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Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report <br /> 1 r1�.11�� �V�IVT�CSN �4�U�P�EI�T � T�It-S <br /> 7 <br /> Tank ID (one OPE per column) f VSy <br /> Are both vent and tank riser piping es �fes M-Yes Yes <br /> secondarily contained? 17 No No No No <br /> OPE Model 71 SO 71 SO 71 SO <br /> What is the OPE response when but off ut off ut off ® Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) El Restricts ®Restricts <br /> ® Restricts Restricts <br /> Flow Flow Flow Flow <br /> Ej Audible ® Audible ® Audible Audible <br /> Alarm Alarm Alarm Alarm <br /> Visual ❑ Visual r Visual El Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors instaiied on vent piping Yes'" ®ems* r Yes* ® Yes* <br /> that may interfere with the OPE operation? EKO El No 17<0 ❑ No <br /> At what level in the tank is the OPE set to <br /> activate? Inches from bottom of tank �U�� �� j /O , <br /> What is the percent capacity of the tank at 95 95 95 95 <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to es es* <br /> respond when the stored substance ® No ® No ® No ® No <br /> reaches the designated regulatory level? <br /> ........E _,....., ,.m...�..,...< y <br /> OPE Inspection Results ass ass ass ® Pass <br /> ® Fail Fail Fail <br /> Describe all answers marked No or Fail and.,.p p ro posedremedy. <br /> List all monitoring equipment either replaced or repaired. <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 />