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Underground:5tor�g�nSPeCtion Report <br /> Overfill Prevention Equipme <br /> L PREVENTION EQUIPMENT DETAILS 87 91 �24 <br /> C OVERFIL T87 87 ❑Yes ❑Yes <br /> Tank ID (one OPE per column) 0 Yeses ❑ No ❑No <br /> Are both vent and tank riser pipingo ❑ No <br /> "Jo secondarily contained? 71 SO 71 SO <br /> E OF A( 71 SO 71 SO <br /> OPE Model Shut off 0 Shut off Shut off <br /> FACILIT onse when activated? 0 Shut off Flow Flow <br /> What is the OPE resp Flow Flow <br /> ZIR ID (Check all that apply.) Restricts ❑Restricts ❑Restricts <br /> 182251 ❑F:estricts ❑ Flow Flow <br /> o Flow Flow <br /> :ility Nam. Audible ❑ Audible :HF <br /> ,CH RD, ❑Audible ❑ Audible! ❑ Alarm Alarm <br /> _� Alarm Alarm <br /> 'IItYAddre ❑Visual <br /> 5 S HWl [] Visual ❑ Visual ❑Visual <br /> ERV cl E Alarm Alarm <br /> Alarm Alarm <br /> Yes" ❑Yeses <br /> )any Pen ❑Yes" ❑ Yes* ❑ No <br /> Ia Test Are:flow restrictors installed on vent piping El No 21 <br /> that may interfere with the OPE operation? El No 0 NO I�9 <br /> I Addres At)Nhat level in the tank is the OPE set to 99 99 100 <br /> Id St G; <br /> activate? (Inches from bottom of tank 91 . 1 <br /> Technli What is the percent capacity of the tank at 91 % 90.6 1`% 91 .3 <br /> 'Winkler <br /> -� which the OPE activates? Yes � Yes 0 Yes ❑ Yes <br /> tor/TanF <br /> � <br /> � Ex. 3 Is the OPE in proper operating condition to ❑ ❑ No <br /> respond when the stored substance ❑ No El No ❑ No <br /> Eger reaches the designated regulatory level? <br /> JT <br /> C3UMMARY OF TESTIIVG RESULTS Pass <br /> ING AI 0 Pass 0 Pass Pass ❑ <br /> reranc OP E= Inspection Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> -------- <br /> 8. ('OMMENTS <br /> Describe all results marked"Fail'and each proposed remedy. <br /> %TIOI <br /> y-thi <br /> tit/ <br /> IisIg <br /> tan ` * Mark here if: <br /> ❑ Flow restrictors interfere with overfill prevention and equipment repairs required. <br /> Additional copies of this page may be attached. <br /> Em Attach tank chart(s), measurements, calculations, and In-Tank Setup repoft(s) <br /> Co Page 2 of 2 <br /> 'er- <br /> S;SL <br />