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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) T-1 Unleaded T-2 Premiuna T-3 Diesel p <br /> Are both vent and tank riser piping ® Yes ® Yes ® Yes ❑ Yes <br /> secondarily contained? ❑ No ❑ No ❑ No ® No <br /> OPE Model Opw 71so opw 71so opw 71so <br /> What is the OPE response when activated? 0 Shut off 0 Shut off 0 Shut off ❑ Shut off <br /> (Check all that apply.) Flow Flow Flow Flow <br /> ❑Restricts ❑Restricts ❑Restricts ❑Restricts <br /> Flow Flow Flow Flow <br /> ❑ Audible ❑ Audible ❑ 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* ❑ Yes* ❑ Yes* <br /> that may interfere with the OPE operation? ® No ❑x No ® No ❑ No <br /> At what level in the tank is the OPE set to 106.50" 107.75% 107.50" <br /> activate? (Inches from bottom of tank) <br /> What is the percent capacity of the tank at 94.53% 94.83% 94.6% <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 0 Pass 0 Pass 0 Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <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 /> Additional copies of this page may be attached. <br /> Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s) <br /> Page 2of2 <br />