Division of Petroleum & Chemical Safety

Facility: 5001140 Tank: 1

Capacity:	10000
Product:	Gasoline
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	3/6/1986
Current Age:	36
Install Date:
Last Used Date:	3/26/2013
Product Date:	5/10/1990
Petroleum Use:
CERCLA Substance:
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	5/13/2013
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		1/7/2013	Not applicable
Corrosion Prot - Piping	Fiberglass Non-Corrosive	11/3/2003	Not applicable	Not applicable
Corrosion Prot - Tank	Impressed Current Cathodic Protection		1/7/2013	Not applicable
Corrosion Prot - Tank	Lining Materials Internal	11/3/2003	3/26/2013	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection		7/3/2012	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Gilbarco Tank Monitor 2		No passing test found	No passing test found
Overfill Prev Device	Ball Float Vent Valve	11/3/2003	No passing test found	No passing test found
Piping	Flex Connector Steel		Not applicable	Not applicable
Piping	Fiberglass Single Wall Piping	11/3/2003	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket		No passing test found	No passing test found
Tank	Steel Single Wall	11/3/2003	Not applicable	Not applicable
Vent, Riser, Fill Piping	Steel risers		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