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Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <br />6. OVERFILL PREVENTION EQUIPMENT <br />DETAILS <br />Tank ID (one OPE per column) <br />87 <br />91 <br />Are both vent and tank riser piping <br />❑ Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />secondarily contained? <br />0 No <br />❑✓ <br />No <br />❑ <br />No <br />❑ <br />No <br />OPE Model <br />OPW 61 SO <br />OPW 61 SO <br />What is the OPE response when activated? <br />(Check all that apply.) <br />❑ Shut off <br />Flow <br />❑✓ <br />Shut off <br />Flow <br />❑ <br />Shut off <br />Flow <br />❑ <br />Shut off <br />Flow <br />❑Restricts <br />El <br />Restricts <br />❑Restricts <br />El <br />Restricts <br />Flow <br />Flow <br />Flow <br />Flow <br />❑ Audible <br />❑ <br />Audible <br />❑ <br />Audible <br />❑ <br />Audible <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />❑ Visual <br />❑ <br />Visual <br />❑ <br />Visual <br />❑ <br />Visual <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />Are flow restrictors installed on vent piping <br />❑ Yes* <br />❑ <br />Yes* <br />❑ <br />Yes* <br />❑ <br />Yes* <br />that may interfere with the OPE operation? <br />p No <br />❑✓ <br />No <br />❑ <br />No <br />❑ <br />No <br />At what level in the tank is the OPE set to <br />activate? Inches from bottom of tank <br />114.5 <br />115 <br />What is the percent capacity of the tank at <br />which the OPE activates? <br />9406 <br />94.9 <br />Is the OPE in proper operating condition to <br />❑✓ Yes <br />❑✓ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />respond when the stored substance <br />❑ No <br />❑ <br />No <br />❑ <br />No <br />❑ <br />No <br />reaches the designated regulatory level? <br />7. SUMMARY OF TESTING RESULTS <br />OPE Inspection Results <br />❑✓ Pass <br />❑ Fail <br />❑✓ <br />❑ <br />Pass <br />Fail <br />❑ <br />❑ <br />Pass <br />Fail <br />❑ <br />❑ <br />Pass <br />Fail <br />8. COMMENTS <br />Describe all results marked "Fail' and each <br />proposed remedy. <br />* Mark here if: <br />❑ Flow restrictors interfere with overfill prevention and equipment <br />repairs <br />required. <br />Additional copies of this page maybe attached. <br />Attach tank chart(s), measurements, calculations, and In -Tank Setup reports) <br />Page 2 of 2 <br />