,f:tF cr:.tei.i.+. (+r,_4
,j -./ lystem ':itre:! ..-:=.i r:c!_,.D i-r; ,,
=.
i i i.i. F, :3 " A. +'tr:? ci_: t*i- i a/_/ Fiping Ls:;t: indic;...t=,L_
i_l Ta.nr: leal.; rnditra:e,:
,, _r, TEs,c incc,ncLusive=:
,r_,, Air tri- Vapcr tr-a.F indicated
/ _/ Tempei-at;_rre i n=taLri i ity
! _/ Impru:per- in=ta.l. lat:.on
t'E=t condirctisi:i h.,. i:'a.trici,: Ei is*rir-th **{j=-f i signetiir-e
test witnessed by nonei sigit€,tiiiE!
Camiirent=:
;::: 1 .-j
^l::',-i
mi L i :.va1ts EFi. ci,.i=if,
ite; la.irra-t iili-:
Eentral U;.i. i=.-y Fica.d -
Eity, Utah
at tha endpuint= oF the =eierf-eCrh;.ng= cf (:t. 1i= mU in It-r rnrn:rte=
'Ci-,g:ni:e rf,- .d..j, rfrL- 1n :'(-),Tr:fiLttL==
;"'i-1,-a,,,.r;'i.:l .i:f':r;i i:rl,i :i : 3i tc i:r4: 1 i : 5i"
T;nll *uditor (tmi
-l-rryi':r,;ht Lsa.il Eetection $ys.tem=. i?-86. 1?g;'- i?E=T:.nl: te=.:inE sy'='ier'n ver-=ion 3. i3. reieeEed (l=,/:f,jE?
I -r-+ .* iuE=L r Lllr tli
a!ar;.t-or' = cornr..r=nt= :
:-JnC r- L A..,,At i,:n Tar .ri: Te=t
i.;:ie 7,t'[ r me - t:E/-it/3i-_-t:i !i,-a?,}*f:any i'!e1rnE ,lsntr=-. 1 Utl. lay 'yJ;.t*r
Tanr,; :Li - Q;..=jfile_T;nk Location - DispensEr island
F'ruCr-ict in tanl:: UnieaCeC.
Crr=terrier csntact - ii:;;-EE6-Ert=
Fhene nurnbe.- ?73-?1(r{t
;Streetr'br-:i i dr nq .-rrjCr-eEs E;lttlt hjest
Eity, sta.te, riF, '=tc 5a.Lt La.lte
Cut.=+-crnsr F.O + r\.!..'*
Te.ni: capscity t,_;a11cns) oi-r(t{1,..
Ts,nil i:"-.metet- (:. nciir==) -E:-Fi11 ciarneter- tinrhe=) 1
Fi i I ta 'ta.nir tor i i nsne=i -
O-hserved API 7&.7C,
Ob=erv=d te*itrer-Et iii-e (F) =i - ,Ji:)
Coi't'ec'i-e€ AFi - :i:?5.t:,i:,
f i,-ur: r-i ei;p;.,r-i 5:'=i: if i '=i- i:l l-t.:-:Oi:/t16t-)
i;'{i t-ani-i= i n'ter--ir:,:-llia':Ee= fi
jl t r _ 1..__.
-
. __,_,.t
'i e \..=-: r-aS*- i-: ,-+ is.- r.l
!i=e-j C,i' ;ibi=?i-E..;== r--ai:ik ;
t - - -- - .. i - - - -Fr,EF I-(]li 3 i"nAEB aE+ - i
i-l :r :-i ir t- .- :--.- ,'-, \,r ia i- v e- 1, - t. .= ,!i -
ldatelr tabie ( if h:Fior"rn] -r
inc:re= tri: aaler in t.eni: - =Sttct .;. cr-:. T'ut;- E I ne L-ir ltLl trLiini] -L
i,vrr-,;+ther a.rrc! teintrsr-a.ture - F:aining Cats Er ftu='fg,
Te,gt curng'-rcteE by FEtr i=k Ei isw:rrth #{tt*159
Test i4 i i neE5e,: i,y nene
Cornnnsnte
:,i i F F!.. rrr.r. .rr i i
-T. e-t Re-r-l L t-
trr-Lrdt-r'ri- eiera.ti,=n in tEnf': ( in inchs=i - 1il:.C-ti:i
tes'E r-Lin C,n i:)=./itli,'?1 at Ct3:31:51
The l=vei data fcr this analysi.= =tarts at Cr3:2i:31 and eni= at Cr4: f. i:53..
