Division of Petroleum & Chemical Safety

Facility: 1035698 Tank: 6

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date
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		12/6/2023	12/6/2024
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD		12/6/2023	12/6/2024
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	12/20/2023	12/20/2023	12/20/2024
Overfill Prev Device	Overfill Alarm		12/13/2021	12/13/2024
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX		N/A	N/A
Piping	Single Wall STP/Tanktop Sump		3/6/2024	3/6/2027
Leak Detect - Piping	Sump Sensor with positive shutdown		12/6/2023	12/6/2024
Spill Contain Device	Single Wall Spill Bucket	12/2/2022	3/6/2024	3/6/2027
Tank	Fiberglass Double Wall XERXES		N/A	N/A

File Name	Status	Status Date
CompatibilityFormSummary03062023-150347.pdf	Approved	3/6/2023

File Name	Description
Veeder Root Probe & Float.pdf	ATG Probe
Veeder Root Probe & Float.pdf	ATG Probe
53VML_30MV_Ball_Float_Vent_Valves.pdf	Ball Float Vent Valve
Ameron Piping.pdf	Fiberglass Double Wall
Ameron Piping.pdf	Fiberglass Double Wall
Xerxes Tanks.pdf	Fiberglass Double Wall
Xerxes Tanks.pdf	Fiberglass Double Wall
FFS-0391 MLD+ Mechanical Leak Detectors Datasheet.pdf	Mechanical Pressurized Line Leak Detection
FFS-0391 MLD+ Mechanical Leak Detectors Datasheet.pdf	Mechanical Pressurized Line Leak Detection
Veeder Root Sump & Interstitial Sensors.pdf	Non-Discriminating Interstitial Monitoring Sensors
Veeder Root Sump & Interstitial Sensors.pdf	Non-Discriminating Interstitial Monitoring Sensors
Veeder Root Sump & Interstitial Sensors.pdf	Non-Discriminating Sump Sensor with positive shutdown in Single Wall STP/Tanktop Sump
Veeder Root Sump & Interstitial Sensors.pdf	Non-Discriminating Sump Sensor with positive shutdown in Single Wall STP/Tanktop Sump
Veeder Root Probe & Float.pdf	Overfill Alarm
Veeder Root Probe & Float.pdf	Overfill Alarm
Bravo_Sumps_AlternativeFuels_R3.pdf	Single Wall Fiberglass UDC Sump
Bravo_Sumps_AlternativeFuels_R3.pdf	Single Wall Fiberglass UDC Sump
opw-1-2100-series-2018 (4).pdf	Single Wall Spill Bucket
Xerxes Sumps.pdf	Single Wall STP/Tanktop Sump
Xerxes Sumps.pdf	Single Wall STP/Tanktop Sump
Franklin Fueling 3-4hp AG.pdf	Submersible Pump
Franklin Fueling 3-4hp AG.pdf	Submersible Pump

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Piping	Fiberglass Double Wall Ameron Dualoy 3000/LCX	Precision Test	Pass	12/6/2023	Show History
Tank	Fiberglass Double Wall XERXES	Precision Test (Tank)	Pass	2/27/2023	Show History