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Underground Storage Tank Overfill Prevention Equipment Inspection Report 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) T-1 91 T-2 89 T-3 87 T-4 Diesel Are both vent and tank riser piping ❑ Yes ❑ Yes ❑ Yes ❑ Yes secondarily contained? ® No ® No ® No ® No OPE Model OPW 71SO OPW 71 SO OPW 71 SO OPW 71 SO What is the OPE response when activated? ❑x Shutoff ® Shut off ® Shut off ® Shut off (Check all that apply.) Flow Flow Flow Flow © Restricts ® Restricts ® Restricts ® Restricts Flow Flow Flow Flow ❑ Audible ❑ Audible ❑ Audible ❑ Audible Alarm Alarm Alarm Alarm ❑ Visual ❑ Visual ❑ Visual ❑ Visual Alarm Alarm Alarm Alarm Are flow restrictors installed on vent piping ❑ Yes* ❑ Yes* ❑ Yes* ❑ Yes* that may interfere with the OPE operation? M No ® No ® No ® No At what level in the tank is the OPE set to 104 1/2" 104 5/8" 101 3/4" 101 7/8" activate? (Inches from bottom of tank) What is the percent capacity of the tank at 94.8% 94.9% 92.9% 93.1% which the OPE activates? Is the OPE in proper operating condition to ❑x Yes ® Yes ® Yes M Yes respond when the stored substance ❑ No ❑ No ❑ No ❑ No reaches the designated regulatory level? 7. SUMMARY OF TESTING RESULTS ❑x Pass ® Pass ❑x Pass ❑x Pass OPE Inspection Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all results marked "Fail' and each proposed remedy. * Mark here if: ❑ Flow restrictors interfere with overfill prevention and equipment repairs required. Additional copies of this page may be attached. Attach tank chart(s), measurements, calculations, and In -Tank Setup report(s) Page 2 of 2