Division of Petroleum & Chemical Safety

Facility: 6023959 Tank: 2

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date	Failed Test Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector		2/25/2016	N/A	4/10/2020
Corrosion Prot - Piping	Fiberglass Non-Corrosive		N/A	N/A
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating		4/10/2020	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	9/23/2020	9/23/2020	N/A
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 300c		3/31/2020	N/A
Overfill Prev Device	Ball Float Vent Valve				3/31/2020
Overfill Prev Device	Overfill Drop Tube Valve				3/31/2020
Piping	Fiberglass Single Wall Piping		N/A	N/A
Piping	Not Installed STP/Tanktop Sump		N/A	N/A
Spill Contain Device	Single Wall Spill Bucket				3/31/2020
Tank	STIP3 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	Precision Test (Piping)	Pass	5/14/2020	Show History
Tank	STIP3 Single Wall	Precision Test (Tank)	Pass	3/31/2020	Show History