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pdfNotice: 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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
U.S. Department of Transportation
Pipeline and Hazardous Materials
Safety Administration
ANNUAL REPORT FOR CALENDAR YEAR 20___
HAZARDOUS LIQUID PIPELINE SYSTEMS
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
INITIAL REPORT
SUPPLEMENTAL REPORT
“60 DAY VERSION”
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to
comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a
current valid OMB Control Number. The OMB Control Number for this information collection is 2137-0614. Public reporting for this collection of
information is estimated to be approximately 18 hours per response, including the time for reviewing instructions, gathering the data needed, and
completing and reviewing the collection of information. All responses to this collection of information are mandatory. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection
Clearance Officer, PHMSA, Office of Pipeline Safety (PHP-30) 1200 New Jersey Avenue, SE, Washington, D.C. 20590.
Important: Please read the separate instructions for completeing this form before you begin. They clarify the information requested and provide
specific examples. If you do not have a copy of the instructions, you can obtain one from the PHMSA Pipeline Safety Community Web Page at
http://www.phmsa.dot.gov/pipeline/library/formshttp://www.phmsa.dot.gov/pipeline.
PART A - OPERATOR INFORMATION
DOT USE ONLY
1. OPERATOR’S 5 DIGIT IDENTIFICATION NUMBER (OPID)
2. NAME OF OPERATORCOMPANY OR ESTABLISHMENT:
/
/
/
/
/
/
IF SUBSIDIARY, NAME OF PARENT:
__________________________________________________
3. Reserved INDIVIDUAL WHERE ADDITIONAL INFORMATION
MAY BE OBTAINED:
4. HEADQUARTERS ADDRESS:
Name
Company Name
Title
Street Address
__________________________________________________
Email Address
State: /
/
/ Zip Code: /
/
/__/__/__/-/__/__/__/-/__/__/__/__/
/__/__/__/-/__/__/__/-/__/__/__/__/
Telephone Number
Telephone Number
/
/
/
/ - /
/
/
/
/
5. THIS REPORT PERTAINS TO THE FOLLOWING COMMODITY GROUP: (Select Commodity Group based on the predominant commodity
carried and complete the report for that Commodity Group. File a separate report for each Commodity Group included in this OPID.)
Crude Oil
Refined and/or Petroleum Product (non-HVL)
HVL
CO2
Fuel Grade Ethanol (dedicated system)
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Pg. 1 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
6. Reserved CHARACTERIZE THE PIPELINES AND/OR PIPELINE FACILITIES COVERED BY THIS OPID AND COMMODITY GROUP
WITH RESPECT TO COMPLIANCE WITH PHMSA’S INTEGRITY MANAGEMENT PROGRAM REGULATIONS (49 CFR 195.452). (Select
only one)
NO portions of the pipelines and/or pipeline facilities covered by this OPID and Commodity Group are included
in an Integrity Management Program subject to 49 CFR 195. If this box is checked, leave PARTs B, F, G, L, and O
blank, but complete all remaining PARTs of this form in accordance with PART A, Question 8.
Portions of SOME or ALL of the pipelines and/or pipeline facilities covered by this OPID and Commodity Group
are included in an Integrity Management Program subject to 49 CFR 195. If this box is checked, complete all
PARTs of this form in accordance with PART A, Question 8.
7. FOR THE DESIGNATED COMMODITY GROUP, THE PIPELINES AND/OR PIPELINE FACILITIES INCLUDED WITHIN THIS OPID ARE:
(Select one or both)
INTERstate pipeline List all of the States in which INTERstate pipelines and/or pipeline
facilities included under this OPID exist: __, __, __, __, __, etc.
INTRAstate pipeline List all of the States in which INTRAstate pipelines and/or pipeline
facilities included under this OPID exist: __, __, __, __, __, etc.
