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Underground Storage Tank Overfill Prevention Equipment Inspection Report 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) T1 Diesel Are both vent and tank riser piping ❑ Yes ❑ Yes ❑ Yes ❑ Yes secondarily contained? ® No ❑ No ❑ No ❑ No OPE Model OPW What is the OPE response when ® Shut off ❑ Shut off ❑ Shut off ❑ Shut off activated? Flow Flow Flow Flow (Check all that apply.) ❑ Restricts ❑ 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? ® No ❑ No ❑ No ❑ No At what level in the tank is the OPE set to 81 inches activate? Inches from bottom of tank What is the percent capacity of the tank at 94.5% which the OPE activates? Is the OPE in proper operating condition to ® Yes ❑ Yes ❑ Yes ❑ Yes respond when the stored substance ❑ No ❑ No ❑ No ❑ No reaches the designated regulatory level? 7. SUMMARY OF TESTING RESULTS ® Pass ❑ Pass ❑ Pass ❑ Pass OPE Inspection Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all results marked "Fail" and each proposed remedy. * 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 report(s) Page 2 of 2