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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 vent and tank riser piping secondarily X Yes X Yes X Yes ❑ Yes <br /> contained ? ❑ No ❑ No ❑ No ❑ No <br /> OPE Model V/ R V/R V/R <br /> What is the OPE response when activated ? ❑ Shut off ❑ Shut off ❑ 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 ❑ Yes * ❑ Yes * ❑ Yes * ❑ Yes * <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 % 90 % 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 ❑ No ❑ No ❑ No ❑ No <br /> the designated regulatory level ? <br /> 7 . SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results Pass Pass XPass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8 . COMMENTS <br /> Describe all results marked "Fail" and each proposed remedy. <br /> V/ R = Veeder 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 2of2 <br />