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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 />® No <br />OPw <br />91 <br />® Yes <br />0 No <br />OPW <br />r Yes <br />Q No <br />® Yes <br />® No <br />Are both vent and tank riser piping <br />secondarily contained? <br />OPE Model _ <br />What is the OPE response when <br />activated? <br />(Check all that apply.) <br />Shut off <br />Flow <br />® Restricts <br />® Shut off <br />Flow <br />®Restricts <br />® Shut off <br />Flow <br />®Restricts <br />® Shut off <br />Flow <br />r Restricts <br />Flow <br />97 Audible <br />Alarm <br />® Visual <br />Flow <br />® Audible <br />Alarm <br />r Visual <br />Flow <br />® Audible <br />Alarm <br />® Visual <br />Flow <br />rj Audible <br />Alarm <br />® Visual <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />Are flow restrictors installed on vent piping <br />that may interfere with the OPE operation? <br />At what level in the tank is the OPE set to <br />® _Yes*_® <br />® No <br />Yes* <br />® No <br />® Yes* <br />® No <br />[' Yes* <br />No <br />activate? Inches from bottom of tank <br />10Y <br />1051, <br />What is the percent capacity of the tank at <br />which the OPE activates? <br />94% <br />92.5% <br />Is the OPE in proper operating condition to <br />respond when the stored substance <br />reaches the designated regulatory level? <br />Yes <br />[ No <br />r: Yes* <br />®No <br />® Yes* <br />r No <br />Yes* <br />®No <br />7. SUMMARY OF TESTING RESULTS <br />OPE Inspection Results <br />Pass7 <br />Fail <br />Pass Pass <br />Fail E Fail <br />Pass <br />s7 <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 />