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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) 91 - 1 <br /> Are both vent and tank riser piping © Yes Yes Yes © Yes <br /> secondarily contained ? No © No © No © No <br /> OPE Model <br /> What is the OPE response when Shut off Shut off Q Shut off 0 Shut off <br /> activated ? Flow Flow Flow Flow <br /> (Check all that apply. ) © Restricts © Restricts © Restricts © Restricts <br /> Flow Flow Flow Flow <br /> © Audible © Audible Audible Audible <br /> Alarm Alarm Alarm Alarm <br /> Visual Q 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 ? R No ® No 0 No © 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 94 . 00 % <br /> which the OPE activates ? <br /> Is the OPE in proper operating condition to R Yes r] Yes * © Yes * 0 Yes * <br /> respond when the stored substance © No [0 No rl No © No <br /> reaches the designated regulatory level ? <br /> 7 . SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass © Pass © Pass Pass <br /> © 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 /> Fill riser is direct bury . Vent piping is Single wall . <br /> * Mark here if: <br /> rl 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 />