PHMSA form F7000.1-1

Notice: This report is required by 49 CFR Part 195. Failure to report may result in a civil penalty not to exceed $100,000 for each violation Form Approved

for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122. OMB No. 2137-0614

Expires: 04/30/2007

U.S. Department of Transportation Pipeline and Hazardous Materials Safety Administration

ANNUAL REPORT FOR CALENDAR YEAR 20___ HAZARDOUS LIQUID OR CARBON DIOXIDE SYSTEMS

INITIAL REPORT ¨ SUPPLEMENTAL REPORT ¨

Important: Please read the separate instructions for completeing this form before you begin. System Type: 1. Crude Oil ¨ 2. HVLs ¨ 3. Petroleum & Refined Products ¨ 4. CO2 or other ¨

PART A - *OPERATOR INFORMATION

DOT USE ONLY

1. NAME OF COMPANY OR ESTABLISHMENT IF SUBSIDIARY, NAME OF PARENT ___________________________________________________

3. OPERATOR’S 5 DIGIT IDENTIFICATION NUMBER / / / / / / *The operator is the person (as defined in 49 CFR 195.2) who exercises substantial control over the operation of the pipeline.

2. LOCATION OF OFFICE WHERE ADDITIONAL INFORMATION MAY BE OBTAINED

HEADQUARTERS NAME & ADDRESS, IF DIFFERENT

Number & Street

Number & Street

City & County

City & County

State & Zip Code

State & Zip Code

PART B - MILES OF STEEL PIPE BY LOCATION/PROTECTION
	Cathodically protected		Cathodically unprotected			Total Miles That Could Affect HCAs
	Bare	Coated	Bare	Coated
Onshore						Onshore
Offshore						Offshore
Total Miles of Pipe						Total Miles

PART C - MILES OF STEEL PIPE BY NOMINAL PIPE SIZE (NPS) BY LOCATION
Onshore	NPS 4” or less	6”	8”	10”	12”	14”	16”	18”	20”
	22”	24”	26”	28”	30”	32”	34”	36”	over 36”
Offshore	NPS 4” or less	6”	8”	10”	12”	14”	16”	18”	20”
	22”	24”	26”	28”	30”	32”	34”	36”	over 36”

PART D - MILES OF PIPE BY DECADE INSTALLED
Pre-20 or Unknown	1920 -1929	1930 -1939	1940 -1949	1950 – 1959	1960 – 1969	1970 – 1979	1980 – 1989	1990 -1999	2000 -2009	Total

PART E - MILES OF ELECTRONIC RESISTENCE WELD (ERW) PIPE BY WELD TYPE AND DECADE
Decade Pipe Installed	Pre-40 or Unknown	1940 -1949	1950 - 1959	1960 - 1969	1970 - 1979	1980 - 1989	1990 -1999	2000 – 2009	Total
High Frequency
Low Frequency and DC
Total Miles of Pipe

Form PHMSA F 7000-1.1 (Rev. 03-2007) Continue on Next Page

Reproduction of this form is permitted.

PART F - MILES OF PIPE BY SPECIFIED MINIMUM YIELD STRENGTH
	Onshore Miles	Offshore Miles
Less than or equal to 20 % SMYS
Greater than 20% SMYS

PART G - MILES OF REGULATED GATHERING LINES

Total:

PART H - BREAKOUT TANKS	¨ Check here and proceed to Part I if you submitted breakout tank info via the National Pipeline Mapping System.
Commodity		Total Number of Tanks Less than or equal to 50,000 Bbls	Total Number of Tanks 50,001 to 100,000 Bbls	Total Number of Tanks 100,001 to 150,000 Bbls	Total Number of Tanks Over 150,000 Bbls	Total Number of Tanks

