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Get APPENDIX B FORMS - Phmsa Dot

Service connections, main extensions, replacements, etc. DATE: 01. Location: 02. Name of Inspector: 03. Designation: Tank 04. Age of Pipe/Tank: 05. Maximum Operating Pressure: 06. Pipe Specification: Steel 07. Cathodic Protection Tank/Line: Yes 08. Coating: Yes 09. External Condition: Smooth Pitted Depth of Pits 10. Internal Condition: Smooth Pitted Depth of Pits Main Service Years Line/Tank Size: inches/gals. Plasti.

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