Forms

These pages provide links to Pipeline Safety related forms.


ll 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-86A

Texas School Facilities Gas Pipe Testing

  Fillable PDF Form
 

PS-86B

 

Texas School Facilities Gas Pipe Test Results Form

 Image for PDF File  

PS-95

Semi-Annual Leak Report

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EDI Specification

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 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 form is no longer used. The data is now included in the shapefile)    Image for PDF File

 

POPS User's Guide

Online filing required

T-4

Liquid Operators -  Application for permit to Operate a Pipeline in Texas  (PS-8000A form is no longer used. The data is now included in the shapefile)

 

Image for PDF File

 

POPS User's Guide

Online filing required

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 May 2020)

 

       Fillable PDF Form

 Fillable PDF Form

   


Pipeline Mapping Forms

Form Number

Form Name

PDF Form

N/A Pipeline Map Request  Image for PDF File


Sample Cover Letters

T-4 Submission for New Permits

T-4 Submission for Renewal (Overview Map Required, No Digital Mapping Required)

T 4 Submission for Permit Amendments and Partial Transfers (to and from)

T-4 Submission for Total Transfers where the new operator is keeping the transferred permit active

T-4 submission for Total Transfers where the new operator is canceling the permit and adding the lines to one of their existing permits 

T-4 Submission for Canceling an existing permit

Sample Overview Maps

Sample of map for multiple counties (more than 2)

Sample of map for 1-2 counties

Sample Renewal Overview Map






Last Updated: 6/25/2020 4:28:58 PM