Division of Petroleum & Chemical Safety

Facility: 7041490 Tank: 1

Capacity:	6000
Product:	Gasoline
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	5/29/2003
Current Age:	23
Install Date:	3/5/2003
Last Used Date:	5/13/2008
Product Date:	5/12/2003
Petroleum Use:
CERCLA Substance:
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	2/5/2014
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	Impressed Current Cathodic Protection	1/8/2003	No passing test found	No passing test found
Corrosion Prot - Piping	Sacrificial Anode Cathodic Protection	5/20/2008	No passing test found	No passing test found
Corrosion Prot - Piping	Flexible Non-Corrosive	1/8/2003	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive	1/8/2003	Not applicable	Not applicable
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	1/8/2003	5/16/2006	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350j with CSLD	1/8/2003	No passing test found	No passing test found
Overfill Prev Device	Overfill Drop Tube Valve	1/8/2003	No passing test found	No passing test found
Piping	Fiberglass Secondary Containment	1/8/2003	Not applicable	Not applicable
Piping	Flexible Single Wall Piping	1/8/2003	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	1/8/2003	No passing test found	No passing test found
Tank	Fiberglass Single Wall XERXES	1/8/2003	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