DERR-2024-004616

Paoelol LJ+,qECEIUHTXUtah Department of Environmental Quality
UST Release Detection lnsPection
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'Ownership of Tanks -'Location of TankS,,,.,,'..,. t}{ll,, .l d.'
THE JUNCTION MARKET II LLC rHE JUNCTION TEXACO STATION fiannerileilon
50 WEST CANYON CREST RD 790 N 1600 W
CLPINE JT 34004 UAPLETON IUT 14664
)P A: EDWARD S MCMULLEN 1801) 763-7806 f,P B: EDWARD S MCMULLEN 1801 ) 763-7806
Number of tanks at the facility:
Capacity of tank (gallons):
Tank in use:
Material of construction of tanks:
Material of construction of piping:
Type of spill prevention device:
Spill bucket is clean, intact, etc.:
Type of overfill Prevention device:
Overfill alarm (audible or visible) is properly located so delivery driver can hear or see it, and is clearly identified:
Containment sumps are sealed, free from water, product, etc.:
Sump comments:
Cathodic protection test results are current and on file
with DERR (verify on tank data sheet):
Date of last cathodic protection test:
lmpressed current system is checked for proper
operation at least every 60 days:
Dates of the last three checks:
Stage l,Vapor Recq,ery'',Bscot-d for,al!,tanlls. -Note exceptions in the
comments section below.
Type of Stage '1 Vapor Recovery?
Pressure Vent Valve is present on vents?
Drop tube is present?
"C" Operators trained or unmanned site sign is
lf the site is unmanned and dispenses fuel, does it have
Monthly checklist available and complete
lndicate the corrosion protectio.n information for each UST below,
Page 2 of ?z fir and Piping Release Detection
rstitial Monitori
1 0001 20
Automatic Tank Gaugin nte n ng
Tank method used:IATG Shutdown test D4nfC Continuous test I lnterstitial Monitoring
Manufacturer and Model of system: I tl e,arl.er- lLry * TLS 1 { 0
lircle Yes or No for each,'question;::r ln the last mlumn;.explain and identify by,tank any exceptions to the answqrs given, in lhe fi$l column.
IM fype of secondary containment used:Type of lM documentation used:
C9 ''i,ecords on site document that the system is properly installed, calibrated,
rperated, and maintained (system and tank setup reports, maintenance
'ecords). Written documentation of calibralion, maintenance, and repair is kept
br at least one year after work is completed:
""'(ND
ev ''{TG console or other equipment used to take readings and perform tests is
rdequate, accessible, and operational:
ve{ NoJ
€9'")ocumentation of valid testing or monitoring is available for the last 12 months.
3how results in table below:
veqr x)
(ag The probe is located at the center of the tank: I dgy' No Tilt factors:ry The tank was filled to at least the minimum level required to ensure a valid leak
test, and the tank size is within the allowed upper and lower size limits:
ves &)Third Party Min Level:
IM System is capable of detecting a release of regulated substances from any
portion of the primary tanUpiping within one month of release:
Yes No
Show result$ of monitoring for each tank for the lagt '12 months.. lndicate Pass, Fail, lnvalid, or No Resulto for each month. ' EQ!'AIG test5,,6how the
highest product level tested for each month.
MolY'r 1t 2t 3t 4t 5l 6l 7l 8l 9l 10t 't 1l 12t
#ll Cr
#X.\L.L0a \- (,
I L l d{ .tc'LC- l't1
#? l^.
2 tT r/t U
#
#
Piping leak detection results are available for inspection:
Piping test results are current and on file with DERR (verify on tank data sheet):
Piping qualifies as Safe Suction. Documentation is available and verifiable to show that piping operates at less than atmospheric pressure, has
one check valve (under pump), and has proper slope of piping. lf all these criteria are met, no leak detection is required on the piping.
Piping method(s) used,'Pressurized piping must have an Automatic Line Leak Detector and qne other form of leak detection.
Manufacturer and model of each leak detector:
Last performance test date:_ Results:
Type oftest: simulated leak,3gph, .2gph, .1gph
[ ] same as above
[ ] ,2 gph monthly,
"'ff[lj" 'il rsg.('lffiKnn^"*,,- -lr'v] y,,*s ;',J .'J., u:tt .^,r"r(f^ ft,rt i> +"1 $u,^-fi',n,,5
4t \,-t yili"f ^ \ $o'{o.-\' ,'4",4 ualr,it t pA 5,,,.1',,n'),7
"rl', H w*trr,* $ *J l.,tpl -
)[tt J"n ?-.{,6 9t aaa.
Utq,n UST Program
Release Detection lnspection Checklist
Facilitv P 1fi& l?Q
Paqe 1 of t
Ownership of Tanks Location of Tanks E state use
owner Name 7-J 9"'^. L u C Location ruar"7e J.4:[.L.^ <t^6d( ilt+ilg*ro
Address -lQCl ru 16A) tl Address 7EO
^f
/fnfx lu)
citv ($4crALPd^ stare l-d zio citv kln-a\,Alr,t- state ur zio
contact €u'*L-t)r^**o^^ phone I
Contact PhoneCompleteIoreachta6k.lfthe{acilityhasilorethanlourtanks,completetheinformation'.
Number of tanks at the facilitv:Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date cNt,
Capacitv of Tank (in qallons)q1R l2tq l2lc-i't
lndicate if tank is siphoned 6iltp"rtr"nD. Show related tanks.sI<[zU 2W*ec,g
Substance Stored \ 7 rlttt OtVt-)D
Tank is in use Yes rfr Yes /G.)Yes z(il Yes A
lf not in use, give date last used and depth of product in tank..4K/ lft 5.(lltt qbn
Answer the followlng lor all tanke.
Current Vear tank taqs are in olace.Yes No Yes No Yes No Yes No
Material of construction of tanks 4,.'o\\-
Material of construction of pipino fr,al -.-
Piping type fi@a \
Type of Spill Prevention device. Note on form if tank is filled by transfers
of less than 25 gallons. lf so, no spill prevention is required.Yea (S
Spill containment bucket is clean, dry, and free of product, water, debris.yr No Yes No Yes No Yes No
Type of Overfill Prevention device. Note on form if tank is filled by
transfers of less than 25 gallons. lf so, no overfill prevention is required.15f -=:-
lf an overfill alarm is the primary overfill device: Alarm is located wfrere it
can be seen and heard, and alarm is clearlv marked.Yes No Yes No Yes No Yes Nouorrosron prorecfion. Atlgr{glllg-Igller,rrlng for all tan ks.
Corrosion Protection method used on tanks \.
Corrosion Protection method used on oioino n/W
Corrosion Protection method used on flex connectors, swinq ioints, etc Attanks: l/W\Atrlisoensers: ./7,/
,r\,
Enclosed containment sumps at tanks and dispensers ?r*
At tanks: lYes ! No At disoensers: {a,No
Containment sumps are sealed, free from water, product, etc.Yes No
lndicate dates of upgrades- lininq, tank or pipino cathodic Drotection
athodiq Prgt_ection Testing. Show the results of the mosf
The results of the last two cathodic protection tests are avaitabte lwitfrin sX
months of installation and every three years thereafter).@No
Tank rester Date ttVZ-ilf n-volts volts volts volts
Piping Tester Date volts volts volts volts
Flex Connectors/ Swing Joints At tank
Tester Datg At dispenser
volts volts volts volts
volts volts volts volts
For lmpressed Current Systems: The results of the last tfrree equipment
operation checlls are available (required everv 60 davs)./tXlA*
Emergency generator tanks only; leak detection deterred.tr
tr
tr
USTs temporarily closed and empty; leak detection not required.
USTs temporarily closed, locked and secured.
contaeurs zlek i*rlr,cu#.{Qp( ,, f
Site Drawing (North 'ft )
H
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@Distribution: White-DERR,Yeilow-lnspector, pink-Facility/Owner LdcheckoTo3.doc
.
Underground Storage Tank lnspection Verification Form
Owner Name: TJSMLLC
Owner Address: 790 N 1600 W
MAPLETON UT 84664
OwnerContact: SANDY JORGENSEN [phone]
Fac.lity lD: 1000120
Faclllty Name: THE JUNCTION SHELL- MAPLETON
StreetAddrcss: 790 N 1600W
MAPLETON UT 84664
SANDY JORGENSEN [phone]
UTM Coordlnates /149,121.98 4,442,948.35
Last lnspection
Comments:
Tank lD/Alt lD:
ln Operation Compliance: YES
9 I E-Gen: No
Currently ln Use Manifoldr No
7l'U1998 12,000
Galvanic Cathodic Proi€ciion (ST|P3)
None
Fl€xibl6 Plasiic
DoubleWalled
Booted Steel Fl6x
Yes 10/20/2002
E-Gen: No
Currently in Use Manifold: No
711011997 8,000
Galvanic Cathodic P?oiec'tion (ST|P3)
None
Fib€rglalis R6inf o.ced Pla:ttic
None
Booted Steel Flex
Pressurize Perm RD by: 7l10l2OO7 !,{ i
Gas/Diesel Co 5k Red Diesel and 3k ldt
5 gal. Spill Bucke Ball float valve
Yes 1012012002 '1.D!
ATG
7l2ol199l Homer EZY Ill Yes
Veeder Root TLS-350 CSLD N
10%old5%new 45K
227,559 glmo
ALD LTT
1Ol2Ol2OO2 Mechanical Yes
1012012@2 Homer EZY Yes
No OheiType:
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modilications:
Pipe Material:
Pipe Modificationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
Spill/Overlill Description
Tank C P MeVLast TesUResult:
Last Line CP TesUResult:
Tank Release Detection:
Last TTT/MethocUPassed? :
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDT/Type/Passed?
Date LTT/Method/ Passed?
PSTFund: No Oher:
Tank Status: ',
Date lnstalled/Capacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modilicationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored: t T
Spill/Overf ill Description
Tank C P MeULast TesUResult:
Last Line CP TesUResult:
Tank Release Detection:
Last TtT/Method/Passed? :
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDT/Type/Passed?
Date Lfi/Method/ Passed?
PSTFund: No Other:
ATG
71U1998 Horner EZY lll Yes
Veeder Root TLS-350 CSLD
10olo old 5% new 38K
221,890 g/mo
ALD LTT
1Ol2Ol20O2 Mechanical Yes
1Ol2Ol2OO2 Homer EZY Yes
No OherType:
Pressurize Pe
Gasoline
oat val
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modificationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
SpilUOverf ill Oescription
Tank C P MeULast TesUResult:
Last Line CP TesUResult:
Tank Release Oetection:
Last TTT/MethocUPassed? :
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
8 8 E-Gen: No
Currently ln Use Manifold: No
71111998 12,000
Galvanic Cathodic Prolectim (STIP3)
None
Flexible Aasric
Oouble-Walled
Booted Steel Flex
Pressurize PeglB${rx(30/2008
5 gat. spifl BucMoat vatve
Yes 10/20/2002 -1.25v
ATG
7l8l1$8 Homer EZY lll Yes
VeederRoot TLS-350CSLDN
10olo old 5% new 45K
227,559 glmo
ALD LTT
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modificationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
SpilUOverlill Description
Tank C P MeULast TesUResultl
Last Line CP TesUResult:
Tank Release Detection:
Last TTT/MethocuPassed? :
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDT/Type/Passed?
Date LTT/MethocU Passed?
PSTFund: No Oher:
10 10 E-Gen: No
Currently ln Use Manifold: No
711t1998 12,000
r(
Galvanic Cathodc Proterion (ST|P3)
Non6
Flexible Plastic
OorU+Walled
Booted Steel Flex
Pressurize Perm RD bv: 6/30/2008
Dieser @iA 4qLk
5 gat. Spilt BucMat vatve
Yes 1012012002 -1.20v
ATG
7lU19E,8 Homer EZY lll Yes
VeederRoot TLS-350CSLDN
10% old 5olo new 45K
227,559 glmo
ALD LTT
1Ol2Ol20O2 Mechanical Yes
1Ol2Ol2OO2 Homer EZY Yes
No OtherType:
Date ALDT/Type/Passed? 1Ol2Ol20O2 Mechanicat Yes
Date LTT/MethocU Passed? 1Ol2Ol200,2 Homer EZY Yes
PSTFund: No Other: No OtherType:
Thursday, September 16, 2004 Page 1 ol 1
,r
'I
r
Complete items 1, i U 3. Also complete
item 4 if Restricted burver| is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
J SANDY JORGENSEN
TJSM LLC
790 NORTH 1600 WEST
MAPLETON UT 84664
ls delivery address dilterent from item 1?
if YES, enter delivery address below: E No
4. Restrictod Delivery? @rtra Fee)E Yes
3. SeaiceType
E.Gertified Mail E Express Mail
h Registered E Retum Receipt for Merchandise
E lnsured Mail E C.O.O.
E Agent
E Addressee
0 iAib 5zsq Ltr'o5 trJm I
B. Received by (Py'ntecl Name)
PS Form 3811, August 2001 Oomestic Return Receipt
UurEo Srares Posrru- Senvne
\-,ilt PermitNo. G-'10
First4lass Mail
. Senden Please print your name, address, andzlP+4 infli box .
tuE
uJ-' :
UDEQ/DERR
UST SECTION
PO BOX 144840
SALT LAKE CITY UT 84114.48.10
C)€uraE
ll,,l,,i,i,,,ll,,,li'i"l"l,ii
ffi
State of Utah
1
OLENE S. WALKER
Govcmor
GAYLE F. McKEACHNIE
Ueurenant Governor
FIL T COPY
Department of
Environmental Quality
Dianne R. Nielson, Ph.D.
Executive Direclor
DIVISION OF ENVIRONMENTAL
RESPONSE AND REMEDIATION
Brad T Johnson
Director
ERRU-136-04
August ll,200/,
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
J. Sandy Jorgensen
TJSM, L.L.C.
790 North 160O West
Mapleton, Utah 84664
Re: Order Revoking Certificate of Compliance
The Junction Shell Mapleton, located at790 North 1600 West, Mapleton, Utah
Facility Identification No. 1000120
Dear Mr. Jorgensen:
Please find enclosed an Order Revoking Certificate of Compliance for the underground storage
tanks at The Junction Shell Mapleton, located at 790 North 1600 West, Mapleton, Utah, Facility
Identification Number 1000120, for failure to comply with the Utah Underground Storage Tank Act and
regulations.
If you have any questions regarding this matter, please contact William Moore, the DERR Project
Manager, at (801) 5364106.
Brad T Johnson, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
BTJ/WEIWhsp
Enclosure(s)
Kimberlee Sellers, Utah Attorney General's Office
Joe Taylor, EPA Region VIII
Leah Ann Lamb, UDEQ Office of Planning and Public Affairs
Rick Saathoff, DERR Project Manager
William Moore, DERR Environmental Scientist
l68Northl950Wcst.l'()llox l44t14ll . Saltl:ke('ity.t11'84ll,l-4tt40.phonc(ll0l)53(r-41(X).lax(ll0I)359-t{tt53
1'.D. 1). (8O l ) 516-4.1 1 4 . rt'rltt tle q.u kt h. !! tr'
lltah!
WlurL iitts cotrtrtcl
1
TrrE EXECr..rrrvE SECRETARY (UST) OF Tlm
UTAH SOLID AND HAZARDOUS WASTE CONTROL BOARD
In the Matter of:
TJSM, L.L.C.
790 North 1600 West
Mapleton, Utah
ORDER REVOKING
CERTIFICATE OF COMPLIANCE
Faci lity Identification No. 10001 20
Pursuant to Utah Code Ann. S 19-6-414, the Executive Secretary (UST) of the Utah Solid
and Hazardous Waste Control Board ("Executive Secretary") hereby revokes the Certificates of
Compliance for all of the underground storage tanks at Faciiity Identiiication No. 1000120, located
at The Junction Shell Mapleton,790 North 1600 West, Mapleton, Utah ("Facility"), owned and/or
operated by TJSM, L.L.C., for failure to comply with the Utah Underground Storage Tank Act,
Utah Code Ann. $ 19-6401 et seq., and regulations, Utah Admin Code. R3l l-200 et seq. Pursuant
to Utah Code Ann. S 63-46b-l(2xk), this Order Revoking Certificate of Compliance ("Order") is
exempt from the Utah Administrative Procedures Act, Utah Code Ann. S 63-46b-0.5 et seq.
However, if this Order is contested as described herein, the Utah Administrative Procedures Ait
would apply to those proceedings.
STATEMENT OF LAW AND JURISDICTION
l. The Utah Solid and Hazardous Waste Control Board ("Board") is authorized and
required to make rules adopting the requirements for underground storage tanks
contained in Subtitle I of the Resource Conversation and Recovery Act ("RCRA"),
42 U.S.C. $ 6991c, et seq., and other future applicable final federal regulations.
Utah Code Ann. $ 19-6-403(lXb).
2. The Executive Director of the Department of Environmental Quality is authorized to
administer and supervise the Department of Environmental Quality. Utah Code
Ann. $ l9-l-202. Any appeal of an Order Revoking Certificate of Compliance must
be made to the Execurive Director. Utah Code Ann. $ 19-6-414(3).
3. The Executive Secretary is authorized to enforce the rules made by the Board and
any requirements in the Utah Underground Storage Tank Act by issuing notices and
orders. Utah Code Ann. g t9-6-4}4(2)(t) and (i).
4. The Division of pnrl.or,rn"ntal Response and Remediation ("DERR") administers
the Utah Underground Storage Tank Act under the immediate direction and control
of the DERR Director. Utah Code Ann. $ l9-l-105. The Executive Secretary is
also the DERR Director.
5."Underground Storage Tank" means any tank regulated under Subtitle I, RCRA,
42 U.S.C. $ 699Ic, et seq., including: a) a petroleum storage tank; b) underground
pipes and lines connected to a storage tank; and c) any underground ancillary
equipment and containment system. Utah Code Ann. S 19-6-402(29).
"Facility" means all underground storage tanks located on a single parcel of property
or on any property adjacent or contiguous to that parcel. Utah Code Ann. $ 19-6-
402(14).
"Operator" means any person in control of or who is responsible on a daily basis for
the maintenance of an underground storage tank that is in use for the storage, use, or
dispensing of a regulated substance. Utah Code Ann. S 19-6-402(17).
"Owner" means, in the case of an underground storage tank in use on or after
November 8, 1984, any person who owns an underground storage tank used for the
storage, use, or dispensing of a regulated substance. Utah Code Ann. $ 19-6-
a02(l8Xa).
Each owner or operator of an underground storage tank is required to have a
Certificate of Compliance for each facility. Utah Code Ann. S 19-6-412(l).
Each owner or operator of an underground storage tank is required to comply with
the performance standards specified in 40 CFR Part 280, which the Board has
incorporated and adopted by Utah Admin. Code R3ll-202-1. Among other things,
the performance standards require each owner or operator to upgrade underground
storage tanks to the performance standards in 40 CFR S 280.21 by
December 22,1998.
In order to obtain or maintain a Certificate of Compliance for a facility, the owner or
operator must substantially comply with all state and federal statutes, rules, and
regulations. Utah Code Ann. S l9-6412(2Xc).
under Utah Code Ann. S 19-6-414, the Executive Secretary may revoke a
Certificate of Compliance if any requirements of Utah Code Ann. $$ t9-6-412 or
19-6413 have not been met.
In order to revoke a Certificate of Compliance, the Executive Secretary must issue
notice to the owner or operator informing him of the following: l) that the
Certificate of Compliance may be revoked;2) that the owner/operator is violating
eligibility requirements for participation in the Petroleum Storage Tank Trust Fund;
and 3) that the owner/operator has 60 days to demonstrate compliance with the Utah
Underground Storage Tank Act and rules. Utah Code Ann. $ lg-6-414(t).
If the owner/operator does not resolve compliance problems within 60 days from the
date the notice is received, the Executive Secretary shall send written notice to the
owner/operator that the Certificate of Compliance is revoked and that the
owner/operator is no longer eligible for payment of costs from the Petroleum
Storage Tank Trusr Fund. Utah Code Ann. $ 19-6-414 (2).
6.
7.
8.
9.
10.
u.
t2.
13.
t4.
Pursuant to Utah Code Ann. S 19-6416(l), a person may not deliver petroleum to,
place petroleum in, or accept petroleum for placement in a petroleum storage tank
that is not identified as having a Cenificate of Compliance. The Executive Secretary
may assess a civil penalty of up to $500.00 per occurrence to any person who
delivers or accepts delivery of petroleum to a petroleum storage tank that is not
identified as having a Certificate of Compliance. Utah Code Ann. $ 19-6-416(2).
STATEMENT OF FACTS
The Executive Secretary issued via certified mail, a Notice of Intent to Revoke
Certificate of Compliance ("Notice"), dated April 12, 2004, to TJSM, L.L.C.
The Notice states that the Certificates of Compliance for the underground storage
tanks at Facility ldentification No. 1000120 may be revoked because TJSM, L.L.C.,
has failed to do the following for all four tanks, two of which are dual
compartmented underground storage tanks, at the Facility:
a. Submit a copy of a current precision line tightness test for the product lines
associated with all six tanks and compartments.
b. Submit a copy of a current annual test for proper operation of the automatic
line leak detectors on the pressurized product lines associated with all six
tanks and compartments.
c. The inspection indicated the Veeder Root TLS-300 Automatic Tank Gauging
system was in operable at the time of the inspection, and that monthly
records were not kept. Submit evidence that proper Automatic Tank Gauging
release detection is being performed on all six tanks and compartments by:
i. Submitting copies of the Tank kak Test History Reports for the last
12 months showing valid kak Tests for all months during that
period.
ii. Submitting copies of the Alarm History Reports for each underground
storage tank or compartment for the last l2 months.
iii. Submitting copies of the entire Setup Report for an audit of the
programming.
iv. Documenting the Automatic Tank Gauging system has been repaired
or replaced to allow proper monitoring on a monthly basis
The Notice required documentation demonstrating compliance within sixty (60) days
of its receipt. The Notice also indicated that TJSM, L.L.C. was violaring the
eligibility requirements lbr participation in the Petroleum Storage Tank Fund.
15.
16.
17.
18.
The return receipt on file with the DERR indicates that TJSM, L.L.C. received the
Notice on April 14,2W.
TJSM, LLC, failed to demonstrate compliance with the Utah Underground Storage
Tank Act and regulations by June 13, 20[/., (60 days of receipt of the Notice) for the
underground storage tanks located at the Facility.
ORDER
On the grounds and for the reasons summarized herein, and pursuant to the authority of
Utah Code Ann. $$ l9-6-4M and 414 and other authorities cited above, TJSM, L.L.C. is hereby
ordered as follows:
2l Based on TJSM, L.L.C.'s, failure to comply with the Utah Underground Storage
Tank Act and regulations for the tanks located at The Junction Shell Mapleton, 790
North 1600 West, Mapleton, Utah, the Certificates of Compliance for the
underground storage tanks at Facility No. 1000120 are hereby revoked.
22 Because the Certificates of Compliance for the underground storage tanks at Facility
No. 1000120 are revoked, TJSM, LLC, is no longer eligible for payment of costs
from the Petroleum Storage Tank Trust Fund for the investigation and remediation
of petroleum releases from the tanks at Facility No. 1000120.
23 Additionally, pursuant to Utah Code Ann. S 19-6-416, TJSM, L.L.C. is prohibited
from accepting petroleum deliveries to the underground storage tanks located at
Facility No. 1000120.
The Executive Secretary reserves the right to issue additional orders to require the
owner/operator to bring the underground storage tanks into compliance with the Utah Underground
Storage Tank Act and regulations, notwithstanding the issuance of this Order and regardless of
whether or not a judicial or administrative review of this Order is pending. The Executive
Secretary also reserves the right to pursue penalties as provided by statute.
NOTICE OF RIGHT TO CONTEST
Pursuant to Utah Admin Code R3l l-2lD-4, this Order may be conrested by filing a Request
for Agency Action within thirty (30) days of the date this Order is issued. If this Order is contested,
an adjudicative proceeding will be conducted formally under the Utah Administrative Procedures
Act, Utah Code Ann. S 6346b-0.5 et seq., and by the DERR's rules for adjudicative proceedings,
Utah Admin. Code R3l l-210 et seq. The Request for Agency Action should indicate the name and
number of the matter provided on the first page of this Order, and state the facts, reasons, and legal
authority that form the basis for contesting the Order. Any defenses to each claim assened in this
Order should be stated in short and plain terms, admitting or denying each assertion set forth herein.
If there is a lack of sufficient knowledge or information to form a basis for admitting or denying the
assertion, such lack of knowledge or information should be indicated where applicable, having the
effect of a denial. If, in good faith, an assertion is qualified, or if only a portion of an assertion is
denied, the portion of the assertion that is true and material should be specified and the remainder
should be qualified or denied.
19.
20.
The Request for Agency Action must be filed with the Executive Director of the
Department of Environmental Quality. If mailed, the Request for Agency Action must be sent to:
Dianne Nielsen, Executive Director, Department of Environmental Quality, Office of the Executive
Director, P.O. Box 144810, Salt Lake City, Utah 841144810. If hand-delivered, the Request for
Agency Action must be delivered to the street address of the Executive Director of the Department
of Environmental Quality at 168 North 1950 West, l" Floor, Salt Lake City, Utah. If this Order is
not contested as described above, the facts specified herein will be deemed true and not subject to
contest in future administrative or judicial proceedings, and any right to proceed with an
administrative or judicial appeal will be forfeited.
Dated tt i. I \Uday of August, 2rxo4.
Biad T Johnson, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
CERTIFICATE OF MAILING
I HEREBY CERTIFY that I mailed ?, true and correct copy of the foregoing Order
Revoking Certificate of Compliance on ttre IlUa day of August, 2004, by regular U.S. mail and
by U.S. Certified Mail, Return Receipt Requested to:
J. Sandy Jorgensen
TJSM, L.L.C.
790 North 1600 West
Mapleton, Utah 84664
Heidi Sue Pitkin, Office Technician II
. Registered Principal Search ,^Page I of 2
Ltgg-lsl-r-E
ffi Refli*tered Principal Se*rch
More lnformation
Business lnformation
Name of Entity:
Entity Type:
Entity Number:
Registration Date:
State of Origin:
Address
TJSM,L.L.C.
Limited Liability Company
2068164-0160
07/30/1 999
UT
935 E SOUTH UNION AVE SUITE D-102, Midvale UT 84047
Status:
Status Description:
This Status Date:
Last Renewed:
License Type:
Delinquent Date:
Registered Agent
Expired
Failure to File Renewal
12110t2003
0713012002
LLC - Domestic
a713012003
Registered Agent:
Address Line 1:
Address Line 2:
City:
State:
Zip Gode:
Additional lnformation
J THOMAS BOWEN
935 E SOUTH UNION AVE
SUITE D.102
Midvale
UT
8/,047
Additional Principals:
NAICS Code:
NAICS TIIIe:
With this
N
9999
9999-Nonclassif iable Establishment
ll you would like to receive information on the principal individuals asso
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information.
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City State
Manager J SANDY JORGENSEN 2155 E 1 10 N CIR
Manager JODYJORGENSEN
Manager SCOTTJORGENSEN
Flegistered Agent J THOMAS BOWEN
96 S MAIN ST
96 S MAIN ST
935 E SOUTH UNION AVE SUITE D.102
ST GEORGE
ALPINE
ALPINE
Midvale
UT
UT
UT
UT
Additional Principals on lile at the Division of Corporalions: No
Business lnformation
TJSM,L.L.C.
