Division of Petroleum & Chemical Safety

Facility: 2006065 Tank: 2

Capacity:	8000
Product:	Gasoline - Mid-grade
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	11/17/1987
Current Age:	38
Install Date:	11/1/1987
Last Used Date:	12/14/2021
Product Date:
Petroleum Use:
CERCLA Substance:
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	9/16/2024
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		5/15/2020	Not applicable
Corrosion Prot - Piping	Fiberglass Non-Corrosive		Not applicable	Not applicable
Corrosion Prot - Tank	STIP3 Cathodic Protection with Dielectric Coating		5/15/2020	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection		12/30/2019	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD		7/28/2020	Not applicable
Overfill Prev Device	Overfill Drop Tube Valve	11/12/2021	11/12/2021	Not applicable
Piping	Flex Connector Steel		Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping		Not applicable	Not applicable
Piping	Not Installed STP/Tanktop Sump		Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	5/22/2020	5/22/2020	Not applicable
Tank	STIP3 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

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Piping	Fiberglass Single Wall Piping	Precision Test (Piping)	Pass	12/30/2019	Show History
Tank	STIP3 Single Wall	Precision Test (Tank)	Pass	12/30/2019	Show History