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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)Ti T2 fl <br />Are both vent and tank riser piping /Yes Yes Yes Yes <br />secondarily contained?No No No No <br />OPE Model Veeder Root Veeder Root Veeder Root <br />What is the OPE response when activated?Shut off Shut off Shut off Shut off <br />(Check all that apply.)Flow Flow Flow Flow <br />Ejestricts Eestricts Restricts EjRestricts <br />Flow Flow Flow Flow <br />ZAudible ZAudible Audible ElAudible <br />Alarm Alarm Alarm Alarm <br />ZVisual 7jVisual 7jVisual Visual <br />Alarm Alarm Alarm Alarm <br />Are flow restrictors installed on vent piping Yes*JYes* <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 />77w 77”77wactivate?(Inches from bottom of tank) <br />What is the percent capacity of the tank at <br />90%90%90%which the OPE activates? <br />Is the OPE in proper operating condition to /jYes jYes 7Yes JYes <br />respond when the stored substance No No No No <br />reaches the designated regulatory level? <br />7.SUMMARY OF TESTING RESULTS <br />/Pass /Pass /Pass PassOPEInspectionResultsFailFailFailFail <br />8.COMMENTS <br />Describe all results marked “Fail”and each proposed remedy. <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 of2