Division of Petroleum & Chemical Safety

Facility: 4021695 Tank: 4

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector Disp 3/4		5/26/2023	5/26/2026
Corrosion Prot - Piping	Sacrificial Anode Flex Connector Disp 1/2		5/26/2023	5/26/2026
Corrosion Prot - Piping	Sacrificial Anode Flex Connector STP	4/1/2009	5/26/2023	5/26/2026
Corrosion Prot - Piping	Fiberglass Non-Corrosive	3/9/2006	N/A	N/A
Corrosion Prot - Tank	Fiberglass Non-Corrosive	4/1/2009	N/A	N/A
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/1/2009	4/29/2025	4/29/2026
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750	3/9/2006	4/29/2025	4/29/2026
Overfill Prev Device	Overfill Drop Tube Valve		4/29/2025	4/29/2028
Piping	Fiberglass Single Wall Piping	4/1/2009	N/A	N/A
Piping	Stainless Steel Single Wall Piping	4/1/2009	N/A	N/A
Piping	Not Installed STP/Tanktop Sump		N/A	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated Not Installed		N/A	N/A
Spill Contain Device	Single Wall Spill Bucket	11/22/2019	4/29/2025	4/29/2028
Tank	Fiberglass Single Wall	4/1/2009	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	4/29/2025	Show History
Piping	Stainless Steel Single Wall Piping	Precision Test (Piping)	Pass	4/29/2025	Show History
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	5/26/2023	Show History