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HomeMy WebLinkAboutOPI (2) 2021Appendix IX Underground Storage Tank Overfill Prevention Equipment Inspection Report Form CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, OPE = Overfill Prevention Equipment Page 1 of 2 TYPE OF ACTION ܆܆ Installation ܆ Repair ܆ 36 Month 1. FACILITY INFORMATION CERS ID Inspection Date Facility Name Facility Address City ZIP Code 2. SERVICE TECHNICIAN INFORMATION Company Performing the Inspection Phone Mailing Address Service Technician Performing Inspection Contractor/Tank Tester License Number ICC Number Expiration Date 3. TRAINING AND CERTIFICATIONS Manufacturer and Test Equipment Training Certifications Expiration Date 4. INSPECTION PROCEDURES INFORMATION Inspection Procedures Used Components Inspected 5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING INSPECTION I hereby certify that the OPE was inspected in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637.2; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority. Service Technician Signature Date 10155793 8/25/2021 Jaco #7705 Fastrip #641 1200 Coffee Road Bakersfield 93308 Confidence UST Services, Inc.(800) 339-9930 2209 Zeus Court, Bakersfield, CA 93308 Matt Story 804904 9118985 2/17/2023 Phil-Tite Phase 1 4/14/2023 Precision measurement 87 grade drop tube with overfill prevention device Precision measurement 91 grade drop tube with overfill prevention device Precision measurement Diesel drop tube with overfill prevention device 8/25/2021 Total # of Pages 9 Underground Storage Tank Overfill Prevention Equipment Inspection Report Additional copies of this page may be attached. Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s) Page 2 of 2 6. OVERFILL PREVENTION EQUIPMENT DETAILS Tank ID (one OPE per column) Are both vent and tank riser piping secondarily contained? ܆܆ Yes ܆܆ No ܆܆ Yes ܆܆ No ܆܆ Yes ܆܆ No ܆܆ Yes ܆܆ No OPE Model What is the OPE response when activated? (Check all that apply.) ܆܆ Shut off Flow ܆܆Restricts Flow ܆܆ Audible Alarm ܆܆ Visual Alarm ܆܆ Shut off Flow ܆܆Restricts Flow ܆܆ Audible Alarm ܆܆ Visual Alarm ܆܆ Shut off Flow ܆܆Restricts Flow ܆܆ Audible Alarm ܆܆ Visual Alarm ܆܆ Shut off Flow ܆܆Restricts Flow ܆܆ Audible Alarm ܆܆ Visual Alarm Are flow restrictors installed on vent piping that may interfere with the OPE operation? ܆܆ Yes* ܆܆ No ܆܆ Yes* ܆܆ No ܆܆ Yes* ܆܆ No ܆܆ Yes* ܆܆ No 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? ܆܆ Yes ܆܆ No ܆܆ Yes ܆܆ No ܆܆ Yes ܆܆ No ܆܆ Yes ܆܆ No 7. SUMMARY OF TESTING RESULTS OPE Inspection Results ܆܆ Pass ܆܆ Fail ܆܆ Pass ܆܆ Fail ܆܆ Pass ܆܆ Fail ܆܆ Pass ܆܆ Fail 1 8. COMMENTS Describe all results marked “Fail” and each proposed remedy. * Mark here if: ܆܆ Flow restrictors interfere with overfill prevention and equipment repairs required. 87 Phil-Tite Phil-Tite Phil-Tite 98.00”97.00” 99.00” 93.43%92.68% 94.15% 91 Diesel ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 3URGXFW87 145.0” 42.5 98 11242 12032 93.43 12032 11242 790 3URGXFW ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 91 141.5 40.0 97.0 11152 12032 92.68 12032 11152 880 3URGXFW ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW Diesel 138.5 35 99.0 11329 12032 94.15 12032 11329 703 Modern Welding Company Subsidiaries Nationwide www.modweldco.com modern@modweldco.com Tank Calibration Chart Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches Diameter: 111 inches Length: 287.2 inches Total Volume: 12,031 gallons Depth (inches) Volume (gallons) 0.000 0 0.125 1 0.250 2 0.375 4 0.500 6 0.625 9 0.750 11 0.875 14 1.000 17 1.125 21 1.250 24 1.375 28 1.500 32 1.625 36 1.750 40 1.875 45 2.000 49 2.125 54 2.250 59 2.375 64 2.500 69 2.625 74 2.750 79 2.875 84 3.000 90 3.125 96 3.250 101 3.375 107 3.500 113 3.625 119 3.750 126 3.875 132 4.000 138 4.125 145 Depth (inches) Volume (gallons) 4.250 151 4.375 158 4.500 165 4.625 172 4.750 178 4.875 185 5.000 193 5.125 200 5.250 207 5.375 214 5.500 222 5.625 229 5.750 237 5.875 245 6.000 252 6.125 260 6.250 268 6.375 276 6.500 284 6.625 292 6.750 301 6.875 309 7.000 317 7.125 326 7.250 334 7.375 343 7.500 351 7.625 360 7.750 369 7.875 378 8.000 387 8.125 395 8.250 405 8.375 414 Depth (inches) Volume (gallons) 8.500 423 8.625 432 8.750 441 8.875 451 9.000 460 9.125 469 9.250 479 9.375 488 9.500 498 9.625 508 9.750 517 9.875 527 10.000 537 10.125 547 10.250 557 10.375 567 10.500 577 10.625 587 10.750 597 10.875 608 11.000 618 11.125 628 11.250 639 11.375 649 11.500 660 11.625 670 11.750 681 11.875 691 12.000 702 12.125 713 12.250 724 12.375 734 12.500 745 12.625 756 Depth (inches) Volume (gallons) 12.750 767 12.875 778 13.000 789 13.125 800 13.250 812 13.375 823 13.500 834 13.625 845 13.750 857 13.875 868 14.000 879 14.125 891 14.250 902 14.375 914 14.500 926 14.625 937 14.750 949 14.875 961 15.000 972 15.125 984 15.250 996 15.375 1,008 15.500 1,020 15.625 1,032 15.750 1,044 15.875 1,056 16.000 1,068 16.125 1,080 16.250 1,092 16.375 1,105 16.500 1,117 16.625 1,129 16.750 1,142 16.875 1,154 Depth (inches) Volume (gallons) 17.000 1,166 17.125 1,179 17.250 1,191 17.375 1,204 17.500 1,216 17.625 1,229 17.750 1,242 17.875 1,254 18.000 1,267 18.125 1,280 18.250 1,292 18.375 1,305 18.500 1,318 18.625 1,331 18.750 1,344 18.875 1,357 19.000 1,370 19.125 1,383 19.250 1,396 19.375 1,409 19.500 1,422 19.625 1,435 19.750 1,448 19.875 1,462 20.000 1,475 20.125 1,488 20.250 1,501 20.375 1,515 20.500 1,528 20.625 1,541 20.750 1,555 20.875 1,568 21.000 1,582 21.125 1,595 Depth (inches) Volume (gallons) 21.250 1,609 21.375 1,623 21.500 1,636 21.625 1,650 21.750 1,663 21.875 1,677 22.000 1,691 22.125 1,705 22.250 1,719 22.375 1,732 22.500 1,746 22.625 1,760 22.750 1,774 22.875 1,788 23.000 1,802 23.125 1,816 23.250 1,830 23.375 1,844 23.500 1,858 23.625 1,872 23.750 1,886 23.875 1,900 24.000 1,915 24.125 1,929 24.250 1,943 24.375 1,957 24.500 1,972 24.625 1,986 24.750 2,000 24.875 2,015 25.000 2,029 25.125 2,044 25.250 2,058 25.375 2,072 Depth (inches) Volume (gallons) 25.500 2,087 25.625 2,101 25.750 2,116 25.875 2,131 26.000 2,145 26.125 2,160 26.250 2,174 26.375 2,189 26.500 2,204 26.625 2,219 26.750 2,233 26.875 2,248 27.000 2,263 27.125 2,278 27.250 2,293 27.375 2,307 27.500 2,322 27.625 2,337 27.750 2,352 27.875 2,367 28.000 2,382 28.125 2,397 28.250 2,412 28.375 2,427 28.500 2,442 28.625 2,457 28.750 2,472 28.875 2,487 29.000 2,503 29.125 2,518 29.250 2,533 29.375 2,548 29.500 2,563 29.625 2,579 Page 1 of 4 This volumetric tank chart is supplied to you for informational purposes only. These capacity calculations are based on theoretical volumes not actual volumes, and do not reflect atmospheric conditions or thermal expansion/contraction due to temperature changes. If internal accessories such as pumps are present, displacement