Ti-ri= t'-zn-ltrerature dats. for -,-his analysis =tartg at t-r.i:!i:51 s*rj enC= at C!4:11:3tr.
Tha voltage change foi- a tra:ibration voLr-lme of 20 mL hras (:t.l(ri:t vclte
0i i'ect- reaai ngs
shaw 6Fi;.iiditai"
ti-:q, iq :l :-:-;1iiq
!-!.--
-.---L--
anal'lE:.= per icd
- - - - -'i-sti iL i =E! Ul I Ll:=
--J .1
.--!i:Li i;. !f --r-{-.i I'r5
, r !.-i= t
i 1j-.
i I !..i i-( r'Ug:.r-r,-: '1.!-ie ,_:€1 iCLii;.i_,1 ':! Z:]fi:T.!,i E.ti..:i.iir =1.r_i;-,,.51 ii.i *.i:., r:'::j:.ii.L. i!=!t rr*: :-
;.fir:'i::iEr r:rfEr:'fi.,::*fi: i:+ €iiic-ii-r':?i.,--fl" Ehe:.=.fieci: +-;: tEntr:=i-;.r':L:i-:* .t
a de.cr=a=e 1n voiLiiT:i:. ,f-F 1=i.i. i!:L./'rii'
Sltb+- r'act i ng't he':crripLit='j t *in$r.r-.3'i!-li-i3 v,: _.i. Lir.i,ie
trr-gciLr,= t v=iLt,rE '=ii€inEe .y:.e1. d= z r.?,ilE,Et-a.i'_.,i.e
r-?1 ",= iflLr/ i-rr_:r..it- , ..J,.- i-f. {-ji:I:E L1 F. 1,/hi:r..ti- "
I r,-ii;lF -Fl i.l'l 7 t1,r
r:.:i- i''.=r: .: E= vi-' i LliT!=
System trc'inpl. ies rrirt-h fi. F, F. A.
L:'ystenr doeg n$t- cair:pi_1* r+i'lh I'l .
/-/ Piping iEai,. in:ij.ia"i--E#
/-/ Tani': ieal: lnciitral:Ei.:i
Te=t inconcllrsive:
fl'f,3F crilei-:.a l+,!- {:i. (-ii EF'Hi
F.F,.A" ,5JL--,, ii-j.tel-r; i: +.r'- {:i,,i':= EF,;{}:
/_i Sj.r- or Ua.trr:r'trap inii=ai,=d
/ -/ Te,rrFei";riuit-e i netabi. 1it.i
i -/ Irnpruper- i nsi-;.i 1a.t i,=n
test cond'.tcted by Fatr-ici,: Ei js'rrcrrtli +it:){,3ti EiEnatrlr
tegf- uitns=Eed ty' n,lnEl =lqneELrre:
INE JTHIAL HEALTH INCOHPOF TED
640 EAST WILMINGTON AVENUE
SALT LAKE CTTY, UTAH 84106
[phone]
VOLUMETRIC / PBESSUBE LINE TEST
CLIENT: (e^t*ttJar* dnr<?nu^tno) phone:1T-7too
Address:A:> dar (s,inv.at t/t.'e( fuo
Une ldentification:(>t*tst(
Angle Check Valve:
PumpMake: ffi
Extractable Check Valve :
?gb:(-a.Etre/Suction:
l PSI
Time,. ?.:45
rGO
:lS
i39
3:9J
HESULTS:
. Total Clange (inches)( )
' = Ftare (nltnl @s"3)
Allowable =
Tig
Pressure of Line Test:tls
llo
Chanoee:
Was 'Tank Auditor" Utilized to Conlirm Status of Check Valve?
Level
Zr/g
Pressure
*5 pr,
LL/g {5 prr
Q 1/s ''15 ps,
27s €-'s,,
22/s
x 206 ml / in +- lrme (minx ) X 60 min/hr
+S
5
6
7
(
Signature
Darc: A*/
Comments
95 m[/hour (.025 gals.) - Suclion
38 ml,hour (.01 gals.) - Discharge
-righ t.
lo i<11?t
Untestable:
oo51
Tester, Cert. No.
l4tubrl UAK t'-brL'o Aeatg SuPgl,Lttr pcssr<{ 6,t c€.
