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Underground Storage Tank Overfill Prevention Equipment Inspection Report 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) Tank- 1 Unleaded Tank-2 Unleaded Tank-3 Unleaded Tank-4 Unleaded Are both vent and tank riser piping ❑ Yes ❑ Yes ❑ Yes ❑ Yes secondarily contained? Eia No 5a No 5a No [id No OPE Model OPW 71 SO-4" OPW 71 SO-4" OPW 71 SO-4" OPW 71 SO-4" What is the OPE response when activated? Eia Shut off 5a Shut off 5a Shut off [ia Shut off (Check all that apply.) Flow Flow Flow Flow ❑Restricts ❑Restricts ❑Restricts ❑Restricts Flow Flow Flow Flow ❑ Audible ❑ Audible ❑ Audible ❑ Audible Alarm Alarm Alarm Alarm ❑ Visual ❑ Visual ❑ Visual ❑ Visual Alarm Alarm Alarm Alarm Are flow restrictors installed on vent piping ❑ Yes* ❑ Yes* ❑ Yes* ❑ Yes* that may interfere with the OPE operation? 52 No 52 No 52 No 52 No At what level in the tank is the OPE set to 105 3/8" 105 3/8" 105 3/8" activate? Inches from bottom of tank What is the percent capacity of the tank at 95% 95% 95% which the OPE activates? Is the OPE in proper operating condition to Eia Yes 5a Yes 5a Yes ❑ Yes respond when the stored substance ❑ No ❑ No ❑ No ❑ No reaches the designated regulatory level? 7. SUMMARY OF TESTING RESULTS OPE Inspection Results 5a Pass 5a Pass 5a Pass ❑ Pass ❑ Fail ❑ Fail ❑ Fail 5a Fail 8. COMMENTS Describe all results marked "Fail"and each proposed remedy. ***Tank-4 failed drop tube test and will need to be replace** ***Tank-5 failed due to wrong drop tube installed, Site has Phil-Tite buckets but OPW 71 SO-4 installed*** ***Drop Tube needed on site are Franklin Fueling Defender Series Part#708592902*** * Mark here if: ❑ Flow restrictors interfere with overfill prevention and equipment repairs required. Additional copies of this page may be attached. Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s) Page 2 of 2