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Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report <br /> 16. OVERFILL PREVENTION EQUIPMENT DETAILS <br /> Tank ID (one OPE per column) REGULAR PREMIUM DIESEL <br /> Are both vent and tank riser piping 0 Yes 0 Yes 0 Yes 0 Yes <br /> secondarily contained? C9 No M No Z No 0 No <br /> OPE Model 0 N.71 SO OPW71SO <br /> What is the OPE response when activated? Z Shut off Z Shut off Z Shut off 0 Shut off <br /> (Check all that apply.) Flow Flow Flow Flow <br /> 0 Restricts 0 Restricts Z Restricts 0 Restricts <br /> Flow Flow Flow Flow <br /> 0 Audible 0 Audible 0 Audible 0 Audible <br /> Alarm Alarm Alarm Alarm <br /> 0 Visual 0 Visual 0 Visual 0 Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping 0 Yes* 0 Yes* 0 Yes* 0 Yes* <br /> that may interfere with the OPE operation? Z No Z No 0 No 0 No <br /> At what level in the tank is the OPE set to 83.76" 83.75" 83.75" <br /> activate? (Inches from bottom of tank) <br /> What is the percent capacity of the tank at 95% 95% 96% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to Z Yes 0 Yes Z Yes 0 Yes <br /> respond when the stored substance 0 No 0 No 0 No 0 No <br /> reaches the designated regulatory level? <br /> 17. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results Z Pass N Pass Z Pass 0 Pass <br /> 0 Fail 0 Fail 0 Fail 0 Fail <br /> 18. COMMENTS <br /> Describe all results marked "Fail"and each proposed remedy. <br /> Mark here if: <br /> El 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 />