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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 100 Octane T2 91 T3 87 T4 Diesel <br /> Are both vent and tank riser piping ® Yes ® Yes 0 Yes ® Yes <br /> secondarily contained? ® No 0 No ® No No <br /> OPE Model Defender Defender Defender Defender <br /> What is the OPE response when ® Shut off ® Shut off ® Shut off ED Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) 0 Restricts DRestricts 0 Restricts 0 Restricts <br /> Flow Flow Flow Flow <br /> 0 Audible ® Audible 0 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* 0 Yes* 0 Yes* 0 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 <br /> $1" 81" $0.75" 105.5" <br /> activate? Inches from bottom of tank <br /> What is the percent capacity of the tank at 93% 93% 93% 94% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to El Yes ® Yes* 0 Yes* ® Yes* <br /> respond when the stored substance 0 No 0 No ® No ® No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results 0 Pass 0 Pass 0 Pass ® Pass <br /> 0 Fail 0 Fail 0 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 /> * Mark here if: <br /> 0 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 A <br />