Limited Liability Company
20681 64-01 60
07/30/1 999
UT
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I Complete items 1 3. Also complete
item 4 it Restricteo uelivery is desired.! Print your name and address on the reverse
so that we can return the card to you.f Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
i; 1.1{ DY -iC)RC t i'Js : i':
I,]SM L-'-
73tl lj 16!rt W
l\lA:i-i-'rr,tf'l I,r-r !.,/\; :.t
E Agent
ls delhery addr4 different lrom item 1? E Yes
if YES, enter delivery address below: E tto
4. Restricted Delivery? Grtra Fee)E Yes
3. Se^rvice Type
IEP*ririeo u"it Et Express Mait
E Registered E Return Receiptlor Merchandise
E lnsured Mail E C.O.D.
ot
2. Artlcle Number
(rransterrromservicetabet) -IOOO lb-|O OOl3 6lSS '561\
( Printed Name)
PS Form 3811 , August 2001 Domestic Return Receiptul4ll|./g> looor2o 2ACPRI-03-Z-098s
Unmo Sreres Potr^,. Senvrce
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name, address, andZlP+4 in this box .
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OZ1000t# q {1111cug
Uta", UST rogram
Release Detection I
tr Emergency generator tanks only; leak detection deferred.
tr USTs temporarily closed and empty; leak detection not required.
tr USTs temporarily closed, locked and secured.
"o""."rs Laql ]f T/vr>T tClZf C>-
,\
Checklist
Location of Tanks E srate use
Contact 5a 1^{v uDfrttt€€r.a* pSens
if tank is siphoned or compartmented. Show related tanks.
lf not in use, qive date last used and depth of product in tank.
Material of construction of
Type of Spill Prevention device. Note on form if tank is filled by transfers
of less than 25 oallons. lf so. no soill orevention is
containment bucket is clean. drv. and free of oroduct. watel
Type of Overfill Prevention device. Note on form if tank is filled by
25 qallons. lf so. no overfill orevention is
lf an overfill alarm is the primary overfill device: Alarm is located where it
can be seen and heard, and alarm is clearlv marked.
Corrosion Protection method used on tanks
Corrosion Protection method used on flex connectors, swinq ioints, etc.
Show the reeults of the mogt
The results of the last two cAihodic prolection teslg are available (within six
months of installation
Tank Tester Date ll J I 2 ,lC, L
Flex Connectors/ Swing Joints At tank
Tester Date
For lmpressed Current Systems: The results of the last three equipment
checks are available (required every 60
(North {t )
{
\D\i\
Distribution: White. DEFIR, Yellow- lnspector, Pink- Facitity/Owner LdcheckoTo3.doc
Uta.--tlST Program
Automatic Tank Gauqinq lnterstitial Monitori
TANK LEAK DETECTION
Method used for tanks: [Xl Automatic T Shutdown [^d(l Continuous lnterstitial
TvDe of Secondarv Containmeit used: e{dn ?Tvpe of lM documentation used: f1/O-- Q-
Manufacturer, name and modet of .r.t"r, U4 \L9-7OO Documentation of performance claims
the svstem is available.
(third party certification) forr?;) No
Circle Yes or No lor each question. ln the last column, explain and identifv bv tank anv exceDtions to the answers qiven in the-Ii-rst column.
6d ,,Records on site document that the system is properly installed, calibrated,
and maintained (svstem and tank setup reports, maintenance records).ves @
ffdm Device documentation is available on site (owner's manual, etc.)fLy' n"
A'TreI IM_l--t-
ATG console or other equipment used to take readings and perform tests is
adequate. accessible. and oDerational.ves /t5
C?0 rrr,r
Documentation of valid testing or monitoring is available for the last 12
months. Show results in table below. ^Yes G
Af6 GlThe probe is located at the
center of the tank.
lf not in center, show tilt
factors from the setuD reoort.
#4#3f2#1Tilt:No
B The tank was filled to at least the minimum level required to ensure a valid
leak test, and the tank size is within the allowed upper and lower size limits Yes No sc
Minimum Level'. J )
IM System is capable of detecting a release of regulated substances from any
portion of the primarv tank/pipinq within one month of release Yes No
IM lf observation wells are part of the system, wells are clearly marked and
secured to avoid unauthorized access and tamoerino.Yes No nla
IM
(Bladder or
excavation
liner)
Secondary barrier is properly placed and constructed, designed for
groundwater considerations, has an acceptable permeation rate, is
compatible with the substance stored, is non-corrodible, is always above
groundwater, and is not in the 25-yr flood plain (per site assessment).
Yes No nla
Show resulls of monitoring for each tank for the last 12 months" lndicate Pass, Fail, lnvalid, or No Results for each month. For ATG tests, show the
hlohest oroduct level tested for each month.
Mol/r
#
#llAv -Q-.r\A <-l ++
#
#
PIPING LEAK DETECTION
lvtethod(s) Used (Automatic line leak detector and one other method are
t0( Auiomatic Line Leak Detector tfy/tine Tightness Testing t[ -] Statistical lnventory Reconciliation [ -'] Vapor Monitoring t
required for Pressurized Piping):
I lnterstitial Monitoring t
I Groundwater Monitoring I
I .2 GPH Monthly Testing
lOther
Safe Suction Piping: Documentation is available and veritiable to show that piping operates at less than atmospheric pressure, has only one check
valve (under pump), and has proper slope of pipinq. Yes No
Line Tiohtness Testinq. Line Leak Detector T
ol last line tiqhtness test are available: Y N
Tester name and cert. number: UT Test Method:
Automatic Line Leak Detectors: lndicate type, manufacturer, and model for
each leak detector M- Mechanical E- Electronic S- Sump Sensor
Besults of last leak detector performance test are available: Y N Results
Tesler name and cert. number: UT Test Method:
Show results of monitoring lor piping for the last 12 months. Indicate Pass, Fail, lnvalid, or No Results for each month.
CC"'MENTS
Distribulion: White- DERR. Yellow-lnspeclor, Pink- Faciliiy/Owner
q/s stto
Faclllty lD:1000120
Faclllty Name: THE JUNCTION- MAPLETON
Stre€tAddress: 790 N 1600 W
MAPLETON UT 84664 MAPLETON UT 84664
o*n"rcontaar scorr.lonoenseN afrg ?56 'O22'{ o*n*pr,on", (taoii+ae-ioot \ e!-
UTM CoordlnateS /149,121.98 4,442,948.35 Manual TiseflSoriua.€ Ptacor€,rt ln LD compliance: NO ln Operation Compliance: YES
Underground Storage Tank lnspection Verification Form
Owner Name: TJSM LLC
Owner Address: 790 NORTH 1600 WEST
Last lnspection Date:
Comments:
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modificationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
SpilUOverlill Description
Tank C P MeULast TesUResult:
Last Line CP TesUResult:
Tank Release Detection:
Last ffT/Method/Passed? :
SIR Vendor
ATG Vendor/Model
Min. Vol./Max. Cap.:
Max. Monthly Thruput:
Pipe Release Deteclion:
Date ALDT/Type/Passed?
Date LTT/Method/ Passed?
PSTFund: Yes Other:
511412003
Currently in Use Manifold: No
7110t1997 8,000
Galvanic cdhodic Prot€ctioa (sTlP3)
Non6
Fiberglass R6inlorc6d Pla3tic
Non6
Booted Steel Flex
Pressurize Perm RD by: 7l1OlNO7
Gas/Diesel Co 5k high sulphur Diesel an
5 gal. Spill Brcke Ball lloat valve
Yes 1Ol2Ol2OO2 -1.2r
ATG
712011997 Homer EZY lll Yes
Veeder Root TLS-350
50-30%system 30K
Shutdown Test
ALD LTT
1O|2U2OO1 Mechanical Yes
1O|2U2OO1 Yes
No OtherType:
5q 0Ve4a
Tank lD/Alt lD:
Tank Status:
Date I nstallecuoapacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modilicationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
Spill/Overlill Description
Tank C P MeULast TesUResult:
Last Line CP TesUResult:
Tank Release Detection:
Last TfT/Methorl/Passed?:
SIR Vendor
ATG Vendor/Model
Min. Vol"/Max. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDT/Type/Passed?
Date LTT/Method/ Pass6d?
PSTFund: Yes other:
9 I E-Gen: No
Currently In Use Manifold: No
71111998 12,000
Gatvanic Carhodic Pror€ction (ST|P3)
Non6
Flexible Pladic
OouUe-walled
Booted Steel Flex
Pressurize Perm RD by: 6/30/200t
Gasoline 9k Plus and 3k Prer
5 gal. Spill Bucke Ball float valve
Yes 1Ol2Ol2@2 -1.18v
ATG
71811998 Horner EZY lll Yes
Veeder Root TLS-350
50-30% system 3OK
Shutdown Test
ALD LTT
1Ol28l2OO1 Mechanical Yes
1O(2A20O1 Yes
No OheiType:
Tank lD/Alt lD: 8 8 E-Gen: No
Tank Status: Currently ln Use Manifold: No
Date lnstallecUoapacity: 71111998 12,000
Tank Matefial: Gatvanic Carhodic prorecrioa (STtpg)
Tank Modifications: None
Pipe Material: Flexibla Plastic
Pipe Modificationsl: ooubla-walled
Pipe Flex Connectors: Booted Steel Flex
Pipe Type: Pressurize Perm RD by: 6/30/2008
Substance Stored: Gasoline Unleaded
SpilUOverfill Description 5 gal. Spill Bucke Ball float valve
Tank C P MeULast TesUResult: Yes 1Ol2Ol2OO2 -r.2sv
Last Line CP TesUResult:
Tank Release Deteclion: ATG
LastftT/Method/Passed?: 7/8/1998 HomerEZylil yes
SIR Vendor
ATG Vendor/Model Veeder Root TLS-3SO
Min. Vol./Max. Cap.: 50-30o/o system 3OK
Max. Monthly Thruput: Shutdown Test
Pipe Release Detection: ALD LTT
Date ALDT/Type/Passed? 1Ol2Al2OO1 Mechanicat yes
Date LTT/Methocl/ Passed? 1Ol2Al2OO1 yes
PSTFund: Yes Other: No OtheiType:
Tank lD/Alt lD:
Tank Status:
Date lnstalled/Capacity:
Tank Material:
Tank Modifications:
Pipe Material:
Pipe Modificationsl:
Pipe Flex Connectors:
Pipe Type:
Substance Stored:
SpilUOverlill Description
Tank C P MeULast TesUResult:
Last Line CP TesUResult:
Tank Release Detection:
Last TtT/Method/Passed?:
SIR Vendor
ATG Vendor/Model
Min. VolJMax. Cap.:
Max. Monthly Thruput:
Pipe Release Detection:
Date ALDT/Type/Passed?
Date LTT/Method/ Passed?
PSTFund: Yes Other:
10 10 E-Gen: No
Currently ln Use Manifold: No
7l1t1998 12,000
Galvanic Cathodic Protacrion (ST|P3)
llone
Flerible Aaslic
Doubl6-Walled
Booted Steel Flex
Pressurize Perm RD by: 6/30/200€
Diesel Low sulphur diesel
5 gal. Spill Bucke Ball float valve
Yes 1Ol2Ol2OO2 .1.20v
ATG
71811998 Horner EZY lil Yes
Veeder Root TLS-350
50-30o/o system 30K
Shutdown Test
ALD LTT
1O(2U2OO1 Mechanical Yes
1Ol28l2OO1 Yes
Wednesday, August 20, 2003 Page 1 ol 1
OtherType:
-^
a
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West
P.O. Box 1,14840
Salt Lake City, Utah 84114-4840
[phone]
[phone] Fax
(801) 536-,t414 T.D.D.
www.deq.utah.gov
Michael O. kavitt
Govemor
Dianne R. Nielson, Ph.D.
Executive Director
Brad T Johnson
Dirt.tor
Date: October 24.2fi)3
From: William Moore
To: SandyJorgensen
TJSM LLC
790 North 1600 West
Mapleton, Utah 84664
Re: Non-compliance of underground storage tanks at The Junction - Mapleton, 790 North 1600
West, Mapleton, Utah. Facility ldentification No. 1000120
The Utah Underground Storage Tank Act (ACT) provides that the Executive Secretary (UST) may
revoke a Certificate of Compliance, if it is determined, that a facility is not in substantial compliance
with all state and federal UST statutes, rules, and regulations.
At the request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation @ERR) performed a compliance review for the underground storage tanks (USTs) at
the above facility. The inspection on May 14, 2003, and a compliance review performed on October
24,2003, indicates you have still not satisfied the requirements of the Act and are out of compliance.
To achieve compliance, you must do the following:
l. The inspection documented you are using a Veeder Root TLS Automatic Tank Gaugrng
(ATG) System to monitor the Tank portion of the USTs. However, the following problems
have been documented in your use of this system:
a. The inspection failed to document the last 12 months of Valid I-eak Tests. Submit copies
of one Valid I-eak Test per Tank per month for every month since fune 2002, to present,
as previously requested in the June I L,2N3, memo.
b. Documenting that the ATG system is properly installed and functioning, by submitting a
copy of the full Setup Report from the ATG system, and a copy of all the Alarm History
Reports.
The above information must be submitted to this office by November 24. 2003. If it is not received
by the date specified, we Luillcommence the revocation process of vour Certificate of
Compliance. Continued non-compliance will result in the fees on your Certified USTs to be
increased from $100 per tank to $300 per tank and failure to pay the additional fee can result
in lapsing of your UST Certificate of Compliance. In addition, if you fait to submit the
required documentation as requested, you will be charged $70/hour for time and travel, as
allowed by statute, for every follow up inspection necessary to document compliance. If you
1
October 24,2003
have questions conceming this matter or need any assistance, please contact William Moore at (801)
536-4106.
Michacl O. l-cavitt
6ovcmor
Dianne R. Nielson. Ph.D.
Erccutive Dirtator
Brad T Johnson
Dircctor
tltaht
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 Wcst
P.O. Box 1,14840
Salt lake City. Utah 84114'48,10
(80r ) 536-4100
(801 ) 359-EE53 Fax
(80r) 536-4414T.D.D.
www.deq.utah.gov
June I l, 2003
SAITDY JORGENSEN
TJSM I,LC
?90 NORTH 15OO WEST
III.APLETON UT 84664
Re: Non-compliance of underground storage tanks (USTs) at The Junction- Mapleton, 790 North 1600
West, Mapleton, Utah; facility tD #1000120.
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke
a Certificate of Compliance if it is determined that a facility is not in substantial compliance with all state
and federal UST statutes, rules and regulations.
At rhe request of the Executive Secretary (UST), the Division of Environmental Response and
Remediation (DERR) performed a compliance review for the underground storage tanks at the above
facility. The compliance review, performed on May 14, 2003, indicates you have not satisfied the
requirlments of the Act and are out of compliance. To achieve compliance you must do the following:
l. Submir evidence that proper Automatic Tank Gauging (ATG) is performed on USTs #7 (8,m0 gallon
Diesel/High Octane Gas compartmented), #8 ( 12.000 gallon Unleaded), #9 ( 12,000 gallon Plus and
Premium compartmented), and #10 (8,000 gallon Diesel) by:
a. Documenting that the ATG system performs a leak test at least once a month. The inspection
report indicates that no monthly ATG leak test results were available. Please submit copies of
valid ATG leak tests for all tanks for the months of June 2002 to June 2003.
b. Documenting that the ATG system is properly installed, calibrated, and maintained. Please
submit a copy of the system and tank setup report for the Veeder Root TLS-350 ATG.
c. Documenting that the owner's manual for the Veeder Root TLS-350 ATG is on site and available
for inspection and for use on site as needed.
Please submit the requested information to this office by July 15, 2003. lf it is not received by this date,
we will commence the process to revoke the Certificate of Compliance for the facility. If you have any
questions concerning this matter or need any assistance, please contact me at (801) 5364103.
Sincerely,
frryt
GMy Astin
Underground Storage Tank Section
Utah UST Program
Release Detection lnspection Checklist
Complete for each tank. lf facillty has more than 4 tanks, complete information for addltional tahks on edarate form.
Number of tanks at facility:
Capacity of tank (in gallons)
Tank is in use (Y) or, if not in use, give date last used
lf not in use, depth of product in tank (in inches)
,Anawerfrre lollowing lor all tanks. Nots anyoxceplions ln lhe last column.
Current year tank tags are in place
Material of conslruction of tanks
Material of construction of piping
than 25 oallons. lf so. no soill orevention is reouired.
less than 25 qallons. lf so, no overfill prevention is
an overfill alarm is the primary overfill device: Alarm is
it can be seen and heard. and alarm is
Corrosion Protection. Answer the following for all tanks. Note any exccptlons in the last column.
Method used on flex connectors
Enclosed containment sumps at tanks (subpump) and dispensers
lndicate dates of upgrades- lining, tank or piping cathodic protection.
Cathodic Protectlon Testlng. Show test results for each tank, line, or flex clnnector.
results of the last two cathodic protection tesls are available (within
6 months of installation and every 3
Flex Connectors sub pump
For impressed current system: The results of the last three equipment
Pase / of
- /</'
of Owner or Owner's ReDresentative
Dislribution: White-DEFlR, Yellow-lnspector, Pink-Facility/Owner
Method used for tanks:Lrt II
Manufacturer. name and model number ol J - System 3d partv cert. available yes No
Yes or No for each Euestaon, ln the la3t column. exolain and
Records on site document that the system is properly installed, calibrated, and
and tank setuo reDorts. maintenance
Device documentation is available on-site
Equipment used to acquire data, take readings, pertorm test is adequate, accessible and
functional. lnclude ATG console. diostick. etc.
Documentalion of valid testing or monitoring is available for the last 12 months. Show
The probe is located at the center of the tank, or, if not in the center, show the tilt factor
for each tank from the tank
Center Tilt Fac(ors: #1 f2 f3 #4
The tank was filled to at least the minimum level required by the manufacturer's
protocol to ensure a valid leak test, and the tank size is within the allowed
Secondary barrier is properly placed and constructed, designed for groundwater
iderations, has an acceptable permeation rate, is compatible with the substance
is non-corrodible. and is not in
lnventory readings for product inputs and withdrawals are properly obtained and
Records include the proper number of water readings, and water readings are used to
An appropriate tank calibration chart is used and is available for review.
ation stickers or proper calibration
and extend to within one foot of
Show results of monitoring for each tank for the last 12 months, lndicate Pass, Fail, No Results, lnvalid (ATG) or lnconclusive (SlR). For tanks
using ATG, indicate tor each tank the lowest product level ,or any ATG leak test done on that tank for the last 12 months. Show this level in the
Tank and Line Tlghtness Tesling LlnB Loek Detoctor Testlng:
Date of last tiqhtness test for pipi
Name and certification number of tester: StlW (-tOf
,@51+ rest Method:
Automatic Line Leak Detectors. lndicate type and model'number for each leak detector
Mechanical- M, Eleclronic- E, Sump Sensor S rt(, 345
Safe Suction piping: Documentation is available and show that piping operates at less than atmospheric pressure,
Utah UST Program
Tank and Piping Leak Detection
Distribution: White-DERR, Yellow-lnspector, pink-Facility/Owner
wpd rev0902
Yffil'tl"
\i t]Ii JLr\ /,
C'ix.rrtr/- ' y.tl
*to *8 1nemH&[' ri*,-Y'
tJ \.j s P,'.,^ir , f,tfkk
Dfu;tk ',il, (6*,I-0; 01
ok+-m-.t.lk
piping and dispenser islands. lndicaie the produc{ in each tank; sho r locations of tank cor€rs and identify each- Sub pump, ATG
-?
S.--D
I
j
/
|b'f-t.> S "-J'(Shoiv locations of all buildings, streets, tanks,
EiA.g
i
UNDERGROUND STORAGE TANK PROGRAM
Adjustment Tracking Form
AC # /^oa(za
ACILITY NAME: l1re ?'uc;{iq. t bl"*
)WNER NAME:
FOR:Refund Delete/Waive
\rldtz $ 4.2+ i,ieusFa!, e) a,- Ot o3 Cz- ivrts(uQ,Za {a* iv.(..
b h*.- rbcal. {rt t,J^>L z^rrtz,lL Shus a halatn 1.,a J ,l zu-
v
I rrJJ^ ,lz <Lr^,,l) i , )
I
$(s
RE-BILL?Yes / No' )
BY: 2Xa DArE: trlu/or-
APPROVEO EYflG(L
@
Michaeto. Lcavitt I
Governor I
Dianne R. Nielson. Ph.D. I
Executive Dirccrtr I
Kent P. Gray I
oirecror
I
lltah{^
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and Remediation
168 North 1950 West
P.O. Box 144840
Salt lake City. tltah 84114-4840[33iii33:1133,,- fil r(E0l)536-4414r.D.D. I ILL
www.deq.utah.gov
ERRU-190-02
December 23,2OO2
Scott Jorgensen
TJSM. L.L.C.
790 North 1600 West
Mapleton, Utah 846()4
Re: Facility ldentification No. 10000120
The Junction Mapleton, located ar 790 North 16fi) West, Mapleton, Urah
Petroleum Storage Tank Fund Reinstatement Determination
Dear Mr. Jorgensen:
Your facility ceased participation in the Petroleum Storage Tank Trusr (PST) Fund on
Septernber 1,2fi)1, due to a lapse for non-payment of fees. The Division of Environmental Response and
Renrcdiation (DERR) received your request for readmission to the PST Fund on November 9,2(nl. The
Executive Secretary has established that your facility currently meets the requirements for reinstatentent.r
Therefore, you may be eligible lbr reirnbursement from the PST Fund of costs for abatemenr,
investigation, and remediation resulting from a release of petroleum from covered tanks at this facility. This
coverage is effective for a release that occurs after the date of this letter. Coverage may again terminate by
your request, for non-payment of fees, revocation of your Certificatc of Compliance, termination of the pST
Fund, other causes defincd in Statute or Rule or as determined by the Executive Secretary.
lf you have any questions regarding this deterrnination. please contacr Randy Taylor, the pST Funcl
Scction Manager. at (801) 53641(rl.
C8F Y
Sincerely,
Kent P. Gray,ve ary (UST)
Utah Solid and Hazardous aste Control Board
rcnq@vn.n
cc: Joseph K. Miner, M.D., M.S.P.H.. Director, utah County Health Department
It-lrah Code Ann., Secrions l9-6-42E(1). (a) and (b).
UST CERTIFICATE
COMPLIANCE
LOCATION OF TANKS:
THE JUNCTION. MAPLETON
790 N 1600W
MAPLETON UT 84664
Foclllty lD: 1000120
TJSM LLC
790 NORTH 1600 WEST
MAPLETON UT 84664
Tank # Capacity Substance Compliance Financial Assurance Mech.
V6s
Yes
Yog
Yes
l0
7
8
9
12000
8000
12000
12000
Dles€l
Gaa/Dlesel Compartmented,
Gasollne
Garollne
PST Fund
PST Fund
PST Fund
PST Fund
Thls cerlificole will oulomoticolly lopse il ony of lhe required lees ore not pold.
It moy olso be revoked lor fqilure lo comply with slcrle ond lederol UST
regulolions. Possession of lhis certificole does not signity coveroge under the
Uloh PST Fund. cleonup requiremenls moy be obtolned from the Division of
Envlronmenlol Response ond Remedlolion.
UTAH DEPARTMENT OF ENVIRONMENTAL QUALITY
Dec 12 02 O4:14p JorgensenScott
:-
( 8g{t 7s6 -4?8o P.3
p1,c, ,try'' QtZ^
r-oodba: f- l? F rt ttat
//tt ar 7fu 2--
LEerI -l'2*.
Tcsd A$odaly frotdcd Lb:
6/nr Gilrr* F ', ' -
EIIOBIYIO
lO.Ec5l36,
?rgvotlrf 11605
h. rt-rldrlt
tul0l-:rr&lr,
9anLnr-j/r
. ftnuora
Cathodic Protection Test
Fon
TaodOHlcrUhotdodTob:
Fax
Fen t<Ot-1-
Scott JorgensenDec LA OA O4:13p (801 ) ?56-4?80 p.1
4Xl So. Main. Atpina.
Ph: (80l)7s6{22{ F
OEC I ZUn
Fronr
Paga,:
Phono:1\O t -htol - \L-OLRq (qftf,ill L;(
fl Urgurt E ForRcylrw tr Plolrocorrrlront E Ploes Roply EI Plcero Rocyrcle
o Gommant*
lofu-l r
1o rr 1 if [\ *s {*t/<A \^n<- % Lo^r3 'T- L*f
'TLleqe - \,)p- A.c-r.^n\\ Hq\ {,"Ve LYr)Ag BTAe-\€s[-q
'Bq./- ii Ocr &2. B*f f cot Lb"t\
tPPt *Tr\< /\A*?kro^r €eE.-.-If,
fl,rD {eVe fo3zr,t zFD @ 4>>1
N\ r,.) *1 , tlere-
D+ Jo'^-- I\"tF
A nl rr-\,,,j <-L*e-
) C,^ k(L- Tt\r,tt/S *Ja.i I
.. Lr-r Nte 6ru'J \C da ilee)
Fl*b vn{
(, & fco.^t)*(t
!"nfC 5r"$trs<^/
t
T
C<.,rnplete items 1,2, and 3. Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits. l -
1. Article Addressed to:
SCOTT JORGENSEN
TJSM LLC
790 N 1600 w
MAPLETOI{ UT 846o'l
D. ls delivery addresqFifferent from item 1? E Yes
lf YES, enter delivery address below: E ruo
E Yes
3. . Sqrvice Type
fibertified Mail E Express Mail
E Registered E Return Receipt for Merchandise
E lnsured Mail E C.O.D.
4. Restricted Delivery? (Extra Fee)
2. A,i.q Number ) 1530 0]J)12> l\o5a
( . .er from
A. Received by (Please Print Clearly)
PS Form 3811, March 2001 Domestic Return Beceipt
hA
'102595-01-M-1424
Ururreo SrRres Posrm SenvrcE First-Class Mai
Postage & FeC\-rrid
USPS
Permit No. G-10ilil
' Sender: Please print your name, address, and ZIP+4 in this box '
L!S"T SECTIOi..I
iJDETtr/DERR
PO BOX 144840
-c/rLT r-AKE CIT'/ UI 84114-484C
,l,l L'/
/\
lltaht
Where ideas connect
Department of Environmental Quality
Division of Environmental Response and Remediation
\
Michael O. [.eavitt
Govcrnor
Dianne R. Nielson. Ph.D.
Executive Dirtctor
Kent P. Gray
Dircctor
168 North 1950 West
P.O. Bor I'l4M)
Salt lakc City, Utah 841l4-4840
(80r) s364r00
(801 ) 359-E853 Fax
(801) 536-,t4l4T.D.D.
www.deq.utah.gov FtLt coPy
October 1,200.2
ERRU-l5l-02
CERTIFIED MAIL
RETURN RECEIPT REOUESTED
Scott Jorgensen
TJSM, L.L.C.
790 North 16fi) West
Mapleton, Utah 8466,4
Re: Request for Petroleum lnventory Records
The Junction-Mapletorr. located at 790 North 1600 West, Mapleton, tJtah
Facility ldentification No. 1000 I 20
Dear Mr. Jorgensen:
Pursuant to Utah Administrative Code R3ll-202 Subparr C, Section 280.34 and SubpartD.
Section 280.45, you are hcreby requested to subrnit to the Division of Environnrental Response and
Remediation (DERR) a copy of your petroleum delivery and inventory records for the above-referenced
facility, for the time frame of Septerrrber l, 2001 to September 30,2O02.
Please submit tltis inlbrnration and include a copy of this letter within 30 days of your receipt of
this notice for the DERR compliance review records.
Thank you lbr your prompt attention to this matter. lf you have any questions. please contact
Gary Astin at (80 I ) 536-4 I03.
