Laserfiche WebLink
Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <br />6. OVERFILL PREVENTION EQUIPMENTDETAILS <br />Tank ID (one OPE per column) <br />im Yes <br />Yes <br />r] Yes <br />r] Yes <br />Are both vent and tank riser piping <br />secondarily contained? <br />® No <br />No <br />® No <br />No <br />OPE Model <br />®1pw <br />v.,,• I r4;,, <br />What is the OPE response when <br />R Shut off <br />K. Shut off <br />® Shut off <br />® Shut off <br />activated? <br />Flow <br />Flow <br />Flow <br />Flow <br />(Check all that apply.) <br />R Restricts <br />HIRestricts <br />® Restricts <br />n Restricts <br />Flow <br />Flow <br />Flow <br />Flow <br />® Audible <br />Audible <br />Audible <br />[ Audible <br />Alarm <br />Alarm <br />Alarm <br />Alarm <br />Visual <br />® Visual <br />® 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 />K No <br />M No <br />® No <br />® No <br />At what level in the tank is the OPE set to <br />activate? Inches from bottom of tank <br />t�1 <br />01 ' <br />What is the percent capacity of the tank at <br />which the OPE activates? <br />Is the OPE in proper operating condition to <br />® Yes <br />Yes* <br />Yes* <br />Yes* <br />respond when the stored substance <br />® No <br />® No <br />® No <br />® No <br />reaches the designated regulatory level? <br />7 ,SllMM�.RYOF.TESTING RESULTS <br />OPE Inspection Results <br />r] Pass <br />( <br />Pass <br />Pass <br />® Pass <br />Fail <br />Fail <br />Fail <br />® Fail <br />8. COMMENTS <br />Describe all answers marked "No" or "Fail" and proposed remedy. <br />List all monitorin equipment either replaced or repaired. <br />a,I eA cqVt*L 0,?v i's O'Q\,j i►� <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 />