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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) <br /> Are both vent and tank riser piping Yes © Yes ® Yes ® Yes <br /> secondarily contained? ® No 0 No No Ej No <br /> OPE Model Veeder Root Veeder Root Veeder Root <br /> What is the OPE response when ® Shut off Shut off ® Shut off 0 Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) [I Restricts ®Restricts El Restricts 0 Restricts <br /> Flow Flow Flow Flow <br /> © Audible Audible © Audible Audible <br /> Alarm Alarm Alarm Alarm <br /> © Visual © Visual ® Visual Q Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping Yes* Yes* Q Yes* Yes* <br /> that may interfere with the OPE operation? No No ® No ® No <br /> At what level in the tank is the OPE set to <br /> activate? inches from bottom of tank 1001/8 993/8 1007/8 <br /> What is the percent capacity of the tank at <br /> 90 90 so <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to [M Yes ® Yes* El Yes* Q Yes* <br /> respond when the stored substance 01 No Ej No r] No No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass ® Pass ® Pass ® Pass <br /> Fail © Fail © Fail Fail <br /> 8. COMMENTS <br /> Describe all answers marked "No"or"Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> * Mark here if: <br /> 07 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!n-Tank Setup report(s) <br /> Page 2 of 2 <br />