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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) 87 <br /> Are both vent and tank riser piping F1 Yes ® Yes rl Yes ® Yes <br /> secondarily contained? ® No ® No No ® No <br /> OPE Model 7150 <br /> What is the OPE response when Shut off Shut off ® Shut off Shut off <br /> activated? Flow Flow Flow Flow <br /> (Check all that apply.) ® Restricts ®Restricts ® Restricts ® Restricts <br /> Flow Flow Flow Flow <br /> ® Audible Audible El Audible ® Audible <br /> Alarm Alarm Alarm Alarm <br /> Visual ® Visual ® Visual El Visual <br /> Alarm Alarm Alarm Alarm <br /> Are flow restrictors installed on vent piping ® Yes* Yes* ® Yes* ® Yes* <br /> that may interfere with the OPE operation? ® No ® No ® No ® No <br /> At what level in the tank is the OPE set to <br /> 108.75 <br /> activate? (Inches from bottom of tank <br /> What is the percent capacity of the tank at 90 <br /> which the OPE activates? <br /> Is the OPE in proper operating condition to ® Yes ® Yes* ® Yes* Yes* <br /> respond when the stored substance No No ® No ® No <br /> reaches the designated regulatory level? <br /> 7. SUMMARY OF TESTING RESULTS <br /> OPE Inspection Results ® Pass Pass ® Pass ® Pass <br /> ® Fail Fail Fail Fail <br /> 8. COMMENTS <br /> Describe all answers marked "No"or "Fail"and proposed remedy. <br /> List all monitoring equipment either replaced or repaired. <br /> �Lou 0 d-vyiu Sp_� �5()R, 31- <br /> * Mark here if: <br /> ® 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) <br /> Page 2of2 <br />