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108102106.5 91.3 94.8 94.9 OPE Inspection Results Page 2 of 2 0 Yes □ No 0 Yes □ No □ Yes □ No Underground Storage Tank Overfill Prevention Equipment Inspection Report 0 Yes □ No 0 Pass □ Fail 0 Pass □ Fail 0 Pass 0 Fail □ Pass □ Fail □ Yes □ No 87_____ 0 Yes □ No 8, COMMENTS______________________________________ Describe all results marked “Fail” and each proposed remedy. Are flow restrictors installed on vent piping that may interfere with the OPE operation? At what level in the tank is the OPE set to activate? (Inches from bottom of tank) What is the percent capacity of the tank at which the OPE activates?______________ Is the OPE in proper operating condition to respond when the stored substance reaches the designated regulatory level? 7. SUMMARY OF TESTING RESULTS 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) Are both vent and tank riser piping secondarily contained? OPE Model What is the OPE response when activated? (Check all that apply.) 91____ 0 Yes □ No □ Shut off Flow □ Restricts Flow □ Audible Alarm □ Visual Alarm □ Yes* □ No DSL 0 Yes □ No OPW 0 Shut off Flow □ Restricts Flow □ Audible Alarm □ Visual Alarm □ Yes* □ No OPW □ Shut off Flow □ Restricts Flow □ Audible Alarm □ Visual Alarm □ Yes* 0 No OPW 0 Shut off Flow □ Restricts Flow □ Audible Alarm □ Visual Alarm □ Yes* 0 No * 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)