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Underground Storage Tank Overfill Prevention Equipment Inspection Report Form 6. OVERFILL PREVENTION EQUIPMENT DETAILS Ta n k I D (One OPE per column) 87 91 DSL Are both vent and tank riser piping ❑ Yes ❑ Yes ❑ Yes ❑ Yes secondarily contained? E No E No E No ❑ No OPE Model Philtite Philtite Philtite Tank Manufacturer Xerxes Xerxes Xerxes ❑ Shuts off ❑ Shuts off ❑ Shuts off ❑ Shuts off Flow Flow Flow Flow E Restricts E Restricts E Restricts ❑ Restricts What is the OPE response when Flow Flow Flow Flow activated? ❑ Audible ❑ Audible ❑ Audible ❑ Audible (Check a// that apply.) Alarm Alarm Alarm Alarm ❑Visual ❑Visual ❑Visual ❑Visual Alarm Alarm Alarm Alarm Are flow restrictors installed on vent ❑ Yes ❑ Yes ❑ Yes ❑ Yes piping that may interfere with the OPE E No E No E No ❑ No operation? At what level in the tank is the OPE set to 83 1/2" 83" 83 3/4" activate? (Inches from bottom of tank) What is the percent capacity of the tank in over 95% over 95% over 95% which the OPE activates? Is the OPE in proper operating condition E Yes E Yes E Yes ❑ Yes to respond when the stored substance ❑ No ❑ No ❑ No ❑ No reaches the designated regulatory level? 7. SUMMARY OF TESTING RESULTS ❑ Pass ❑ Pass ❑ Pass ❑ Pass OPE Inspection Results E Fail E Fail E Fail ❑ Fail 8. COMMENTS All drop tubes failed as they were set at over 95% per regulation. All drop tubes will need to be replaced and retested. Page 2 of 2