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Underground Storage Tank Overfill Prevention Equipment Inspection Report 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) 879-TFUG01 ❑ Yes 879-TFUD01 ❑ Yes ❑ Yes ❑ Yes Are both vent and tank riser piping secondarily contained? ❑x No No ❑ No ❑ No OPE Model 71SO 71SO What is the OPE response when ❑x Shut off ❑x Shut off ❑ Shut off ❑ Shut off activated? Flow Flow Flow Flow (Check all that apply.) ❑x Restricts x❑Restricts ❑ Restricts ❑ Restricts Flow Flow Flow Flow ❑ Audible ❑ Audible ❑ Audible ❑ Audible Alarm Alarm Alarm Alarm ❑ Visual ❑ Visual ❑ Visual ❑ Visual Alarm Alarm Alarm Alarm Are flow restrictors installed on vent piping ❑ Yes* ❑ Yes" ❑ Yes* ❑ Yes* that may interfere with the OPE operation? ❑x No ❑x No ❑ No ❑ No At what level in the tank is the OPE set to 84.5" activate? Inches from bottom of tank)111.5" What is the percent capacity of the tank at 92.7% 93.2% which the OPE activates? Is the OPE in proper operating condition to Z Yes X❑ Yes* ❑ Yes* ❑ Yes* respond when the stored substance ❑ No ❑ No ❑ No ❑ No reaches the designated regulatory level? 7. SUMMARY OF TESTING RESULTS OPE Inspection Results x❑ Pass ❑ Fail 0 Pass ❑ Fail ❑ ❑ Pass Fail ❑ ❑ Pass Fail 8. COMMENTS Describe all answers marked "No" or "Fail" and proposed remedy. List all monitoring equipment either replaced or repaired. * Mark here if: ❑ Flow restrictors interfere with overfill prevention and equipment repairs required. Additional copies of this page may be attached. Attach tank chart(s), measurements, calculations, and In -Tank Setup reports) Page 2 of 2