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Underground Storage Tank Overfill Prevention Equipment Inspection Report 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) 87 87-5K 91 DIESEL Are both vent and tank riser piping ❑ Yes ❑ Yes ❑ Yes ❑ Yes secondarily contained? ❑✓ No ❑✓ No ❑✓ No ❑✓ No OPE Model 61 SO 61 SO 61 SO 61 SO What is the OPE response when activated? ❑✓ Shut off ❑✓ Shut 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 84 85 84.5 86.5 activate? Inches from bottom of tank What is the percent capacity of the tank at 93.2 93.6 93.6 94.8 which the OPE activates? 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 ED Pass ❑✓ Pass 0Pass ❑✓ Pass OPE Inspection Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all results marked "Fail' and each proposed remedy. * 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