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Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report <br /> 6. OVERFILL PREVENTION EQUIPMENT DETAILS <br /> Tank ID (one OPE per column) Tl Unleaded T1 Unleaded T2 Unleaded T3 Premium <br /> Are both vent and tank riser piping V/ Yes A Yes A Yes f Yes <br /> secondarily contained? No 7No 7No No <br /> OPE Model Veeder Root Veeder Root Veeder Root Veeder Root <br /> What is the OPE response when activated? Shut off -1 Shut off Shut off Shut off <br /> (Check all that apply.) Flow Flow w Flow <br /> estricts estrictsbZtricts Restricts <br /> Flow Flow Flow Flow <br /> V Audible v/ Audible v/ Audible ✓ Audible <br /> Alarm Alarm Alarm Alarm <br /> r/ Visual :V/ Visual Visual r/ Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping Yes* Yes* Yes* Yes* <br /> that may interfere with the OPE operation? 17 No 7,( No Hv No �/ No <br /> At what level in the tank is the OPE set to 98 114 971/2 975/8 891/2 <br /> activate? Inches from bottom of tank <br /> What is the percent capacity of the tank at 9() 90 gp 90 <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to �/ Yes �/ Yes �/ Yes �/ Yes <br /> 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 �/ Pass r/ Pass f Pass <br /> Fail Fail Fail Fail <br /> 8. COMMENTS <br /> Describe all results marked "Fail"and each proposed remedy. <br /> * Mark here if: <br /> Lj Flow restrictors interfere with ovefll prevention and equipment repairs required. <br /> Additional copies of this page may be attached. <br /> Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s) <br /> Page 2 of 2 <br />