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<br /> <br />-OwnerF~ame(fromSectionl) TRA]?PER MINING INC Location(tromSeetionll) MOFFAT COUNTY pageNo.? ot? Pages <br />•. .• <br />Tank Identification No. (e.g., ABC-123), or Tank No. Tank No. Tank No. Tank No. Tank No. <br />Arbitrarily Assigned Sequential Number(e.g.,7,2,3...) A-7 B-8 C-15 D-19 D-26 <br />1. Status o1 Tank Currently in Use [~ 0 ~ 0 0 <br />(Mark all that apply®) Temporarily Out of Use ~ ~ ~ 0 0 <br />Permanently Out of Use ~ o Ox ~ <br />Brought into Use after 5/8/86 ~ 0 0 0 ~] <br />2. Estimated Age (Years) <br />3. Estimated Total Capacit (Gallons) 4 , 000 2 , 000 350 <br />4. Material of Construction Steel ~ 0 ® 0 <br />(Mark one®) Concrete Q [~ ~ ~ ~ <br />Fiberglass Reinforced Plastic ~ ~ ~ x0 ~ <br />Unknown <br />Other, Please Specify <br /> <br />5. Inlemal Protection <br />(Mark all that apply®) Cathodic Protection O ~ O O O <br />Interior Lining (e.g., epoxy resins) 0 ~ ~ 0 <br />None 0 ~ 0 0 0 <br />Unknown ~] ~] ~ ~ 0 <br />Other, Please Specify <br />6. External Protection Cathodic Protection ~ 0 ~ ~ 0 <br />(Mark all that apply®) Painted(e.g.,asphaltic) Q 0 ~ <br />Fiberglass Reinforced Plastic Coated ~ ~ ~ ~ 0 <br />None 0 [_] 0 ~ 0 <br />Unknown 0 0 ~ 0 <br />Other, Please Specify <br />7. Piping Bare Steel <br />(Mark allfhafapp/y®) ~ (~~l 0 ~ <br />Galvanized Steel ~ ~ 0 ~ 0 <br />Fiberglass Reinforced Plastic ~ [_] ~ 0 ~ <br />Cathodically Protected 0 ~ ~ ~ <br />Unknown [_] ~ 0 ~ ~~l <br />Other, Please Specify <br />8. Substance Currently or Last Stored a. Empty ~ 0 ~ ~ ~ <br />In Greatest Quantity by Volume b. Petroleum <br />(Markalithafapp/y®) Diesel ~ ~ ~ 0 ~ <br />~ ~ Kerosene ~ ~ ~ 0 0 <br />Gasoline (including alcohol blends) ~ 0 0 0 0 <br />Used Oil o o ~ 0 <br />Other, Please Specify <br />c. Hazardous Substance ~ [_] 0 ~ ~ <br />Please Indicate Name of Principal CERCl11 Substance <br /> <br />OR <br />Chemical Abstract Service (CAS) No. <br /> <br />Mark box ®if tank stores a mixture of substances 0 ~ 0 ~] ~ <br />d. Unknown [~ ~ 0 ~ ~ <br />9. Additional Intormatlon (tor tanks permanently <br />taken out o1 service) <br />a. Estimated date last used (mo/yr) $ / B7 $ / 87 4 / 90 4 / 90 4 ~ 90 <br />b. Estimated quantity o1 substance remaining (gal.) SO 50 L 10 ~ 5 < 1 <br />c. Mark box ®if tank was filled with inert material <br />(e. g., sand, concrete) ~ ~ ~ 0 0 <br />EPA Fwm 7530-1 IRev,sed 9~Ba) Reverse pew 2 <br />