Division of Petroleum & Chemical Safety

Facility: 3021686 Tank: 1

Equipment Type	Equipment	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	1/14/2021	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive	N/A	N/A
Corrosion Prot - Tank	Lining Materials Internal	3/12/2019	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	11/14/2022	N/A
Leak Detect - Tank	Automatic Tank Gauging Gilbarco EMC with CSLD	11/14/2022	N/A
Manway At Grade	Accessible Manway Accessible at Grade	N/A	N/A
Overfill Prev Device	Overfill Drop Tube Valve	1/14/2021	N/A
Piping	Fiberglass Single Wall Piping Ameron	N/A	N/A
Piping	Single Wall STP/Tanktop Sump
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed	N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	1/14/2021	N/A
Tank	Steel Single Wall	N/A	N/A

No Compatibility Forms Listed

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Piping	Fiberglass Single Wall Piping Ameron	Precision Test (Piping)	Pass	11/14/2022	Show History
Tank	Steel Single Wall	Precision Test (Tank)	Pass	3/8/2019	Show History