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Appendix IX Underground Storage Tank Overfill Prevention Equipment Inspection Report Form CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, OPE = Overfill Prevention Equipment Page 2 of 2 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column)T-1/ Diesel T-1/ Diesel Are both vent and tank riser piping secondarily contained? Yes No Yes No Yes No Yes No OPE Model Veeder EMCO What is the OPE response when activated? (Check all that apply.) Shuts off Flow Restricts Flow Audible Alarm Visual Alarm Shuts off Flow Restricts Flow Audible Alarm Visual Alarm Shuts off Flow Restricts Flow Audible Alarm Visual Alarm Shuts off Flow Restricts Flow Audible Alarm Visual Alarm Are flow restrictors installed on vent piping that may interfere with the OPE operation? Yes No Yes No Yes No Yes No At what level in the tank is the OPE set to activate? (Inches from bottom of tank) 77.5 80 What is the percent capacity of the tank at which the OPE activates? 90 93 25 Is the OPE in proper operating condition to respond when the stored substance reaches the designated regulatory level? Yes No Yes No Yes No Yes No 7. SUMMARY OF TESTING RESULTS OPE Inspection Results Pass Fail Pass Fail Pass Fail Pass Fail 1 8. COMMENTS Are Flow Restrictors Installed?Yes No Yes No Yes No Yes No Describe all results marked "Fail" and each proposed remedy. Remote Audible visual does not function properly. It needs to be replaced * Mark here if: Flow restrictors interfere with overfill prevention and equipment repairs required.