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Pg. 2 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
8. Reserved DOES THIS REPORT REPRESENT A CHANGE FROM LAST YEAR’S FINAL REPORTED NUMBERS FOR ONE OR MORE
OF THE FOLLOWING PARTs: PART B, D, E, H, I, J, K, L, or M? (For calendar year 2010 reporting or if this is a first-time Report for an
operator or OPID, Commodity Group(s), or pipelines and/or pipeline facilities, select the first box only. For subsequent years’ reporting, select
either No or one or both of the Yes choices.)
This report is FOR CALENDAR YEAR 2010 reporting or is a FIRST-TIME REPORT and, therefore, the
remaining choices in this Question 8 do not apply. Complete all remaining PARTS of this form as applicable.
NO, there are NO CHANGES from last year’s final reported information for PARTs B, D, E, H, I, J, K, L, or M.
Complete PARTs A, C, and N, along with PARTs F, G, and O when applicable.
YES, this report represents a CHANGE FROM LAST YEAR’S FINAL REPORTED INFORMATION for one or
more of PARTs B, D, E, H, I, J, K, L, or M due to corrected information; however, the pipelines and/or pipeline
facilities and operations are the same as those which were covered under last year’s report. Complete PARTs A,
C, and N, along with only those other PARTs which changed (including PARTs B, F, G, L, and O when
applicable).
YES, this report represents a CHANGE FROM LAST YEAR’S FINAL REPORTED INFORMATION for PARTs
B, D, E, H, I, J, K, L, or M because of one or more of the following change(s) in pipelines and/or pipeline
facilities and/or operations from those which were covered under last year’s report. Complete PARTs A, C, and
N, along with only those other PARTs which changed (including PARTs B, F, G, L, and O when applicable).
(Select all reasons for these changes from the following list)
Merger of companies and/or operations, acquisition of pipelines and/or pipeline facilities
Divestiture of pipelines and/or pipeline facilities
New construction or new installation of pipelines and/or pipeline facilities
Conversion of service, change in commodity transported, or change in MOP (maximum operating pressure).
Abandonment of existing pipelines and/or pipeline facilities
Change in HCA’s identified, pipeline facilities or segments that could affect HCAs, or other changes to
Operator’s Integrity Management Program
Change in OPID
Other Describe: _______________________________________________
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Pg. 3 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
For the designated Commodity Group, complete PARTs B, C, D, and E will be calculated from Parts L, P,
and Q respectively. Complete PART C one time for all pipelines and/or pipeline facilities – both
INTERstate and INTRAstate - included within this OPID.
PART B - MILES OF PIPE BY LOCATION
Total Segment Miles
That Could Affect HCAs
Onshore
Offshore
Calc
Total Miles
Calc
Calc
PART C - VOLUME TRANSPORTED IN BARREL-MILES (include Commodities within this Commodity Group that are not predominant)
Onshore
Offshore
Crude Oil
Refined and/or Petroleum Product (non-HVL)
HVL
CO2
Fuel Grade Ethanol (dedicated system)
PART D - MILES OF STEEL PIPE BY MATERIALCORROSION PROTECTION AND CORROSION PREVENTION STATUS
Steel Cathodically protected
Bare
Onshore
Offshore
Total Miles
Steel Cathodically unprotected
Coated
Bare
Plastic
Coated
Other
Total Miles
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
PART E - MILES OF ELECTRIC RESISTANCE WELDED (ERW) PIPE BY WELD TYPE AND DECADE
Unknown
Pre-1940 or
Unknown
1940 -1949
1950 - 1959
1960 - 1969
1970 - 1979
High Frequency
Calc
Calc
Calc
Calc
Calc
Calc
Low Frequency and DC
Calc
Calc
Calc
Calc
Calc
Calc
Total Miles
Calc
Calc
Calc
Calc
Calc
Calc
1980 - 1989
1990 - 1999
2000 – 2009
2010 - 2019
Total Miles
High Frequency
Calc
Calc
Calc
Calc
Calc
Low Frequency and DC
Calc
Calc
Calc
Calc
Calc
Total Miles
Calc
Calc
Calc
Calc
Calc
Decade Pipe Installed
Decade Pipe Installed
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Pg. 4 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
For the designated Commodity Group, complete PARTs F and G one time for all INTERstate pipelines
and/or pipeline facilities included within this OPID and multiple times as needed for the designated
Commodity Group for each State in which INTRAstate pipelines and/or pipeline facilities included within
this OPID exist. Each time these sections are completed, designate the State to which the data applies
for INTRAstate pipelines and/or pipeline facilities, or that it applies to all INTERstate pipelines included
within this Commodity Group and OPID.