PART I - VOLUME TRANSPORTED IN BARREL-MILES:
System Type 1: Crude oil:
System Type 2: HVLs (flammable or toxic fluids, which are gases at ambient conditions, including anhydrous ammonia):
Of all HVL volumes – report the amount that is anhydrous ammonia only
System Type 3: Refined and/or petroleum products (gasoline, diesel, fuel or other petroleum products, liquid at ambient conditions):
System Type 4. CO2 or other nonflammable, non-toxic fluids (gases at ambient temperature):
Of all CO2 or other nonflammable, non-toxic fluid volumes - report amount that is CO2 only

PART J - INTEGRITY INSPECTIONS CONDUCTED AND ACTIONS TAKEN BASED ON INSPECTION
1. MILEAGE INSPECTED USING THE FOLLOWING IN-LINE INSPECTIONS (ILI) TOOLS
a. Corrosion or metal loss tools
b. Dent or deformation tools
c. Crack or long seam defect detection tools
d. Any other internal inspection tools
e. Total mileage inspected in calendar year using in-line inspection tools (lines a + b + c + d )
2. ACTIONS TAKEN BASED ON IN-LINE INSPECTIONS
a. Based on ILI data, how many anomalies were excavated because they met the operator’s criteria for excavation.
b. Total number of conditions identified and repaired in calendar year based on the operator’s criteria.
c. Total Number of Anomalies Within an HCA Segment Meeting the Definition of:
1. “immediate repair condition” [195.452(h)(4)(i)]
2. “60 day condition” [195.452(h)(4)(ii)]
3. “180-day condition” [195.452(h)(4)(iii)]
3. PRESSURE TESTING
a. Total mileage inspected by pressure testing.
b. Total number of ruptures (complete failure of pipe wall) during hydrostatic testing.
c. Total number of leaks (less than complete wall failure but including escape of test medium) during hydrostatic testing.
d. Total number of hydrostatic test failures repaired during calendar year.
4. OTHER INSPECTION TECHNIQUES, INCLUDING DIRECT ASSESSMENT
a. Total mileage inspected by inspection techniques (other than pressure testing and in-line inspection)
b. Total Number of Anomalies Within an HCA Segment Meeting the Definition of:
1. “immediate repair condition” [195.452(h)(4)(i)]
2. “60 day condition” [195.452(h)(4)(ii)]
3. “180-day condition” [195.452(h)(4)(iii)]
c. Total number of conditions identified by other inspection techniques (Lines 4.b.1 + 4.b.2 + 4.b.3) identified and repaired in calendar year.
5. TOTAL MILEAGE INSPECTED (ALL METHODS) AND ACTIONS TAKEN
a. Total mileage inspected (Lines 1.e + 3.a + 4.a)
b. Total number of conditions repaired (Lines 2.b + 3.d + 4.c)

Form PHMSA F 7000-1.1 (Rev. 03-2007) Reproduction of this form is permitted Continue on Next Page

PART K - MILEAGE OF BASELINE ASSESSMENTS COMPLETED
a. Between January 1, 1996 and December 31, 2002 (previously acceptable assessments)
b. Between January 1, 2003 and December 31, 2003
c. Between January 1, 2004 and December 31, 2004
d. Between January 1, 2005 and December 31, 2005
e. Between January 1, 2006 and December 31, 2006
f. Between January 1, 2007 and December 31, 2007
g. Between January 1, 2008 and December 31, 2008

PART L - PREPARER AND AUTHORIZED SIGNATURE
(type or print) Preparer's Name and Title	Area Code and Telephone Number
Authorized Signature	Area Code and Telephone Number
Preparer's E-mail Address	Area Code and Facsimile Number
Senior Executive Officer’s Name and Title Certifying Information on Part J and K as required by 49 U.S.C. 60109(f): ________________________________________________________________ Senior Executive Officer’s Signature Certifying Information on Part J and K as required by 49 U.S.C. 60109(f):                                                                                                                                          Senior Executive Officer’s E-mail Address	Area Code and Telephone Number

Form PHMSA F 7000-1.1 (Rev. 03-2007)

Reproduction of this form is permitted.