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Underground Storage Tank <br /> Overfill Prevention Equipment Inspection Report <br /> Tank ID (one OPE per column) Regular Super Diesel <br /> Are both Went and tank riser piping secondarily X Yes X Yes X Yes ❑ Yes <br /> contained? ❑ No ❑ No ❑ No ❑ No <br /> OPE Model V1R WR VIR <br /> f What is the OPE response when activated? ❑ Shut off ❑ Shut oft ❑ Shut off ❑ Shut off <br /> (Check all that apply.) Flow Flow Flow Flow <br /> ❑Restricts ❑Restricts ❑Restricts ❑Restricts <br /> Flow Flow Flow Flow <br /> X Audible X Audible X Audible ❑ Audible <br /> Alarm Alarm ! Alarm Alarm <br /> X Visual X Visual X Visual ❑ Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping that ElYes* ❑ Yes* ❑ Yes; 1:1Yes* <br /> may interfere with the OPE operation? X No X No ' X No ❑ No <br /> At what level in the tank is the OPE set to 98.25" 75" 75" <br /> activate? (inches from bottom of tank) <br /> What is the percent capacity of the tank at 90% 9ffo- 90% <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to X Yes X Yes X Yes ❑ Yes <br /> respond when the stored substance reaches I ❑ No ❑ No ❑ No ❑ No <br /> the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results XPasS Pass XPass El Pass <br /> ❑Fail ❑Fail ❑Fail ❑Fail <br /> 8. COMMENTS <br /> Describe all results marked"Fail'and each proposed remedy. <br /> VIR -Veader Root TLS350 external alarm & horn. <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 />