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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) Gasoline - 91 <br /> Are both vent and tank riser piping 0 Yes 0 Yes 0 Yes Yes <br /> secondarily contained ? 0 No © No © No 0 No <br /> OPE Model 61SO <br /> What is the OPE response when © Shut off 0 Shut off 0 Shut off 0 Shut off <br /> activated ? Flow Flow Flow Flow <br /> (Check all that apply. ) 0 Restricts © Restricts 0 Restricts 0 Restricts <br /> Flow Flow Flow Flow <br /> 0 Audible © Audible 0 Audible 0 Audible <br /> Alarm Alarm Alarm Alarm <br /> 0 Visual Visual © Visual [M Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping 0 Yes * r] Yes * 0 Yes * © Yes * <br /> that may interfere with the OPE operation ? © No © No © No © No <br /> At what level in the tank is the OPE set to <br /> 80 . 25 <br /> activate ? Inches from bottom of tank <br /> What is the percent capacity of the tank at 94 , 79 % <br /> which the OPE activates ? <br /> Is the OPE in proper operating condition to 0 Yes r] Yes * 0 Yes * 0 Yes * <br /> respond when the stored substance © No © No [M No 0 No <br /> reaches the designated regulatory level ? <br /> 7 . SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results © Pass 0 Pass 0 Pass © Pass <br /> 0 Fail rl Fail [Cl Fail Fail <br /> 8 . COMMENTS <br /> Describe all answers marked "No " or "Fail" and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> * Mark here if: <br /> 0 Flow restrictors interfere with overfill 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 />