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Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <br />Tank ID (one OPE per column) <br />T1: 87 <br />T2: 91 <br />Are both vent and tank riser piping secondarily <br />x Yes <br />x Yes <br />❑ Yes <br />❑ Yes <br />contained? <br />❑ No <br />❑ No <br />❑ No <br />❑ No <br />OPE Model <br />V/R <br />V/R <br />What is the OPE response when activated? <br />❑ Shut off <br />❑ Shut off <br />❑ Shut off <br />❑ Shut off <br />(Check all that apply.) <br />Flow <br />Flow <br />Flow <br />Flow <br />❑ Restricts <br />❑ Restricts <br />❑ Restricts <br />❑ Restricts <br />Flow <br />Flow <br />Flow <br />Flow <br />x Audible <br />x Audible <br />❑ Audible <br />❑ Audible <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />x Visual <br />x Visual <br />❑ Visual <br />❑ Visual <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />Are flow restrictors installed on vent piping that <br />❑ Yes* <br />❑ Yes* <br />❑ Yes* <br />❑ Yes* <br />may interfere with the OPE operation? <br />x No <br />x No <br />❑ No <br />❑ No <br />At what level in the tank is the OPE set to <br />100.44 <br />77.46 <br />activate? (Inches from bottom of tank) <br />What is the percent capacity of the tank at <br />90 <br />90 <br />which the OPE activates? <br />Is the OPE in proper operating condition to <br />x Yes <br />x Yes <br />❑ Yes <br />❑ Yes <br />respond when the stored substance reaches the <br />❑ No <br />❑ No <br />❑ No <br />❑ No <br />designated regulatory level? <br />7. SUMMARY OF TESTING RESULTS <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />OPE Inspection Results <br />xFail <br />xFail <br />❑ Fail <br />❑ Fail <br />8. COMMENTS <br />Describe all results marked "Fail' and each proposed remedy. <br />1) Both ATGs audible and visual alarms triggered individually. <br />2)The External audible alarm will not work if one ATG is in alarm. <br />3) Site needs to either install external audible alarms <br />4) Install drop tubes with overfill prevention valves <br />* Mark here if: <br />Flow restrictors interfere with overfill prevention and equipment re airs 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 />