Division of Petroleum & Chemical Safety

Facility: 3033629 Tank: 5

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Flexible Non-Corrosive		N/A	N/A
Corrosion Prot - Tank	Composite Non-Corrosive		N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	5/1/2025	5/1/2025	5/1/2026
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 450 Plus with CSLD	5/1/2025	5/1/2025	5/1/2026
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors	5/1/2025	5/1/2025	5/1/2026
Overfill Prev Device	Overfill Drop Tube Valve	5/1/2025	5/1/2025	5/1/2028
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	5/1/2025	N/A	N/A
Piping	Single Wall STP/Tanktop Sump	12/5/2024	12/5/2024	12/5/2027
Leak Detect - Piping	Sump Sensor with positive shutdown	5/1/2025	5/1/2025	5/1/2026
Spill Contain Device	Double Wall Spill Bucket	12/5/2024	12/5/2024	12/5/2027
Tank	Composite Double Wall Lannon	10/16/2024	N/A	N/A

File Name	Status	Status Date
CompatibilityFormSummary09262024-134435.pdf	Approved	9/26/2024

File Name	Description
VR-577014-449-08_Stainless_Steel_Mag_Plus_In-Tank_Probe_Alternative_Fluids.pdf	ATG Probe
PLASTEEL+ELUTRON+WARRANTY+Revised+Jan+2018.pdf	Composite Double Wall
Gilbarco+-+Station+3-15-22+-+GPL-1600H+(1).pdf	Dispenser
FFS-0691+UL+2447+Listed+Products.pdf	Double Wall Spill Bucket
VR+PLLD+Application+Guide+(AA).pdf	Electronic Pressurized Line Leak Detection
FFS-0271+(UL)+Flexible+Connectors+Datasheet.pdf	Flex Connector Steel
ffs-0524-xp-flexible-pipework-datasheet.pdf	Flexible Double Wall
Husky 18-1-hardwall-curb-hoses.pdf	Hose
VR+Sensor+Application+Guide+(AG).pdf	Non-Discriminating Interstitial Monitoring Sensors
OPW 11a-and-11b-automatic-nozzles.pdf	Nozzle
FFS-0796+Submersible+Turbine+Pumps+Datasheet.pdf	Other Pump
FFS-0392+Defender+Series+OPV+Datasheet.pdf	Overfill Drop Tube Valve
gasolia+E+sealant.pdf	Pipe Dope
FFS-0265+662+Series+Shear+Valve+Datasheet.pdf	Shear Valve
FFS-0265+662+Series+Shear+Valve+Datasheet.pdf	Shear Valves
FFS-0691+UL+2447+Listed+Products.pdf	Single Wall STP/Tanktop Sump
FFS-0691+UL+2447+Listed+Products.pdf	Single Wall UDC Sump
FFS-0796+Submersible+Turbine+Pumps+Datasheet.pdf	Submersible Turbine Pump
VR+Sensor+Application+Guide+(AG).pdf	Sump Sensor with positive shutdown
gasolia+E+sealant.pdf	Thread sealant

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Piping	Flexible Double Wall A.P.T. Poly Tech P175SC	Precision Test (Piping)	Pass	5/1/2025	Show History
Tank	Composite Double Wall Lannon	Precision Test (Tank)	Pass	5/1/2025	Show History