Sincerely,
D"* r,-k./6
Kent P. Gray, Executive Secretary (tlST)
Utah Solid and Hazardous Waste Control Board
KPG/GKA/hsp
cc: Joseph K.Director, Utah County Health Department
Mr. Gary Astin
Department of Environmental Quality
-Division of Environmental Response and Remediation
P.O. Box 144840
_Salt Lake City, Utah 841144840
Re: Compliance Soil Sampling for Utah Underground Storage Tank Program
-Subject Facility: The Junction
Dear Mr. Astin:
800 North H\ /Y 89
Mapleton, Utah
Facility lD #1000120
D'VIS//ON OF WESTEC'] FUEL EOU'PMENT
195 WEST 39OO SOIJTH , PO, BOX 57307 , SALT UKE CITY UTAH A157.0307
[phone] , T1LL FREE t-8A43-8831 , 24 HOUR FAX (80t)261'4054
i 7 ?!]0?
IjEQ
rri'rrriJti!I:rtili f e;0onse t Reme0iailon
ln behalf of our client Mr. Scott Jorgensen of The Junction, Westech Environmental is submitting this
letter to document the results of eleven soil samples. The samples were collected on July 30, 2002 and
-were representative of the soil conditions at or near the dispensers, tanks and product piping.
_Soil samples were collected by a Utah certified groundwater and soil sampler (GS1214). Soil samples
were collected at the dispensers at 5' and around the tanks at a depth of 14'. The samples were
obtained using a direct push soil probe. All of the core sample liners were screened with an OVA prior to
_sampling. Samples were placed in clean glass jars, tightly sealed and immediately chilled to 4 degrees
Celsius for transport to the analyzing laboratory. Sample jars were provided by the laboratory and new
rubber gloves were donned prior to the collection of each sample. Samples were either in the
-possession of the sampler or locked in a secure place from the time of sample collection until delivery to
the laboratory. Chain of custody documentation was completed with signatures of those involved in the
handling of the samples.
The soil samples were analyzedfor methyl t-butyl ether, benzene, toluene, ethylbenzene, xylenes and
naphthalene (MBTEXN) and total petroleum hydrocarbons (TPH) by method 82608 and 80158. Diesel
Jange organics were also run with this analysis. Analytical services were provided by American West
Analytical Laboratories located in Salt Lake City, a laboratory state certified for performing such
analyses.
The soil samples were placed as close to the piping/dispensers and the tankhole that was possible. All
headspace screenings from the core samples were non-detect with the exception of location #1 and#2.
-The 2'6' soil core had a slight petroleum odor and a OVA reading of 2598 ppm. Location #2 also had a
reading at the 2'6' interval at 69.0 ppm. Groundwater was not encountered in any of the borings.
{aboratory soil results collected from the soil probe borings are tabulated in Table 1 below.
STfrMING FOR A SAFE ENVNONMENT
#Ei-
uNpERGRouNp sTona TANK pERMANENT cLoSURE Norr^'fRevised o1/01/e7) I 0UO t ZO
; itl1 lrf I 1000120
Closure Notice PrePared al the request of the owner/operator (identified below) by CI{ARLES HJORTTI
of (company name) C.H.SERVICES, INC.Phone#601 ) 49'l-6025
Address 1 320 WEqq_g!9_NqBII{City MAPLHTON State UT Zip 84664
TACILITY INFORMATION
i ank owner q44LIE-!q9BrH Phone#[phone]
I sole prcprietorship [>( partnership [ ] corporation
Address 790 NORTH 1 600 WEST City MAPLETOI{State UT Zip 84664
State Use
te Processe d ;- l3'
te Mailed to LHD
Samples in LUST File #
ples to LUST Review
UST Status
Facility Name GIARLTE'S cct{\tENrm[CE sroRE L'c
rictdress 790 NqB TI_l !0q__WEqs
,.lntact perscn CIARLIE HJORTH Phone #
'lumber of regulated tanks at the facility before closure: I
r.lumber of regulated tanks at the facility after closurel. 4
ciIy-UAEEI9N ;-StateJ[-- Zip 84664
(801 ) 489-7061
i"ANKS CLOSED
Tank #
Substance stored
Date last operated
Date closed
How closed
Removed/ln place) I Renroved
' tndicate the specific substance stored in each tank to be closed (regular, unleaded, diesel, waste oil, etc.)
r.i{ii i:ie.[rlLr\/ii] Name _ Chrarles Hiorth Cert. # TR 0077 Exp. date- 7-1-99
)Illrl:lrl\1 ,- H Services, Inc.Phone#( 801 ) 491-6025
,,,.ldress '1.J20 West 800 North City Mapleton State ur Zip 84664
Steve Lyons Cert. # GS0559 Exp. date 10-1-2000
Jompany-- B99BY-R]$E Phone#( 801)798-1868
State UT Zip 84605
Date lnstalled
Gasoline
Add res r,_3_-O- Box_-24L__City Payson
alasuHE tNeoRMATION
[X] Fuelwas emptied p{1StuO
Tank was: [<] Purged [ ] lnerted. Method Used:
l-ocation of Closure Records 790 lbrth 1600 West MAPLHIOI{, UTAH 84664
\-
ge wa s removed [ ] Tank was cleaned.
DISPOSAL SITES USED:
Location Name Contact Name Phone #Date Amount
Tank(s)Dwerls()rl tvleLair
Salvage Jay 798-3548 3-24-9t Tank #r ) 7,t r-rr
Product From Tank(s)PUMPE Ilmo CIIHm.TAIVKS O[[ S :IE gal
Oontaminated Water From Tank Cleaning VJE/Src
Ctaiq
Ctrrist6nsen u-59ffi151 )-24-g9 B0 gal
>iudge VJE/Src
Craiqflrist6nsen 01-595-81s',l 3-2b99 n gal
Contaminated Water From Excavation None gal
Contaminated Soil None yd3
For ln-Place Closure: tanks filled with
For Change-ln-Service: Substance to be stored
ls any contaminated soil which was over-excavated still on-site? _ Yes _ No X Not applicable
Was Free Product encountered during closure activities? No lf yes, please indicate tfrickrie'si;--_ :_lnches
SITE ASSESSMENT
Complete the Facility Site Plat (Closure Notice)tand Sample lnformation Table (Closure Notice) on pages 3 and 4 to show the
locations, depths, and other information on all spi/groundwater samples taken for closure. The samples must be consistently
identified by sample tO * 91t[e-gjg"plat, table, and lab analysis report.
I y] Completed Facitity Site PJat'(0{psure Notice) is attached.
The following rnust be included (enter the distance, and direction (N,S,E,W) from the area of contamination or, where applicable,
,{
use OH for overhead, NP for not iresent):
-Waler
Line
-seweir
Line 'Natural Gas
-
Slorm Drain Telephone
-
Electrical
-
Property Line
-
Buildings
Compleled Spmple.lnforrhation Taple (Closure Notice) is attached.
Certified lhb analytical enlironmentalsample results are attached.
Unified $pil Classi{;oatioa(USC) sample results are attached.
Chain of Custody form is attached.t
Samplcs vrere properl5,: [ >$€ollpcted tX] Labeled IX] Packaged IX]Transported
Sarnples"wereln Stghl bf 'tfro'persoA in custody at all times or in a secured locked place.
! cedify under penalty of larv that the clcsure site assessrnent at this facffi was'conducted in accordance wiih R311-
;:02 (narts 28A.52 and 280.72) and R311-205 U.A.C., and that any additionalsamples required by R311-202 parts 280.52
:.nd 2-8A.72 and R31 1-205-2(a)(1 ) were properly collected.
Signature of Certified Groundwater/Soil Sampler
Full nanre of Certified Sampler Steve Lyons Date
ii conlamination at the facility is confirmed, any person providing remedial assistance for a fee must be a Certified UST
r-)cttsqltelt The Cerlrlied UST Consultant providing assistance is:
ri'C till flEP -rlST CONSU LTANT f.lame Cert. # CC Exp. date
L)ompany
,\rid re s s
Phone # (
i{
:'!if
rd
City State_ Zip
\t '.-:..AClLlTy SITE pLA
l he sitc ijlat nrust be dra\yn-to an approprialiTentilied scale. lt ntust .iil *tuors*i'plili l,5,,l.,i,o,,,,, sutlstar rccs sroreo in tanks, andother relevant information. Tank and sample identilication nuntbers must bc colrsistenr,,vith trri irric,rrrration'giverr ori i:. t ano 4 ol theciosure notrc,-.
Charles Hjorth
tHr
'[f
"r,roft Ir-l
\-
S'
\
$\(\trN{
+.-? 5l ts-..--=
,U[
ac
x
\;1
's-s
d$-a
t)
Substance
stored in
tank.
lllLab lD
.#1lT_36537-1
.#2/136537-2
"#3/L36537-3
.s.#4/L365374
s.#sn36s37-s Gmlire
Cornpr.lutt<.lsr
lPH &'BTD(N
t^I .! !.ll
I
- 8fi5:r'dijfia & EpA 8246
State Cerlified Laboratory usecJ, American West Analytical Iab
i\cdress_4.63 West 3600 South city src-
-.- Srirre-ur _ Zip 84115
Contact pur.on l Steve Phorrr: i, i-aurljb.801 1 263-8686
i){eas': explain any unusual or extenuating circumstances encountered during thc' sitb ilsscssritertt or closure:
fa .e+'{f *+-+ .4qq s - sq='€-:-+----r+ r *- !- -- -rt-'4=----:::i-++--r=-.L:.--r ^-- ---*-.--kr,:-r =!a#+
._- - ... _.__.--:-.---_.._... -_-- --- -i+
I certify under penalty of law that I am the owner of the tarrk(s) ciescriLrccj al.rovu irrrd that I ani f;.rrniliar with theinformation on this form and that it is true, accurate and conrplcte lrrrcl ltrnircr, ttrar ilrc t;roceciur.ts clc.scribed herein
'.vere follor,r,eC during tank closure.
Signature of UST Ovrncr
Fdll nanre of Owher --_ Ctrarles L. Hjoltlr ._-_...? ....- D;rtc _*W_Ug
icsulis, USC sample results, and Chain of Custody form withirrg0 c.lays oi t.t5;'!'Ctosurt: i,:,:
State oi Utah Oept. of 'Environmentaleualitv
Division of Envir<inmental Response ana Rrimediation UST sectiorl i
f .O. Box 114840 ' . - Ll68 l.Jorlh 1950 Wesl
Salt Like City, Utalr 84114-4840
4
A
Clienr: C.!. Services, Incorporated
Conracr: Charles Hjorth
,\ i rtir.\NAnalysis Requested:
.r F.ST V olatlle ArOmatlcs
. ...\.:.\ 116n1-Total Purgeable Hydrocarbons
i6:i \VL,st 360() South
:;.rlt [.,rke Citr', Utah
8a115 Compound.
Methyl-t-Buryl Ether
Benzene
Toluene
[phone] -
ll Frcc {'888) 263'8686
1,.,:. ri()r i :r.,:-sosz Ethylbenzene
Total Xylene
Naphthalene
Total Purgeable Hydrocarbons
Relexed By:
Repon Date: March 29,1999 lofl
:i'ili \l()RIESLab
Samote ID:
fT6Yl/-rtGfod Blank
Analytical Results MBTXN/TPH-P
ORGAMC ANALYSIS REPORT
Date Analyzed {arch 28, 1999
Method Ref.Nrrmber:
sw'ry,r678r6i f/5(B0A
(Purge & Trap }C/MS)
Amount
Detected:
Reggrtjng
Llmlt:
0.002
0.001
0.002
0.002
0.002
0.004
0.020
< 0.002
<0.001
<0.002
<0.002
<0.002
<0.004
<0.020
ORGAMC ANALYSIS REPORT
Qontact: Charles Hjonh
Date Analyzed: Ma'rch 28, lggg
^4,,Clienr: C.H. Services. Incomorated
Date Sampled: March'24. L999
Date Recdived: March 24, l99g.\NIi:littAN
rvrstAnalysis Requested:
,.NAt \.t't(_'AL V Otattle ArOmatlCS
,i9[(,\ | arntesTotal Purgeable Hydrocarbons
Field Sample ID:
SS #I NECORNEROFTANKEX@ II'
CHARLIES C.STORE/ID # IOOO I2O
Method Ref.Number:
(hrrge & Trap GC/MS)
Lab Sample ID:
.,,,St -jt:L)ll litluth
'irlt ! .,rke ( ril. Litah
s.t115
Compound:
Methyl-t-Buryl Ether
Benzene
rrl0l) tir3-ii6ti6 .
,,, ,,.* irrri tffiffi Toluene
Fax [phone]
Ethylbenzene
Reporting
Lrmlt:
0.0063
0.0032
0.0063
0.0063
0.0063
0.013
0.063
Amount
Detecred:
<0.0063
<0.0032
<0.0063
<0.0063
<0.0063
<0.013
<0.063
Total Xylene
Naphthalene
Total Purgeable Hydrocarbons
% Moisture 0.t%7.07o
+ Al[ compounds are reported on a dry weight basis.
Repon Date: March Zg, tggg lofl
ORGAMC ANALYSIS REPORT
Clienr: C.H. Services. Incomorated
Dare Sampled: March 24. 1999
Date Recdived: March 24, 1999
r\N4i:lilCAN
\,\' ES-t Analysis Requested :
.,\Nn LyTtCAl Volstlle ArOmatlCs
\. rror{AToR16g Total Purgeable Hydrocarbons
,.i l(-it1 i :;.)Llt11
ri..r i rir, Utah
84115
Contact: Charles Hjorth
Date Analyzed: March 28, lggg
Method Ref.Number:ffiA
(Purge & Trap GC/MS)
Repgrtlng
Lmlt:Amount
Detected:
0.0061
0.0031
0.0061
0.0061
0.0061
0.013
0.061
Field Sample tD:
ss #2 Nw coRNER OF TANK EX @ 14'
CHARLIES C.STORBID CIOOOI20
444y!ical Results MBTXN/TPH-P
{lir)l ) _r,3-S(186
ii,il Free (uti8) 263-8686
Fax (S01) 263-8687
Compound:
Methyl-t-Buryl Ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
Total Purgeable Hydrocarbons
<0.0061
<0.0031
<0.0061
<0.0061
<0.0061
<0.01.3
<0.061
L,ab Sample ID:
% Moisrure 0.1%5.07o
* All compounds are reponed on a dry weight basis.
Report Dare: March 29, Lggg lofl
.r-' r I :ltrr ildd.csstr. I'rrvilc6cs trf subsequont usc ol the nam€ of this comFany ot anv memb€. of its st.1ff, or rep.oduction of this .epo.t in connection
. i r:rr l'(dnct or lrtoces$, o. in c(rnnectiorr with th( re-publi(itio[ of this .cport for any pu.pof other than fo; thc iddressee q.rll b" gralted only otrl l . ," r'rrl lor thc dLr('ltc(hrmanct of insPection and '{rr.lnilv6is in good laith and according kr th. .ules o, the t.nde and of sriorrri,
ORGAMC AI\ALYSIS REPORT
Clienr: C.H. Services. Incoroorated
Date Sampled: March'24. 1999
Date Received: March 24, 1999.\.\lr ill( '.\
,i i,-; t Analysis Requested:
i )..1,\I \"1't6AL_ V Olatlle ArOmatlCs
tJori.\ t'ontEgTotal Purgeable Hydrocarbons
Qontact: Charles Hjorth
Date Analyzed: March 28, lggg
Method Ref.Number:ffiA
(Purge & Trap GC/MS)
Field Sample ID:
CI{ARLIES C.STORE/ID # IOOOI2O
ss 13 swcoRNEROFTANKEX@ 14.
Compound:
Methyl-r-Buryl Ether
Benzene
{Si ll r tr''i-66t0 -
,,,,,,,, innn, r;ilffi Toluene
t:ax [phone]' Ethylbenzene
Total Xylene
Naphthalene
Total purgeable Hydrocarbons
0.006
0.003
0.006
0.006
0.006
0.012
0.061
Amount
Detected:
<0.006
<0.003
<0.006
<0.006
<0.006
<0.012
<0.061
Lab Samole ID:
Analytical Results
nlts =
Repgrtrng
Llmlt:
% Moisnrre 0.lVo 8.0Vo
* All compounds are reponed on a dry weight basis.
Report Dare: March 29,lggg lofl
ORGAMC ANALYSIS REPORT
Client: (i.H. Services, IncorDorated
Dare Sampled: March'24. t99ig
Dare lleciived: March 24, l99g.\:,ii i(i( \l\.
l\' I]ST Analysis Reouested:
\N.\t.\ l'l(ln L volatlle Aromatics
, r io li,\.t() t( t5g Toral Purgeable Hydrocarbons
Qontact: Charles Hjorth
Date Analyzed: Maich Zg,lggg
lv[ethod Ref.Number:ffiA
(Purge & Trap GC/MS)
Field Sample ID:
SS #4 SE CORNER OF TANK EX @ IC'
CHARLIES C.STORE/ID #IOOO I2O
lab Sample ID:
E4115
',.rlr.'.)!-:iirS('
, iii.:irr; :ir.i-fi68Lr
l i5(il) l6i-6(r87
Results
Compound:
Methyl-t-Buryl Ether
Benzene
Toluene
Ethylbenzene
Toral Xylene
Naphthalene
Toral Purgeable Hydrocarbons
Repgrtlng
Lrmlt:
*o
0.0030
0.0060
0.0060
0.0060
0.012
0.060
MBTXN/TPH.P
Amount
Detected:
<0.0060
<0.0030
<0.0060
<0.0060
<0.0060
<0.012
<0.060
% Moisrure 0.Lvo 6.07o
i All compounds are reported on a dry weight basis.
Repon Date: March 29,lg9g lofl
-)
Clienr: C.H. Services, Incorporated
Dare Sampled: March'24. l9g9
Date Recdived: March 24, L99g.\\t: .r: .\.\'
,\'ES'I Analysis Reouested:
\NA. r.\"l tcAL vOlatlle Aromatics
i jolr..'\ I ( )r( rEs Total Purgeable Hydrocarbons
ORGAMC ANALYSIS REPORT
Contact: Charles Hjorth
Date Analyzed: Maich 29. t9g9
Method Ref.Number:ffiA
(Purge & Trap GC/MS)
F'ield Sample ID:
ss #5 PRODUCT LINES @ 7,
CHARLIES C.STORE/ID #IOOOI20
Analvtical Results MBTXN/TPH-P,t 't , "','rl
,1i.,. ,. .i\. Utith
,.j4115
Compound:
Methyl-r-Buryl Erher
Benzene
(5{11 ) -o3-86ti6 ^
',, ,,,*.iorrii;ti ffi; Toluene
i:,'. (8i)1 ) .l1r.i $o 7
Ethylbenzene
Toral Xylene
Naphthalene
Total purgeable Hydrocarbons
Repgrtrng
Llmtt:
*,
0.0034
0.0067
0.0067
0.0067
0.014
0.067
Amount
Detecred:
<0.0067
<0.0034
<0.0067
<0.0067
0.0069
<0.014
<0.067
Lab Samole ID:
% Moisture 0.lVo 12.9o
i All compounds are reported on a dry weight basis.
Released By:
Repon Dare: March 29,lggg lofl
SOIL ANALYSIS REPORT
\\li.ti11 ..11 Clienr: C.H.Services. lncorporated Contact: Charles Hjorth
iyt.s't- Dare siunpled: March 24,1999 Date Received: March 24, 1999
\Nz\ry'r rCA; Lab Sample ID: L36537 Received By: Rebekah Richardson
ti()li.\ t'oRl}ls
,\nilysis Requested: Method Ref. Number:
Linified Soil Classification D2488-84, X4.2
Analytical Results
.I ,' rr.rst ili'L lt) Sorr th
iii ,-rikc t rt1', Lltah
r;(il ; -1,3,-61,56
,ii i:rt't (ritiS) 263-8686
lrax (.901) 263-8687
sa1l5 Lab Sample ID.: Field Sample ID.:
Li6-<37-l
L36s37-5
Charlies C-Store/ID # 1000 120
SS #2 NW Corner Of Tank EX @ 14' (SP)
Charlies C-Store/[D # 1000 120
SS #5 Product Lines @ 7'
Repon Darc3129199
Classification:
Poorly Graded Sand
Silty Sand (SM)
lofl
Rereased or,-,l'iLr4ll
Laboratory Supervisor
USC Masrer
ot
IG
t
Soiids S i.tgTXN/TpH-p Purge & Trap MBTAXN/TPH
24-f,L\R-99 21 -MAR--99 pA 02-ApR-99
Expii'es ioz -epn- gs purge
24-MAR-99 24-MAR-99 PA O2-ApR-99
axpires:0?-ApR-99 purge
I Concain
!,35-<3?-5 SS *S 9RODUCT L1NES 6, ?,Sha:e s.tmcie uich USC.
.Solicig S MSTXN/TPH.P Purge .T Trao MBTEXN/TPHSoiics S USC Uniform Soil. Classi.ficaEion I Concain
IN CHAIN OF CUSTODY REPOR? (InOII
Mar 24 1999, 03:00 pm
Login Numberr L36S3?
Account: CHS100 C.H. Seruices, IncorporaEed
Si'.e : CIIARLIES C-STORE/ID SlOOOl2O
ConEact: CltarLes Hjor:h
-nbi-!isrot:y C! ienL cijlicci-'" neil iiii,: ' iiue '
................gat3.... .. . psee pR oaLe.-)irnr,:t*,Nt:nJoer S4gplelfumba,l.g .M6ehod:De6cfipEi6n
L3c5i?-l SS X!. NE CORNER OF TANK EX O 14, 24-MAR-99 24-l!tAR-99 pA O2-.{pR-99sol'ds s i"lB'lKiI/TPli-P Purge .& Trap MB?EXN/TPH Expires:0?-ApR-99 purge r conEain
L1553?-2 ss {2 N}l CORNER OF TANK EX Q 14, 24-MAR-99 24_MAR_99 pA O2-.\pR-99Sh.rle samo.le *irh iISC.
Solirls S i4gTxli/?pii-? purge.r Trap MBTEXN/TPH axpires:0?-ApR-99 purge ! Concain*(ol:Cs S JSC Uniform Soil ClassificaEj.on
:,l6sl?--1 SS II.1 .SN CORNER OF TANK EX O i4'2{-MAR-99 24-MAR-99 PA b2-APi-99Expires:07-ApR-99 purge ! co:lEarn
SoLics S vgT:()l/TpH-p Purge r: Trap MBTEXN/TPH
i,36517-.:SS S4 SE CORNER OF TANK 3X O 14,
O
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rn propor mndition fq transport. Thc materiab dsaclrb€d on thb manilcst ars not subied to lsdsal h8zardflg wasla regulalonS.
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Printod/typod Nmo Sbnatur.Month Day':Year:I | :' ,i,
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F l4 Printed by Labolmastor, An Arnorican Lsbolmrk Co., Chi:tgo, lL 60646 (8@) 021-5800 @*mrw;*r0.mn
'" ' iTy*:td.*ili, i,l!
SERVICE ORDER
Date:3-79-qg
l,iiif ;d;,":: l,ati\, j rr,i r". ri; . .;l'"6 1r,+;, ..t , '
,
VJE/STC
I 155 North 500 West
I ' Salt Lake CitY, Utsh 84116, r1sot1s9s-81s1 (801) sg5-atlz rax
.:
BOIJ]VIAMFEST:
1[ij[r i-
7)o r{o, /M ll
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The Ufis) fisted belowwas cleaned in accordance witr 40 CFR, Section 28Q and all applicable state and local
codes I j
]nre sumpseparato($ listed below was cleaned in accordance with all apptcable feder4 state and local codes
The fuel hnk listed below had bottom water removed.
A.
B.
C.
D.
Descrlpflon
I 6-rau iNL
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Gallons
bA
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rine: dUrl4ll1
All material is processed according to applicable feder{ state and local regulations pertaining to reurilizatioq recyclingdisposal. l
Sump & Trap Cleanlng
SLC County SWMF PermftNo.: 199
POT\il Discharge Permft No.: _XQ!QZ-
Utah UOHPNo.| UOR-0047
UDOTNo.: 654891 2'rrAmxo.@
cnstomer: fl, // *r ^
Generator:
Address:
City/State/Zip:
Phone No.:
Contact:
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The Junc{ion - Mapleton
Facility lD# 1000120
lf you have any questions or comments relating to this information, please contact Tom Jones at
[phone].
Respectfully submitted,
ft,,r/ lL
Thomas S. Jones
Environmental
GS1214
Attachments
Drawing A - Site Map / Boring Locations
Cc: Scott Jorgensen - The Junction
i Gl-_-t
il
I
-l
x
5
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Client Westech Fuel EqriPment
Collected: July 30, 2002
Receive& JuIy30,2002
Anabnis Requested: TPH bY SW8015B
Lab Sarrple ID: L51740-018
Field Sample ID: SS-l @ 5'
Site ID: The Junction - tvlapleton/ 169683
Contacf TomJones
Analfd August 13,2402
Extracted: July 31, 2002
(80 r ) 263-8686
-ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Units: mg/kgdry
Final DhrionFactor: I
Compound
Surr: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon @RO)
7o Moisture:
Reporting Analytical
Limit Result
lG97 20.4Vo
Peggy McNicol
QA Officer
The MS & MSD for this batch werc performed on this sample. Outliers were observed and attributed to
matrix. The LCS exhibited method control.
