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Underground Storage Tank <br /> Ove ffilI P reve ntion Equlpment Insp ction Report <br /> 6. OVEF FILL PREVENTION EQUIPMENT DETAIL <br /> Tank ID (one OPE per column) !91 D l- <br /> Are both vent and tank riser piping ® Yes E) Yes r Yes 0 Yes <br /> secondarily contained? ] No No El Na No <br /> OPE Model OPVV OPW OP <br /> What is the OPE response when Shut off [ but off E Shutoff 0Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) Q Restricts [Restricts n Restricts 0 Restricts <br /> Flow Flow Flow Flaw <br /> © Audible [j Audible r Audible ® Audible <br /> Alarm Alarm Alarm Alarm <br /> FI 'Visual 0 Visual C] Visual r] Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flag restdc;tors installed on ven piping E Yes* Ej Yes` fj Yes* El Yes" <br /> that may interfere with the OPE operation? F] No 71 No 21 No Ej No <br /> At what level in the tank is the OPE set to 104.75 105.75 1D2 <br /> activate? Inches from boftorn 0f tarry <br /> What is the percent capacity of the tank at 94 94 93 <br /> which the OPE activates? <br /> Is the OPE Jn proper operating condition to Yes Yes' 1'es"' 1'es% <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 [i� Pass --- Pass � Pass <br /> r] Fall [ Fail r] Fail f[� Fail <br /> 8. COMMENTS <br /> Describe all answers marked "NoL or"Earl"and proposed remedy. <br /> Usl all moniiofing s q uipmeor alther replaced or repaired. <br /> * Mark here if; <br /> U] Flow restrictors interfere with overfill prevention and equipment repairs required. <br /> Additional copies of this page may be attached- <br /> Attach lank chad(s), measurements, calculations, and in-Tank ,Setup report(s) <br /> Page 2of2 <br />