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Appendix D PIPELINE SAFETY FORMS FOR INSPECTIONS NATURAL GAS OPERATOR EN # 10 16 17 31 32 32-9 33 34 36 38G 41 43 44 56 58 59 60 63 69 70 71 72 1 2 3 4 Description Drug and Alcohol Program Comp. Utility Records Inspection Gas Utility O&M Plan Comp. Review Welding Procedure Inspection OQ 37-page OPS Protocol OQ Field Inspection Steel Pipeline Construction Plastic Pipeline Construction Customer Response Gas Transmission Integrity Management Insp. Corrosion Control Field Regulator Station Field Gas Leak Field Survey/ Leak Repair Inspection Pipe and Bottle Holders Liquid Natural Gas Plant Uprating/MAOP Inspection Plastic Joining Inspection Peak Shaving Plant Annual RP 1162 Public Awareness Distribution Integrity Management Control Room Management DIMP Implementation Revised 6/1/12 DOT Type1 STD Interval (Months) 36 8/1/12 8/28/12 STD STD 18 36 6/11/12 12/15/08 3/27/07 STD OQ OQ 9/8/11 7/13/12 6/26/12 8/1/13 DTC DTC STD IMP 24 36 3x a year not to exceed 4.5 months As needed 2 As needed 3 As needed 36 10/25/02 STD 10/16/12 6/11/12 STD STD 6/11/12 3/23/09 8/3/12 10/24/94 11/19/12 7/21/11 9/23/11 STD STD STD STD STD STD IMP 15 months but within the calendar year As needed.4 15 months but within the calendar year 24 24 as needed 24 24 36 36 8/14/13 3/1/15 STD IMP 36 36 Any EN Form can be DOT Type FUP, if the inspection was done to follow-up on an enforcement action. Based on Gas Pipeline Construction Notices submitted by operators. Based on Gas Pipeline Construction Notices submitted by operators. Based on the number of regulator stations that an operator maintains. Revised May 31, 2016 Page 1 of 3 PROPANE OPERATOR EN # 32 32-9 40 42 57 64 70 72 Description OQ 37-page OPS Protocol OQ Field Inspection Propane Operator Comp Propane Facility <4000 gal. Comp. Propane Facility Comp Propane Operator Records Distribution Integrity Management DIMP Implementation Revised 12/15/08 3/27/09 10/13/13 2/18/09 DOT Type1 OQ OQ STD STD Interval (Months) 36 As needed 36 36 2/17/09 5/7/14 9/23/11 STD STD IMP 36 18 36 3/1/15 IMP 36 Revised 12/15/08 8/6/03 9/23/11 DOT Type1 OQ STD IMP Interval (Months) 36 18 36 3/1/15 IMP 36 Revised 10/16/12 12/15/08 8/1/13 DOT Type1 STD OQ IMP Interval (Months) 36 36 36 10/16/12 7/21/11 STD STD 18 36 MASTER METER OPERATOR EN # 32 37 70 72 Description OQ 37-page OPS Protocol Master Meter Records Distribution Integrity Management DIMP Implementation LANDFILL GAS OPERATOR EN # 07 32 38G 51 69 Description Sm. Oper. w/Compressor Comp. OQ 37-page OPS Protocol Gas Transmission Integrity Management Insp. Sm. Op. w/Compressor Records RP 1162 Public Awareness Revised May 31, 2016 Page 2 of 3 HAZARDOUS LIQUID OPERATOR Revised 6/1/12 DOT Type1 STD Interval (Months) 36 32 32-9 38 41 Description Drug and Alcohol Programs Comp. OQ 37-page OPS Protocol OQ Field Inspection Liquids IMP Comprehensive Corrosion Control Field 12/15/08 3/27/07 8/1/13 10/25/02 OQ OQ IMP STD 48 52 53 61 65 69 71 Liquid Procedures Comp. Liquid CPM-SCADA Liquid Operator Records Hazardous Liquid Transfer Liquid Breakout Tank RP 1162 Public Awareness Control Room Management 3/6/06 3/8/06 10/15/12 8/3/12 2/5/04 7/21/11 8/14/13 STD STD STD STD STD STD STD 36 As needed 36 15 months but within the calendar year 36 24 18 35 36 36 36 DOT Type1 INC STD Interval (Months) as needed as needed EN # 10 ANY OPERATOR EN # 54 55 5 Description Failure Investigation Operator Meeting Notes Based on Operator Pumping Schedule Revised May 31, 2016 Page 3 of 3 Revised 5/19/09 4/4/02