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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 />Regular Premium <br />Are both vent and tank riser piping <br />secondarily contained? <br />a Yes <br />r No <br />a Yes <br />r No <br />r Yes <br />r No <br />C Yes <br />r No <br />OPE Model OPW OPW <br />What is the OPE response when activated? <br />(Check all that apply) <br />P. Shut off <br />Flow <br />r Restricts <br />Flow <br />r Audible <br />Alarm <br />r Visual <br />Alarm <br />F.?. Shut off <br />Flow <br />r Restricts <br />Flow <br />E Audible <br />Alarm <br />r Visual <br />Alarm <br />E Shut off <br />Flow <br />r Restricts <br />Flow <br />E Audible <br />Alarm <br />r Visual <br />Alarm <br />1--- Shut off <br />Flow <br />r Restricts <br />Flow <br />r Audible <br />Alarm <br />r Visual <br />Alarm <br />Are flow restrictors installed on vent piping <br />that may interfere with the OPE operation? <br />r Yes* <br />a No <br />r Yes* <br />a No <br />r Yes* <br />r No <br />r Yes* <br />r No <br />At what level in the tank is the OPE set to <br />activate? (Inches from bottom of tank) 80.25 79.875 <br />What is the percent capacity of the tank at <br />which the OPE activates? 94.8 94.5 <br />Is the OPE in proper operating condition to <br />respond when the stored substance reaches <br />the designated regulatory level? <br />a Yes <br />C No <br />a Yes <br />r No <br />r Yes <br />c No <br />r Yes <br />r No <br />SUMMARY OF TESTING RESULTS <br />OPE Inspection Results <br />a Pass <br />r Fail <br />a Pass <br />r Fail <br />r Pass <br />r Fail <br />r Pass <br />r Fail <br />COMMENTS <br />Describe all results marked "Fail" and each proposed remedy. <br />*Mark here if: <br />I— 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)