Division of Petroleum & Chemical Safety

Facility: 6006789 Tank: 1

Capacity:	4000
Product:	Gasoline
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	3/27/1986
Current Age:	50
Install Date:	5/1/1976
Last Used Date:	5/24/2017
Product Date:	5/1/1976
Petroleum Use:
CERCLA Substance:
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	10/12/2017
Red Tag Issue Date:
Fee Due:	$0.00
UL Number

Equipment Type	Equipment	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	4/21/2016	Not applicable
Corrosion Prot - Piping	Fiberglass Non-Corrosive	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal	4/10/2012	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	12/27/2016	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350	No passing test found	No passing test found
Overfill Prev Device	Overfill Drop Tube Valve	No passing test found	No passing test found
Piping	Fiberglass Single Wall Piping	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	No passing test found	No passing test found
Tank	Steel Single Wall	Not applicable	Not applicable

Failed test = the latest test has failed.

Not applicable = a test does not apply to this equipment type or configuration.

No passing test found = a passing test is expected but was not found from the source data.

No Compatibility Forms Listed

No Additional Tests Listed