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Underground Storage Tank <br />Overfill Prevention Equipment Inspection Report <br />6. OVERFILL PREVENTION EQUIPMENT DETAILS <br />Tank ID (one OPE per column) <br />- 2 <br />87 OCT - 3 <br />91 OCT <br />DIESEL # 2 <br />Are both vent and tank riser piping <br />Yes <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />secondarily contained? <br />!870CTANE <br />No <br />❑✓ No <br />❑✓ No <br />❑✓ No <br />OPE Model <br />61 SO <br />61 SO <br />61 so <br />61 SO <br />What is the OPE response when activated? <br />❑s Shut off <br />❑✓ Shut off <br />❑✓ Shut off <br />❑✓ Shut off <br />(Check all that apply.) <br />Flow <br />Flow <br />Flow <br />Flow <br />El Restricts <br />❑Restricts <br />❑Restricts <br />❑Restricts <br />Flow <br />Flow <br />Flow <br />Flow <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 />❑ Yes* <br />❑ Yes* <br />❑ Yes* <br />❑ Yes* <br />that may interfere with the OPE operation? <br />❑s No <br />❑✓ No <br />❑✓ No <br />❑✓ No <br />At what level in the tank is the OPE set to <br />82 11 <br />80 If <br />81 1/2" <br />79 1/2" <br />activate? Inches from bottom of tank <br />What is the percent capacity of the tank at <br />9407 % <br />93.0 % <br />94.2 % <br />92.5 % <br />which the OPE activates? <br />Is the OPE in proper operating condition to <br />p 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 />❑✓ Pass <br />[OPE Inspection Results <br />❑Fail <br />❑ Fail <br />❑Fail <br />❑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 maybe attached. <br />Attach tank chart(s), measurements, calculations, and In -Tank Setup reports) page 2 of 2 <br />