Division of Petroleum & Chemical Safety

Facility: 2021384 Tank: 5

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Isolation Boots Flex Connector		N/A	N/A
Corrosion Prot - Piping	Sacrificial Anode Flex Connector		9/15/2021	9/15/2024
Corrosion Prot - Piping	Fiberglass Non-Corrosive		N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive		N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	3/25/2008	7/29/2022	7/29/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 Plus with CSLD		8/4/2022	8/4/2023
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	8/3/2022	8/3/2022	8/3/2023
Overfill Prev Device	Overfill Drop Tube Valve	8/27/2020	8/27/2020	8/27/2023
Piping	Flex Connector Steel		N/A	N/A
Piping	Fiberglass Single Wall Piping		N/A	N/A
Piping	Not Installed STP/Tanktop Sump		N/A	N/A
Spill Contain Device	Double Wall Spill Bucket	8/27/2020	8/27/2020	8/27/2023
Tank	Fiberglass Single Wall		N/A	N/A
Vent, Riser, Fill Piping	Steel risers		N/A	N/A

No Compatibility Forms Listed

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Piping	Fiberglass Single Wall Piping	Precision Test	Pass	7/29/2022	Show History
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	7/29/2022	Show History