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Underground Storage Tank Overfill Prevention Equipment Inspection Report 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) 87 91 DSL Are both vent and tank riser piping ❑✓ Yes ❑✓ Yes ❑✓ Yes ❑ Yes secondarily contained? ❑ No ❑ No ❑ No ❑ No OPE Model Defender Defender Defender What is the OPE response when activated? OShut off OShut off Shut off ❑Shut off (Check all that apply.) Flow Flow Flow Flow ❑Restricts ❑Restricts [—]Restricts ❑Restricts Flow Flow Flow Flow ❑ Audible ❑ Audible ❑ Audible ❑ Audible Alarm Alarm Alarm Alarm ❑ Visual ❑ Visual ❑ Visual ❑ Visual Alarm Alarm Alarm Alarm Are flow restrictors installed on vent piping ❑ Yes* ❑ Yes* ❑ Yes* ❑ Yes* that may interfere with the OPE operation? ❑✓ No ❑✓ No ✓❑ No ❑ No At what level in the tank is the OPE set to activate? (Inches from bottom of tank) 103.25 103.25 103.75 What is the percent capacity of the tank at which the OPE activates? 91.7 91.7 92 Is the OPE in proper operating condition to ✓❑Yes ❑✓ Yes ❑✓ Yes ❑ Yes respond when the stored substance ❑ No ❑ No ❑ No ❑ No reaches the designated regulatory level? 7. SUMMARY OF TESTING RESULTS ✓❑ Pass ❑✓ Pass ❑✓ Pass ❑ Pass OPE Inspection Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all results marked "Fail' and each proposed remedy. Alternative Contractor Installed All Drop Tubes - SSS Tested Only. * Mark here if: ❑ Flow restrictors interfere with overfill prevention and equipment repairs required. Additional copies of this page may be attached. Attach tank chart(s), measurements, calculations, and In -Tank Setup report(s) Page 2 of 2