Division of Petroleum & Chemical Safety

Facility: 4021695 Tank: 3

Capacity:	4000
Product:	Gasoline
Status:	Abandoned in place
Regulated Status	Federal
OSFM First Notify Date:	7/2/1987
Current Age:	44
Install Date:	8/1/1981
Last Used Date:	6/2/2010
Product Date:	8/1/1981
Petroleum Use:
CERCLA Substance:
CAS Code:
Removed Date:
Abandoned Material:	Inert material mixed with portland cement
Abandoned Date:	3/1/2011
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	4/1/2009	5/19/2010	Not applicable
Corrosion Prot - Piping	Fiberglass Non-Corrosive	3/9/2006	Not applicable	Not applicable
Corrosion Prot - Tank	Lining Materials Internal	3/9/2006	12/20/2004	Not applicable
Leak Detect - Piping	Mechanical Pressurized Line Leak Detection	4/1/2009	5/28/2008	Not applicable
Leak Detect - Tank	Automatic Tank Gauging Incon TS 750	3/9/2006	No passing test found	No passing test found
Overfill Prev Device	Overfill Drop Tube Valve	3/9/2006	No passing test found	No passing test found
Piping	Fiberglass Single Wall Piping	4/1/2009	Not applicable	Not applicable
Piping	Stainless Steel Single Wall Piping	4/1/2009	Not applicable	Not applicable
Spill Contain Device	Single Wall Spill Bucket	4/1/2009	No passing test found	No passing test found
Tank	Steel Single Wall	3/9/2006	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