Division of Petroleum & Chemical Safety

Facility: 5006056 Tank: 1

Capacity:	10000
Product:	Gasoline
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	12/10/1985
Current Age:	47
Install Date:	12/10/1978
Last Used Date:	3/18/2014
Product Date:
Petroleum Use:
CERCLA Substance:
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	1/8/2015
Red Tag Issue Date:
Fee Due:	$0.00
UL Number

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector	3/17/2009	12/20/2010	Not applicable
Corrosion Prot - Piping	Fiberglass Non-Corrosive	3/17/2009	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal	3/17/2009	3/17/2009	Not applicable
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	3/12/2008	5/22/2013	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD	3/12/2008	No passing test found	No passing test found
Manway At Grade	Accessible Manway Accessible at Grade	3/17/2009	Not applicable	Not applicable
Overfill Prev Device	Overfill Drop Tube Valve	3/17/2009	No passing test found	No passing test found
Piping	Flex Connector Steel	3/17/2009	Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping	3/17/2009	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	3/17/2009	No passing test found	No passing test found
Tank	Steel Single Wall	10/19/2005	Not applicable	Not applicable
Vent, Riser, Fill Piping	Steel risers	3/17/2009	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