Line Test lnlormalion
6-15-90
Number of Dispensers:
1 L
R.2 i=
R.. i\ll:ll
o
RECEIVED
APR - 5 1991
c.v.w.R.
EIUVIBONMENTAL
April 4, 1991
Ron Roberts
Central Valley Water Reclamation
800 West Central Valley Road
Salt Lake City, Utah 841 19
RE: Results ol Tank Tightness Testing
Dear Mr. Roberts:
Enclosed are the results of tank tightness testing done on the lubricating oil
underground storage tanks (UST's) located near the engine room at the Central
Valley Water Reclamation facility. The two tanks tested tight. This means that
the tanks meet the National Fire Protection Association's (N.F.P.A.) #329 criteria
for a non-leaking tank. This criteria states that a tank is tight if it is not leaking or
gaining fluid at a rate greater than 0.05 gallons per hour. The product supply
piping lines are untestable. ln order to be testable, test ports and valves would
have to be placed immediately before the suction pump. Another option would
be to place check valves immediately before the pump. This would exempt the
supply lines from testing, provided there is not already a foot valve in the tanks,
and that the piping slopes back to the tank. The product return line to the USTs
is untestable without making extensive design modifications.
lf you have any questions, please feel free to contact me.
Patrick Ellsworth
UST Precision Tester
Certificate #UT-0059
encl: Tank Tightness Test Results
Line Test Results
lxousrRnr- HEltrr lucoRpoanrro
640 E. WrLufre icru AveNue Snlr Lnxr Crry, Urru 84106 TEr-EpH0rur: 801.466.2223 Fnx 801.466.9616
A
Te-t
;.r i-3';lt-ilt - i. -'-; l- : i::i"i .r.: , t cri,,. i f n
[*e-Lr L t -
; -..-L--r-: i tr-- I ti:j s .r - ,It ., n ,-ii_,
--:-/b
.*. i.ic-, i. y= i :3 p E i- 1 i.-, i:
*nJ 4i, EttICrt-rrjg
-. F .{ rl ,'iAl l! a'a' =.€LL: rii:
The v'JItage changE f,-ri a c;.i ii::i-a.:icin v:=LLirir* cf ii:r rirl- l.j;..a (:r. (:rE: ;,:i.:=
E 3,:t r-L:n rlri-i .::/l..rt:i;:i ? i ;rt r::r::. " .:..:" =-r .
Tl-i* 1,=v=i da.t*. foi i-iri= s.i-ii,.i.cEi= stai-tE'Thri t.=mtr,era.titr--* d;.tE fc,r ti-iLE ;.iir.LL.J=1.=
Fj r-ect r-ena: i-lq:l t"?,!,:Ei-r .i.t :he: sns';ri.1 j ntg c-i t:l-,8
ghgit c.tfi elt:ji.'tBr- Ei-gbg: trhe-inrlE cj-i: {:l.f,,!7 jTri"' jfi d;}
*rl-r LE i'= i. qr:S;:.E_.1-+uei ch.en;'=.=.i 7i rrii--:.i-i i'..1.,;,r
7'l a'lu***k
-.i- i-1!. . q-I . qf-' - i. i-':i- L I -T = ir'-:*{.L {-.ri-i !:.-:j sriJ qi;}'.j !*il'J= C,_ t_j_,: *-,i.-:,
s'i.ar"l-E at (-1,+t"l'i:5[i a.n':t En,j= =-rt r-ti,::-::'.-.
J-.
Fi ---.---
)( /:ar d^n strqAt{
.; '-. ... . -- -- .i- - -.i. i J,!. ,- iil :_ x:-J
,! ,! i ; i-; i.,: .i ....:,a.. i:. .L i:.; : i.-: ,:i ;. -;:
.-L.1 1 I r-.
