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Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <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 />6. OVERFILL PREVENTION EQUIPMENT DETAILS <br />Tank ID (one OPE per column) <br />Are both vent and tank riser piping <br />secondarily contained? <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />OPE Model <br />What is the OPE response when activated? <br />(Check all that apply.) <br />Shut off <br />Flow <br />Restricts <br />Flow <br />Audible <br />Alarm <br />Visual <br />Alarm <br />Shut off <br />Flow <br />Restricts <br />Flow <br />Audible <br />Alarm <br />Visual <br />Alarm <br />Shut off <br />Flow <br />Restricts <br />Flow <br />Audible <br />Alarm <br />Visual <br />Alarm <br />Shut off <br />Flow <br />Restricts <br />Flow <br />Audible <br />Alarm <br />Visual <br />Alarm <br />Are flow restrictors installed on vent piping <br />that may interfere with the OPE operation? <br />Yes* <br />No <br />Yes* <br />No <br />Yes* <br />No <br />Yes* <br />No <br />At what level in the tank is the OPE set to <br />activate? (Inches from bottom of tank) <br />What is the percent capacity of the tank at <br />which the OPE activates? <br />Is the OPE in proper operating condition to <br />respond when the stored substance <br />reaches the designated regulatory level? <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />Yes <br />No <br />7. SUMMARY OF TESTING RESULTS <br />OPE Inspection Results Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />Pass <br />Fail <br />1 <br />8. COMMENTS <br />Describe all results marked “Fail” and each proposed remedy. <br />* Mark here if: <br />Flow restrictors interfere with overfill prevention and equipment repairs required. <br /> <br />T-2 Premium T-3 Diesel