PARTs F and G
The data reported in these PARTs F and G applies to: (select only one)
Interstate pipelines/pipeline facilities
Intrastate pipelines/pipeline facilities in the State of /__/__/ (complete for each State)
PART F - INTEGRITY INSPECTIONS CONDUCTED AND ACTIONS TAKEN BASED ON INSPECTION
1. MILEAGE INSPECTED IN CALENDAR YEAR USING THE FOLLOWING IN-LINE INSPECTION (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 tool mileage inspected in calendar year using in-line inspection tools. (Lines a + b + c + d )
Calc
2. ACTIONS TAKEN IN CALENDAR YEAR BASED ON IN-LINE INSPECTIONS
a. Based on ILI data, total number of anomalies excavated in calendar year because they met the operator’s
criteria for excavation.
b. Total number of anomalies repaired in calendar year that were identified by ILI based on the operator’s criteria,
both within a segment that could affect an HCA and outside of a segment that could affect an HCA.
c. Total number of conditions repaired WITHIN A SEGMENT THAT COULD AFFECT AN HCA meeting the
definition of:
Calc
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. MILEAGE INSPECTED AND ACTIONS TAKEN IN CALENDAR YEAR BASED ON PRESSURE TESTING
a. Total mileage inspected by pressure testing in calendar year.
b. Total number of pressure test failures (ruptures and leaks) repaired in calendar year, both within a segment that
could affect an HCA and outside of a segment that could affect an HCA.
c. Total number of pressure test ruptures (complete failure of pipe wall) repaired in calendar year WITHIN A
SEGMENT THAT COULD AFFECT AN HCA .
d. Total number of pressure test leaks (less than complete wall failure but including escape of test medium)
repaired in calendar year WITHIN A SEGMENT THAT COULD AFFECT AN HCA.
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Pg. 5 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
(PART F continued)
4. MILEAGE INSPECTED AND ACTIONS TAKEN IN CALENDAR YEAR BASED ON ECDA (EXTERNAL COROSION DIRECT
ASSESSMENT)
a. Total mileage inspected by ECDA in calendar year.
b. Total number of anomalies identified by ECDA and repaired in calendar year based on the operator’s criteria,
both within a segment that could affect an HCA and outside of a segment that could affect an HCA.
c. Total number of conditions repaired in calendar year WITHIN A SEGMENT THAT COULD AFFECT AN HCA
meeting the definition of:
Calc
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)]
5. MILEAGE INSPECTED AND ACTIONS TAKEN IN CALENDAR YEAR BASED ON OTHER INSPECTION TECHNIQUES
a. Total mileage inspected by inspection techniques other than those listed above in calendar year.
b. Total number of anomalies identified by other inspection techniques and repaired in calendar year based on the
operator’s criteria, both within a segment that could affect an HCA and outside of a segment that could affect an
HCA.
c. Total number of conditions repaired in calendar year WITHIN A SEGMENT THAT COULD AFFECT AN HCA
meeting the definition of:
Calc
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)]
6. TOTAL MILEAGE INSPECTED (ALL METHODS) AND ACTIONS TAKEN IN CALENDAR YEAR
a. Total mileage inspected in calendar year. (Lines 1.e + 3.a + 4.a + 5.a)
Calc
b. Total number of anomalies repaired in calendar year both within a segment that could affect an HCA and outside
of a segment that could affect an HCA. (Lines 2.b + 3.b + 4.b + 5.b)
Calc
c. Total number of conditions repaired in calendar year WITHIN A SEGMENT THAT COULD AFFECT AN HCA.
