Division of Petroleum & Chemical Safety

Facility: 2010716 Tank: 1

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector Dispenser 3/4		6/12/2023	N/A
Corrosion Prot - Piping	Sacrificial Anode Flex Connector Dispenser 1/2		6/12/2023	N/A
Corrosion Prot - Piping	Fiberglass Non-Corrosive		N/A	N/A
Corrosion Prot - Tank	Stand Alone System Non-Corrosive		N/A	N/A
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	9/1/2020	3/5/2025	N/A
Leak Detect - Tank	Automatic Tank Gauging Incon TS 550 with SCALD		2/5/2025	N/A
Leak Detect - Tank	Non-Discriminating Interstitial Monitoring Sensors		3/5/2025	N/A
Overfill Prev Device	Overfill Drop Tube Valve		3/27/2024	N/A
Piping	Fiberglass Single Wall Piping Ameron		N/A	N/A
Piping	Single Wall STP/Tanktop Sump		3/27/2024	N/A
Leak Detect - Piping	Piping Sump Sensors Not Regulated		N/A	N/A
Spill Contain Device	Double Wall Spill Bucket		5/26/2021	N/A
Tank	Stand Alone System		N/A	N/A

No Compatibility Forms Listed

Equipment Type	Equipment	Test Type	Test Result	Test Date	History
Piping	Fiberglass Single Wall Piping Ameron	Precision Test (Piping)	Pass	3/5/2025	Show History
Tank	Stand Alone System	Precision Test (Tank)	Pass	3/5/2025	Show History