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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) 87 91 DSL <br /> Are both vent and tank riser piping ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> secondarily contained? E No E No E No ❑ No <br /> OPE Model Philtite Philtite Philtite <br /> Tank Manufacturer Xerxes Xerxes Xerxes <br /> ❑ Shuts off ❑ Shuts off ❑ Shuts off ❑ Shuts off <br /> Flow Flow Flow Flow <br /> What is the OPE response when E Restricts E Restricts E Restricts ❑ Restricts <br /> activated? Flow Flow Flow Flow <br /> (Check a//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 that may interfere with the OPE E No E No E No ❑ No <br /> operation? <br /> At what level in the tank is the OPE set to 83 1/2" 83" 83 3/4" <br /> activate? (Inches from bottom of tank) <br /> What is the percent capacity of the tank in over 95% over 95% over 95% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition E Yes E Yes E 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 ❑ Pass ❑ Pass ❑ Pass <br /> E Fail E Fail E Fail ❑ Fail <br /> 8. COMMENTS <br /> All drop tubes failed as they were set at over 95% per regulation. All drop tubes will need to be <br /> replaced and retested. <br /> Page 2 of 2 <br />