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Underground Storage Tank <br /> Overfill Prevention Equipment Ins ection Report Form <br /> 6. OVERFILL PREVENTION EQUIPMENT DETAILS <br /> Ta n k I D (One OPE per column) E85 <br /> Are both vent and tank riser piping ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> secondarily contained? ® No ❑ No ❑ No ❑ No <br /> OPE Model OPS/ <br /> Tank Manufacturer Cont Solut <br /> ® Shuts off ❑ Shuts off ❑ Shuts off ❑ Shuts off <br /> Flow Flow Flow Flow <br /> What is the OPE response when ® Restricts ❑ Restricts ❑ Restricts ❑ Restricts <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) ❑ Audible ❑ Audible ❑ Audible ❑ Audible <br /> Alarm Alarm Alarm Alarm <br /> ❑Visual ❑Visual ❑Visual ❑Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> piping thamay interfere with the OPE ® No ❑ No El No E] No <br /> operation? <br /> At what level in the tank is the OPE set to 1011, <br /> activate? (Inches from bottom of tank) <br /> What is the percent capacity of the tank in o <br /> which the OPE activates? 93/o <br /> Is the OPE in proper operating condition ® Yes ❑ Yes ❑ Yes ❑ Yes <br /> to respond when the stored substance ❑ No ❑ No ❑ No ❑ No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass [:1 ass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Replaced E85 drop tube. <br /> Page 2 of 2 <br />