'F':iEt r-r'rr-:il:l-'i.a,-i i-'..r F';tr".,-i' Fl iqr.t,-:;.-'i!-: *Laii-l::=t q:fi-;i;:r-+:
'iE'5t ylii l;1;rg=:pi-J ijv t-icti-,E i siCnai_i_,.;-=i
Carnmen Ls , 6sr 7O<
t
re\t
i:I-Or-JLf;t: ei,:rii;,: :,:i': ir-: t;:.'i1,. r. rI.i
l-he vai'ta;'.-, cirsrrt*i f;r. a
Re-u L t-
- | i;.ii'=:j : - a:.:,r t-ll_jL +'.-<r \r/ o n-72'
'
n i r- er -;: r- E*r ii i -'-= =gn$t^i ari a.r-i'i:tc't-
t;is ig $. Ci'La=.--:
.|--.t-.-'- -L rL-L-,i.'=!l El. l_ l_::l=.
pr"cbe che-riliIE
i;:1 u8.'I. C ii=-ifi,;Ei
":ndpri ritE ,f+ rl-i* =.Eiecte.:;!+ 0. 45(:) mV i. r-i 4., ,n: nitt==
ii i 1 ;li; ..:iL i - il-?
''r'i
i. n!-.r'i, =S
ens.iy=i= rsii- i;:rj
*.r-ii i:i ser:t:i-:dE
*-r I .'r ili .!. ; = f 1:*,: i'-! CE
-.i.-.__--I I r- i li tE.
j " :-';.:: i' ,- .,,- ; ' ; -,
: -,!::.-=:=li
,j ,' ': j' -.:. : .- - :.. -i - ,j ; .- - -. ,-..-;.j _i ! i_ri:i1 lE:il.. lri:-i.:-i-fi!ar,-.i
r' i i i1-=t- i!:l-L..i!-.1-Ll=rl {1';
i ! llll r.-!! tg.l-r,-. 1 L! 3.! :i!r-l .iLi:tLi.ii-t
I I t.--.-rnr-...-.-+.,,.---- i r--& -i- I 'i .i.L.,; _t i Hrr,l.-rL-r c:{-LiI5 : j:=i-Ei_i!:!-L-y
.; .i T._.-....__.-_,- ;_.--__-.! 1_.L- ,,.r- , *# E i' .i. ; i'r. '-. i', i ,i .:r i.. .:. :1 n
rE.=l: r':-1iiiii,:lEi Ii; F'=:ti- i.ci,: i:.l=r.+ii-th +li:ii:]5?;
ilrr:rrnen'L, r r dcSf fi^f t
- i
--::rL.i:i=.'--r-ri =i
-r4/\a f4ogtcr Lz,le dttrarn &(
INDTISTRIAL HEALTH INCORPORATED
640 EAST WILMINGTON AVENUE
SALT LAKE CITY, UTAH 84106
[phone]
VOLUMETBIC / PRESSURE LINE TEST
CLIENT:Gqrzat tl,uc/ tl*r.t €c-cuuqtfi^)afi'?rooPhone:
Address:b>rls r a;rtyo*e r)l
Une ldentification:ad(L
Angle Check Valve:
Pump Make: Submersible/Suction:$;.6or'J
Number of Dispensers:t\/n Pressure of Line Test:
Was "Tank Audito/' Utilized to Confirm Status of Check Valve?
Time Level Change
BESULTS:
Total Change (inches)(
= Rate (mlihr) (
) x 206.5 ml / in Tr-me (min)( ) X 60 min/hr
Allowable =95 muhour (.025 gals.) - Suction
38 ml/hour (.01 gals.) - Discharge
Tig N
Pressure
1
,
3
5
6
7
A
tight
@S?
Signature
Line Test |tformalion
6-15-90
Tester, Cert. No
o,,",4/s/tt
Comments
Ah Tesr Foar oR bAtu€, L*SE oZL
/4AYBE rJo Ckezk l/tcdE - , t ,
5.pet7 K,k^ L,^- dn{2s4"*Q'-
g,,,nP(
7
L,n-e-'
Extractable Check Valve:
UntestaUte: 1
INDUSTRIAL HEALTH INCORPORATED
640 EAST WILMINGTON AVENUE
SALT LAKE CITY, UTAH 84106
[phone]
VOLUMETRIC / PRESSURE LINE TEST
1z -ltoo
Address:b de=r (r=iltpAt ()t Ro. Scc ot,BVt t?
Line ldentification: 6s4 71a,t< S.c"/ u,
7
Angle Check Valve:Extractable Check Valve:
Pump Make: Submersible/Suction:SUarco"J
Number of Dispensers:NX Pressure of Line Test:
Was "Tank Auditoi' Utilized to Conlirm Status of Check Valve?