Rereasedor, t43 W
Laboratory Supervisor Repon Date:August 13,2002
Page I of22
on @ntect Thi! company accopE no t6ponibility cxcaB for thc due perlUmarm ot in$€clii andror anatyCr in good ,ai[r anO atcorting O tha rtei of lhe t*t. ana A *cncc.
ll
63
Client Westech Fuel Eryiprment
Collecad: July 30,2002
Receive& July 30,2002
Analysis Reqrcs'ted: TPH by SW8015B
Lab Sample [D: LSl740-028
Field Sample tD: SS-2 @ 5'
Site [D: The Junction - lvlapleton I 169683
Contact TomJones
Analfd August 13,20[12
Extracted: July 31,2002
1
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
(80 r ) 263-8686
tll Free [phone]
Fax [phone]
e-mail : [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Units = mg/kg{ry
FinalDilrrionFac'tor I
Compound
Sun: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture:
Reporting
Umil Result
lG97 44.4o/o
<20
August 13,2002
t4
Rereased by, .q / <7.-9r\
Laboratory Supervisor Rcport Date:
Pagc 2 of22
AMERICAN
WEST
AI\ALYTTCAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Client Westech Fuel Eqripment
Collected: July 30, 2002
Received July 30,2002
Analysis Requested TPH by SW80I5B
Lab Sample [D: L51740-038
Field Sample tD: SS-3 @ 5'
Site [D: The Junction - Mapleton / 169683
Contact TomJones
Anallzee August L3,2N2
Extacted: July 31,2002
(80 I ) 263-8686trll Free [phone]
Fax [phone]
c -mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Offrcer
Units= mg/kgdry
Final Dilution Factor: I
Compound
Sun: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture:
Reporting Analytical
Umil Result
lG97 37.9 o/o
<20
August 13,2002
t2
Rereased ot, n4,? 7.A <
Laboratory Supervisor Repon Date:
Pagc 3 of22
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Client Westech Fuel Equipnnent
Collected: July 30, 2002
Receivod July 30,2002
Analy'sis Requested TPH by SW8015B
Lab Sample tD: LSI740-0/.B
Field Sample tD: SS-3 @ 14'
Site ID: The Jtrnction - Mapleton/ 169683
Contact Tom Jones
Anallzed August 13,2002
Extacted: July 31,2002
(80 r ) 263-8686
-rll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
l,aboratory Director
Peggy McNicol
QA Officer
Units= mg&g{ry
Final Dilution Fac'tor I
Compound
Sun: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture: 6.6
Reporting Analyticat
Limit R€sult
lG97 41.0 o/o
<20
August 13, 2002
20
Releasedar, *-Q?.'A
Laboratory Supervisor Repon Date:
Prge4 of22
AMERICAN
WEST
- ANALYTICAL
LABORATORIES
Client Weste& Rrcl Eryipment
Collected: July 30, 2002
Receivo& July 30,2002
Anatysis neqrrestea TPH by SW80[5B
Lab Sample ID: L51740-05B
Field Sample ID: SS-4 @ 5'
Site ID: The Junction - lvlapleton/ 169683
Contact TomJones
Anallzed August L3,2002
Extracted: July 31, 2002
- 463 West 3600 South
Salt Lake City, Utah
841l5
(80 r ) 263-8686
lHl Free [phone]
Fax [phone]'l
e-mail : [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Units= mg/kgdry
FinalDlutionFac'tor 1
Comoound
Surr: 4-Bromofl uorobenzene
Total Penoleum Hydrocarbon (DRO)
Reporting
Limit
lG97
20
7o Moisture: 3.9
Analyticat
Resdt
49.9 o/o
<20
Rereased ot, VoZ-Oa,-
Laboratory SuPervisor RePon Datc:August 13,2002
Page 5 of 22
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841r5
Clienr WestechFuel Equipment
Collected: July 30, 2002
Received: July 30,2002
Analysis Reqesed TPH by SW80I5B
Lab Sample [D: L51740-06B
Field Sample ID: SS-4 @ 14'
Site [D: The Junction - Mapleton I 169683
Contact TomJones
Analyzed: August 13,2N2
Extracted: July 31, 2002
Units= mg/kg{ry
Final Dilution Facton I
Compound
Surr: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture: 8.1
Reporting Analytical
Limit Result
[phone]
e.rll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Oflicer
lG97
20
46.3 Vo
<20
Rereased by, A/Po'\
Laboratory Supervisor Repott Date:August 13,2002
Page 6 of22
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Clienk Westech Fuel Equipment
Collected: July 30, 2002
Received July 30,2002
Analpis nequested TPH by SW8015B
Lab Sample ID: L51740-078
Field Sample ID: SS.5 @ 14'
Site ID: The Junction - lvlapleton I 169683
Contact TomJones
Analfe August 13,2002
Extracted: July 31,2002
(80 r ) 263-8686
rell Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Units = mg/kgdry
Final DluionFacton I
Compound
Surr: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture: 6.1
Reporting Analytical
Umit R€sult
lG97 42.3 Vo
<2020
Peggy McNicol
QA Officer
Report Date:August 13,2002
Page 7 of22
on contact Ihir company acceptr m Glpo.lliuliv cxc€et fo. tha du. parlkmarcc d ime.ction andra anay*r in jooO farur ina aLcortin O tp ruha ol hc trxh anO of ragrca
Laboratory Supervisor
ORGANIC ANALYSIS REPORT
AMERICAN
WEST
ANALYTICAL
LABORATORIES
Client WestechFuel Equipnnent
Collected: July 30, 2002
Received: July 30,2002
Analpis Requested TPH by SW80I5B
Lab Sample ID: L51740-088
Field Sample ID: 55-6 @ 14'
Site tD: The Junction - lvlapleton I 169683
Contact TomJones
Amlyzed August L3,2002
Extracted: July 31, 2002
- 463 West 3600 South
Salt Lake City, Utah
841l5
(80 I ) 263-8686
T-'tl Free [phone]
Fax [phone]
e-mail : [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Units = mg/kg{ry
Final Dilution Factor I
Compound
Surr: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
Reporting
Limit
lG97
20
7o Moisture: 4.6
Analytical
Rffi{t
37.0 o/o
<20
August 13,2002
Pagc 8 of22
Released ay: a )OA'P:,
Laboratory Supenirisor Repon Date:
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Cliemt Westech Fuel Equipment
Collected: July 30, 2002
Received July 30,2002
tuialysis Reqrcsted TPH by SW80[5B
Lab Sample ID: L51740-09B
Field Sample ID: SS-7 @ 5'
Site ID: The Junction - Mapleton I 169683
Contact TomJones
Anal),zee August 6,2N2
Extacted: July 31,2002
Units= mg&g{ry
Final Dilution Facton I
Compound
Surr: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture:
Reporting Axalytical
Limit Result
7.9
(80 I ) 263-8686
all Free [phone]
Fax [phone]
c-mail : [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
lG97
20
42.0 o/o
<20
Rcpon Datc:August 13,2002
Pagc 9 of22
Laboratory Supervisor
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Client Westech Fuel Eryipment
Collected: July 30, 2002
Received: July 30,2002
Analpis R€questee TPH by SW80[5B
Lab Sample ID: L51740-10B
Field Sample ID: SS-8 @ 14'
Site [D: The Junction - Mapleton / 169683
Contace TomJones
Aralyzed: Augrrst 6,2N2
Extacted: July 31,2002
(80 r ) 263-8686
-ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Units = mg/kg{ry
Final Dilution Facton I
Comoound
Surr: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture: 5.4
Reporting Analytical
Limit Result
lG97 44.1o/o
<2020
Rereased ay, _q/14=: or., -
Laboratory Supervisor Repon Date:August 13,2002
Pagc t0 of22
\
ORGA}.[C ANALYSIS REPORT
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Client WestechFuel Equipment
Collected: July 30, 2002
Received Ju1y30,2002
Analysis Requested TPH by SW80I5B
Lab Sample ID: L51740-l lB
Field Sample ID: SS-9 @ 14'
Site ID: The Jrmction - Mapleton / 169683
Contacf TomJones
Analyzed: Augrrst 6,2002
Extracted: July 31, 2002
Unis= mgikgdry
Final DilutionFacor I
Compound
Surr: 4-Bromofl uorobenzene
Total Petroleum Hydrocarbon (DRO)
7o Moisture:. 4.4
Reporting Analytical
Limit Resrilt
(80 r ) 263-8686'-ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
_ Laboratory Director
Peggy McNicol
QA Officer
tG.g'.l
20
27.7 o/o
<20
Rereasedav, 18i7.%t
Laboratory Supervisor Repon Date:
Page tl of22
August 13,2002
ORGAI{IC ANALYSIS REPORT
-
AMERT.AN
WEST
ANALYTICAL
LABORATORIES
Client Westech Fuel Equipmeirt
Collected: Iuly 30, 2002
Received: July 30,2002
tuialpis Requested SW8260B/5030A
Lab Sample ID: L51740-0lA
Field Sample tD: SS-l @ 5t
Site tD: The Jtrnction - Mapleon I 169683
Contact TomJones
Analfe August 7,2002
- 463 West 3600 South
Salt Lake City, Utah
841l5
(80 I ) 263-8686
'-ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
_ Laboratory Director
Peggy McNicol
QA Offrcer
Units= mg&gdry
Final Dilution Factor 50
Compound
Surr: 1,2-Dichloroethane-d4
Surr: 4-Bromofl uorobenzene
Surr: Dibromofl uoromethane
Surr: Toluene-d8
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Xylene. Total
Naphthalene
TPH C5 to ClO (CRO)
Reporting
Limit
65-134
7Gt34
8G120
8+t 15
0.10
0.050
0.10
0.10
0.10
0.10
1.0
7o Moisture:
Analytical
Result
90.8 Yo
92.1Vo
97.4 Yo
105 Yo
< 0.10
< 0.050
0.15
0.56
33
0.70
ll0
t6
ReleasedOtr%
Laboratory Supervisor Repon Date:August 13.2002
Pa,ge 12 of22
on contact rhis companv accep0r m r€sponsibiliv €xc.pt for thc duc p.rtbrmncc of imp..rio.i anaman4rirlndod 15i61 j,,til[f6idf,,ifr ,irU I n" ma. anrt d ccbno.
Client Westech Fuel Equipment
Collected: July 30, 2002
Received: July 30,2002
Analysis Requeste& SW8260B/5030A
Contacfi Tom Jones
Analped: August 7,2N2AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
(80 r ) 263-8686rrll Free [phone]
Fax [phone]
u'-mail : [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
7o Moisture: 14
Analyticat
Reslt
106 o/o
99.3 o/o
E5.9 Vo
103 Yo
< 0.0048
< 0.0024
< 0.0048
<0.fix8
<0.(n48
<0.fix8
< 0.048
Lab Sarrple [D: L51740-02A
Field Sample ID: SS-2 @ 5'
Site tD: The Junction - tvlapleton/ 159683
Analytical Results 8260-S-MBTEXN/GRO
Units= mg&gdry
Final Dilution Facton 2.4
Compound
Sun: 1,2-Dichloroethaned4
Sur: 4-Bromofl uorobenzene
Sun: Dibromofl uoromethane
Surr: Toluene-d8
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH C5 to ClO (CRO)
Reporting
Limit
65-134
7Gt34
80-r20
8+l 15
0.004E
o.0024
0.0048
0.0048
0.0048
0.0(X8
0.048
Releaseduv, _fu7.1*
Laboratory Supervisor Repon Date:August 13,2002
Page 13 of22
1
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841 l5
Client Westech Fr:el Eqripment
Collected: July 30, 2002
Received: July 30,2002
Analysis Reqested SW8260B/5030A
Lab Sample [D: L51740-03A
Field Sample ID: SS-3 @ 5'
Site ID: The Junction - Mapleton I L69683
Contact TomJones
Anal@: August 7,2N2
[phone]
-'lll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Units= mgnqgiry
Final Dilution Facton 2.38
Comoound
Sun: 1,2-Dichloroethane-d4
Surr: 4-Bromo{luorobenzene
Surr: Dibromofl uoromethane
Surr: Toluene-d8
Methyl tert-bur-vl ether
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH C5 to ClO (CRO)
Reporting
Limit
65-134
7Gr34
8G120
8rt-l l5
0.0048
0.0024
0.0048
0.0048
0.0048
0.0048
0.048
7o Moisture:
Analytical
Result
107 o/o
96.EVo
100 %
102 o/o
< 0.0048
< 0.0024
<0.fih8
<0.fix8
<0.0(x8
< 0.0048
< 0.048
12
Rereasedav, @
Laboratory Supervisor Repon Date:August 13,2002
Page t4 of22
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841t5
Client Westech Fuel Equipment
Collected: Jr.rly 30, 2002
Received: July 30,2002
Analysis Requested SW8260B/5030A
Lab Sample ID: L51740-04A
Field Sample tD: SS-3 @ 14'
Site ID: The Junction - Mapleton / 169683
Analytical Results
Contact TomJones
Analyzed: August 7,2N2
826O.S.MBTEXN/GRO
(80r) 263-8686
T-''ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Units = mg/kg{ry
Final Dilution Facton 2.58
Comoound
Surr: 1,2-Dichloroethane-d4
Surr: 4-Bromofl uorobenzene
Surr: Dibromofl uoromethane
Sun: Toluene-d8
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH C5 to ClO (CRO)
7o Moisture: 6.6
Analytical
Result
106 o/o
96.9 o/o
100 %
103 Vo
< 0.0052
< 0.0026
< 0.0052
< 0.0052
< 0.0052
< 0.0052
< 0.052
Reporting
Limit
65-134
7G134
8G120
84-l l5
0.0052
0.0026
0.0052
0.0052
0.0052
0.0052
0.0s2
Released vy q '2:7-l?,+.--
Laboratory Supervisor Repon Date:August 13,2002
Page 15 of22
AMERICAN
WEST
ANALYTICAL
LABORATORIES
Client West€ch Fttcl Eqripment
Collected: July 30, 2002
Received: July 30,2002
turalpis Requeste& SW8260B/5030A
Lab Sample ID: L51740-05A
Field Sample ID: SS-4 @ 5'
Site tD: The Junction - Mapleton / 169683
Contacc TomJones
Anallzed August L3,2N2
- 463 West 3600 South
Salt Lake City, Utah
841l5
(80 l ) 263-8686
1ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Unis= mg/kg{ry
Final Dilution Factor: 2.45
Compound
Surr: 1,2-Dichloroethane-d4
Surr: 4-Bromofl uorobenzene
Surr: Dibromofl uoromethane
Surr: Toluene-d8
Methyl tert-buryl ether
Benzene
Toluene
Ethylbenzene
Xylene. Total
Naphthalene
TPH CS o ClO (CRO)
Released by:
7o Moisture: 3.9
furalytical
Result
106 Vo
96.5Yo
54.0 o/o S
104 o/o
< 0.0049
< 0.0025
<0.fix9
< 0.0049
< 0.fi)49
< 0.0049
<0.(x9
Reporting
Umit
65-134
70-134
8G120
8+l l5
0.0049
0.0025
0.0049
0.0049
0.0049
0.0049
0.049
S - Outlying surrogate or spike recovery(ies) observed. A duplicate analysis was performed with similar
results indicating a matrix effect.
q4AZ3'*
Laboratory Supervisor Repon Date:August 13,2002.
Pagc 16 of22
AMERICAN
WEST
- ANALYTICAL
LABORATORIES
Clienf Westech Fuel Equipment
Collected: July 30, 2002
Received July 30,2002
Analpis Reqrested: SW8260B/5030A
Lab Sample ID: L51740-06A
Field Sample ID: SS-4 @ 14'
Site ID: The Junction - Mapleton I L69683
Contact Tom Jones
Amllzed August 7,2N2
- 463 West 3600 South
Salt Lake City, Utah
841t5
(80 I ) 263-8686
i'll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Units = mg/kg{ry
Final Dilution Facton 2.38
Compound
Surr: 1,2-Dichloroethane-d4
Surr: 4-Bromofl uorobenzene
Sur: Dibromofl uoromethane
Surr: Toluene-d8
Methyl ten-butyl ethcr
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPHC5 oCl0(CRO)
Released by:
7o Moisture: 8.1
Analytical
R€sult
105 Vo
96.4 Vo
99.5 o/o
103 o/o
< 0.0048
< 0.0024
< 0.0048
< 0.0048
<0.fi)48
< 0.0048
< 0.048
Reporting
Limit
65-134
'7G134
8G120
&Lt 15
0.fix8
0.0024
0.0048
0.0048
0.0048
0.0048
0.048
Repon Date:August 13,2002
Page l7 of22
-aboratory Supervisor
ORGANIC A}IALYSIS REPORT
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
ClienC West€ch Fuel Equipment
Collected: July 30, 2002
Received: July 30,2002
Analysis Requested: SW8260B/5030A
Lab Sample tD: L51740-07A
Field Sample ID: SS-5 @ 14'
Site tD: The Junction - Mapleton I 169683
Contact Tom Jones
Amlyzee August 7,2N2
(80 r ) 263-8686
T-l Free (8S8) 263-3686
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Oflicer
Units= mg&g{ry
Final Dilution Facton 2.4
Compound
Surr: 1,2-Dichloroethane-d4
Surr: 4-Bromofl uorobenzene
Surr: Dibromofl uoromethane
Surr: Toluene-d8
Methyl tert-buryl ether
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH C5 to C l0 (GRO)
Released by:
7o Moisture: 6.1
Axalytical
Result
104 Vo
97.9 Vo
98.1 o/o
105 %
< 0.0049
< 0.0024
< 0.0049
<0.fix9
<0.fiN9
< 0.0049
< o.oig
Reporting
Limit
65-134
70-134
8G120
8+r 15
0.0049
0.0024
0.0049
0.0049
0.0049
0.0049
0.049
Repon Date:August 13,2002
Page 18 of22
a
AMERICAN
WEST
ANALYTICAL
LABORATORIES
Clieirf Westech Fuel Equipment
Collected: July 30, 2002
Received: July3O,2002
Analysis Requested: SW8260B/5030A
Lab Sample [D: L51740-08A
Field Sample ID: 55.6 @ 14'
Site tD: The Jr.rnction - Mapleton I 169683
Contact TomJones
Arallred: August 7,2W2
^ 463 West 3600 South
Salt Lake City, Utah
841l5
[phone]
-:ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Cross
Laboratory Director
Peggy McNicol
QA Officer
Unib= mg&gdry
Final Dilution Factor: 2.4
Compound
Surr: t,2-Dichloroethane-d4
Surr: 4-Bromofl uorobenzene
Surr: Dibromofl uoromethane
Surr: Tolucne-tl8
Methyl ten-butyl cther
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH Cs o ClO (GRO)
7o Moisture: 4.6
Analytical
Result
106 o/o
96.8 Yo
l0l Yo
102 Yo
< 0.(n48
< 0.0024
< 0.0048
< 0.0048
<0.fix8
<0.fix8
< 0.(x8
Reporting
Umit
65-r34
70- I 34
8Gr20
84-r t5
0.0048
0.0024
0.0048
0.0048
0.0048
0.0048
0.048
Released ay, 4Vg\- -
Laboratory Supervisor Repon Date:August 13,2002
Pagc 19 of22
Clienc Westech Fuel Equipment
Collected: July 30, 2002
Received: July 30,2002
Analysis Reqested: SW8260B/5030A
Contact Tom Jones
Analfd August 7,2N2AMERICAI\
WEST
ANALYTICAL
LABORATORIES
- 463 West 3600 South
Salt Lake City, Utah
Ml 15
(80 l ) 263-8686'l-ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Oflicer
Lab Sample tD: L51740-09A
Field Sample tD: SS-7 @ 5'
Site tD: The Jmction - Mapleon I 169683
Analytical Results 8260-S-MBTEXN/GRO
Units = mg/kg-dry
Final Dlution Facton 2.39
Comoound
Surr: t,2-Dichloroethaned4
Surr: 4Bromofl uorobenzene
Surr: Dibromofl uoromethane
Sun: Toluene-d8
Methyl ten-butyl ether
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH C5 to ClO (CRO)
Reporting
Limit
65-134
7G134
80-r20
8+t l5
0.0u8
0.w24
0.0048
0.0048
0.0048
0.0048
0.0,18
7o Moisture: 7.9
Analytical
Res{t
l0t o/o
99.1Vo
l0l o/o
lO2 o/o
<0.fix8
< 0.0024
<0.fiN8
< 0.(n48
< 0.q)48
< 0.0048
< 0.048
Rereased q, n) lAf:Y+-
Laboratory Supervisor Rcpon Date:August 13,2002
Pagc2O ot22
AMERICAN
WEST
ANALYTICAL
LABORATORIES
Client Westech Frrcl Equipment
Collected: July 30, 2002
Received July 30,2002
turalysis Requested: SW8260B/5030A
Lab Sarrple ID: L51740-l0A
Field Sarnple ID: SS-8 @ 14'
Site ID: The Junction - Mapleton I 169683
Contact TomJones
Analyzed Augnst 7,2002
463 West 3600 South
Salt Lake City, Utah
841l5
(80 I ) 263-8686
-ll Free (S88) 263-8686
Fax [phone]'l
e'-mai I : [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
7o Moisture:
Axatyticat
Result
101 o/o
97.3 Vo
80.2 0
102 o/o
< 0.0048
< 0.0024
< 0.0048
<0.fix8
< 0.0048
<o.fixE
< 0.048
Units = mg/kgdry
Final Diltrion Facton 2.4
Compound
Surr: 1,2-Dichloroethane-d4
Surr: 4-Bromofl uorobenzene
Surr: Dibromofl uoromethane
Surr: Toluene-d8
Methyl terhbulyl ether
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH C5 o Clo (GRO)
5.4
Reporting
Umit
65-134
7G134
8G120
84-l l5
0.0048
0.w24
0.0048
0.0048
0.0048
0.0048
0.048
Rereased ar, 2k47gS
Laboratory Supervisor Repon Datc:August 13,2002
Pagc 2l of22
AMERICAN
WEST
ANALYTICAL
LABORATORIES
463 West 3600 South
Salt Lake City, Utah
841l5
Client Westech Fnel Eqripment
Collected: July 30, 2002
Received: July 30,2002
Analysis Requestee SW8260B/5030A
Lab Sample ID: L51740-l lA
Field Sample tD: SS-9 @ 14'
Site ID: The Jtrnction - Mapleton I 169683
Contact Tom Jones
Anal),zed Augttst 7,2N2
[phone]--ll Free [phone]
Fax [phone]
e-mail: [e-mail]
Kyle F. Gross
Laboratory Director
Peggy McNicol
QA Officer
Uni6= mg/kgdry
Final Dilution Factor 2.5
Compotrnd
Surr: 1,2-Dichloroethaned4
S urr: 4-Bromofl uorobenzene
Surr: D ibromofl uoromethane
Sun: Toluene-dE
Methyl tert-butyl ether
Benzene
Toluene
Ethylbenzene
Xylene, Total
Naphthalene
TPH C5 to ClO (CRO)
7o Moisture: 4.4
Analytical
Result
105 %
96.9 o/o
98.6 o/o
103 o/o
< 0.0050
< 0.0025
< 0.0050
< o.ooio
< 0.0050
< 0.0050
< 0.050
Reporting
Limit
65-134
7G134
8G120
&Lt r5
0.0050
0.0025
0.0050
0.0050
0.0050
0.0050
0.050
Released ar, il P-: o^.
Laboratory Supervisor Repon Date:August 13,2002
Page22 of22
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Michael O. lravitt
Covctnm
Dianne R. Nielson. Ph.l).
Ercutivc Dimru
Kcnt P. (iray
l)inrtor
Stateif l.Jtah
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
l(r8 North I 950 West
P.O. llox 144840
Salt Lakc City. tltah 841 l4-4840
(801) 536-410O Voicc
(801) .359-8853 Fnx
(80r) 536-44r4 T.t).D.
TO: SCOTT JORGENSEN
JS I4ANAGEMENT A}ID CONSULTING
4OO S MAIN
ALPTNE UT 84004
Enclosed is information regarding:
Tank Notification Form
Tank Closure Plan
Tank Closure Noticc
Certified Tank Installers
Certified Tank Removers
Certified Tank Testers
Cerrified Groundwater & Soil Samplers
State Cerrified Labs
Other:
Date: 08 /05/02
Utah UST Administrative Rules R3l I
UtAh UST ACt
EPA UST Rcgulutions 40 CFR 280
PST Fund lnformation
Rc lease/lrak ln formation
MUSTS lbr USTs
Billing lntbrmation
Leak Detection Information
,/
Message: Enclosed are currenl invoices for the underground storage tank l'ces duc for The Junction- Alpine(facility#1000012)andTheJunction-Mapleton(facility#10(n120). Belilewecilnre-issuethecertificares
of compliance lbr thcse two locations, we need to receive pilymcnt lbr thc l'ees clue, the lab analysis results
and chain ol'custtldy lbnns lbr the samples taken lbr the sitc ilssesstncnls conductecl at both facilities, and
copies tll'current cathoclic protection tests fbr the tanks ancl piping flex conncctors at Alpine and fbr the tanks
at Maplcttln. ll'thc site assessments indicate that any contanrinution is prcscnt, investigation ancUor cleanup
ol'the contamination may be required before the cerrificates ciln bc re-issued. Please give me a call if you
have arny cluestions.
Il'you have any questions. please contact me at (8Ol ) -536-4103.
Sinccrcly,
tJnclcrgrouncl Storage Tan k Section Spcctlnrcrrxr.wJxl R/5/l([t] l:.1ll,M
:..i;.4.H :EPEFTt!,lEl.,lT {'rf f:ir."-:ii:l;..;;."1,,,i:rti'l trii- {.:.;.::.,-la.'1
!ii,,,is,a.i.t iiF ENliaoN?.IEaiTr,.- iasi:;r'::J:ii _: Yi, iiai*[--Di.r.:rt, j.
i.,tiD!nGllOUNO STOH4.Gf T.iltlri Pl :ij':j:ii.iil.l
it-i\ioicE DAIt 815t2002
(FOREr lEUSEO|LYI
OATE RECEIYEO:
FAdUIY l.D. ll0.: tq)0120FISCALYEM: 2(n3mv(llcE ilo.
FEEPITATOUM 3 13155
FUi{O PTTATOUM
;.,rJ l.i tr i LOCATIOII C}F TANKS
TJSM LLC THE JUNCTIoI,I- MAPLETON
T0oNoRTH 16d)WEST 79ON 16(nW
MAPLETON UT 84664 M PLETON UT 8,0664
mtl
NUIIEER
TYPE OF
ASSESSMEilT oEscntPTpt{ oF AcoouitT AcTMrrY
NUTBERS
OFT ITIKS CIIARGES CREDITS
I 2
4 2
2 z
3 2
13 PST lund Fee
13 UST Reg Fee
)urrcnt Charoes
BESIIMONI RE.CERTIFICATION FEE
Total Currcnt Chargos
ratl Due funount
incipal Paymenl l/bnies t.ansterred l om FACtlO00012
isessmenl I "A Requa.ed by Slate ol UT on alt .eturned chec
isessmenl
isessmenl
incipal Payrnent Credit Tianster?ed From Fy:2O02 Class:UST Reg Fee
erest charoed lor overdue balance
I payrExra REccryEo aFtEe lllvolcti.o oatE aaoyE stLL Appcaa (tlt ?xE tcxT iaLNG. I
D Tol.l
D Total
4
Tol!l
4
b
b Tolrl
$00.@
$m.m
${n.(x)
$9r 9r
126.81
$5m.00
3600.m
$400 0()
$2 t2
32r4.(x
-$65 lO
.sr88 08
PAYMENT OUE BY 5:OO P.M. ON 9t412002 PAYMENT OUE: 31.10.85
NOTE: Pl..t udl. you. l.cllhy numb., oa you. chack atub to lnru.. pmp.? po.tlng to your.ccount. Aaala .aclda lnvolc. rilh p.ymnt
and lhl3 lnuolca rlll ba ?atumad to rou as yoor r.calpl ol paFEnf.
PENALTIES & INTEREST WILL BE ASSESSED ON BAL NCES PAST OUE ACCORDING TO UTAH CODE ANN. 196-{Ot ot s6q.
IF FEES ARE NOT PAID,60 DAYS AFTER OUE DATE. YOUR CERTIFICATE OF COMPLIANCE I.APSES WTHOUT FURTHER NOTICE.
PAYMENTS ARE APPLIED AS FOLLOWS: (1) P^ST DUE BALANCES (2) CURRENT BALANCE (3) PROCESS CHARGES. (4) PENALTIES (5) INTEREST
"'Fo? mora lnlo?mrllon, ?alo? to the r.ya.aa .ldc o, thla lnvolce....
PAYiIENT MUST BE RECEIVEO BY S:fl) P.Ii., IN OUR OFFICE, ON THE OUE DATE TO AVOIO PENALTIES & INTEREST.
DIRECT OUESTIONS TO: 536-t100 - Accounta Receivabte
REI'IT PAYMENT WITH INVOICE TO:
UNDERGROUND STORAGE TANK PROGRAM
Adjustment Tracking Form
FAC # loOOtZo
FACILITY NAME: The $une.(.ion-
OWNER NAME: TSS l,\ LLC
REASON FOR:Refund Delete/Waive
A<sass t 3oo v-rri[i0^il^ k. f*n f" 03.
Rr-h'.t\ 0- n? F.oc Ata- Fr, tr.un^l ,n-^1. rKF Cars.
[rr, (u o 3 C,J rarra(h ot lt^L*"$ .t or(L hr dssesg!.
'L
?bru a)r,o il-rrtir b ,"r- F, sz^,1 ,"--l- J Vn . ^r) flbt+ LaJ,F, r"l.^Lrt
U ;4{
hu..
RE-BILL?&e9 No
BY: q DArE: frl , /ul
<a\
APPRoVED BY: IIC T'^'
1l
A1
UNDERGROUND STORAGE TANK PROGRAM
Adjustment Tracking Form
FAC #
FACILIW NAME: TL-e- },'*'
OWNER NAME: T )'w\ LJ
lgqtzo
REASON FOR:Refund Delete/Waive
1 L'.s13 tcpqr<A c'c llltol ." ao( aucv4 fr1f6g 6T- -
- Cl&-V,wJ.-Wle-l+*>uz-, M
1-r.r' ;{ar.- elld n.*-[tr" -V>*S f=. i,*--"1.
