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Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report <br /> fi. OVERFILL PREVENTION EQUIPMENT DETAILS <br /> Tank ID (one OPE per column) Diesel <br /> Are both vent and tank riser piping [I Yes r] Yes rl Yes ® Yes <br /> secondarily contained? [] No No ® No ® No <br /> OPE Model oPW <br /> What is the OPE response when El Shut off ® Shut off rl Shut off [M Shutoff <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) El Restricts ®Restricts ® Restricts ® Restricts <br /> Flow Flow Flow Flow <br /> ® Audible Audible ® Audible ® Audible <br /> Alarm Alarm Alarm Alarm <br /> El Visual Visual ® Visual ® Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping El Yes* El Yes* ® Yes* 07 Yes* <br /> that may interfere with the OPE operation? F No E] No No r] No <br /> At what level in the tank is the OPE set to <br /> 82.75 <br /> activate? Inches from bottom of tank <br /> What is the percent capacity of the tank at 93% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to M Yes ® Yes* Yes* Yes* <br /> respond when the stored substance [] No 0 No rl No 3 No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results El Pass FF-1 Pass ® Pass ® Pass <br /> Fail Fail Fail ® Fail <br /> $. COMMENTS <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Drop Tube Passed Inspection SR0084916 <br /> * Mark here if: <br /> 07 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 />