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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 />87 <br />© Yes <br />89 <br />© Yes <br />91 <br />Q Yes <br />0 Yes <br />Are both vent and tank riser piping <br />secondarily contained? <br />No <br />0 No <br />r] No <br />0 No <br />OPE Model <br />61/71so <br />61/71so <br />61/71so <br />What is the OPE response when <br />El Shut off <br />Shut off <br />© Shut off <br />57 Shut off <br />activated? <br />Flow <br />Flow <br />Flow <br />Flow <br />(Check all that apply.) <br />© Restricts <br />EI Restricts <br />© Restricts <br />0 Restricts <br />Flow <br />Flow <br />Flow <br />Flow <br />© Audible <br />© Audible <br />FM Audible <br />0 Audible <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />El Visual <br />© Visual <br />[M Visual <br />Visual <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />Are flow restrictors installed on vent piping <br />© Yes* <br />Yes* <br />Yes* <br />Yes* <br />that may interfere with the OPE operation? <br />® No <br />® No <br />® No <br />r] No <br />At what level in the tank is the OPE set to <br />80 3/8" <br />80 3/8" <br />801/4 <br />activate? Inches from bottom of tank <br />What is the percent capacity of the tank at <br />95 <br />95 <br />95 <br />which the OPE activates? <br />Is the OPE in proper operating condition to <br />Yes <br />✓0 Yes* <br />© Yes* <br />0 Yes* <br />respond when the stored substance <br />© No <br />© No <br />© No <br />0 No <br />reaches the designated regulatory level? <br />7. SUMMARY OF TESTING RESULTS <br />OPE Inspection Results <br />Pass <br />Q Fail <br />0 Pass <br />© Fail <br />0 Pass <br />0 Fail <br />® Pass <br />E 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 />® 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 />