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Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report <br /> 6. OVERFILL PREVENTION EQUIPMENT DETAILS <br /> Tank ID (one OPE per column) DSL <br /> Are both vent and tank riser piping ® Yes ® Yes ® Yes ® Yes <br /> secondarily contained? ® No ® No E7] No ® No <br /> OPE Model OPw <br /> What is the OPE response when ® Shut off ® Shut off ® Shut off R7 Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) ® Restricts ®Restricts ® Restricts ® Restricts <br /> Flow Flow Flow Flow <br /> ® Audible R7 Audible IM Audible ® Audible <br /> Alarm Alarm Alarm Alarm <br /> Visual ® Visual ® Visual ® Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping ® Yes* Yes* r Yes* ® Yes* <br /> that may interfere with the OPE operation? No No ® No ® No <br /> At what level in the tank is the OPE set to 104" <br /> activate? Inches from bottom of tank <br /> What is the percent capacity of the tank at 94% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to ® Yes ® Yes* ® Yes* ® Yes* <br /> respond when the stored substance ® No ® No ® No ® No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass ® Pass ® Pass ® Pass <br /> ® Fail © Fail ® Fail ® Fail <br /> 8. COMMENTS 771 <br /> Describe all answers marked "No"or"Fail' and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> * Mark here if: <br /> ® Flow restrictors interfere with overfill prevention and equipment repairs required. <br /> Additional copies of this page may be attached. <br /> Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s) <br /> Page 2 of 2 <br />