}A<<e S< rtcc* - 3aa
f,
BY: \'.\ oorr, , tr/o-
APPRoveoev:$(4
Utah UST Pro$ram '
Release Detection lnspection Checklist ID
Ownership of Tanks Location of Tanks r.fx
owner Name f1^-0 - .A,r..,.."-ii-"..- /' 1 \|4-1i:.-,1-\Location Name '-t'|,-?, {i-.,,.,'*-,2^- / f V..-,-\: ea \
Address }-ir> 11r-1. t /oc=>a \ "-t . -r'
citv t{zi .nl , {^-- State . ft- zio QtV-/,-i-City l>\,2, t[s Ta.^ State UT zio 9*ilttf
I
Contact <.=--i# fru-o.,,.{'.*-Phon " 4o^<t * 'Aar,,
lqqq1lon contj.t a*.fi;* phone41..r..-7ot- t
Complete for each tank ff lacility has more than 4 tanks, complete information for additionJtanf{ on separate torm.
Number oi tanks at facility: zf Tank 1 Tank 2 Tank 3 Tank 4
Tank lnstallation Date (-- / r; s^-+
Capacity of tank (in gallons)I LLL t QLv-12-1{-._Y eu-t
Substance stored ;--Y;cz*-<(r- *- <,.*zitl /-^,-/r\;-,
Tank is in use (Y) or, if not in use, give date last used Ve-.I
lf not in use, depth of product in tank (in inches)
Answer the followlng fot all tanks. Note any exoep{ona in,thc laat columfi,
Current year tank tags are in place l',la ft
Material o{ construction of tanks 4e")SfiPs
Material of construction of piping 5rs iA D
Piping type P: c.-*a,lype ot Spill Prevention Device. Note if tank is filled by transfers of less
than 25 qallons. lf so, no spill prevention is reouired.sai\\Br.Lr.V q ,erY- S Pf'?t+,vrv\Zrrsp.ft\^4.iit- C-uJq 4&>v nl a,-At;i t - )na w-
rype or uvenilt prevenlton uevtce. Note ti tank is lilled by transfers of
less than 25 qallons. lf so. no overfill orevention is reouired.3.lt Ft"*!:
lf an overfill alarm is the primary overfill device: Alarm is located where
it can be seen and heard. and alarm is clearlv marked Yes No i}--rLl?_rrr$"?fi ,,:il
Corrosion Protection. Answer the following for all tanks. Note any exceptions in the laet cotumn.llolozaa
Method used on tanks 5A uJ\^-: jy,
Method used on piping iS |rr
Method used on flex connectors fr'xta.{-
Enclosed containment sumps at tanks (subpump) and dispensers 6s)f No Fo,n,5tr- *ta f*<Ae^*fzlt(t Zlf 5-]>ox
lndicate dates of upgrades- lining, tank or piping cathodic protection.a
cathodic Protection Testing. show test results for each tank, line, or ftex connector.
The results ol the last two cathodic protection tests are available @ithin
6 months of installation and everv 3 vears thereafter).Yes a\,
Tank resiet ?U4( ) rr.r* h^sg,i2}11fur"volts volts volts volt!
Pipinq Tester hi M Date volts volts VOITS voltt
Sub pump
Date ni.nancar
volls volts volts voltr
volts volls volts volt(
For impressed current system: The results of the last three equipnrent
operation checks are available. (required everv 60 davs.)Yes No
co^ "nrcAuv+- 3\ 1ffi z*rrlo*,nn t 0'r*cL*Tr,rrA arrcn ,Lt^ -.-.. t-o^-tL*il:t>a
6< t".-U-r( -Qt ao^r*u( |lrF.J.l(*rrt+,0arde4-ez- &I"-}/
ease I ot L
l (name) (6 ' (
=tc'
&/1 halua- certtrvrhal inspected the above-named tacitity on r*- Ll tfr-/
lnspector's sionature -"- /x <td-L , -D",r- ,&Zlo--,I
(-/ ,) ) .,/' -T-;--T
Signature of Owner or Owner's Representative present d(ring inspectia! }(, ,_. ..L___(.. r,4
"--.,*,._-
Dislribution: While-DERR, Yellow-lnspector,Ldcheck.wpd rev0302
Methodusedfortanks:
^
I tl
Manufacturer, nameandmodel numberof system:'ioLl"r{ Ro lt fLg' PL 3'o oarfu cert. available Yes
Circle Yes or No for each question. ln the last and identify by taflk any exceptians to the answer in the first columo.
Becords on site document that the system is properly installed, calibrated, and
and tank setuo reoorts. maintenance records
Device documentation is available on-site
Equipment used to acquire data, take readings, perform test is adequate, accessible and
functional. lncl. ATG console,
Documentation of valid testing or monitoring is available for the last 12 months. Show
The probe is located at the center of the tank. lf not, the tilt correction factor for each
is shown on the tank
The tank was filled to at least the minimum level required by the manufacturer's
protocol to ensure a valid leak test and the tank size is within the allowed a*V9& 3,p
Secondary barrier is properly placed and constructed, designed for gw considerations,
has an acceptable permeation rate, is compatible with the substance stored, is non-
corrodible, and is not in the 25
lnventory readings for product inputs and withdrawals are properly obtained and
Records include the proper number ol water readings, and water readings are used to
An appropriate tank calibration chart is used and is available for review.
current calibration stickers or proper calibration documentation.
and extend to within one foot ol the tank bottom.
Showresultsotmonitori.|ndicatepass,lail,noresults,orinconclusive.
Tank and Line Tightness Tesling, Line Leak Detector Testing:
Date of last tiqhtness test for tanks:
Name and certification number of tester:
Date of last tightness test for pipins: N" Ag-."'-t A.ta- \ a,
Name and certification number of tester:t-kvelifrsh *bxtt /4",.lzfASIr"{#5,W dsrs-tolzglpt ^ b.,fu t
Date of last leak detector test: ND P'o+<l At-;.1^avfr"st resurts:
Safe Suction piping: Documentation is available and verifiable to show that piping operates at less than atmospheric pressure,
has only one check valve (under pump), has proper slope of pipinq.
4t 1^Ls
np"J5 * Aqt
Utah UST Program
Tank and Piping Leak Detection FacilitylD lAea;k)
)>
Complete items 1,2, and 3. i. , complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the
or on the front if space permits. | -
A. Received by -r. Date of
I
r E Agent
E Addressee
1. Article Addressed to:
,1:-csn_ JORGEIJSET\J.TJSM
LLC
790 N 1600 w
MAPLETON UT 8466.1
from ilem 1?Yes
enter delivery address below:E l,ro
4. Restricted Delivery? frtn Fee)E Yes
3- Service Tvoe
pCertitleO Uail El Express Mail
E ReglstereO E Return Receipt for Merchandise
E lnsured Mail E C.O.D.
2. Article Numbel from service label)e<K
PS Form 11, ..luty tsss Domestic Return Receipt 1 02595-00.M-0952
11-)'rrrr..,- I :fi*i. .t L',jLU i.; i L COPY
Michael O. l-eavitt
Govcrnor
Dianne R. Niclson, Ph.D.
Executive Dircctor
Kcnt P. Gray
Dir.ctor
TIL E
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
l6E North 1950 West
P.O. Box 1,148,()
Salt Lakc City, Utah 8411448,{0
(80r) 536-4100
[phone] Fax
[phone] T.D.D.
www.deq.sute.ut.us
ERRU-083-02
Iv.day 17,20O2
CERTIFIED MAIL
RETI,JRN RECEIPT REOUESTED
Scoft Jorgensen
TJSM, L.L.C.
790 North 1600 West
Mapleton, Utah 84664
RE: Noncompliance of Underground Storage Tanks (USTs)
The Junction-Mapleton, located
^t790
North 1600 West, Mapleton, Utah
Facility ldentification No. 1000120
Dear Mr. Jorgensen:
The Utah Underground Storage Tank Act (AcQ regulates Underground Storage Tanks
(USTs) and imposes certain obligations on the owner or operator of a facility having USTs. The
Act specifically requires the owner or operator of a facility with USTs to meet the following
requirements:
. Reglster the USTs. Pay an annual registration feeo Qualify for and receive a Certificate of Compliance. Meet specific technical and performance standardso Meet certain financial responsibility requirementso Maintain adequate tank recordso Precision test the tank and lines as a requirement to receive a Certificate of
Compliance
The Division of Environmental Response and Remediation (DERR) records indicate you
own or operate four USTs located at The Junction-Mapleton, 790 North 1600 West, Mapleton,
Utah. The Certificate of Compliance for the USTs at this facility lapsed on September l, 2001,
due to non-payment of UST Registration fees and Petroleum Storage Tank (PST) Fund fees. A
.^,
Facility ID# 1000120
Page#2
representative of the DERR inspected your facility for compliance on June 7, 2000 and found
additional violations.
If you are operating the USTs at this facility, you are doing so in violation of the Act
requirements. To date, the requirements for re-issuing the Certificate of Compliance have been
partially met, but additional requirements for compliance and re-issuing the certificate have not
been met.
To satisfy the requirements of the Act and receive a Certificate of Compliance, you
must do the following:
l. Submit documentation to show you have had a qualified cathodic protection tester test
the cathodic protection system on USTs #7 (8,000 gallon GaslDiesel compartmented), #8
(12,000 gallon Unleaded), #9 (12,000 gallon Gasoline compartmented), and #10 (12,000
gallon Diesel) within the last three years.
2. Pay UST Registration fees, PST Fund fees, re-certification fees, and interest in the
amount of $684.35
3. Submit documentation to qualify USTs #7,8,9, and 10 for a Certificate of Compliance,
showing financial responsibility by participating in the PST Fund or receiving approval
of an altemate financial responsibility mechanism. You have submitted a Financial
Responsibility Declaration form and indicated you intend to re-qualify the USTs for the
PST Fund. To qualify the tanks to participate in the PST Fund, you must perform an
acceptable site assessment, as required by Utah Code Ann. $ 19-6428(3) and Utah
Admin. Code R3l l-205-2(c), and meet all other requirements specified by the Executive
Secretary (UST) for investigation and cleanup of releases, as required by Utah Admin.
Code R3l l-202-l and 40 CFR Subparts E and F.
The Act gives the Executive Secretary (UST) of the Utah Solid and Hazardous Waste
Control Board (Board) the power to enforce rules made by the Board by issuing Notices of
Agency Action or Orders. The Act, Utah Code Ann. Sections 19-6-407, 19-6-408, and 19-6-416,
also gives the Executive Secretary (UST) the power to assess a civil penalty of $1,000.00 if an
owner or operator of an UST fails to register the tank, a penalty of $1,000.00 for failure to pay
fees within 60 days of due date, and assess interest on the unpaid balance, and a penalty of
$500.00 per occurrence for deliveries of petroleum to a tank which does not have a Certificate of
Compliance. Other violations of the Act may result in civil penalties of up to $10,000.00 per
day-
This letter will advise you that your failure to comply with the requirements of the
statutes and rules within 60 days of the receipt of this letter may result in the issuance of a Notice
of Agency Action or Order and the assessment of a civil penalty.
Facility ID# 1000t20
Page #3
Please contact Gary Astin at (801) 5364103 should you have any questions.
Division of Environmental Response and Remediation
KPG/EIGA{hsp
cc: Joseph K. Miner, M.D., M.S.P.H., Director, Utah County Health Department
Fred Nelson, Attorney General's Office
Irah Ann Lamb, Planning and Public Affairs
Sincerely,
Kent P. Gray, Ex6cutive Secretary (UST)
o2/o5/02 TUE 15:03 FAX [phone]'1 WESTECE FTIEL EQUIPTEM
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Proposed sampling locations for The Junction stores in Alpine (lt)#1000012) and Mapteton (tD# 1OOO120)
Aloine
4 soil samples 12-15'
1 soil sample 3-S,
A total of 5 soil sampres analyzed for mbtexr/tph - DRo & GRo
Maoleton
-
Sample location #1 3-5',2 3-5'3 g-S' and 12-15'4 3-O' and 12-15,5 12-15'6 12-15'7 3-5',
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FAX COVER SIIEET
STATE OF UTAH
UTAH DEPARTMENT OF EI\TVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
Salt Lake City, Utatr 84116
(801) s3illoo
Mailing Address:
P.O. Box 144840
Salt Lake City, Utatr 84114-4840
FAX NUMBER (801) 3s9-88s3
ttDATE: I I3I IOL
TO:Tlnr faues
AGENCY/FIRM: \rjesle& En v rro'nu"n*.-l
FA)( NT MBER: ab l - t{o s{
PAGES TO FOLLOW:L
iirir siic l)lal nlusl be drarvn to an appropriato identiried scale. lt must show aciual sanrpling loc:rrrorr:;, substuirccs storeo in tanks, andItherrelevantinlormation. Tankandsampleidentilicationnumbersrnustbcconsisterrtrvithtrri.iniurnationgivcrr.onp. land4olth€i,,:.,:lrj t'rQlta',r
.iciliur lD /, 1000120-Drawn By Ckrarles Hjorttr Lri!1... 5-3-99
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FAX CO\TER SHEET
STATE OF I.'TAII
I]TATI DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVTSION OF ETWIRONMENTAL RESPONSE AI{D REMEDIATION
168 North 195O $/est
Salt Lake City. Utatl E4116
(801) s3ffi100
Mailing Addrcss:
P.O. Box l4/;8lo
Salt l-ake City, Urah 84114-46.40
FAX NUMBER [phone]
tlD.\TE: I l\t loL
TO: Tlult f,aues
AGENCY/FIRM: \rlesLch E.rv travtrile(ta,l
FAX NT.JMBER: .A6I - {O S{
FROM:
COMMENTS:
PAGES TO FOLLOS/:,-
ilt--l^Lt t-.{r, ?lr<,rra ir'la{ir-*l o ha,^t clo<ote
a
96 So. irain. Alpino. UT 8a{ba
Phone: (801)758{22t
Far: (&1)756-,l7dl
e-mafl: {[e-mail]
TJSilI, LLG,
Norember6,2d)1
Garynslin
D.E.R.R.
168 Noilh 1950West
Salt Lake City, UT 84116
DearSir:
As per our conveEation Norcnrber 1, 2001, please fird enclosed the PST forms that you irdicated
needed to be cornfleted and sent to your offce. I also am making a furmal request to 6e afiored to
retum to the State dministered PST Fund without hairp to cornflete a site assessment as indacated
in corespondence that I hane received. A sile assessment would be a si3nifrcant financial htden to
our company. Please consiler the fulloving infomation as you determine nrtrat rve may be required of
our compeny to be reinslated on the state fund.
I have pro/ided your offioe with all of the documentdion required substantiating that vve have been
diligent in our monitodrq process. These dooments demonsiltate that both our tanks and our lines
hane been continuously monitored ard tested and have shown to be tight and ftee fionr leaks. Wb
have no irdicdion that there has aner been any kind of release at thas site. Our records are more
comCete than any of the prwious ou/mers of this facllity. We hane made enery attempt to oonrfly with
al! state and ftdenal regulations, to the best of our atility and knowledge, in wery instance. The only
ltalion we have incuned a problem at this point is due to unforeseen linancial diffiorlties that are due to
a breach of conttad wtth our fud supplier, wirich we are vQorously afiernptng to redfi. Althoqgh you
indicated thd altemative payment anangements have been accefled in the past, w€ ha<l no
knorledge that altematives may hane been possible or vre wouH have made efuit to pursue suclr
anangements.
We are confidant that we hare met all of our oilQations concemirp the operatirg regulations invoMng
any cornfliance issues and ure will continue to do so in the fr.rture. lf rrve had foreseen our ornent
cotttractual proUems, we would not be out of compliance nor. A site assessnrent represents a penalg
that in our case urould only benefit the company prwirfing the seMce. We really are Wing to meet ail
of our oiligations conoeming the regulations pertaining to operatirE our hrsiness: -
Your oonsftlenation in this mailer is appreciated.
Sincerely,
Cc: J. Thomas B&yen, Ailomey
hdTROLEI,]M STORAGE TAhIh
FINANCIAL RESPONSIBILITY DECLARATION
FAcrurY n* lAOotZn
FACIUTY OWNER
FACIUTYNAI\{E
FACIUTY ADDRESS
p , choose to participate in the PST Trust Fund.
o Submit this Financial Responsibility Declaration form and obtain a Certificate of Compliance
before the tanks are put into service.. All petroleum storage tanks located at the facility, including unregulated underground tanks
and above-ground tanks, may be required to participate in the PSTTrust Fund.o Indicate the number of above-ground petroleum tanks located at this facilityo Indicate the number of unregulated underground petroleum tanks located at this facility
tr I choose another Financial Responsibility Mechanism
o The financial responsibility mechanism to be used is
Submit acceptable financial responsibility documents using the format and exact wording
specified in 40 CFR Part 280 Subpart H for the chosen mechanism; or if this mechanism has
alrcady been approved for other facilities for the current year, submit an amended list of the
facilities covered by this method and check here: E
Submit the applicable alternate mechanism processing fees. *
Submit this Financial Responsibility Declaration form and obtain a Certificate of Compliance
before the tanks are put into service.. Indicate your Company's Fiscal Year ending dateo Name of person authorized by owner or operator to demonstrate financial responsibility as
required by Utah Admin. Code R3ll -2M-2(d).
Name of person authorized by owner or operator
o
a
[l-n t- o t
Date
* Feestopey:
Alternate rnechanism not prcviously approved: $420 plus $?5 per tank (annual rcnewal $240 plus $25 per tank)
Alternate npchanism prcviously approved in current fiscal year: $75 per tank if tanks are not replacerEnts.
dccfrD ll/l(U,8
Facility lD # IDOO [2-r\
OWNER OF TANKS
Owner Name f \3tat L. L. C .
Address f4O n(trt* ' \\r.b'OtC ?<(
PETROLEUM STORAGE TANK FUND APPLICATION
tr
5/ia-'
City tlltr*+le rrn.t
County
State State Zip Code ?{ t" t" ul
Phone Phone
Contact Person Contact Person
Tank #
lnstall DateCapacity l?'lm t? IUCD ris.-
Substance Stored
All Underground Storage Tanks (USTs) at this facility have been registered.
I I All UST registration fees and Petroleum Storage Tank Fund fees have been paid.
COMPLIANCE WITH UST REGULATIONS
ls the applicant currently in compliance with all Federal, State, and Local UST regulations?
[l Yes [ ] No ll "No" please describe items of non-compliance:
PREVIOUS POLLUTION INCIDENTS
Has a pollution incident ever occurred at your facility?
[ ] Yes lf "Yes" please provide LUST (Leaking Underground Storage Tank) inlormation on the Previous
Pollution lncidents lorm.
D(I tto lf "No" please attach a letter or completelhe Previous Pollution lncidentslorm to state that under
customary business inventory practices standards you are not aware of any release from any
tank(s) at this facility.
IN DEPENDENT FINANCIAL ASSURANCE
I have met the financial responsibility requirement lor my share of eligible cleanup costs by the following
method:
Self lnsurance
Risk Retention Group
[ ]Trust Fund
[ ]Other
I certify under penalty of law that the aQove representations made by me are true and correct.
owner/operator signature ffiW ,, c, I Date signe a t l<l l- 0l
[ ] Commercial lnsurance
[ ] Letter of Credit
Code
Marketer, or non-marketer with facility average monthly throughput greater than 10,000 gallons.
Non-marketer with facilig average monthly throughput less than 10,000 gallons (must verify).
pstapp 1 1/9/98
1
To:
Facility lD #
This letter, or an equivalent, must be signad and submitted as a requirement for reeMng a CerhTicrrte
of Compliance.
PREVIOUS POLLUTION INCIDENTS
Mr. Kent P. Gray
Executive Secreary (UST)
Utah Solid & Hazardous Waste Control Boad
Dear Mr. Gray:
As required by paragraph 19-6-413 ol the Utah Underground Storage Tank Act, I have performed a trank
and line tightness test on each trank at my facility. Based on this test, there has not been a release of
petroleum. Additionally, based on 'customary business inventory practices standards' I am pl aware of
any release ol petroleum lrom my tanks.
Or, lf a telease is known to have occurred at thls faclllty:
I have had the following releases of petroleum (detailed below; also indicate the actions you have taken
to clean up the release):
signature of owner/operator
Failure to report previous releases auld invalidate your Certifrcate of Compliance.
ppiftm I l/9r98
.
96 So. Main, Alpina, UT E464
Ph: (801)75S224 Far: (80i)7s6-{780
e-mail : siorgnsn(Aqw6t.n6t
F nfiarroerrent &
Gmrltirtg,LLG
DI.U
€nvircnrnenirt 8us00nqn & tinri"": '
168 North 1950West
Sah Lake Crty, tJT 84116
Dear Sir:
Please ftnd endosed all of the doo.lmentation and forms that you and I discussed during your visl on
the 1d. I have flled out the all of wtrat I think are the necessaryforms to have the record am.rrate as to
yho owns and is responsible forwirich site. lf there is somahing missing or incomfletJ, dease let meknow. I have also enclosed my letter of explanation as I discusLo with-you. fnanf yol for your time
and consideration in this matter.
W*n,/l
Scott L Jorgensen \
Managing Member
NovemberT,2001
GaryAslin
D.E.R.R.
Cc: J. Thomas Bowen, Attomey
Nov - I 2001
UTAH DEPARTMENT OF ENVIFIONiTaENTAL QUALITY
DIVISION. OF ENVIRONMENTAL RESPONSE ANO REMEDIATION
UNDERGROUND STORAGE TA.NI( PFOGRAM
11t1t2001
INVOICE DAtrE:
(FORSr rEUsEONLYI
oArEREcErvEr,, tl/r/ol
FAoLrrYr.D. r{o.: -1000120ffi'* --,M'lL
r#,
FEEPmAIIoUm I i
FT'ilDPITAIOT'M
'f'E
a)
OWNEB LOCATION OF TANKS
T)6h4, , Llt.
14 o N oir* t[o O
tAAu€te-l o^r, uCf<q' Lb {
CITARUES t" ftl, fw.rcr161-
7S0N 1600W
t606 UT aeaer\4o ^l' lb56 rO
rfU,7kaf6^r,, re't-
J SMAMGEMENT
lTETtllll|nFn TYPE OFasGEsSllEltT OESCRP.rb}{ OF AGCOUT'IT ACTIVITY
itultEERs
OF?AlrlKS cHAROES CREDITS
I 2Ol
2 20
3 20
Misc
2 PST Fund Fee k
A
F
lr
2 UST Reg Fee Ir
A
unrntCharce
tessment Re-Ccrification due to hp!e.
Su
Total Curentcharges
rst Due Amount
rest Cha€ed b,r overdue balance
tesEment
nalv Chargod br oredue balance
)r€st Charg€d for overdue balare
rr€6t Charged tor overdue balance
sessment
:ie6t Charged br overdue balance
Totrl
1
I Totrl
4
tfot.l:
t150.m
llt0.00
1r60.00
E20.80
t6o0.00
$60.00
86.00
t686.80
$0.1E
s300.00
t3.00
13l2.t8
PAYMENT DUE BY 5:(X) P.M. ON 121112001 tot*6u., p,.-l ,f\\
!lor:Pb...w'll.you.hGllhynrmbcrmyou?Gt.Gksfubtoln.u?.p?op.'po!ungroyI .ndthL lnvolc. wlll bo ?.lum.dto you.r you? rrc.lpt ol p.ym.at. I
PENALTIES e INTEREST WILL BE ASSESSEO ON BAI-ANCES PAST DUE ACCORDING TO UTAH CODE ANN. 196-{01 6t s€q.
IF FEES ARE NOT PAID, 60 DAYS AFTER DUE DATE, YOUR CERTIFICATE OF COMPLIANCE I.APSES W]T}OUT FUFTHER NOTICE.
PAYirEl.lTS ARE APPLIEo AS FOLLOWS: (1) PAST DUE BAI-ANCES (2) CURREi.IT 8A|-ANCE (3) PROCESS CHARGES, (4) PENALTIES (5) INTEREST
-'For mo?. Inlormrtlon, ?oto? to thc ..y.r.. aldc ol lhla lnyolco.'"
PAYIIENT IIUST 8E RECEIVEO BY S:flt P.ll., lN OUR OFFICE, ON THE OUE DATE TO AVOTD PENALTTES & INTEREST.
DIRECT OUESTIONS TO: 536-{lfll - AccountG Receivtblc
REM|T PAYMEilT W|TH INVOICE TO:
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; - l: :.. . ,r:-r :. : l,i:,1, to,:S.'i l:j'; :i r:-:C I
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AccoRotxe ro AvAILABLE souRcEs,_ FEET.
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Tesren
SreFffiTE
32t1011352
Co-0001
UT-005tI
I0-9114029
urT-1038
PEf,RO ETWIRO
P.O. Box.5l365
Provo Ut. 84605
Ph.tot 79t 67ts
Fax..80l 798 1868
-fu
Wed ..Ian 16 15:38:34 1980
T201 00
OCT 29, 2007 2:48 PM
CHARLIES C STORE.I90 NORTH 1600 WEST
MAPLETON UTAH 84664
489-1 061
TANK LEAK TEST HISTORY
T 1 : UNLEADED tg IZV_
LAST GROSS TEST PASSED:
TEST START TIME
OCT 26, 200L 12:00 AI4
LAST ANNUAL TEST PASSED:
TEST START TIME
OCT 25, 200L 12:00 AM
FULLEST A}INUAL TEST PASS
TEST START TIME
MAY 24, 200L 72:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
OCT 25, 200L 12:00 AM
FULLEST PERIODIC TEST
PASSED EACH MONTH:
Page 1 of 10
TEST START TlME
JAN 10, 2007 12
FEB 24, 200L 1,2
MAR 27, 2001 L2
APR 28, 2007 L2
I,IAY 24 | 200L 72
JUN 76, 2007 12
JUL 7, 2007 12
AUG 31, 200L 12
sEP 15, 200L L2
ocr L2, 200r L2
NOV 3, 2000 L2
DEC 25 | 20OO L2
00
00
00
00
00
:00
:00
00
UU
00
00
00
AI,l
AM
AM
AM
AI'[
AM
Al'{
AM
AM
AI,I
Al4
AM
HOURS
HOURS
4
HOURS
4
HOURS
4
VOLUME
2538
VOLUME
33s6
VOLUME
10575
VOLUME
3356
VOLUME
6594
7 119
66L1
7 914
10575
8256
5816
68 60
80L2
9625
7090
5BB6
VOLUME
2L.3
VOLUME
28.2
VOLU}4E
88.1
VOLUME
28.2
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
VOLUME
55. 3
59.1
5s. 5
66.4
88.7
69. 3
51 .2
57.5
61 .2
80. 7
59. 5
49 .4
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
TANK LEAK TEST HISTORY
1
r2:PLUS +tC qV- ,q
LAST GROSS TEST PASSED:
-1
Wed Jan 16 15:38:34 1980
TEST START TIME
OCT 27, 2001 12:00 AI4
LAST ANNUAI TEST PASSED:
TEST START TIME
OCT 2L, 2001 12:00 AM
FULLEST ANNUAI TEST PASS
TEST START TIME
MAR 27 , 200L 12:00 AI4
LAST PERIODIC TEST PASS:
TEST START TIME
OCT 27, 200L 12:00 AI4
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME
JAN 5, 2007 12:00
FEB 13, 2007 12:00
MAR 27 , 2001 12:00
APR L9, 2007 12:00
Page 2 of 10
MAY 6, 2001, 12:00
JUN 23, 200L 12:00
JUL 27 , 200L 12:00
AUG 31, 2001 12:00
SEP L, 2001 12:00
OCT L2, 200L 12:00
NOV 21, 2000 12:00
AI4
AM
AM
AM
AI'4
AI4
AM
AM
AM
AItl
AtrI
AM
HOURS
HOURS
4
HOURS
4
HOURS
4
s
of g.' '-
HOURS
HOURS
4
HOURS
4
HOURS
4
VOLUME
976
VOLUME
L973
VOLUME
34 68
VOLUME
t973
VOLUME
3 3s5
2822
3468
347 6
3265
3L1 6
3223
277 6
2440
2826
2873
3002
VOLUME
868
VOLUME
I434
VOLUME
3s23
VOLUME
7434
VOLUME
t-4. t-
VOLUME
28-6
VOLUME
50.2
VOLUME
28 .6
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
VOLUME
48 .6
40.9
50.2
50.3
47 .3
46 .0
46.7
40.2
3s. 3
40 .9
40.7
43.5
VOLUME
L7 .7
VOLUME
29.2
VOLUME
71-.8
VOLUME
29.2
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARDDEC 20t 2000 L2:00
TANK LEAK TEST HISTORY
r 3:PREMTuM tqL 1'.'
