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Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities APPENDIX C-6 OVERFILL OPERATION INSPECTION Facility Name: Owner: Address: Address: City, State, Zip Code: City, State, Zip Code: Facility I.D. #: Phone #: Testing Company: Phone #: Date: This procedure is to determine whether the high level alarm is operational and will trigger when the tank is no more than 90% full. See PEI/RP1200 Section 7.3 for the inspection procedure. This procedure is applicable to tank level monitor stems that touch the bottom of the tank when in place. Tank Number Product Stored Tank Level Monitor Brand and Model 1.Tank Volume, gallons 2.Tank Diameter, inches 3. Overfill alarm activates in the test mode at the console? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No 4. When activated, overfill alarm can be heard or seen while delivering to the tank? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5. After removingthe probe from the tank, it has been inspected and any damaged or missing parts replaced? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No 6. Float moves freely on the stem without binding? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 7. Moving product level float up the stem trigger alarm? ❑Yes ElNo El Yes ElNo El Yes E3No El Yes ElNo 8. Inch level from bottom of stem when 90% alarm is triggered. 9. Tank volume at inch level in Line 8. 10. Calculate (Line 9 / Line 1) x 100 11, Is Line 10 less than 90%? ❑ Yes ❑ No []Yes ❑ No []Yes ❑ No ❑ Yes ❑ No 12. Fuel float level on the console agrees with the gauge stick reading? ❑ yes ❑ No []Yes ❑ No ❑ Yes ❑ No ❑ Yes No 13. Overfill alarm activates at any product level above 90% tank capacity? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No FEI Yes ❑ No If any answers in Lines 3, 4, 5, 6, 7 or 11 are "No," or Line 13 is "Yes," the system has failed the test. Test Results ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Comments: Tester's Name (print) Tester's Signature pei.org 4)