Division of Petroleum & Chemical Safety

Facility: 2009127 Tank: 2

Capacity:	12000
Product:	Gasoline - Premium
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	12/10/1987
Current Age:	38
Install Date:	9/1/1987
Last Used Date:
Product Date:	9/1/1987
Petroleum Use:
CERCLA Substance:
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	8/4/2023
Red Tag Issue Date:
Fee Due:	$0.00
UL Number

Equipment Type	Equipment	Install Date	Last Passing Test Date	Test Expire Date	Failed Test Date
Corrosion Prot - Piping	Sacrificial Anode Flex Connector		10/12/2020	Not applicable	8/1/2023
Corrosion Prot - Piping	Fiberglass Non-Corrosive	9/4/2001	Not applicable	Not applicable
Corrosion Prot - Tank	Fiberglass Non-Corrosive		Not applicable	Not applicable
Leak Detect - Piping	Electronic Pressurized Line Leak Detection	9/4/2001	8/1/2023	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Veeder Root TLS 350 with CSLD		8/4/2022	Not applicable	8/1/2023
Overfill Prev Device	Overfill Drop Tube Valve	9/1/2021	9/1/2021	Not applicable
Piping	Fiberglass Single Wall Piping		Not applicable	Not applicable
Piping	Single Wall STP/Tanktop Sump		Not applicable	Not applicable
Leak Detect - Piping	Piping Sump Sensors Not Regulated		Not applicable	Not applicable
Spill Contain Device	Double Wall Spill Bucket	8/4/2021	8/4/2021	Not applicable
Tank	Fiberglass 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
Tank	Fiberglass Single Wall	Precision Test (Tank)	Pass	8/30/2022	Show History