LAST GROSS TEST PASSED:
TEST START TIME
OCT 27 , 2001 12:00 AI4
LAST ANNUAI TEST PASSED:
TEST START TIME
OCT 24, 2007 12:00 AM
FULLEST ANNUAI TEST PASS
TEST START TIME
JUN L2, 2O0L 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
OCT 24, 200L 12:00 AM
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
Wed Jan 15 15:38:34 1980
FULLEST PERIODIC TEST
PASSED EACH MONTH:
Page 3of10
\D \2-\-
HOURS
HOURS
4
HOURS
4
HOURS
4
TEST START TIME
JAN 5, 200r L2
FEB 7, 200L L2
MAR 23, 200L L2
APR 28, 200L t2
MAY 24, 200L L2
JUN 12, 200L L2
JUL 20, 200L L2
AUG 5, 2O0L L2
sEP 22, 2001 L2
ocr L2, 2007 t2
NOV 21, 2000 12
DEC 20, 2000 L2
00 AI4
00 AI,l
OO AM
OO AM
OO AM
00 Al4
OO AM
OO AM
OO AM
OO AM
00 AI4
00 AI4
VOLUME
1 918
18 63
L7t6
28't 9
27 82
3s2 3
2038
2328
2662
L91't
1 698
1846
VOLUME
110 0
VOLUME
3404
VOLUME
4L26
VOLUME
34 04
VOLUME
4L26
37 04
7086
3544
4026
56L4
6227
445L
1LL4
447 6
VOLUME
39.1
38 .0
35.0
58.7
56.7
71.8
4L .6
47 .5
54. 3
40.3
34.6
37 .6
VOLUME
9.2
VOLUME
28 .6
VOLUME
34.1
VOLUME
28 .6
VOLUME
34.7
31.1
59.5
29 -8
33.8
41 .2
52.3
37 .4
59.8
37 .6
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
TEST TYPE
STANDARD
STANDARD
STAI{DARD
STANDARD ;.. ,,
STANDARD
STANDARD
STANDARD '.{{4,}
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
TANK LEAK TEST HISTORY
T 4:LOW SULFER DIESEL
LAST GROSS TEST PASSED:
TEST START TIME
OCT 24, 200L 12:00 Ala
LAST AI{NUAL TEST PASSED:
TEST START TIME
APR 16, 2000 12:00 AI4
FULLEST ANNUAI TEST PASS
TEST START TIME
JAI'I 19, 2000 l-2:00 AI'4
LAST PERIODIC TEST PASS:
TEST START TIME
APR 76, 2000 12:00 AM
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST TYPE
STAI.IDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST
JAN
FEB
MAR
APR
JUN
JUL
AUG
SEP
OCT
NOV
START TIME
L9, 2000 12:00
L2, 2000 12:00
27 , 1999 12:00
15, 2000 12:00
24, L999 12:00
15, L999 L2:00
13, L999 12:00
26, 1999 L2:00
10, 1998 12:00
AM
AM
AI4
AM
AM
AM
AM
AT',I
AM
AM
HOURS
4
4
4
4
4
4
4
4
4
4
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STAT.IDARD
STANDARD
STANDARD
STANDARD
STAI'IDARD7 . 1999 12:00
Wed Jan L6 15:38:34 1980
LAST GROSS TEST PASSED:
TEST START TIME
l4AY 29, 2001 12:00 AM
LAST ANNUAL TEST PASSED:
TEST START TIME
MAY 24, 200L L2:00 AM
FULLEST ANNUAI TEST PASS
TEST START TIME
MAY 6, 200L 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
l'lAY 24, 2001 L2:00 AI"l
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME
JAN LL, 2001 L2
FEB L, 200L L2
MAR 23, 200r L2
APR 3, 2007 L2
MAY 6, 200L 12
JUN 5, 2000 L2
JUL 29, 2000 L2
AUG 8, 2000 L2
sEP 22, 2000 L2
ocr 10, 2000 L2
NOV 3, 2000 L2
DEC 14, 2000 L2
00
00
00
00
00
00
00
00
Page 4 of 10
HOURS
HOURS
4
HOURS
4
HOURS
4
VOLUME
668
VOLUME
114 0
VOLUME
27 45
VOLUME
114 0
VOLUME
1964
L2L9
193 6
L446
21 45
2287
27 65
2594
3418
1691
L902
2007
VOLUME
302
VOLUME
LI2L
VOLUME
16.9
VOLUME
28.8
VOLUME
69.4
VOLUME
28.8
VOLUME
49 .6
30.8
48.9
36. 6
69.4
57.8
69 .9
6s. 6
86.4
42.7
48.1
50.7
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TANK LEAK TEST HISTORY
T 5: HIGH SULFER DIESEL I1U 1iI.
:00
:00
:00
:00
AM
AM
At\4
AM
AM
Al4
AM
AM
AM
AM
AM
AM
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STA}IDARD
STANDARD
STANDARD
TANK LEAK TEST HISTORY
T 6:100 OCTANE LOW LEAD
LAST GROSS TEST PASSED:
TEST START TIME
APR L7 , 200L 12:00 AM
LAST AI'INUAL TEST PASSED:
TEST START TIME
FEB 25, 2A0L 12:00 AM
'l tL+"lL )',
HOURS
HOURS
4
VOLt]ME TEST TYPE
7.4 STANDARD
VOLUME TEST TYPE
2'I .5 STANDARD
Page 5of10Wed Jan L6 15:38:34 f980
FULLEST A\INUAI TEST PASS
TEST START TIME
JAN 1-, 2001 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
FEB 25 , 2001 L2:00 AM
HOURS
4
HOURS
4
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
0
0
8893
0
0
0
0
0
0
44L3
54 30
VOLUME
r5r_6
VOLUME
LL2L
VOLUME TEST TYPE
37.1 STANDARD
VOLUME TEST TYPE
27.5 STANDARD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
VOLUME
1516
LL1 4
1569
L592
15 01
2009
1618
1459
L47 9
2280
2095
2056
VOLUME
37.1
28.7
38.4
39.0
36. 8
49.2
39. 6
35.7
36.2
5s.8
51.3
50. 3
START TIME
L, 2001 12:00
24, 2001 12:00
8, 2000 12:00
29, 2000 12:00
L, 2000 12:00
L, 1999 12:00
23, 2000 12:00
L, 2000 12:00
lt 1999 12:00
L9, 2000 12:00
1, 2000 12: 00
24, 2000 12:00
AM
AM
AI4
AI4
AM
AM
AM
AM
Al4
AI4
AM
Al4
METERED
DLVRIES SALES
MANUAL CALC I D
ADJUST INVNTRY
0 2L30
0 991
0 9406
0 8197
0 7571
0 6L02
0 4937
0 426r
0 3L47
0 64L8
0 10811
TEST TYPE
STANDARD
STANDARD
STANDARD
STA}IDARD
STA}IDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
GAUGED WATER
INVNTRY HEIGHT
991 0.00
513 0.008797 0.007511 0.00
6t02 0.00
4931 0.00
426L 0.00
3t47 0.00
200s 0.00
538 1 0. 00
9702 0.00
VARIANCE
-1139
-478
-609
-t226
-L469
- 1165
-67 6
- 1114
-7L42
-1037
-1 109
rco500
OCT 29, 200L 2:49 PM
CHARLIES C STORE
790 NORTH T600 WEST
MAPLETON UTAH 84664
489-7061
OCT 29, 200L 2:49 PMln
CURRENT PERIODIC RECONCILIATION REPORT
T I:UNLEADED
DATE
OCT 1
OCT 2
OCT 3
OCT 4
OCT 5
OCT 6
OCT 7
OCT 8
OCT 9
OCT 10
ocr 1l-
OCT L2
TIME
2:00
2:00
2:00
2:OO
2:00
2: 00
2:00
2z0O
2: 00
2:00
2200
OPENING
VOLUME
2L30
99L
513
87 97
757L
6L02
4937
426L
3L4'l
2005
538 1
AM
AM
AM
AM
AM
At{
AN4
AM
AI4
AM
AI4
AM
0
0
0
0
0
0
0
0
0
0
02:00
Wed Jan 16 15:38:34 1980 .a
91 02
8578
7 327
6648
53 93
4202
334 0
225L
8338
7 327
6875
s668
46L6
338 1
2556
1 000
513
2L30 26t58
97 02
8578
7 321
6648
53 93
4202
3340
961 3
8 338
7 321
687 5
5668
46L6
338 1
2556
1 000
513
28288
8578
1 327
6648
s393
4202
334 0
2257
8 338
7321
6875
5668
4676
338 1
2556
100 0
513
513
513
GAUGED
INVNTRY
1551
L247
1516
L352
999
878
767
571-
293
157 9
2846
2'7 04
2558
2413
22L9
2046
190 9
Page
0. 00
0.00
0. 00
0.00
0. 00
0. 00
0.00
0. 00
0.00
0.00
0. 00
0. 00
0.00
0. 00
0. 00
0.00
0. 00
0. 00
WATER
HEIGHT
0. 00
0. 00
0.00
0.00
0. 00
0. 00
0. 00
0.00
0.00
0. 00
0. 00
0.00
0. 00
0. 00
0.00
0. 00
0. 00
6of10
-7724
-L25L
-61 9
-1255
-1191
-862
-108 9
-133s
- 1011
-452
-L207
-1052
-1235
-82s
-t- 556
-487
0
-2777 5
130
OCT 13
OCT L4
OCT 15
OCT 16
OCT L7
OCT 18
OCT T9
OCT 20
OCT 27
OCT 22
OCT 23
OCT 24
OCT 25
OCT 26
OCT 21
OCT 28
OCT 29
TOTAIS
DATE
OCT 1
OCT 2
OCT 3
OCT 4
OCT 5
OCT 6
OCT 'I
OCT 8
OCT 9
OCT 10
OCT 11
OCT L2
OCT 13
OCT 74
OCT 15
OCT L6
OCT 71
OCT 18
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
0
0
0
0
0
0
0
1 422
0
0
0
0
0
0
0
0
0
OO AM
OO AM
OO AM
OO AI,I
OO AM
OO AM
00 AI4
OO AM
00 AI4
OO AM
OO AM
OO AM
OO AM
OO AM
00 AI4
OO A},I
OO AM
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
THRESHOLD
SIGNATURE
CHARLIES
790 NORTH
MAPLETON
489-7061
C STORE
160O WEST
UTAH 84664
TIME
OCT 29, 200L 2:49 PMLI!
CURRENT PERIODIC RECONCILIATION REPORT
T 2: PLUS
2:00 AM
2: 00 AI4
2:00 AM
2:00 AI'4
2:00 AM
2:00 AM
2:00 AM
2:00 Al4
2:00 AM
2:00 AM
2:00 AM
2:00 AM
2:00 AM
2:00 AI4
2:00 AM
2:00 AM
2: 00 AI4
OPENING
VOLUME
L696
15 51
7247
1516
L352
999
878
767
571
293
157 9
2846
27 04
2558
2473
2219
2046
DLVRIES
0
0
604
0
0
0
0
0
0
1 396
1406
0
0
0
0
0
0
METERED
SAIES
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
MANUAI
ADJUST
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
CA],C I D
INVNTRY
L696
15 51
18 51
1516
L352
999
878
761
571
168 9
2985
2846
21 04
2 558
2413
2279
2046
VARIANCE
-145
-304
-335
-764
-3s3
-L27
-111
-r96
-27 I
- 110
-139
-L42
-146
-145
-L94
-173
- 1372:00 AM
Wed Jan
ocr 19
OCT 20
OCT 2L
OCT 22
OCT 23
OCT 24
OCT 25
OCT 26
OCT 27
OCT 2B
OCT 29
DATE
OCT 1
OCT 2
OCT 3
OCT 4
OCT 5
OCT 6
OCT 7
OCT 8
OCT 9
OCT 10
ocr 1-1
OCT 12
OCT 13
OCT L4
OCT 15
OCT 16
OCT L1
OCT 18
OCT 19
OCT 20
ocr 2l
OCT 22
OCT 23
OCT 24
16 15:38:34 1980
L77 9
2L55
198 9
I 934
17 30
157 5
1343
L203
984
394
394
394
Page
0.00
0.00
0. 00
0.00
0.00
0.00
0. 00
0.00
0. 00
0. 00
0.00
0.00
GAUGED WATER
IM/NTRY HEIGHT
783 0.00
492 0.00
9ss 0.00
7s8 0.00
528 0.00
319 0.00
239 0.00
206 0.00
206 0.00
1369 0.00
L992 0.00
1790 0.00
L666 0.00
1498 0.001355 0.00
1r-65 0.00
L052 0.00
859 0.00
2188 0.00
L967 0.00
1883 0.001656 0.00
L446 0.00
1 of 10
- 130
-296
-L66
-55
-204
-155
-232
-140
-2L9
-590
0
-538 0
0
0
0
0
0
0
0
0
0
0
0
0
MANUAL
ADJUST
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
190 9
245L
2L55
198 9
r934
17 30
157 5
134 3
L203
984
394
517 4
CA-LC I D
INVNTRY
r08 3
783
L349
955
758
528
319
239
206
L486
2L48
1992
L1 90
7666
14 98
1355
1165
L052
236r
21.88
1967
1_883
165 6
VARIANCE
-300
-29L
-394
-1.97
-230
-209
-80
-33
0
-TL7
-156
-202
-L24
-1 68
-143
- 190
- 113
- 193
-1?3
-221
-84
-221
-2r0
TOTAIS
THRESHOLD:
SIGNATURE
407 8
CHARLIES C STORE
790 NORTH 1600 WEST
MAPLETON UTAH 84664
489-7 06L
OCT 29, 2007 2:49 PMn!
CURRENT PERIODIC RECONCILIATION REPORT
T 3:PREMIUM
190 9
L17 9
2L55
198 9
L934
1? 30
1575
1343
L203
984
394
L696
OPENING METERED
AM VOLUME DLVRIES SAIES
AM 1083 0 0
AM?8300
AM 492 857 0
Al4 955 0 0
A.r4 ?58 0 0
Arq 528 0 0
AM31900
Al4 239 0 0
AM20600
AM 206 1280 0
A1'I 1369 '17 9 0
AI,l L992 0 0
AI4 1?90 0 0
AM L666 0 0
AM 1498 0 0
AM 1355 0 0
AM 1165 0 0
ANr 1052 0 0
Ar'[ 859 1502 0
Al4 2L88 0 0
AM L967 0 0
AM 1883 0 0
AI4 1656 0 0
2
2
2
2
2
2
2
2
2
2
2
00
00
00
00
00
00
00
00
00
00
00
AM
AI,I
AI'{
zu4
AM
Al4
AM
AM
AM
AM
AI,l
0
672
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
130
T
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
ME
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
2
2
2
2
2
Wed Jan 16 15:38:34 1980
ocr 25 2
ocr 26 2
ocr 27 2ocr 28 2
ocr 29 2
00
00
00
00
00
L446
1285
1088
875
206
1083
0
0
0
0
0
44L8TOTAIS
THRESHOLD:
SIGNATURE
CHARLIES C STORE
790 NORTH 1600 WEST
MAPLETON UTAH 84664
48 9-7061
OCT 29, 200L 2:49 PMfl!
CURRENT PERIODIC RECONCILIATION REPORT
T 4:LOW SULFER DIESEL
AM
AI4
AM
AM
AI4
0
0
0
0
0
0
0
0
0
0
0
0
L446
L285
1088
875
206
5501
L285
1088
875
206
206
206
Page
0.00
0.00
0. 00
0.00
0.00
0.00
GAUGED WATER
INVNTRY HEIGHT
2s58 0.002298 0.00
257 4 0.002349 0.00
L862 0.001665 0.00
1s56 0.001019 0.00
7 49 0.00
2030 0.00
27't 4 0. 002524 0.002286 0.00211'7 0.001906 0.001684 0.00
L21 4 0. 001101 0.002t54 0.00L922 0.001805 0.00
14 63 0. 00
1 105 0. 00888 0.00688 0.0049L 0.0049L 0.0049L 0.00
8of10
- 161
-797
-213
- 669
0
-5295
DATE
ocr
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
OCT
TIME
L 2:00 AI4
2 2:00 AM
3 2:00 AI4
4 2:00 AM
5 2:00 AM
6 2:00 AM
7 2:00 AI4
I 2:00 AM
9 2:00 AI,l
10 2:00 AM
11 2:00 AM
L2 2:00 AM
13 2:00 AM
14 2: 00 AI'4
15 2:00 AM
L6 2:00 AI,I
L7 2:00 AI,l
18 2:00 AI'l
19 2:00 AI4
20 2:00 AI,l
2L 2:00 AM
22 2:00 AM
23 2:00 AI"1
24 2:00 AI4
25 2:00 AM
26 2:00 AI'4
27 2:00 AM
28 2:00 AI4
29 2:00 AI4
OPENING
VOLUME
2840
2558
2298
257 4
2349
L862
1 665
1556
1019
749
2 030
277 4
2524
2286
2L77
190 6
168 4
\27 4
1101
2754
L922
18 05
14 63
1_ 1_ 05
888
688
49L
491
METERED
ES SAIES
0000
02000
00
0000
00
0092096000
00000000
00
00490
000000000000000000
MANUAL
ADJUST
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
CALC I D
INVNTRY
2840
2558
2800
257 4
2349
L862
I 665
1 556
1019
224L
3026
277 4
2524
2286
2L77
1 906
168 4
L2'7 4
2 5s0
2\54
L922
18 05
t463
1105
888
688
49L
49L
DLVRI
5
L4
9
14
130
VARIANCE
-282
-260
-226
-225
- 487
-r97
-109
-537
-27 0
-217
-252
-250
-238
-109
-27 I
-222
- 410
-173
-3 96
-232
-LL7
-342
-3s8
-2L7
-200
-191
0
0
Wed Jan 16
TOTAIS
THRESHOLD:
SIGNATURE
15:38:34 1980
2840
Page 9 of 10
0.00 -5788
130
49L
t42 0. 00L42 0.00
L42 0.00
L42 0.00
4439 '7279
CHARLIES C STORE
790 NORTH 1600 WEST
MAPLETON UTAH 84664
489-7061
OCT 29, 200L 2:49 PMII
CURRENT PERIODIC RECONCILIATION REPORT
T 5: HIGH SULFER DIESEL
DATE
OCT 1
OCT 2
OCT 3
OCT 4
OCT 5
OCT 6
OCT 1
OCT 8
OCT 9
OCT 10
OCT 11
OCT L2
OCT 13
OCT L4
OCT 15
OCT L6
OCT L7
OCT 18
OCT 19
OCT 20
OCT 2L
OCT 22
OCT 23
OCT 24
OCT 25
OCT 26
OCT 21
OCT 28
OCT 29
TOTAIS
TIME
2:00 AM
2:00 AM
2:00 AM
2:00 AI,l
2:00 AM
2: 00 AI4
2:00 AM
2:00 AM
2:00 AI4
2:00 AI,l
2:00 AM
2:00 AM
2:00 AI,l
2:00 AM
2:00 AM
2:00 AI4
2:00 AI4
2:00 AI,l
2:00 AM
2:00 AM
2: 00 AI4
2:00 Al4
2:00 AM
2:00 AM
2:00 A-t'4
2:00 AI,l
2:00 AM
2:00 AM
2:00 A1"I
OPENING METERED
VOLUME DLVRIES SALES
CALC'D GAUGED WATER
INVNTRY INVNTRY HEIGHT VARIANCE
L42 0.00 0
r42 0.00 0
L42 0.00 0
L42 0.00 0
142 0.00 0
L42 0. 00 0
t42 0. 00 0
L42 0.00 0
L42 0.00 0
142 0.00 0
L42 0.00 0
L42 0.00 0
L42 0.00 0
r42 0.00 0
L42 0. 00 0
L42 0.00 0
L42 0.00 0
L42 0. 00 0
742 0.00 0
t42 0.00 0
L42 0.00 0
142 0. 00 0
142 0.00 0
142 0.00 0
1,42 0.00 0
L42
L42
L42
L42
L42
142
142
L42
L42
L42
142
L42
L42
L42
L42
142
t42
L42
L42
142
r42
L42
142
L42
t42
L42
142
1,42
t42
MANUAI
ADJUST
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
L42
L42
L42
L42
L42
L42
L42
L42
L42
L42
L42
L42
L42
r42
L42
L42
L42
142
r42
L42
742
1,42
L42
L42
142
L42
L42
L42
t42
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1_ 30THRESHOLD:
SIGNATURE
Wed Jan L6 15:38:34 1980 1
CHARLIES C STORE
790 NORTH 1600 VlrEST
MAPLETON UTAH 84664
489-7 06L
OCT 29, 2007 2:49 PMtltr
CURRENT PERIODIC RECONCILIATION REPORT
T 6:100 OCTANE LOW LEAD
Page 10 of 10
DATE
OCT 1
OCT 2
OCT 3
OCT 4
OCT 5
OCT 6
OCT 7
OCT 8
OCT 9
OCT 10
OCT 11
OCT 12
ocr 13
OCT 74
OCT 15
OCT L6
OCT L]
OCT 18
OCT 19
OCT 20
OCT 27
OCT 22
OCT 23
OCT 24
OCT 25
OCT 26
OCT 27
OCT 28
OCT 29
TOTAIS
TIME
2:00 AI4
2:00 AM
2:00 AM
2:00 AM
2:00 AI4
2:00 AM
2:00 AM
2:00 AI,l
2:00 AM
2:00 AM
2: 00 AI,I
2:00 AM
2:00 AI'l
2:00 AM
2:00 AI"I
2: 00 AI4
2:00 AM
2:00 AM
2:00 AM
2:00 AM
2:00 AM
2:00 AI4
2:00 AI4
2:00 AM
2:00 AM
2:00 AI4
2:00 AM
2:00 AI4
2:00 AM
OPENING
VOLUME
135
135
135
135
135
135
135
135
135
135
135
135
135
135
135
13s
135
135
135
135
135
135
135
135
135
135
135
135
135
METERED MANUA]- CALCID GAUGED WATER
DLVRIES SAIES AD.]UST INVNTRY INVNTRY HEIGHT VARIANCE0 0 0 135 13s 0.00 00 0 0 135 135 0.00 00 0 0 13s 135 0.00 00 0 0 13s 13s 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 135 13s 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 13s 135 0.00 00 0 0 135 135 0.00 00 0 0 135 13s 0.00 00 0 0 135 13s 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 13s 135 0.00 00 0 0 135 13s 0.00 00 0 0 135 135 0.00 00 0 0 135 135 0.00 00 0 0 135 13s 0.00 00 0 0 13s 13s 0.00 00 0 0 13s 135 0.00 00 0 0 135 135 0.00 00 0 0 13s 13s 0.00 0
135 135 0. 00 0
130THRESHOLD:
SIGNATURE
q,i L irah ^\.-\;L l--t.^
.lr liii"ilr
Michacl O. I-eavitt
Govcrnor
Dianne R. Nielsoo, Ph.D.
Exccutivc Dircctor
Kent P. Gray
Direcior
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 North 1950 West
P.O. Box 1,148,()
Salt Lake City, Utah E4l l+48,!0
(80r) s364100
(801) 359-8E53 Fax
(801) 53644t4 T.D.D.
www.deq.state.ut.us Web
ERRU-186-01
October 4,2001
CERTIFIED MAIL
RETI'RN RECEIPT REOI.]ESTED
Scott Jorgensen
J S Management and Consulting, L.L.C.
400 South Main
Alpine, Utah 84004
RE: Lapsing of the Certificate of Compliance and Coverage under the Petroleum
Storage Tank (PST) Fund for Underground Storage Tanks (USTs)
l,ocated at Charlie's Convenience Store, L.C.,790 North 1600 West, Mapleton, Utah
Facility Identification No. 1000120
Dear Mr. Jorgensen:
The Utah Underground Storage Tank Act (Act) requires that Underground Storage Tank
(UST) owners and operators pay yearly UST registration fees, Petroleum Storage Tank (PST)
Fund assessments, late penalties, and interest. The Act states that if any of the assessments
remain unpaid 60 days after the due date, the Certificate of Compliance and coverage under the
PST Fund lapse.
Our records indicate that you have not paid Registration fees, PST Fund assessments, late
penalties, and interest in the amount of $969.00, which are now more than 60 days past due.
Therefore, You are hereby notified that your Certificate of Compliance and
coverage under the PST Fund for Facility Identification Number 1000120, known as
Charlie's Convenience Store, L.C., has lapsed.
Without a Certificate of Compliance, your tank(s) cannot receive delivery of product.
Without coverage under the PST Fund, you must demonstrate financial assurance using another
allowable method. Without coverage under the Fund, the costs of investigating and cleining up
releases become your responsibility.
To obtain a new Certificate of Compliance and renew your coverage under the PST Fund,
you must:
Facility ID# 1000120
Page2
l. Document that you are in compliance with release detection requirements.
Contact our office for the specific leak detection records required for your facility.2. Pay all past due Registration Fees, PST Fund assessments, penalties, and interest.3. Pay a $150.00 re-certification fee.4. Submit a new application to the PST Fund.5. Conduct a site assessment as explained in Utah Admin Code R-311-205 -2(c).
Please be sure to monitor your own records to ensure compliance. If you have any
questions, please call Gary Astin at [phone].
Sincerely,
)-r.-: r41
Kent P. Gray, Executive Secretary (UST)
Utah Solid and Hazardous Waste Control Board
cc: Joseph K. Miner, M.D., M.S.P.H., Director, Utah County Health Department
MichaclO. l.avirt
GoEmd
Dianne R. Nielmn. Ph.D.
ErcotiG DiGu
Kent P. Gray
Di.etd
State of Utah
DEPARTMENT OF ET.IVIRONMENTAL QUAUTY
DTVISION OF ENVIRONMENTAL RESPONSE AND REMEDI.ATION
168 Nonh 1950 West
P.O. Box 144840
Salt lakc City, Utah 841 14-4840
(801) 5364100 Voicc
[phone] Fu
[phone] T.D.D.
TO: SANDY ,IORGENSEN
MAPLETON JT'NCTION INC
790 NORTH ]-600 WEST
MAPTETON UT 84664
DAE,E: O7 /LL/OL
RE: Non-compliance of underground storage tanksatTheJunction, Tg0North 16fi) West, Mapleton, Utah;
Facility I.D. # 1000120.
