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Site Street Address 3810 Bradley Road <br />A. RELEASE INFORMATION <br />1. History of this release. <br />City Colorado Snrines, Colorado <br />a) Was a release ever suspected at this site yes <br />b) If yes, date release suspected? September 9, 2005 <br />c) Date that OPS was notified of the suspected release. September 9, 2005 <br />d) Include the location of the suspected release on Figure 1, Appendix C. See Figure 1, <br />Appendix C. <br />2. Rationale for site activities. <br />a) Tank removal or closure in place - no <br />b) Subsurface investigation -yes <br />c) Release detection or system failure -yes <br />d) Suspected impacts to off-site property - no <br />e) Other (describe) -Leaking pump discovered during upgrade activities <br />3. Release description. <br />a) Product(s) released -Diesel fuel <br />b) Quantity released -Unknown, but estimated to be less than the reportable quantity. <br />Historic pump leak is the suspected source. Transit Mix personnel observed an area of soil <br />darker in color than surrounding soils that measured approximately 4-5' wide and 2-3' deep <br />when over-excavating the source area. <br />B. SITE HISTORY <br />1. Describe any previous releases at the site in the table below. <br />Date of Product Quantity SourcelCause of Release No Further <br />Prior (gallons) (Identify location on Fig. 1) Action Letter <br />Release Issued? (yln) <br /> If es enter date <br />NA <br />2. If a no further action letter has not been issued for a previous release explain on-going <br />activities. NA <br />SCR - 02/0 L/99 <br />