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Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <br />6. OVERFILL PREVENTION EQUIPMENT DETAILS <br />Dsl <br />Tank ID (one OPE per column) <br />Are both vent and tank riser piping <br />Yes <br />Yes <br />r' Yes <br />Yes <br />secondarily contained? <br />No <br />r No <br />r No <br />r No <br />OPE Model <br />oPw <br />V Shut off <br />Shut off <br />Shut off <br />Shut off <br />Flow <br />Flow <br />Flow <br />Flow <br />Restricts <br />! Restricts <br />! Restricts <br />! Restricts <br />What is the OPE response when activated? <br />Flow <br />Flow <br />Flow <br />Flow <br />(Check all that apply) <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 />r Yes* <br />r Yes* <br />r Yes* <br />r Yes* <br />that may interfere with the OPE operation? <br />No <br />r No <br />r No <br />r No <br />At what level in the tank is the OPE set to <br />activate? (Inches from bottom of tank) <br />98.75 <br />What is the percent capacity of the tank at <br />which the OPE activates? <br />89% <br />Is the OPE in proper operating condition to <br />Yes <br />r Yes <br />r Yes <br />r Yes <br />respond when the stored substance reaches <br />the designated regulatory level? <br />r No <br />r No <br />r No <br />r No <br />7. SUMMARY OF TESTING RESULTS <br />Pass <br />r Pass <br />r Pass <br />r Pass <br />OPE Inspection Results <br />Fail <br />r Fail <br />r Fail <br />r Fail <br />8. COMMENTS <br />Describe all results marked "Fail" and each proposed remedy. <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 />