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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) 87 89 91 <br /> Are both vent and tank riser piping M Yes © Yes r Yes 17 Yes <br /> secondarily contained? M No r] No R7 No E] No <br /> OPE Model oPw OPw oPw <br /> What is the OPE response when El Shut off Shut off ® Shut off 57 Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) ® Restricts ©Restricts ® Restricts 0 Restricts <br /> Flow Flow Flow Flow <br /> © Audible E Audible [M Audible r Audible <br /> Alarm Alarm Alarm Alarm <br /> ® Visual © Visual 0 Visual r Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping 0 Yes* ®✓ Yes* F1 Yes* rl Yes* <br /> that may interfere with the OPE operation? ® No ® No 8 No © No <br /> At what level in the tank is the OPE set to <br /> 89 3/4" 89 3/4" 89 3/4" <br /> activate? Inches from bottom of tank <br /> What is the percent capacity of the tank at 95%° 95% 95% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to F] Yes Yes* 17 Yes* R7 Yes* <br /> respond when the stored substance n No No 17 No ® No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass © Pass © Pass Pass <br /> 0 Fail Fail © 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 /> 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 />