Form PHMSA F 7000-1.1 PHMSA F 7000-1.1 Annual Report for Hazardous Liquid Pipeline Operators

Pipeline Safety: New Reporting Requirements for Hazardous Liquid Pipeline Operators: Hazardous Liquid Annual Report

HL Annual Form - PHMSA F 7000-1.1 (rev xy-2013) CLEAN 2014-06-23

Pipeline Safety: New Reporting Requirements for Hazardous Liquid Pipeline Operators: Hazardous Liquid Annual Report

OMB: 2137-0614

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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: 6/30/2014

DOT USE ONLY
U.S. Department of Transportation

ANNUAL REPORT FOR CALENDAR YEAR 20___

Pipeline and Hazardous Materials

HAZARDOUS LIQUID PIPELINE SYSTEMS

Safety Administration

Initial Date
Submitted
Report
Submission Type
Date Submitted

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 19 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/forms.
PART A - OPERATOR INFORMATION

DOT USE ONLY

1. OPERATOR’S 5 DIGIT IDENTIFICATION NUMBER (OPID)

2. NAME OF OPERATOR:

3. Reserved

4. HEADQUARTERS ADDRESS:

Street Address

State: /

/ Zip Code: /

/ - /

/__/__/__/-/__/__/__/-/__/__/__/__/
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
 CO 2
 Fuel Grade Ethanol (dedicated system)

Form PHMSA F 7000-1.1 (rev xy-2014)

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Form Approved
OMB No. 2137-0614
Expires: 6/30/2014

6. Reserved

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.

8. Reserved

Form PHMSA F 7000-1.1 (rev xy-2014)

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Reproduction of this form is permitted.

Form Approved
OMB No. 2137-0614
Expires: 6/30/2014

For all Parts, make an entry in each block for which data is available. All fields are required unless nonapplicable.
For the designated Commodity Group, PARTs B, 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

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
CO 2
Fuel Grade Ethanol (dedicated system)

PART D - MILES OF PIPE BY MATERIAL AND CORROSION PREVENTION STATUS
Steel Cathodically protected

Onshore
Offshore
Total Miles

Steel Cathodically unprotected
Other

Total Miles

Calc

Bare

Coated

Calc

Bare

Calc

Plastic

Coated

Calc

PART E - 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

High Frequency

Calc

Low Frequency and DC

Calc

Total Miles

Calc

1980 - 1989

1990 - 1999

2000 – 2009

2010 - 2019

Total Miles

High Frequency

Calc

Low Frequency and DC

Calc

Total Miles

Calc

Decade Pipe Installed

Form PHMSA F 7000-1.1 (rev xy-2014)

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Reproduction of this form is permitted.

Form Approved
OMB No. 2137-0614
Expires: 6/30/2014

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, specify other 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 (rev xy-2014)

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Form Approved
OMB No. 2137-0614
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(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. Specify other
inspection technique(s):
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 (rev xy-2014)

Calc

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Form Approved
OMB No. 2137-0614
Expires: 6/30/2014

For the designated Commodity Group, complete PARTs H, I, J, K, L, 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, M, P, and Q
The data reported in these PARTs H, I, J, K, L, 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

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

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

2000 - 2009

1920 -1929

1930 -1939

1940 -1949

1950 – 1959

2010 - 2019

1960 – 1969

1970 – 1979

Total Miles
Calc

Form PHMSA F 7000-1.1 (rev xy-2014)

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1980 – 1989

Form Approved
OMB No. 2137-0614
Expires: 6/30/2014

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

Total Miles

Steel Pipe
- Operating at
greater than 20% SMYS

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

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

Form PHMSA F 7000-1.1 (rev xy-2014)

Calc

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OMB No. 2137-0614
Expires: 6/30/2014

PART L – TOTAL SEGMENT MILES THAT COULD AFFECT HCAs
BY TYPE OF HCA
POPULATION AREAS
High Population

NOT BY TYPE

USAs

Other Population

Ecological
Resource

Drinking Water

TOTAL
SEGMENT
MILES THAT
COULD AFFECT
HCA’S

COMMERCIALLY
NAVIGABLE
WATERWAYS

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

Total Miles

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

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

Form PHMSA F 7000-1.1 (rev xy-2014)

Calc

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Form Approved
OMB No. 2137-0614
Expires: 6/30/2014

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)

/__/__/__/-/__/__/__/-/__/__/__/__/
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, 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 (rev xy-2014)

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File Type	application/pdf
File Title	ANNUAL REPORT
Subject	GAS TRANSMISSION/GATHERING SYS
Author	Roger Little
File Modified	2014-06-23
File Created	2014-06-23