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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 tillage (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 uffage 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 over%dl prevention equipment that stops delivery or sounds an audible alarm. <br />Facility <br />Fac. ID # <br />Name <br />(if known) <br />Street <br />Address <br />Product in Tank <br />City <br />ZIP <br />Tank Capacity <br />allons <br />Start Date <br />End Date <br />90 % Capacity <br />(gallons) <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 tillage (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 Reading Conversions to Gallons *Ulla a Quantity Adde—d—T Initials <br />12/01/07 15" 300 1 900-300==(600) 500 1 CW <br />Date Gauge or Stick Reading Conversions to Gallons *tillage Quantity Added Initials <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; htto: / /ot)s.cdle.state.co.us <br />Z:1723 -01 Cline Mining Corp -New Elk MinelPermit RevisionslSPCC Plan Update 20111State of CO forms)Ullage Log.doc <br />MR 115 Page 27 -54 Rev. May 2012 <br />