(Lines 2.c.1 + 2.c.2 + 2.c.3 + 3.c + 3.d + 4.c.1 + 4.c.2 + 4.c.3 + 5.c.1 + 5.c.2 + 5.c.3)
Calc
d. Total number of actionable anomalies eliminated by pipe replacement in calendar year that could affect an HCA:
e. Total number of actionable anomalies eliminated by pipe abandonment in calendar year that could affect an
HCA:
PART G – MILES OF BASELINE ASSESSMENTS AND REASSESSMENTS COMPLETED IN CALENDAR YEAR (segment miles that could
affect HCAs ONLY)
a. Baseline assessment miles completed during the calendar year.
b. Reassessment miles completed during the calendar year.
c. Total assessment and reassessment miles completed during the calendar year.
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Calc
Pg. 6 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
For the designated Commodity Group, complete PARTs H, I, J, K, L, and M, P, and Q covering INTERstate
pipelines and/or pipeline facilities for each State in which INTERstate systems exist within this OPID and
again covering INTRAstate pipelines and/or pipeline facilities for each State in which INTRAstate systems
exist within this OPID.
PARTs H, I, J, K, L, and M, P, and Q
The data reported in these PARTs H, I, J, K, L, and M, P, and Q applies to: (select only one)
Interstate pipelines/pipeline facilities in the State of /__/__/ (complete for each State)
Intrastate Pipelines/pipeline facilities in the State of /__/__/ (complete for each State)
PART H - MILES OF PIPE BY NOMINAL PIPE SIZE (NPS)
NPS 4”
or less
6”
8”
10”
12”
14”
16”
18”
20”
22”
24”
26”
28”
30”
32”
34”
36”
38”
42”
44”
46”
48”
52”
56”
58” and
over
Onshore
Other Pipe Sizes
Not Listed
Size: __ Miles: ________
Add Sizes as needed
Calc
Total Miles of Onshore Pipe
NPS 4”
or less
6”
8”
10”
12”
14”
16”
18”
20”
22”
24”
26”
28”
30”
32”
34”
36”
38”
42”
44”
46”
48”
52”
56”
58” and
over
Offshore
Other Pipe Sizes
Not Listed
Size: __ Miles: ________
Add Sizes as needed
Calc
Total Miles of Offshore Pipe
PART I - MILES OF PIPE BY DECADE INSTALLED
Unknown
1990 - 1999
Pre-20s or
Unknown
2000 - 2009
1920 -1929
1930 -1939
1940 -1949
1950 – 1959
2010 - 2019
1960 – 1969
1970 – 1979
1980 – 1989
Total Miles
Calc
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Pg. 7 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
PART J - MILES OF PIPE BY SPECIFIED MINIMUM YIELD STRENGTH
Pipeline Segments Subject to
ALL 49 CFR 195 Requirements
Onshore
Offshore
Rural Low-Stress
Pipeline Segments
Subject ONLY to
Subpart B of
49 CFR 195
Steel Pipe
- Operating at
greater than 20% SMYS
Total Miles
Calc
Non-Rural
Onshore
Rural
Onshore
Offshore
Steel Pipe
- Operating at less than
or equal to 20% SMYS
Calc
Steel Pipe
- Operating at an
unknown stress level
Calc
Non-Steel Pipe
- Operating at
greater than 125 psig
Calc
Non-Steel Pipe
- Operating at less than
or equal to 125 psig
Calc
Total Miles
Calc
Calc
Calc
Calc
Rural
Onshore
Offshore
Total Miles
PART K - MILES OF REGULATED GATHERING LINES
Non-Rural
Onshore
Steel Pipe
- Operating at greater than 20% SMYS
Steel Pipe
- Operating at less than or equal to
20% SMYS
Non-Steel Pipe
- Operating at greater than 125 psig
Non-Steel Pipe
- Operating at less than or equal to 125
psig
Total Miles
Calc
Calc
