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Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <br />6. OVERFILL PREVENTION EQUIPMENT DETAILS <br />Rul <br />Prem <br />Dsl <br />Tank ID (one OPE per column) <br />Are both vent and tank riser piping <br />r. Yes <br />r: <br />Yes <br />r« <br />Yes <br />r <br />Yes <br />secondarily contained? <br />r <br />No <br />r <br />No <br />r <br />No <br />r <br />No <br />OPE Model <br />OPW <br />OPW <br />OPW <br />WShut <br />off <br />I✓ <br />Shut off <br />P <br />Shut off <br />Shut off <br />Flow <br />Flow <br />Flow <br />Flow <br />r <br />Restricts <br />r <br />Restricts <br />r <br />Restricts <br />i' <br />Restricts <br />What is the OPE response when activated? <br />Flow <br />Flow <br />Flow <br />Flow <br />(Check all that apply) <br />i <br />Audible <br />r <br />Audible <br />I" <br />Audible <br />I' <br />Audible <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />r <br />Visual <br />r' <br />Visual <br />i" <br />Visual <br />r, <br />Visual <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />Are flow restrictors installed on vent piping <br />r <br />Yes* <br />r <br />Yes* <br />r <br />Yes* <br />r <br />Yes* <br />that may interfere with the OPE operation? <br />r: <br />No <br />r. <br />No <br />r• <br />No <br />r <br />No <br />At what level in the tank is the OPE set to <br />104.875 <br />103.875 <br />105.25 <br />activate? (Inches from bottom of tank) <br />What is the percent capacity of the tank at <br />94.1 <br />92.9 <br />94.6 <br />which the OPE activates? <br />Is the OPE in proper operating condition to <br />r <br />Yes <br />r. <br />Yes <br />r: <br />Yes <br />r <br />Yes <br />respond when the stored substance reaches <br />r <br />No <br />r <br />No <br />r <br />No <br />r <br />No <br />the designated regulatory level? <br />7. SUMMARY OF TESTING RESULTS <br />r: <br />Pass <br />r: <br />Pass <br />ro <br />Pass <br />r <br />Pass <br />OPE Inspection Results <br />r <br />Fail <br />r <br />Fail <br />r <br />Fail <br />r <br />Fail <br />8. COMMENTS <br />Describe all results marked "Fail" and each proposed remedy. <br />*Mark here if: <br />r Flow restrictors interfere with overfill prevention <br />and equipment repairs required. <br />Additional copies of this page maybe attached. <br />Attach tank chart(s), measurements, calculations, and In -Tank Setup reporf(s) <br />