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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) DSL 1 large DSL 2 <br /> Are both vent and tank riser piping ® Yes ® Yes ® Yes ® Yes <br /> secondarily contained? ® No ® No No ® No <br /> OPE Model OPw OPw <br /> What is the OPE response when ® Shut off Ej Shut off 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 El Audible © Audible r Audible <br /> Alarm Alarm Alarm Alarm <br /> ® Visual r Visual ® Visual ® Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping © Yes* Fr Yes* ® Yes* ® Yes* <br /> that may interfere with the OPE operation? Ej No E] No ® No ® No <br /> At what level in the tank is the OPE set to 81„ 77" <br /> activate? Inches from bottom of tank <br /> What is the percent capacity of the tank at OVER 95% 85% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to ® Yes 17 Yes* ® Yes* Yes* <br /> respond when the stored substance r] No rj No rl No ® No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass F1 Pass � Pas <br /> Pass ® s <br /> ® Fail © Fail MoR 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 /> ® 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 />