Calc
Calc
Calc
Calc
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Calc
Calc
Pg. 8 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
PART L – TOTAL SEGMENT MILES THAT COULD AFFECT HCAs
BY TYPE OF HCA
POPULATION AREAS
High Population
NOT BY TYPE
USAs
Other Population
COMMERCIALLY
NAVIGABLE
WATERWAYS
Ecological
Resource
Drinking Water
TOTAL
SEGMENT
MILES THAT
COULD AFFECT
HCA’S
Onshore
Offshore
PART M - BREAKOUT TANKS
Total Number of
Tanks Less than or
equal to 50,000 Bbls
Commodity Group
Total Number of
Tanks Over 150,000
Bbls
Total Number of
Tanks 100,001 to
150,000 Bbls
Total Number of
Tanks 50,001
to 100,000 Bbls
Total Number of
Tanks
Crude Oil
Calc
Refined and/or Petroleum
Product (non-HVL)
Calc
HVL
Calc
CO2
Calc
Fuel Grade Ethanol
(dedicated system)
Calc
PART P - MILES OF PIPE BY MATERIAL AND CORROSION PREVENTION STATUS
Steel Cathodically protected
Bare
Onshore
Offshore
Steel Cathodically unprotected
Coated
Bare
Plastic
Coated
Other
Total Miles
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Calc
Total Miles
Calc
Calc
Calc
Calc
Calc
Other (specify):
PART Q - MILES OF ELECTRIC RESISTANCE WELDED (ERW) PIPE BY WELD TYPE AND DECADE
Decade Pipe Installed
Unknown
Pre-1940
1940 -1949
1950 - 1959
1960 - 1969
1970 - 1979
Calc
Calc
Calc
Calc
Calc
Calc
1980 - 1989
1990 - 1999
2000 – 2009
2010 - 2019
High Frequency
Low Frequency and DC
Total Miles
Decade Pipe Installed
Total Miles
High Frequency
Calc
Low Frequency and DC
Calc
Total Miles
Calc
Calc
Calc
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Calc
Calc
Pg. 9 of 10
Reproduction of this form is permitted.
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
for each day the violation continues up to a maximum of $1,000,000 as provided in 49 USC 60122.
Form Approved
OMB No. 2137-0614
Expires: 01/31/2014
For the designated Commodity Group, complete PART N one time for all of the pipelines and/or pipeline
facilities included within this OPID, and then also PART O if any portion(s) of the pipelines and/or pipeline
facilities covered under this Commodity Group and OPID are included in an Integrity Management
Program subject to 49 CFR 195.
PART N - PREPARER SIGNATURE (applicable to all PARTs A - M)
/__/__/__/-/__/__/__/-/__/__/__/__/
Telephone Number
Preparer's Name (type or print)
/__/__/__/-/__/__/__/-/__/__/__/__/
Preparer's Title
Facsimile Number
Preparer's E-mail Address
PART O - CERTIFYING SIGNATURE (applicable only to PARTs B, F, G, and L)
/__/__/__/-/__/__/__/-/__/__/__/__/
Senior Executive Officer’s signature certifying the information in PARTs B, F, G, and L as required by
49 U.S.C. 60109(f)
Telephone Number
Senior Executive Officer’s name certifying the information in PARTs B, F, G, and L as required by
49 U.S.C. 60109(f)
Senior Executive Officer’s title certifying the information in PARTs B, F, G, and L as required by
49 U.S.C. 60109(f)
Senior Executive Officer’s E-mail Address
Form PHMSA F 7000-1.1 (Rrev. xy06-20131)
Pg. 10 of 10
Reproduction of this form is permitted.
File Type | application/pdf |
File Title | ANNUAL REPORT |
Subject | GAS TRANSMISSION/GATHERING SYS |
Author | Roger Little |
File Modified | 2013-02-12 |
File Created | 2013-02-04 |