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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) <br /> Are both vent and tank riser piping ® Yes ® Yes r! Yes ® Yes <br /> secondarily contained? ® No © No ® No ® No <br /> OPE Model Defender Defender <br /> What is the OPE response when Shut off Shut off ® Shut off ® Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) ® Restricts ®Restricts ® Restricts El Restricts <br /> Flow Flow Flow Flow <br /> 171 Audible Audible El 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 [I Yes* Yes* El Yes* ® Yes* <br /> that may interfere with the OPE operation? M'INo ® No ® No ® No <br /> At what level in the tank is the OPE set to <br /> 114" 85.5 <br /> activate? (Inches from bottom of tank <br /> What is the percent capacity of the tank at 94% 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 <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> Complete on SR# 0087997 <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 />