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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) <br />87 <br />® Yes <br />91 <br />® Yes <br />DSL <br />® Yes <br />® Yes <br />Are both vent and tank riser piping <br />secondarily contained? <br />® No <br />Ej No <br />© No <br />No <br />OPE Model <br />EMCO <br />EMCO <br />EMCO <br />What is the OPE response when <br />® Shut off <br />El Shut off <br />® Shut off <br />© Shut off <br />activated? <br />Flow <br />Flow <br />Flow <br />Flow <br />(Check all that apply.) <br />® Restricts <br />®Restricts <br />® Restricts <br />® Restricts <br />Flow <br />Flow <br />Flow <br />Flow <br />Audible <br />Audible <br />® Audible <br />® Audible <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />r Visual <br />® Visual <br />® Visual <br />® Visual <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />Are flow restrictors installed on vent piping <br />® Yes* <br />r] Yes* <br />® Yes* <br />® Yes* <br />that may interfere with the OPE operation? <br />F] No <br />No <br />® No <br />® No <br />At what level in the tank is the OPE set to <br />activate? Inches from bottom of tank <br />107 1/4" <br />104 3/4" <br />108" <br />What is the percent capacity of the tank at <br />which the OPE activates? <br />95% <br />93% <br />95% <br />Is the OPE in proper operating condition to <br />0 Yes <br />IT Yes* <br />® Yes* <br />Yes* <br />respond when the stored substance <br />® No <br />r No <br />L7 No <br />® No <br />reaches the designated regulatory level? <br />7. SUMMARY OF TESTING RESULTS <br />OPE Inspection Results <br />® Pass <br />0 Pass <br />® Pass <br />® Pass <br />© Fail <br />© Fail <br />r] Fail <br />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 />® 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 />