The Utah Underground Storage Tank (UST) Act provides that the Executive Secretary (UST) may revoke
aCertificateofCompliance if it is determined thatafacility is not in substantial compliance withall state and
federal UST statutes, rules and regulations.
At the requestof the Executive Secretary (UST), the Division of Environmental ResponseandRemediation
(DERR) performed a file and compliance rcview for the underground storage tanks at the above faciliry. The
review indicates you have not satisfied the requirements of the Act and are out of compliance. To achieve
compliance you must do the following:
l. Submitaproperly-completedUSTNotificationForm@PA?530-l)tonotifyonthechangeofownership
of the USTs from Charlie's Convenience Store to Mapleton lunction Inc..
2. Pay UST registration fees in the amount of $300.00, which are past due for fiscal year 2(lxJ2.
3. PayPSTFundfeesandlatepenaltyintheamountof$660.00,whicharepastdueforfiscal year2Ull2.
4. Submitacopyofacunent(performedinthelastl2months)precisionlinerightnesstestfortheproduct
linesassociatedwithUSTs#7(8,0fi)gallon l00Octanegas/highsulphurdieselcompartmentedtank),
#8 (l2,000gallon Unleaded), 19 (l2,000gallon PlusPremiumcompartmented tank), and#10 (12,fi)0
gallon diesel).
5. Submitacopyofacurrent(performedinthelast12months)testforproperoperationoftheautomatic
line leak detectors on the pressurized product lines associated with USTs # ?, 8,9, and 10.
6. Submit documentation to show that you have had a qualified cathodic protection tester test the cathodic
protection system on USTs # ?, 8, 9, and l0 within the last three years.
Please submit the requested information to this office by September l, 2001. If the fees are not received
by this date, the Certificate of Compliance for the USTs and coverage under the Peroleum Storage Tank
la,,ass po 6&**7 t,ooa gos/r.,il. ,dt(wtt tqoorffiff
bl tuoa. rurl pan;
btotood,W
Fund will automatically lapse. If the notification, tighhess tests, andcathodic protection tests are notreceived
by this date, we will commence the process to revoke the Certificate of Compliance for the facility. If you
have questions conceming this maner or need any assistance, please contact me at (801) 5364103.
Sincerely,
,,2r^, il*;fli
GLly Astin
Underground Storage Tank Section
?ilrlr0ol t3?PM
7t11t2001
J S MANAGEMENT ANO CONSULTING LLC
400 s MA|N
ALPINE uT 84004 1606
Past Due Amount
2002 PST Fund Fee Assessment
Penalty Charged lor overdue balance
2002 UST Reg Fee Assessment
CHARLIE'S CONVENIENCE STORE LC
790N 1600W
MAPLETON uT 84664
$600.00
$0.00
$60.00
t66{1.00
$m.00
$o.00
0300.00
1000120
2002
1051 1
$060.00
SubTotal:
4
SubTotal:
Past Due Amounts
ul012001 PAYTIENT DUE:
A t'.., A
t.
REASON FOR:
>ltd L
Delete/Waive
' rc-bil( ., Phav dua i^,pri, t ota *, sal ,u( *rt -ie(hn" tcflcr.
v
f
RE-BlLt? {Yes) No
\-i A.-r,
FAX COVER SHEET
STATE OF UTAH
UTAH DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION
168 Nonh 1950 West
Salt Lake Citv, Utatr 84116
(801) s364100
Mailing Ad&ess:
P.O. Box 144840
Salt Lake City, Utatr 84114-4840
FAX NIJMBER (801) 3s9-8853
DATE:
19; (r^tt SEanrew
AGENCYffiRTu: S[,ro)a,, Mo"'Lti' S'''rc{io*
FA)( NUMBER:
&'t- 936'ttto3FROM:
PAGES TO FOLLOW:6
COMMENTS:
l. Ownership of Tank(s)ll. Location:oJ TanKs) .tl
Contact Person At USTlocation Phone #
Facilitv Name -fhL {,t.n l,^."
Ctty State Zip Code
fit<r?Y le-,, L:: '<l<lt
Lct
County
Certificate of Compliance on site?No Certificate Y" r, ZC,CO
Complete for each tank. lf facility has more than 4. tanks, comptele inforrnalion.for additional tanks on separate formi
Number ol tanks at facility:
Current year tag is displayed
Tank presently in use
lf not in use, date last used
lf not in use, depth of product in tank (in inches)
Month and year tank installed
Capacity of tank (in gallons)
FRP, etc.)
Material of construction of piping (steel,
lV. Release Detection For Tanks lndicate the method(s) used for each tank. Complete the appropriate checklist for each nrethod used.
Method used (enter method used and complete appropriate form)
Emergency Generator tank (leak detection deferred)
V. Release Detection For Piping lndicate method(s) used and complete appropriate tank checklists where applica6e.
Method used (complete separate form where applicable)
Automatic Line Leak Detector type and model
Date of last Leak Detector performance test
Test result (pass/fail)
Date of last Line Tightness Test
Name and company ol certified tester Cert. No. UT
No leak detection required (must answer "yes" to all questions below)
Operates at less than atmospheric pressure
Slope of piping allows ALL product to drain into tank when suction is released
Has only ONE check valve, located directly under pump
Above inlormation is verifiable; use comments section below to document how it is verifiable
certify that I have inspected the above-name{ lacilityen
lnspector's Signature:
Signature of Owner or Owner's Representative present During lnspection:
UTAH UST PROGRAM
Release Detection lns Checklist
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner LDchecklist.wpd 2/99*W",n\) t rL r-.^. rhit -{r,
N -Ti,^{ -11--aVc Z i
l fci-r P--Tht,<- =5
- C,i). ,r fi.,q fr...ra?-- c., Tr-[ I Zt. <(r..:'\ptqlr:vr.<a*'.liz*l' i*,. 1 t^,. 5- k .airl d. Bk (-r-,'ytp..,t,t1 cc-/
Al:r' /'er'ni\'-4,otltr.liz-ttr *.++ i. '1 k '-A,,,/
", '.i( ct.-ai>,.1,,.ttril
UTAH UST PROGRAM Facility lD
ll, Overfill, and Corrosion Protection lnspection Checklist
Please complete all information for each tank. Use additional torms as necessary lf the lacllity has more than 4 tanks.
SPILUOVERFILL PREVENTION a ;-+-,.".illlFre\
(Tank'l ,l \ Tank 2 \ Tf-nk 3 )\ Tank4
ls the UST system is filled by transfers ol 25 gallons or less? lf yes, spill
and overfill prevention is not required.Yes @ Yes @ Yes @ Ye;@)
ls there a spill containment device that will prevent release of product into
the environmeni? lndicate type: Spill buckel <5 gal., Spill bucket >5 gal.,
Containment sump at tank fill.
(9 *o C9*o e)ro Ci'o
ls there an overfill prevention device installed on the tank? lndicate type :
ffi*
vent line), Automatic shutoft (in fitl pipe), Atarm, or Other e*oPtr 4@tloitF
/ YeN No
rt<P
(Yes ) No
Etr
For overfill alarm only: ls the alarm located where it can be easily seen
and heard by the delivery driver?Yes &Yes .fii ,\-i Yes @_Yes q
For overfill alarm only: ls the alarm clearly marked to indicate what is
meant when the alarm sounds?Yes No Yes No Yes No Yes No
CORROSION PROTECTION
( ,d,6T1 )t'Tank2 ( fSnkg )tfank 4 I
lndicate the type of corrosion protection: (on-melallic {ND, Composite
P{.EI (CS), lnternal lining(lL), lmpressedtu@
Tank
5A -rtfir
.sA
Tank
SA
rfr[_'
-\'a
{9 or Not protected (NP).Pipiru
^/,\^
PDrngNu PiparE
N,nt
PioimNM
lndicate_.jlglygqof corrosion protection on Flex connectors and/or Swing
ioints:@ooted (9), totat containment (TC), Not in contact with soit or
water (NQ, f,athodically protected (CP), Non-metallic (NM) and Not
Protected (NP)
..A Sc,,
Sub-PumpR, lr: r
Sub-Pump
-y
Sub-Pump
R
DisoenserE Disp€nser
IR
Disponser
R
Oispens6r
R
Tank lining
lf tank or piping has been
upgraded, indicate date Tank cathodic protection
upgrades were performed:
Piping cathodic protection
CATHODIC PROTECTION TESTS Record results of the mqst recent cathodb proteclion test. R€cord the lowest readino for each tad</oipincrlftex set.
The results of the last two cathodic protection tests are available. (within
6 months of installation and every 3 years thereafter).L{T- NOI Yes No Yes No Yes No
Tank. Tester Date volis volts volls volls
Piping. Tester _ Date volts volts volts vons
Flex. Tester Date
Sub-Pump
volts
Sub-Pump
volts
Sub-Pumo
volts
Sub.Pump
volls
Oispenser
volls
Dispenso.
volts
Disensr
volls volts
Dispen*r
For impressed current system: The results of the last three equipment
operation checks are available. (Equip. check required every 60 days.)Yes No Yes No Yes No Yes No
"o^^rnCutk l; c 7rr*, i:;cn ae- / ' t)... tl*l /.+ + {, o t,{ e/c
\ ( ln. l=1, {a r,p",. -{.,j, -il,.rrF. <r,r --G,l l, Z lte,/ 3
Signature of Owner or Owner's Representative Presenl During lnspecti on-. V-. ,- ; -"-tt- fil;;-"' ""
Distribution: White-DERR, Yellow-lnspector, Pink-Facility/Owner Ldspillover.wpd 2/99
UTAH UST PROGRATII Facility lD
Automatic Tank Gauoino
Manufacturer, name and model number of system' /gC d , ,. - Prr-, i 7f. :
Please qircle Yes or No for each question for each tank. Use additional lorms as necessarv il the tacllitv has more then A tanks-
G"D fank 2 I \ Tank 3,Gn
Device documentation is available on-site (e.q., owner's manual).Yes fno',Yes ffi Yes r{;)Yes ffi\
Records on site document that the system was properly installed and calibrated
(system and tank setup report).5No @No @*o @*o
system is maintained in accordance with manufacturer's instructions (records are
qvailable on site).@No @No @to @No
The probe is located at the center of the tank. lf no, indicate tilt correction factor from
the tank setup report.
@No
Tilr:
G, No
Tilr:
GNo
Titr:
@No
Titt:
Qqytqe can measure the h€ight of the product to the nearest 1/g ol an inch dS No -4.-( Yes) No (G) No Gr No
Device monitors the in-tank liquid levels over the full ranoe of the tank's inlernal heidht @no (@ r.ro 6No GNo
A monitoring box is present and there is evidence that the device is working (i.e., the
device is equipped with roll of paper for results documentation).=Q *"@t"@No ENO
Documentation is available demonstrating that the Automatic Tank Gauge performed a
valid leak test at least once a month for the last 12 months @e .eP @)@ @No
lf no, for which months was a valid test not performed? (specify months and year, use
space below il necessarv)
fl,\(\l l'zr((
The tank was filled to at least the minimum level required by the manufacturer's
equipment protocol to ensure a valid leak test e, No @""-V*(Yeg/ No @No
The tank capacity is within the upper and lower size limits required by the
manufacturer's equipment protocol to ensure a valid leak test @No q@ ruo
/4rr\
(es,,) tlo Gl No
Have any of the leak test reports indicated a failed test? lf yes, specify in the space
below the molrth, year, and what follow-up actions have been taken.
^4,-Yes ({,ves q$)Yes @ ves q@-'
Documentation ol performance claims for the automatic leak test feature is available
and shows the ability to detect leaks of 0.2 gph with 95% or greater probability ol
detection and 5% or less probabilitv of false alarm (3rd Dariv certificationt-
@i r,r.@lno Qes ,No GNo
lndicate month(s) of invalid or missingtest: - -H Ar^L 3 ujr vvl'is4>t:t()tr--, i-, r ,1,1,.
lndicate month(s) of any Iailed test: - nJ-
\rt
^c
Distribution: White-DERR, Yellow-tnspector, pink-Facitity/Owner LDatg.wpd 2199
c"d
Page 1 of B
Wed Jan 30 00:08:24 1980
1201 00
JUN 8,12:L4 AM
?90 NORTH 1600 WEST
MAPLETON UTAH 84664
489-1 06L
TANK LEAK TEST HISTORY
T 1:UNLEADED
LAST GROSS TEST PASSED:
TEST START TIME
JUN '? ' 2000 12:00 AM
LAST ANNUAI TEST PASSED:
TEST START TIME
JUN 6, 2000 12:00 AM
FULLEST ANNUAL TEST PASS
TEST START TIME
JAN 21, 2000 1-2:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
JUN 6, 2000 12:00 AM
FULLEST PERIODIC TEST
PASSED EACH MONTH:
START TIME
2L, 2000 12:00
5, 2000 L2:00
LL, 2000 72:00
15,2000 L2:00
L\, 2000 L2:00
L, 2000 L2:00
2Q90
rrCtr O
TEST
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
VOLUME
70L20
7 955
6808
7L70
6382
51,72
108'72
9323
L037 4
9025
729L
9291
VOLUME
84.9
56.7
57 .L
60. 1
53. 5
42.9
97.2
78.2
87.0
75.7
6L.2
78.0
8, L999 L2:00
8, L999 L2:00
26, L999 1.2:00
L, 7999 L2:00
7, 7999 L2200
25 , L999 1,2:00
At,I
AM
AI4
AM
AM
AM
AM
AM
AM
AM
zu4
AI'{
HOURS
HOURS
4
HOURS
4
HOURS
4
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
VOLUME
2994
VOLUME
3802
VOLUME
LOL2O
VOLUIVIE
3802
VOLUME
25.L
VOLUME
31. 9
VOLTN4E
84.9
VOLUME
31.9
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STzuTDARD
STANDARD
STAJ{DARD
STANDARD
STA}IDARD
TANK LEAK TEST HISTORY
T 2: PLUS
LAST GROSS TEST PASSED:
Wed Jan 30 00:08:24 1980
TEST START TIME
JUN 7 , 2000 12:00 AI'4
LAST A}INUA], TEST PASSED:
TEST START TIME
JUN 6, 2000 12:00 AM
FULLEST ANNUAI TEST PASS
TEST START TIME
FEB 14, 2000 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
JUN 6, 2000 12:00 AM
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME
JAN 21, 2000 L2
FEB L4, 2000 t2
MAR 8, 2000 L2
APR 13, 2000 L2
MAY LL, 2000 L2
JUN 5, 2000 L2
JUL 8, 1999 L2
AUG 2, L999 L2
sEP 3, L999 12ocr 7, L999 12
NOV t-3, L999 72
DEC 8, L999 L2
OO AM
00 Al4
OO AM
OO AM
OO AM
OO AM
OO AM
00 AI4
00 AI4
OO AM
OO AM
OO AM
TANK LEAK TEST HISTORY
T 3:PREMIUM
LAST GROSS TEST PASSED:
TEST START TIME
JUN 1, 2000 12:00 AI4
LAST ANNUAL TEST PASSED:
TEST START TIME
JUN 7 , 2000 12:00 AM
FULLEST ANNUA], TEST PASS
TEST START TIME
JAN 29, 2000 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
JUN '7, 2000 12:00 AM
Page 2 of I
^
HOURS
HOURS
4
HOURS
4
HOURS
4
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
HOURS
HOURS
4
HOURS
4
HOURS
4
VOLUME
1840
VOLUME
2155
VOLUME
5368
VOLUME
2155
VOLUME
487 5
s358
3594
37 51
2997
2656
5678
4649
4297
3552
6L92
5005
VOLUME
L969
VOLUME
L969
VOLUME
3748
VOLUME
7969
VOLUME
26.6
VOLUME
3L.2
VOLUME
17 .1
VOLUME
31.2
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
VOLUME
70.6
17.7
52.0
54.3
43 .4
38. s
82.2
67 .3
62.2
51.4
89.7
72.5
VOLUME
40.2
VOLUME
40.2
VOLUME
16 .4
VOLUME
40.2
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
Tue ,": 29 17:03:04 19g0
FULLEST PERIODIC TEST
PASSED EACH MONTH:
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
HOURS
HOURS
4
HOURS
4
HOURS
4
Page 3 of
TEST START TIME
JAN 29, 2000 12:00
FEB 2L, 2000 L2:00
MAR LL, 2000 L2:00
APR 13, 2000 12:00
MAY 6, 2000 L2:00
JUN 5, 2000 12:00
JUL 25, 1999 12:00
AUG 2, L999 72:00
SEP 3, 1999 12:00
OCT L, 1999 12:00
NOV 13, 7999 L2:00
DEC 23, L999 12:00
TANK LEAK TEST HISTORY
T 4:LOW SULFER DIESEL
LAST GROSS TEST PASSED:
TEST START TIME
JUN 7 , 2000 12:00 AM
LAST ANNUAL TEST PASSED:
TEST START TIME
APR 16, 2000 12:00 AM
FULLEST ANNUAI ?EST PASS
TEST START TIME
JAN 19, 2000 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
APR L6, 2000 12:00 AM
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME
JAN \9, 2000 12:00 AM
A.t4
AM
AM
AI{
AM
AM
AI'(
At4
AM
FEB L2, 2000 12:00
MAR 27 , L999 12:00
APR 15, 2000 12:0Q
JUN 24, L999 L2:00
AM
AT{
AM
Al4
AM
AM
AM
AI4
AI4
AM
A-NI
A-I,1
VOLUME
3'7 48
3'147
2523
2456
2t42
2230
3873
2525
2689
251 9
3299
4254
VOLUME
1885
VOLUME
3404
VOLUME
4L26
VOLUME
3404
VOLUME
15.8
VOLUME
28 .6
VOLUME
34.7
VOLUME
28 .6
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
VOLUME
7 6.4
7 6.4
51.4
50.1
43.7
45.5
79.0
51. s
54.8
52 .6
61 .2
86.7
JUL 15, L999 12:00
AUG 13, 1999 L2:00
SEP 26, L999 L2200
OCT 10, 1998 L2:00
NOV 7, L999 12:00
HOURS
4
4
4
4
4
4
4
4
4
4
VOLUME
4L26
37 04
7086
3544
4026
56L4
6227
445L
71.L4
447 6
VOLUME
34.7
31.1
59.5
29.8
33.8
47 .2
52 .3
37 .4
s9.8
37 .6
HOURS
HOURS
4
HOURS
4
HOURS
4
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
HOURS
HOURS
4
VOLUME
TALL
VOLUME
1411
VOLUME
2360
VOLUME
14 11
VOLUME
35.7
VOLUME
35. ?
VOLUME
59. 6
VOLUME
35. ?
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TEST TYPE
STANDARD
TANK LEAK TEST HISTORY
T 5: HIGH SULFER DIESEL
LAST GROSS TEST PASSED:
TEST START TIME
JUN 7, 2000 12:00 AI4
LAST ANNUAI TEST PASSED:
TEST START TIME
JUN 7 , 2000 12:00 AM
FULLEST ANNUAI TEST PASS
TEST START TIME
MAR 23, 2000 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
JUN 7 , 2000 12:00 AM
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST START TIME
JAI'I 30, 2000 L2
FEB 26, 2000 L2
MAR 23, 2000 L2
APR 2t 2000 12
MAY 18, 2000 L2
JUN 5, 2000 L2
JUL 20, 1999 L2
AUG 2, L999 L2
sEP 3, 1999 L2
ocr L, 1999 L2
NOV 18, 1999 L2
DEC 13, 1999 12
OO AM
OO AM
00 At'{
OO AM
OO AM
OO AM
OO AM
OO AI4
OO AM
OO AM
00 Al4
00 AI4
TANK LEAK TEST HISTORY
T 6:100 OCTANE LOW LEAD
LAST GROSS TEST PASSED:
TEST START T]ME
JUN 7 , 2000 12:00 AM
LAST ANNUAL TEST PASSED:
TEST START TIME
MAY 27, 2000 12:00 AM
VOLUME
L992
2L63
2360
20't2
1 901
2287
357 5
3426
2554
2626
3 516
2933
VOLUME
50.4
54.7
59.6
52.4
48.0
57.8
90. 3
86.6
64.5
66.4
88.8
14 .t
TEST TYPE
STANDARD
STANDARD
STANDARD
STA}'IDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
VOLUME
936
VOLUME
LL2L
VOLUME TEST TYPE
22.9 STANDARD
VOLUME TEST TYPE
21.4 STANDARD
Wed Jan 30 00:08:24 1980 1
FULLEST ANNUAI TEST PASS
TEST START TIME
JAN 2, 2000 12:00 AM
LAST PERIODIC TEST PASS:
TEST START TIME
MAY 27 , 2000 12:00 AM
Page 5of
HOURS
4
HOURS
4
HOURS
4
4
4
4
4
4
4
4
4
4
4
4
DLVRIES
0
0
0
3978
0
0
3978
VOLUME
2383
VOLUME
LL2L
VOLUME TEST TYPE
58.3 STANDARD
VOLUME TEST TYPE
27.4 STANDARD
FULLEST PERIODIC TEST
PASSED EACH MONTH:
TEST
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
AM
AI4
AM
AM
AM
AM
AI4
AIVI
AM
AM
AM
AM
OPENING
VOLUME
5L77
4 035
282L
18 07
5L26
38 54
5L1 7
VOLUME
2455
1556
I 569
L592
15 01
2009
L623
L7 60
L47 9
2'193
L206
2020
VOLUME
60. r
38.1
38.4
39.0
36. 8
49.2
39.1
43.L
36.2
68 .4
29 .5
49.5
START TIME
L, 2000 L2:
11, 2000 L2
8, 2000 L2
29, 2000 12
L, 2000 L2
L, 1999 L2
L, L999 t2
18, L999 L2
L, L999 L2
3, 1998 72
L2, 7999 L2
9, 1999 L2
00
00
00
00
00
00
00
00
00
00
00
00
TEST TYPE
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STANDARD
STAI.IDARD
STANDARD
STANDARD
GAUGED WATER
INVNTRY HEIGHT VARIANCE
403s 0.00 -5282L 0.00 -31807 0.00 -35L26 0.00 -138s4 0.00 -s3031 0.00 -3
3031 0.00 -20
rco5 00
JUN 8, 2000 12: 14 AI'l
CHARLIES C STORE
790 NORTH 1600 WEST
MAPLETON UTAH 84664
489-7 06L
JUN 8, 2000 L2:L4 AI4II
CURRENT PERIODIC RECONCILIATION REPORT
T 1:UNLEADED
DATE
JUN 1
JUN 2
JUN 3
JUN 4
JUN 5
IME
00
00
00
00
00
JUN 6 2:00
JUN 7 2zOO
TOTALS
THRESHOLD:
T
2
2
2
2
2
AM
AM
AM
AI,,(
AM
AM
AM
METERED
SAIES
1 137
!2LL
101- L
658
L267
820
610 4
MANUAL
ADJUST
0
0
0
0
0
0
CALC I D
INVNTRY
4040
2824
l-810
5L27
38 59
3034
3051
191_
Page 6 of
Wed.Jan .30 00:08:24 1980
SIGNATURE
CHARLIES C STORE
790 NORTH T600 WEST
MAPLETON UTAH 84564
489-1 06L
JUN 8, 2000 L2:L4 AMEU
CURRENT PERIODIC RECONCILIATION REPORT
T 2: PLUS
DATE
JUN 1
JUN 2
JUN 3
JUN 4
JUN 5
JUN 6
JUN 7
TIME
2:00
2200
2200
2: 00
2:00
2:00
2:00
AI4
AM
AI4
AM
AI'4
AI.4
AM
OPENING METERED MANUAL CALC'D GAUGED WATER
VoLUMEDLVRIESSAIESADJUSTINVNTRYINVNTRYHEIGHTVARIANCErg27 0 585 o L342 1341 0 ' 00 -L
1341 0 474 0 867 865 0'00 -2
86s 0 3?3 0 4g2 490 0 ' 00 -2
490 2480 21 g 0 26gL 2689 0 ' 00 -2
2689 0 507 o 2L82 2L8O 0 ' 00 -2
2180 0 32L 0 1859 1859 o ' 00 0
TOTAIS
THRESHOLD:
SIGNATURE
Lg21 2480 2539
CHARLIES C STORE
790 NORTH 1600 WEST
MAPLETON UTAH 84664
489-7061-
JUN 8, 2000 r2|L4 AMrtl
CURRENT PERIODIC RECONCILIATION REPORT
T 3:PREMIUM
r.8 68 1859 0.00 -9
155
DATE T
JUNL2
JUN22
JUN32
JUN42
JUN52
JUN62
JUN12
ME OPENING METERED MANUAL CALC'D GAUGED WATER
OO AM VOLUME DLVRIES SAIES ADJUST INVNTRY INVNTRY HEIGHT VARIA}iCE
00Al'419910L510183418330.00-1
00 AM 1833 0 25L 0 1582 L582 0'00 0
00A}4L5820248013341-3340.000
00 AM 1334 998 77 o 2255 2255 0 ' 00 o
00AM225501,42021-132LL20'00-1
00AM2LL201].90]-993L9920.00-1
199s L992 0.00 -3
TOTALS
THRESHOLD:
L997 998 994
139
Wed qlan 30
S IGNATURE
00:08:24 1980 a Page lof
CHARLIES C STORE
790 NORTH ].600 WEST
MAPLETON UTAH 84664
489-7 06L
JUN 8, 2000 L2zL4 AM!tr
CURRENT PERIODIC RECONCILIATION REPORT
T 4:LOW SULFER DIESEL
DATE TJUN72
JUN22
JUN32
.tuN 4 2JUN52
JUN62
JUNl2
IME
:00
00
00
00
00
00
00
AI4
AI4
AM
AM
AI\4
AI4
At4
OPENING METERED MANUAL CALCID GAUGED WATERVOLUME DLVRIES SATES ADJUST INVNTRY INVNTRY HEIGHT VARIANCE7244 0 349 0 895 g77 0. o0 7 697L 0 304 0 667 at1 0.00 46'7t 0 234 0 43? 4g5 0.00 58495 7946 43 0 2398 24OO 0.00 22400 0 312 0 2028 2og7 0.00 692097 0 266 0 1831 1896 0.00 5s
TOTAIS
THRESHOLD:
SIGNATURE
DATE T
JUN72
JUN22
JUN32
JUN42
.TUN 5 2.ruN 6 2JUN72
L244 7946 1568 L622 1896 0.00 214
145
CHARLIES C STORE
190 NORTH 1600 WEST
MAPLETON UTAH 84664
489-7 061,
JUN 8, 2000 L2:I4 AMnn
CURRENT PERIODIC RECONCILIATION REPORT
T 5:HIGH SULFER DIESEL
IME
:00
:00
00
00
00
00
00
AM
AM
AM
Ai'{
AM
AM
AM
OPENING
VOLUME DLVRIES
1361 095'7 063'7 0474 L97 42293 0L928 0
1361 797 4
GAUGED WATER
INVNTRY HEIGHT957 0.00637 0. 00474 0.002293 0.00L928 0.00L4t4 0.00
7474 0.00
VARIANCE
-4
-50
-3
-2
-1
0
-60
L48
METERED
SAIES
400
270
220
93
364
514
18 61
MANUAI
ADJUST
0
0
0
0
0
0
CAtrC I D
INVNTRY
961
687
417
2295
1929
L4L4
L47 4
TOTAIS
THRESHOLD:
SIGNATURE
Wed Jan 30 00:08:24 1980
CHARLIES C STORE
190 NORTH 1600 WEST
MAPLETON UTAH 84664
489-7 061
JUN 8, 2000 L2:L4 AM!!
