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Underground Storage Tank Overfill Prevention Equipment Inspection Report 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) s7 91 DIESEL Are both vent and tank riser piping secondarily contained? ❑Yes ❑✓ No ❑Yes ❑✓ No ❑Yes ❑✓ No ❑Yes ❑ No OPE Model oPw oPw oPw What is the OPE response when activated? (Check all that apply.) ❑✓ Shut off Flow ❑Restricts Flow ❑ Audible Alarm ❑ Visual Alarm ❑✓ ❑Restricts ❑Audible ❑Visual Shut off Flow Flow Alarm Alarm � ❑Restricts ❑Audible ❑Visual Shut off Flow Flow Alarm Alarm ❑Shut ❑Restricts ❑Audible ❑Visual off Flow Flow Alarm Alarm Are flow restrictors installed on vent piping that may interfere with the OPE operation? ❑Yes* ❑✓ No ❑Yes"" p No ❑Yes* ❑✓ No ❑Yes* ❑ No At what level in the tank is the OPE set to activate? (Inches from bottom of tank) 106.rJ 101 103 What is the percent capacity of the tank at which the OPE activates? 93.8 898 91.3 Is the OPE in proper operating condition to respond when the stored substance reaches the designated regulatory level? ❑✓ Yes ❑ No p ❑ Yes No ❑✓ ❑ Yes No ❑Yes ❑ No 7. SUMMARY OF TESTING RESULTS OPE Inspection Results ❑✓ Pass ❑Fail ❑✓ ❑Fail Pass ❑✓ ❑Fail Pass ❑Pass ❑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. 4dditional copies of this page maybe attached. Attach tank chart(s), measurements, calculations, and In -Tank Setup reports) Page 2 of 2