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ABOVEGROUND STORAGE TANK ULLAGE LOG - DELIVERIES ONLY <br />Use a Separate Log Sheet for Each Tank <br />Use either this form or its equivalent to document ullage (available capacity *) calculations as required by §3-4-2(a)(4)(B) of Colorado's <br />Storage Tank Regulations. Use the correct tank chart to convert from inches to gallons. If ullage is calculated by an ATG, it is acceptable <br />to save the ATG inventory tape that shows the ullage in gallons. Keep these records at least six (6) months. However, it is advisable to <br />keep records indefinitely, since they may be required as part of the compliance review concerning a claim for reimbursement from the <br />Petroleum Storage Tank Fund. The requirement to determine ullage be ore delivery begins applies to all ASTs, including ASTs equipped <br />with overfill prevention equipment that stops delivery or sounds an audible alarm. <br />Facility Fac. ID # <br />Name Connell Resources, Inc. (if known) 18440 <br />Street <br /> <br />Address <br />5150 SE Frontage Rd. Product in Tank <br />Off Road Diesel <br />city ZIP Tank Capacity <br /> Fort Collins 805246 (gallons) 12,000 <br />Start Date End Date 90 % Capacity <br /> April 10,2009 (gallons) 10,800 <br />Example: If your tank is 1,000 gallons the 90% capacity would be 900 gallons. To determine the Ullage prior to a <br />delivery you would stick your tank and then convert the inches to gallons. Then you would subtract the converted <br />gallons from the 90% capacity to calculate the proper Ullage (ie; 900- 300= 600). Once this is complete you can add the <br />fuel, but make sure not to exceed the 90% capacity. <br />Date Gau a or Stick Readin Conversions to Gallons *Ulla e' Quantity Added Initials <br />12/01/07 15" 300 900-300= 600 500 CW <br />Date Gauge or Stick Reading Conversions to Gallons *Ullage Quantity Added Initials <br />? -1) 70,9o <br />9-2-5 7Qo <br />z. <br />1 <br />7c,o <br /> t 0 a- <br />G` c <br /> <br /> <br /> <br /> 20c 2 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />REPORT SUSPECTED OR CONFIRMED LEAKS TO THE Div. OF OIL & PUBLIC SAFETY WITHIN 24 HOURS: <br />303-318-8547 <br />Colo. Dept. of Labor & Employment, Div. of Oil & Public Safety, 633 17`h St., Suite #500, Denver CO 80202 <br />303-318-8500; htta://ops.cdle.state.co.us <br />http://oiLcdle.state.Co.us/OIL/Inspectors/Inspection Forms/ASTs/AST Ullage Log 12_2007.doc