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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 T1 Diesel <br /> Are both vent and tank riser piping ❑✓ Yes ❑ Yes ❑ Yes ❑ Yes <br /> secondarily contained ? ❑ No ❑ No ❑ No ❑ No <br /> OPE Model EBW <br /> What is the OPE response when activated ? Shut off El Shut off El Shut off El Shut off <br /> (Check all that apply. ) Flow Flow Flow Flow <br /> ❑ Restricts ❑ Restricts ❑ Restricts ❑ Restricts <br /> Flow Flow Flow Flow <br /> ❑ 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 piping ❑ Yes ❑ Yes ❑ 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 45 <br /> activate ? (Inches from bottom of tank) <br /> What is the percent capacity of the tank at 94 . 2 <br /> which the OPE activates ? <br /> Is the OPE in proper operating condition to F✓ Yes ❑ Yes ❑ Yes ❑ Yes <br /> 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 0✓ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8 . COMMENTS <br /> Are flow restrictors installed ? ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> Z No ❑ No ❑ No ❑ No <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 of 2 <br />