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Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <br />. OVERFILL PREVENTION EQUIPMENT DETAILS <br />Tank ID (one OPE per column) <br />T3 Diesel <br />Yes <br />® Yes <br />Yes <br />F1 Yes <br />Are both vent and tank riser piping <br />secondarily contained? <br />® No <br />® No <br />® No <br />® No <br />OPE Model <br />71so <br />What is the OPE response when <br />® Shut off <br />Q Shut off <br />® Shut off <br />® Shut off <br />activated? <br />Flow <br />Flow <br />Flow <br />Flow <br />(Check all that apply.) <br />EJ Restricts <br />®Restricts <br />® Restricts <br />® Restricts <br />Flow <br />Flow <br />Flow <br />Flow <br />® Audible <br />RD Audible <br />M 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 />El Yes* <br />Yes* <br />® Yes* <br />that may interfere with the OPE operation? <br />® No <br />® No <br />® No <br />® No <br />At what level in the tank is the OPE set to <br />98.25 <br />activate? inches from bottom of tank <br />What is the percent capacity of the tank at <br />94% <br />which the OPE activates? <br />Is the OPE in proper operating condition to <br />0 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. SUMMARY OF TESTING RESULTS <br />Pass <br />® Pass <br />Pass <br />® <br />Pass <br />OPE Inspection Results <br />® Fail <br />® Fail <br />® <br />Fail <br />® <br />Fail <br />8. COMMENTS <br />Describe all answers marked "No" or "Fail' and proposed remedy. <br />List all monitoring equipment either replaced or repaired. <br />Tank Vent is not secondary contained. Complete test for SR0086488 <br />* Mark here if - <br />r] 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 />