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

Master Meter Evaluation Form

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 N/A Hazardous Liquid Evaluation Form Image for PDF File  
 N/A Gas Transmission Evaluation Form Image for PDF File  
 N/A Gas Distribution Evaluation Form Image for PDF File  
 N/A Pipeline Company/Unit/System Data Form Image for PDF File  


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

User's Guide

Online Filing

T-4 Gas Operators - Application for permit to Operate a Pipeline in Texas (PS-8000A imbedded in form)   Image for PDF File

Fillable PDF Form

POPS User's Guide Online filing available

T-4

Liquid Operators -  Application for permit to Operate a Pipeline in Texas  (PS-8000A imbedded in form)

 

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Fillable PDF Form 

POPS User's Guide

Online filing available

T-4B

Pipeline Transfer Certification (File with T-4)

   

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Non-Utility Certificate

   

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Guidance for Natural Gas Operators/Economic Operators

   

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 PS-48

New Construction Report (Updated June 2013)

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Pipeline Mapping Forms

Form Number

Form Name

PDF Form

N/A Pipeline Map Request  Image for PDF File


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: 6/14/2016 10:49:37 AM