Time Level Change
RESULTS:
Total Change (inches)() x 206.5 ml / in Time (min)( ) X 60 min/hr
= Rate (ml/hr) ( )
Allowable = 95 muhour (.025 gals.) - Suction
38 ml/hour (.01 gals') - Discharge
.I1 N ht
M?
1
,
5
6
7
o
t
Signature Tester, Cert. No.
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Results of U.S. EPA Standard Evaluation
Volumetric Tank Tightness Testing Method
This form tells whether the tank tightness testing method described below complies with the
performance requirements of the ftderal underground storage tank regulation. The evaluation was
991dlleq by the equip:nent manufacturer or a consultant to the manu-facturer according to the
U.S. EPA's "Standard Test Procedure for Evaluating Leak Detection Methods: Volumeiric Tank
TigItn-ess Testing Methods." The full evaluation report also inctudes a form describing the method
and a form summarizing rhe test data.
Tank owners using this leak detection system should keep this form on file to prove compliance
with the federal regulations. Tank owners should check with State and local agencies to make sure
this form satisfies their requirements.
RTD V.2. l6Version
Vendor Leak Detection Systems, Inc.
152 King Street
(street address)
Cohasset, YIA O2O25 6l 7-383-2305
(ciV)(state) (zip)(phone)
Evaluation Results
This method, which declares a tank to be leaking when the measured leak rate exceeds the
threshold of 0 .05 allon per hour, has a probability ol false alarms [P(FA)] ot o .o2oo/o.
The corresponding probability of detection [P(D)] of a 0.10 gallon per hour leak is 9 9 - 9I %.
Therefore, this method E does ! does not meet the lederal performance standards
established by the U.S. Environmental Protection Agency (0.10 gallon per hour at P(D) of 95%
and P(FA) of 5%).
Test Conditions During Evaluation
The evaluation testing was conducted in a 10 ,000 gdlon E steel E fiberglass tank
that was 96 inches in diameter and 324 inches long.
The tests were conducted with the tank 100 percent full.
The temperature difierence between product added to fill the tank and product
already in the tank ranged from -5 - 12 oF
with a standard deviation of 3 - 90 oF.
to 5.48 oF
The p rOduCt used in the evaluation was Unleaded Fuel
Volumetric TTT Method - Results Form Page 1 ol 2
Method Description
Name Tank Auditor
:;lsDeccor
Tank owner Ind. dba Coro.
sDense Date
Closeci Out
0ther
Ccnoiiance;,I
2
3
i
5
INITIAL INSPECTION & COI{PLIANCE SUHMARY FORH
NAME ,--irrlml U, I ,1r d;
STREET 7,0 o ti btko]Uo/;. (rl
sL(COUNTY,/STATE 71p 8t!/t
c,NTACT (o.r, Bo6e.i:
Tank operato r _Ind. _dba _ Corp. _0ther 0ate(acguired/Inc. )_
BUSINESS NA!,{E {arrn FACILITY NO.
STREET
CITY COUNTY zlP
IITLE PHONE
V IOLATI ON/
COM PL IANCE
I ST CONTACT
2ND CONTACT
3RD CONTACT
4TH CONTACT
N0v
OR OER
FILE
EPA REFERRAL
N0v
ORDER
CLOSE OUT
Act i on oate
slzqhr
Snl- ^
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Acti on
5c,^* n,i. {rw..
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s.ct
Pena I ty
t
$
$
$
$
$FINAL ASSESSITIENT
3 a te ( a c q u i reo / I n c . ) _
CITY
TITLE- PHONE
CONIACT
COI)E DATE
ProDertv owner Ind.d ba _ Corp. _other Oate(acquire6/Inc.)-
STAIE ZIP ACQUIREt)
In Comp I iance?
NAME
STREET
CITY
IANK #
STATUS
AGE
;APAC ITY
I{ATER IAL
I NTERNAL
EXTERNAL
PI PING
SUBSTANCE
LAST USED
CLOSURE
CERTIFICATION
RELEASE OET.
[)ATE DUE
SPILL/OVERFItL
RELEASE DATE
?1
o\,t e "f3 lJu.[ - d, ri.r
0,10 ^l tb*S$",
# (Y/N)
6on $k crl $-f"Al,h-;tW
t.
50,€ao
,tufu *l wrehi.( .
COHMENTS:
L Arl
rt^l-7 548U
Financ iaI Resoonsibi I itv
METHoo-PoLICY-EFFECTIVE DATE-