CURRENT PERIODIC RECONCILIATION REPORT
T 5:100 OCTANE LOW LEAD
Page 8of
DATE
JUN 1
JUN 2
JUN 3
JUN 4
JUN 5
JUN 6
.TUN 7
TOTAIS
TIME
2:00
2:00
2: 00
2:00
2:00
2:00
2:00
OPENING
VOLUME
10 58
L052
1015
1 000
987
952
10s8
DLVRIES
0
0
0
0
0
0
METERED
SALES
6
37
14
15
35
L4
72L
MANUAI
ADJUST
0
0
0
0
0
0
CALC I D
INVNTRY
1,052
1015
1001
985
952
938
937
GAUGED
INVNTRY
10 52
1015
10 00
987
952
938
938
AM
AM
AM
AI4
AM
AI4
AM
WATER
HEIGHT VARIANCE0.00 00.00 00.00 -10.00 20.00 00.00 0
0.00 1
THRESHOLD:
SIGNATURE
131
t*
I
I
I
It
li
t,l.
/a/lz it, '-#Ui'-i-= F
r:acility lD #1 0001 20
i:irc /i
.if
Closriie Notice prepared atthe reqLlest ol the owner/operator (idenuiir:ci Lrelcit) u'y
-.Q45&g-Ui-qlqh---
--------- 'S-..-..;h r',tl
r"i ' r:'
Addrels 1320 West 800 l{crttrl. -.------.----. C,r,,, --uap}.gton. .---.----Starc..9!--- Zip 84664 ..f i;':
]".,:',
FACII.IWINFORMATION . I J.J"
-
L'r
ljsoleproftietorship Xlpartnership i]corporation - i
nOdress *790 North 1600 Vilbst (:;iry-@p.!e194 I;taie--UT Zip--$-@-- i
Faiility 1r1'6'6.i Charlie's' Convenitince Store' IC -J
Address . 790 l{or$ t 919_!eEl Ciiy._ l4apleton _. ijralc uT _ Z.ii: 84664 . - t
. Contact person Orarlie Hjorttr
(
i'iumberrof regulated, tanks at the'facility before closure: 9 "
Nij'm'b'a?ti.-ibgulaied tariks iit the tacility lfter closurel: Q r. .,.
TANKS CLOSED
Tank #5.1 ' -.!:- -' - l- j
Oate lnstalled 1973-1975 | "'':'i
',.
Capacity.1 000
rrtI . I l' i
Substance stored K-I Kerose le
Date last operated 1 1 -30-98
I
I
,Date,ClOSed- i :+-+1=;lt:$9p
How closed a(Removed/lh'ace
:
Ren{ived
lndicat6 the spccilic substance stored in each tank to be closed (egular trrrlci.,-ir,,J. d;csel, wati(o oil, ctc.)
ir:.] I
::.
trt- 3
c
.I
I4
t
tt
r,f
l
t.. l;
I
...-i1''ll!
il
'llr
ri-
" "tf.
tt.
t lt ,
ISNK:hEMOVEB l.larne Charles Hiorttr Cc r i. ;; .;_l 18_0-7_7_-_ [ x;:. rlaii'-7 -1,-99.,
C;onrpanyl:-9.H. Senrices Inc. - -" .::-..-.,.--: . --._-.:--'----. Plrcirt' ;;'i pOi.-i--!9-1-.-6!25 ' ' 'l
rrOOiess.r l 320 West 80Q lbrth , City--l-Qpletgn------- Srat*---UJ. - -. ;i'tr -i9,IA6j--:--- . i,
,:
'- ^-- '!- ^ ' - .'-''----,,, caf,rrii EEt hlalnlei , ,Cl-arra :f .r,..!ne .'lr,rr :i ..: .O({Q ilrrr i'l;: \ []
.l "tcompdil-Beg}<y--.._..:-..-Ptloi..,...ii.8.o.-l.....]....-79j--1.868-....-_-"..Lf
Add;e;;.?.P.o..e-"",a1:City-.---eay.!91_.--_..--.._Si.-..i.:..IIf..-.-.Zip-.=&4-605.,.,r.[.t. l..rr
,'
rl
i
Iri
1 rrr.-.t.- I
.. CLOSURE INFORMATION,.Tr . . r..-t-,n
''!),' ',
removeiJ ' . Q( J Tank was clcarrerJ.) Presenc ,t
lthbd Used: Cornpressed Air
i;
r"1600 West _]!4plstgj. Utah 841Q4 "=-_. r it
stored a
.T
.t.
Location Name Contact Nante Phone li Date Amount
i'dIEE, . ,l4odified for re-use as a irfte aIine:Tank # '''dtf
" iira-'!, r +
&i[St;f,"",rank(s) ,. iii , --,.Rmped into 1K Abovegrou ,a *..f,gal
pontaminated Water From Tank Cleaning EVaporated 10 _"Qal.,!qitl*r. - _-*ii$::r-r**:L_-=-:Nooe=*.*r5--#?=i-a+a ---* * 1*-F-<--aF.r ir€- * -.i.-:{-\ .*.-- -" 'oali {- :'"
Containinated -Water From Excavationa. r t.. r,None gal
None ta3
\':'I\\\ I
I
,,,:
\1
t,
j;,
.t
1l
_- Yes ' No X . Not applicable
t.,". 't i, ,ft,i:*qe oH for overhead, $Pjfo1.lo1 6irbsent):
i i i.x$1ffi"#1=,X,llr#'::ilifi#Fi5f111. *,,...:i'iJll',ir*re
elrr'lone
-
Erec-'lnci -' Propenv Liner"i
J {"l9F,B,I!id. lab'anatyticat enviidnmrintat'sample resutts are auacrrec
l, , o( X .ghjIFa Soit ctassification ru6ct sampte resutts are atracl.ied i. , '' o-. ,. i,
| ' i ':t '4: pnejn of Custody form is elnaineo. "-, . .:. ,* i'-. ,' r:rir Samoles *:1: Fro?:rtv,. . (iI Collbcted [X'] Labeted IXJ packagecr tx] TransJ:orled , ! , ; t
,--u^,c'.,.
r ['.xl ']ift?(nples were in sight of the person in custody at all tirrres or in a'sEcur.eci locked place.
- "
r,:t -.+=i^'E:-C=--. ---:' ... f= -.. '
- -
= =:-{---.+jj
-----==
=---=-: -- - -= '-='---}
1., ' [e411V3iitaqr penalty of law thit th'e'closure site asscssrcc(it a: ll:ic (acility vvars conductcd i1 accordance vrith R3i1-
{ i i9ep:S::80.?11i9 2::l?) dn-d R311'205 U.A.c., and that any a,ddiiionat sanrptes requirecl by R31 t -202 parti zaoit{2,,I l-;rlr;;-,- ---'-- -, q. rY r re . . --ve v.A.v.r qr ru rr ra. dr l y d{-ruluut lilt SanlPlgs rgqyll'i andt280.72 andR311-20S-2(a)(1) were property coltected."- "i[
',.t
i . 'Sign'at
'll
I,'$,g3h,tie".f Certified Grou.ndivater/Soit Sampler
,!l,.i-tr!'
" '!(.
i !.
|*, I .*'i,
dfl oit
I
P+
I{'
oi.a
Ir
.tl r
' ph-one #'(_J
-, ^ClLlTY SITE PLAT (CLOSURE NOTICET
i-he site Plat must be drawn to an appropriate ider,r tied scale. lt must show actual sampling locations, substances srored in tanks, andliher relevanl inlormation. Tank and sample lder; ication numbers must be consistent with thc inlorrnation giverr orr p. I and 4 ol the
losure notice
-acility lD *1 0001 20 Drawn 8y Ci-rarles Hjorth 4-21-990at,;-
1" = al'-Feetil
NORTH
!i. : .:l,:
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Il
tr
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i .i l-r It'l-l:i-.it'':::l:t:
R
N'.1!ss
U\\
Kl\
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.li
T
a
ii
$
ilt
.N
+t(F__^
.. = $36p1s locations (SS.f. WS.r. USC.I)
: = Monitorino W6lls (MW.t,)
./ : Soil bo.ing (S8.fl). o. Gooprobc Bodng (GP.t)
6 = War6r Wells (dom6stic. liyesttrk, otc.)
Slop6 o{ Surlace Topography: (N, NW. W. SW. S, SE. E. NE)
Land Us6 At Sitr: _Residontlal _ Comm€.chl _ lndu6tdsl
Surrounding Land: _Rosidontial _ Commerciall _ lndust.ial
jii
iil
Sit(. Plat Llusl lndlcato Actual Locations O(:
y' Curronl a lonnor laait. pit)inJ & disponsersr/ Excavalions, GW nrcrritorir16 yrolts & soil stockpilcs
/ Location a depth ol all samptes taksn
t/ Euildings. lonc63, e p.opo.r/ boundaries
/ Utilily conOuitg (sorvurs. gui. wat6r. siorm
drains. €lccttical etc.)
rz Oupth lo grourrdwrrlur (il encount6?cd)
(
CompletetableforallsamplesttratweretaffimplelDnumt,e.lsoithetablenrustbeconsistentwith
'he sample lD numbers given on the site plat and in.the rab anarysis report.
,; Sarrrole #/Lab lDlr'
lr
t'
il----'
#1 /r3586s-1
4/L35865-
llate certified Laborarory used: Arnerican west Anahtical rab
-ddress 463 West 3600 Souttr Salt Lake $!ySt"r."''=-- Cit5, EiaaE IEKe-.gtYSt"te tlT Zip 94115
lontact person phorre li f g01 t 263_g6g6
jiease explain any unusu.al or enenuating circumstances encountered c{uring the site assessrnent or closure:
Sample Cotnpouncls' I A,,,.,r,*riu irru,t|rod(s){
!8015 l,lodified & EpA
8015 l\rodified & pA 8020
r certify under penalty of law that I am the owner of the tank(s) ciescribctl
rnformation on this form and that it ls true, accurate and conrplete'a1d f udhe r,
.vere followed during tank closure.
abo'ru arrd that I anr lamiliar with the
ttrat ttre 1:rocedurcs doscribed hereln
Signature of UST Owner
Full name of Owner Charles L. Hjorth
,i:turr, completed Closure Notice torm, Facility Site plat and Sample lr:ionr.i::::ln Tirbie, Slr!/Lirouricjwater.sam;:rle lab analysis:esults, USC sample results, and chain of custody form within g0 clays o: t.r:j'r' ctosurrl r,:.:
State of Utah Dept. of EnvironmentalOualitv
Division of Envir<inmental Response ana Rrimediation UST sectior.rP.O. Box 144840
168 North 1950 U/est
Salt Lake City, Utalr 94114-4940
AMERICAN
WEST
ANALYTICAL
LABORATORIES
153 West 3500 South
Salt Lake Ciry, Utah
84115
[phone]
'ree [phone]
i:ax [phone]
Date Analyzed:Ianuary 18, 1999
Method Ref.Number:ffiA(hrge & Trap GC/MS)
ORGAI{IC AT{ALYSIS REPORT
Client: C.H. Services. Incomorated
Contact: Charles Hjorth r ------
Analysis Requested:
volatlle Aromatics
Total Purgeable Hydrocarbons
Lab Sample ID:ff5ffiS-Iftroa Bhnk
Analytical Results MBT)O{/TPH-P
Reporting
LEUI:
Amount
Detected:Compound:
Methyl-t-Buryl Erher
Benzene
Toluene
Ethylberzene
Total Xylene
Naphthalene
Total Purgeable Hydrocarbons
0.002
0.001
0.002
0.002
0.002
0.004
0.020
<0.002
<0.001
<0.002
<0.002
<0.002
<0.004
<0.020
Released By:
Report Date: January 19, 1999 lofl
ORGAMC ANALYSIS REPORT
.li,\lEltlCAN
IVEST
.rrN-AL\''flCAL
I.,AI]ORA'|ORIES
[phone]
ir ,l l Free [phone]
Fax [phone]
Qlient C.H. Services, IncorDorated
Dare Sampled: January tf , fg99---Date Received: Januaiy Li, 1999
Analysis Requested:
-
volatlle Aromatics
Total Purgeable Hydrocarbons
Field Sample ID:
WEST NO 1
CHARLIES C.STORE /IOOOI20
Conrpound:
Methyl-t-Buryl Erher
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
Total Purgeable Hydrocarbons
Contact: Charles Hiorth
Date Analyzed: Jariuary 18, 1999
Method Ref.Number:@A(turge & Trap GC/MS)
, ; vvest 3600 south @tr!&4&esults MBTxN/TpH-p
i,rlt L.ke Citv Utah
s4115
Repgnjng
Lmlt:
oro*
0.0032
0.0063
0.0063
0.0063
0.013
0.063
Amount
Detected:
<0.0063
<0.0032
<0.0063
<0.0063
<0.0063
<0.013
<0.063
Lab Sample ID:
% Moisrure 0.t%8.[Vo
* All compounds are reponed on a dry weight basis.
7^rtL
LaDoratory Supervisor
Released By:
Rcport Date: January 19,r999 lofl
oRGAI,UC ANALYSIS REPORT
,l,iYlililcAi{
IVEST
I\NAt-\'TICAL
I.,AIJORAT(.)ITIES
Qlierri C.H. Services, Incomorated
Date Sampled: J_anuary tj, fqDT---Dare Received: Januaiy 13, Lg99
Analysis Requested:evotatlle Aromatics
Total Purgeable Hydrocarbons
Field Sample ID:
EAST NO 2 NO 3
CHARLIES C.STORE #IOOOI2O
Qontact: Charles Hjorth
Date Analyzed: fariuary tA, tSeS
Method Ref.Number:WA(Ruge & Trap cC/MSi
Iab Samole ID:
jtr . , rottil-t
.( .i,,, Utah
i4115
[phone]
, ril Free [phone]
Fax [phone]
Analytical Results
nlts =
Conrpound:
Methyl-t-Butyl Ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
Total Purgeable Hydrocarbons
.,\ 1
i. r :1.
Repgrtrng
Lunrt:
*,
0.0033
0.0067
0.0067
0.0067
0.013
0.067
MBTIO{/TPH.P
Amount
Detected:
<0.0067
<0.0033
<0.0067
<0.0067
<0.0067
<0.013
<0.067
% Moisture 0.tvo L6.7o
* All compounds are reponed on a dry weight basis.
'D tr
Released Bv: / 'zL-'' k'L-,
Report Date: January 19,1999 lofl
ORGAMC ANALYSIS REPORT
ANlERICAN
lryEST
NNAL\"fICAL
i .\ll(.tR{l'ORIES
Qlient: C.H. Services, IncorDorated
Date Sampled: JanuarrylS, fgbT"-Date Rectiived: Januafu rt,-i,irig
A4alysis Requested:t..Hvolatlte Aromatlcs
Total Purgeable Hydrocarbons
Field Sample ID:
DISP NO 4
CHARLIES C.STORE #IOOOI2O
Qontact: Charles Hjorttr
Date Analyzed: Jariuary lg, 1999
Methqd Ref.Number:@A(Purge & Trap GC/MS)
lab Sample ID:
. i\/est 3(i,.ti) South
ri: [..akc (]itr,, Utal'r
::,11.! 5
i,j()i ) :ir-''-8680
i:ree (,3ti8) :63-8686
l:ax (801) ?.63-8687
Analytical Results
IU[S: mg
Cornpqulq:
Ivlethyt-rBuryl Ether
Benzene
Toluene
Ethylbenzene
Total Xylene
Naphthalene
Total Purgeable Hydrocarbons
Repgrting
Lmlt:
*,
0.0031
0.0062
0.0062
0.0062
0.012
0.062
MBTXN/TPH.P
Amount
Detected:
< 0.0062
<0.0031
<0.0062
<0.0062
<0.0062
<0.012
< 0.062
% Moisture 0.r%9.07o
* All compounds are reponed on a dry weight basis.
(--)
tz/ I L.
Reteased By: l.Ui--
Report Date: January 19, 1999 tofl
-fu
, ::1i..:,t1r Clicnt: C.H.Services,Incorporated
i,,,itST Date Sampled: January 13, f999
i :,..., , r it..,\[, Lab Sample ID: L35865
,', . : t',i,llli-cj
Analysis Requested:
Uni tred Soil Classificarion
Contact: Charles Hiorth
DateReceived: January 13, 1999
Received By: Rebekahfuchardson
Method Ref. Number:
D2488-84, X4.2
Results
:. )(,r,i i:tt!Ltt
.,, ( :t .,', Lltairi.!1i5 Lab Samole ID.:
L35865-2
Field Sample ID.:
Charlies C Store #1000120
East No 2 No 3
Classihcation:
Poorly Graded Sand (SP)
.,i ,.. ,..,...66t,
.'' :iii,l .'i,j .q(18{i
,:< ,..() l) . 1.-:.Str87
. (,;(
Laboratory Supervisor
USC llaster
llt:icrscci bv:
Report Date lll5l99 lofl
IOGIN CHAIN OF CUSTIDY REPORT (InOl)
Jan 13 1999, 02:49 prn
Login Number: L35865
Account.: CHS100 C.H. Serrrtces, IncorporaEedSice r CIIARLIES C-STORE *1000120
igli$tht,
sriiiBxe,
ConBacr.i Charles Hjorch
r r,ll
l. - rri;.
:358{i5- 3
So I ids
HEST NO 1
riBTX|.T,/TPH. P
) -.. 9ASTNO2NO3
.' ... i;c': - .. ,--oniainer. p lease share.
Purge & TraP MBTD(N/TPH
Purge & Trap I'IBTEXN/TPH
Uniform Soil ClassificaEion
Purge & Trap MBTEXN/TPH
13-ilAlil-99 13-JA}{-99 pA 22_.rAN_99
Explresr2?-ilAtt-99 purge 1 ConEain
t3-rIAtt:99 L3-!rAN-99 pA 22 -JAN_99
Expires:2?-ilAN-99 purge 1 Concain
13-iIA{:99 13-JA!}-99 PA 22-,IAtl-99
Er(piresi27-ilAN-99 purge 1 ConEain
. 14tiTxr't/TPH - P
:: .JSC
DISP NO {
S MBTXN/TPH-P
Page 1
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A
UTAH UST PROGRAM r -;ility lD Na. i 40 qt-zo
l;: .OwhCrshin of. Tankf#l lL.LgCatiOh,O,f,ttnkt l,. ,,,. '
,:#ffi
furr4-€
City Zip Code
_ Area Code Phone Number Contact Person*nt - 49q'70b/
FaciritY Name CAa/r-uxh c .
'ta-zx-_streetAddress T?O tV. /bOO W.
_City
T HKSCLOSED Tank tto. /TankNo.2 Tank No. 3 Tank No.f Tank No._
1. Estimated Capacity (gallons)bk 8K lo K 8r
2.fype (Steel, FRP, Composite)
3. Substance Stored Aa/Ji/*'hJ >uAre
4. Date last used hu^a, HQ
4. Date Closed z/+{tqq*
5. How closed (Rmvd, inplace, CIS)l2,u:auqvz :)
Orioinal #oftanks 8 -Closedtanks4 +Newtanks0 =#of tanksremainina4
Gw Asottsampler: l,ftt L, &-U"n\Z Cert. #: GS OSiq Expiration Date: t o/Zooa
uSr Remover: ULLrL[tA-qfrrrfil-e94.#,rR Oo77 Expiration Dale: ?/??
1. owner/Operator has an approved Hosure plan: C N Copy of clorure plan is on Site: O fi
2. Product removed: f) N By: V J EnV pisposed at: fX,L ( J ?-n--
3. Sludge removed: Y N By: rt Disposed at: tr
4. Tanks cleaned: Y N By: 't Rinsate disposed at: ' t
5. Non-"^plorir" "tro.ph"r" in.id" trnk obtuin"d by,
-
Prrging -/ln"rting. LEL * "/. Cl"ygen obtained t 01, LC L
6. Product lines were:
-
Cleaned, secured in place, and capped -l4R"ror"O, O,"r*: { V,Xt*sn<a n-
,.r^nnilrrro"^r",r", U\n(r*hr., 5F. r.ron or"Oor^t"rr",
PID or FID meter readings (indicate location on the site plat.): _
Meter Type:Gain or span:Calibration specs:
l.Soilcontaminationisevident: Y @ Depthof contamination: 0-3 feet- greaterthan3feet-
2..water contamination is evident: Y@ Depth to water table: 351 Slope direction of sudace topography kJ .
3. # of samples collected:
-
GW rL Soit ;2_ USC 4. Certified Lab: A W A L
s. Rnatysis luetnoos : /fpFi
\ errx (/erexil oac rnH Hoc ff i ) other:
6. lnspector observed collection of samples: (il N
-
lndicate location and depth of samples on the site plat.
7. lnspector collected duplicate samples and submitted them to the State Lab for analysis: y G)
8. Contaminated soiloverexcavated: Y N ffi;lf yes, confirmation samples were collected: y N
cen/TT19ib Date:
\\
I
ir\
N,
I+
v
{
Distribution: White-DERR, Yeltow-lnspector, pink-Facility/Owner Revised 5/98
FACILITY SITE PI.AT Faclllty lD No. IOOO I 50
+0,,k>a+f-es l1 'o[,ili
[1 L-]J=x
;w"',[
\iM/)
Buried utilities
0
QorseiI
Sur{ace water
A.'rr.Ut@
show localions ot all buildings. streets- tanks, ,0,*'H**# n{ rnoicare rocarion .* *}u sampres couected by rhe samprer and 1116 lnspeclor. Atso rrdicarerhe location of any reponed PID or Flo readings.
Potential Receptors- lndicate distance (in feet) to the nearest: Residences
Active water well
urtrfu-.:r^a dttlr( il(,' &.a.*-la,*l/
_ certify that I inspected the above-named facility on
Date:ce,t* 7TO38b
_ UTAH UST PROGRAM
Permanent Closure lnspr
..acirity 16 pE,IO0O i.,4P
n frt88
l. Ownership of Tank(s)ll. Loeation ol Tank(el , ,z tfr
Owner Name Faciritv Name CJ^rr" lw's Antve,,wir*0,
Address ,^.r&- -v -streetAddress
.\qn A/ /boo D .
_ City State Zip Code -c*, N\o,,oltf cn.
tt"t" ur ^offibui
Area code phone Number gol _ #i4r:\uYt -Surrounding
nLighborhood: (check the best description of land use)
/ residential industrial/commercial Other
TAHKS CLOSED Tarrk No. 5 Tank No.-Tank No Tank No._Tank No._
1. Estimated Capacity (gallons)to00
2.Type (Steel, FRP, Composite)Steel
3. Substance Stored Verr:qorA!
4. Date last used lrl / rQ41
4. Date Closed il rtlqq
5. How closed (Rmvd, inplace, CIS)l,;,F,{rl t.J \Ja,
orininal # of ianks - Closed tanks + New tanks = # of tanks remainino
TANK CLEAN]NG AND REMOVAL:itv
GW & soilsampler: SteJX L,rgr^S Cert. #: GS 55?rc f zoaa
UST Remove r, (ht1f lig " |{,*+t Cert. #: lR O*11 ExpnarionDate: '? i 41
.J
1. Owner/Operator has an approved closure plan:ON a t
Copy of closure plan is qlqlq N
2.productremoved''fi) N ay: CH SZrUrqE Disposed ^L C-t{ SoUnC,ep
3. Sludqe removed: v (|ff av,\
Disposed at:
.r-
4. Tanks cleaned: 6 )* By:tt Rinsate disposed at:I
5. Non-explosive atmosphere inside tank obtained by:
-
Purging J/tnerting. LEL or % Oxygen obtained:
6. product lines were:
-
Cleaned, secured in place, and capped / A"^ou"d, disposal site: Si,l't rn =r+2,.. S p. frrA
7. Tank disposal srte: 2A)tilYt96A 8. Soil disposal site:1o
SITE ASSESSMENT:
PlDorFlDmeterreadingS(indicatelocationontheSiteplat.):-
Meter T Gain or span:Calibration specs:
1. Soil contamination is evident: Y 6) Depfh of contamination: 0 - 3 feet
-
greater than 3 feet
-2. Water contamination is evident: V (ffi Depth to water table: 35 ' Slop" diregtion of surface topo
3.#of samplescollected: 3 ew Soil
-USC
+,@
5. Anatvsis Methods, @ BTEx 6r=*D o&G rnn noc @b ot'er:
6. lnspector observed collection of samples: O N lndicate location and
7. lnspector collected duplicate samples and submitted them to th" St"t" L"b fo,
"nrly"i",
8. Contaminated soil overexcavated: Y * @ lf yes, confirmation sa[plglfryglx 99!!99!9d:, ] N
rnsoector's Sionature: --/rC;-J-- 4'?G-/L" -cert# ootd Dar,t t/b/qf
White-DEBR, Yellow-lnspector, Pink-Facility/Owner Revised 5/98
*
+-ll
CLOSURE INSPECTION SITE
%L,
zFs
tE
ol
Potential Receptors: Distance (in feet) to the nearest:
Residences Commercial buildings
Surlace water
-
Underground: Sewer
Teleohone line Electrical line
certily that I insp€cted the above-named lacility on
( Mrl, day, y.a,, tim)
Oisrribution: While-OERR, Yollow-lnspeclor, Pink-Facility/Owner
,ols-x
F>cilitv Number: [ 00Otzn
INSTALI"ATION INSPECTION
!Properrv E B,usiness only f]Tank onlvC-'V"arlie il rot*L
On'ncr Name (Corporation. IndMdual. Public Agencv, or othcr enritl,)
E Busiqess onl-v . I Tank only Same as Section I:
-
- Chavl4l C*^'uie,*, anr.e s+T{e
Facilitv Name or Compan-v Site Identi[icr, r. "plli""blu
Street Address
UST INSTALLER:Company: Cert #:
+ New Tanks6a
Tank No. Tank No. Tank No.Tank No. Tank No.
1. Estimated Total Capacity (galloru)
2. Tvpe: FRP. Steel. Composite
3. Substance Stored
5. T-vpe of leak detection ! Tightness Test andlnventorv Control E GW l\lonitoring
! Manual Tank Guaging flOther!Vapor Monitoring
Automatic Tank Guaging
lnterstitual Monitoring
. Type: FRP, Coated Steel, Composite
Tvpe: Suction, Pressure, Gravity
3. T1'pe of leak detection
!Vapor Monitoring
I Tightness Test and Inventorv Control E CfV lrlonitoring
! ManualTank Guaging
Automatic Tank Guaging
Interstitual Monitoring
l. Spill device installed (Typet
2. Overfilldevice installed (Ttpe)
(u\d'@A
SPECIFICATIONS
Distance from tank(s) to nearest property line (5' minimum)
Distance from tank to nearest structure (5' plus 45 from surface to tank)
Estimated depth to groundwater
Do tanks have at least 18" spacing between tanks (stable conditions)?
If unstatlle walls, are tanks spaced at teast l/2 times the diameter of the tanks from each other?
Can groundwater raise into the bottom of the tank excavation (must anchorl?
Does depth of installation conform to planned Anchoring, Surface and TraITic conditions,
groundwater conditions and piping run slope requirements?
Has Tank and Piping Cathodic Protection svstems been checked to verify thev are working
properly?
Does the amount of Tank Deflection meet specifications?
FACILITY SITE PLAT Facility lD No. _] ooo 129
NORTH
--\-
<-.
----$< .
d
EG
d_o
g.I
a
(C,,
.€
(t
,i5;
rJ\
l_II c
o 9trt+
Show locations of all streets, tanks, piping and dispenser istands. lndfrte location and depth of. all samples collected by ihe sampler and the inspector. Also indicate
the location ol any reporled PID or FID readings.
Potential Receptors- lndicate distance (in feet) to the nearest: Residences Commercial buildings
OtherUnderground utilities Active water well Sudace water
!t ih *o4<,Comments:
ta4,r//z tu\! *tg +#g
*', :^;,lf#:^;'/'/',
_ oat/Waq&tza/ /498