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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) S--4- C) <br /> Are both vent and tank riser piping 9Yes 21 Yes Yes ❑ Yes <br /> secondarily contained? ❑ No ❑ No ❑ No ❑ No <br /> OPE Model DPW (1)PU11-1 U <br /> What is the OPE response when activated? ® Shut off ® Shut off 54 Shut off ❑ Shut off <br /> (Check all that apply.) Flow Flow Flow Flow <br /> ®Restricts (RRestricts WRestricts ❑Restricts <br /> Flow Flow Flow Flow <br /> ❑ Audible ❑ Audible ❑ Audible ❑ Audible <br /> Alarm Alarm Alarm Alarm <br /> ❑ Visual ❑ Visual ❑ Visual ❑ Visual <br /> Alarm Alarm Alarm Alarm } <br /> Are flow restrictors installed on vent piping ❑ Yes* ❑ Yes* ❑ Yes* ❑ Yes* <br /> that may interfere with the OPE operation? El No 5� No No ❑ No ` <br /> At what level in the tank is the OPE set to <br /> activate? Inches from bottom of tank <br /> What is the percent capacity of the tank at G y % .S `Yv <br /> which the OPE activates? + <br /> Is the OPE in proper operating condition to l Yes KYes Yes ❑ Yes <br /> respond when the stored substance ❑ No ❑ No ❑ No ❑ No <br /> reaches the designated regulatory level? <br /> i <br /> 7. SUMMARY OF TESTING RESULTS <br /> Pass IN:Pass ( Pass ❑ Pass <br /> OPE Inspection Results <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail ! <br /> 8. COMMENTS <br /> Describe all results marked "Fail'and each proposed remedy. <br /> , <br /> + <br /> i <br /> i <br /> x <br /> 4 <br /> } <br /> 1� <br /> } <br /> i <br /> ; <br /> * Mark here if- i <br /> a <br /> ❑ Flow restrictors interfere with overfill prevention and equipment repairs required. <br /> t <br /> Additional copies of this page may be attached. <br /> 1 <br /> Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s) <br /> Page 2 of 2 <br /> I <br />