Forms

These pages provide links to Pipeline Safety related forms.

All PDF forms, unless otherwise indicated, are created using Adobe Acrobat. To view the files you need to have the Adobe Acrobat Reader version 6.0 or higher, available free from Adobe.

Image for PDF File - PDF Form available Fillable PDF Form- fillable PDF Form available Image for PDF File - PDF instructions available

 

Texas Damage Reporting Form (TDRF) for Excavators
No Damage Non-Compliance Reporting Form


General Pipeline Forms


Form Number

Form Name

PDF Form

Fillable PDF

PS-81

Annual Plastic Pipe Inventory

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EDI Specifications

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PS-82

Plastic Pipeline Installation and/or Removal Report

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PS-86A

Texas School Facilities Gas Pipe Testing

  Fillable PDF Form

PS-86B

Texas School Facilities Gas Pipe Test Results Form

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PS-87

Gas & Liquid Transmission Pipeline Proximity to Public Schools

  Fillable PDF Form

PS-95

Semi-Annual Leak Report

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EDI Specification

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 N/A

Integrity Management – Liquid Pipelines Form

  Fillable PDF Form

 N/A

Integrity Management – Natural Gas Form

  Fillable PDF Form

 N/a

Pipeline Integrity Management Form

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 N/A

Pipeline Safety Map Request Form

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Master Meter Sample Forms

Form Number

Form Name

PDF Form

N/A

Atmospheric Corrosion Control Inspection

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N/A

Cathodic Protection Worksheet

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N/A

Corrosion Control-Rectifier Inspection

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N/A

Gas Distribution Inspection & Leak Repair

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N/A

Gas Leak & Repair Report

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N/A

Monthly Leak Log

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N/A

Monthly Odorization Report

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N/A

Patrolling Form

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N/A

Patrolling of Pipeline System Form

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N/A

Pipeline Test Report

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N/A

Regulator Test Report

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N/A

Regulator Inspection Report

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N/A

Relief Valve Inspection Report

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N/A

Sniff Test Form

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N/A

Telephonic Report of Customer Leak Report

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N/A

Valve Inspection Report

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N/A

Valve Location Report

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Pipeline Permitting Forms

Form Number

Form Name

PDF Form

Instructions

Fillable PDF

T-4

Application for Permit to Operate a Pipeline in Texas

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T-4B

Pipeline Transfer Certification (File with T-4)

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PS-48

New Construction Report – Updated: June 2013

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PS-8000A

Texas Pipeline Questionnaire

 

 

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Sample Permit Application Cover Letters

 

Permits with multiple county overview map

 

Permits with single county overview map

 

Permits with hard copy maps

Overview Permit File Map Samples  (Must be included with your T-4 paperwork when submitting digital mapping)

Hard Copy Submissions








Last Updated: 10/29/2014 10:00:31 AM