of these accessories must be considered. Therefore, neither Modern Welding Company nor its officers, directors, employee affiliates or subsidiaries shall be liable for the use of this information covered within. This information is advisory only and the use of the material and methods is solely at the risk of the user. Depth (inches) Volume (gallons) 29.750 2,594 29.875 2,609 30.000 2,625 30.125 2,640 30.250 2,655 30.375 2,671 30.500 2,686 30.625 2,701 30.750 2,717 30.875 2,732 31.000 2,748 31.125 2,763 31.250 2,779 31.375 2,794 31.500 2,810 31.625 2,825 31.750 2,841 31.875 2,857 32.000 2,872 32.125 2,888 32.250 2,903 32.375 2,919 32.500 2,935 32.625 2,951 32.750 2,966 32.875 2,982 33.000 2,998 33.125 3,014 33.250 3,029 33.375 3,045 33.500 3,061 33.625 3,077 33.750 3,093 33.875 3,109 34.000 3,124 34.125 3,140 34.250 3,156 34.375 3,172 34.500 3,188 34.625 3,204 34.750 3,220 Depth (inches) Volume (gallons) 34.875 3,236 35.000 3,252 35.125 3,268 35.250 3,284 35.375 3,300 35.500 3,316 35.625 3,333 35.750 3,349 35.875 3,365 36.000 3,381 36.125 3,397 36.250 3,413 36.375 3,429 36.500 3,446 36.625 3,462 36.750 3,478 36.875 3,494 37.000 3,511 37.125 3,527 37.250 3,543 37.375 3,559 37.500 3,576 37.625 3,592 37.750 3,608 37.875 3,625 38.000 3,641 38.125 3,658 38.250 3,674 38.375 3,690 38.500 3,707 38.625 3,723 38.750 3,740 38.875 3,756 39.000 3,773 39.125 3,789 39.250 3,805 39.375 3,822 39.500 3,838 39.625 3,855 39.750 3,872 39.875 3,888 Depth (inches) Volume (gallons) 40.000 3,905 40.125 3,921 40.250 3,938 40.375 3,954 40.500 3,971 40.625 3,988 40.750 4,004 40.875 4,021 41.000 4,038 41.125 4,054 41.250 4,071 41.375 4,088 41.500 4,104 41.625 4,121 41.750 4,138 41.875 4,154 42.000 4,171 42.125 4,188 42.250 4,205 42.375 4,221 42.500 4,238 42.625 4,255 42.750 4,272 42.875 4,288 43.000 4,305 43.125 4,322 43.250 4,339 43.375 4,356 43.500 4,373 43.625 4,389 43.750 4,406 43.875 4,423 44.000 4,440 44.125 4,457 44.250 4,474 44.375 4,491 44.500 4,508 44.625 4,524 44.750 4,541 44.875 4,558 45.000 4,575 Depth (inches) Volume (gallons) 45.125 4,592 45.250 4,609 45.375 4,626 45.500 4,643 45.625 4,660 45.750 4,677 45.875 4,694 46.000 4,711 46.125 4,728 46.250 4,745 46.375 4,762 46.500 4,779 46.625 4,796 46.750 4,813 46.875 4,830 47.000 4,847 47.125 4,864 47.250 4,881 47.375 4,898 47.500 4,915 47.625 4,932 47.750 4,950 47.875 4,967 48.000 4,984 48.125 5,001 48.250 5,018 48.375 5,035 48.500 5,052 48.625 5,069 48.750 5,086 48.875 5,103 49.000 5,121 49.125 5,138 49.250 5,155 49.375 5,172 49.500 5,189 49.625 5,206 49.750 5,223 49.875 5,241 50.000 5,258 50.125 5,275 Depth (inches) Volume (gallons) 50.250 5,292 50.375 5,309 50.500 5,326 50.625 5,344 50.750 5,361 50.875 5,378 51.000 5,395 51.125 5,412 51.250 5,430 51.375 5,447 51.500 5,464 51.625 5,481 51.750 5,498 51.875 5,516 52.000 5,533 52.125 5,550 52.250 5,567 52.375 5,585 52.500 5,602 52.625 5,619 52.750 5,636 52.875 5,653 53.000 5,671 53.125 5,688 53.250 5,705 53.375 5,722 53.500 5,740 53.625 5,757 53.750 5,774 53.875 5,791 54.000 5,809 54.125 5,826 54.250 5,843 54.375 5,860 54.500 5,878 54.625 5,895 54.750 5,912 54.875 5,929 55.000 5,947 55.125 5,964 55.250 5,981 Depth (inches) Volume (gallons) 55.375 5,998 55.500 6,016 55.625 6,033 55.750 6,050 55.875 6,067 56.000 6,085 56.125 6,102 56.250 6,119 56.375 6,136 56.500 6,154 56.625 6,171 56.750 6,188 56.875 6,205 57.000 6,223 57.125 6,240 57.250 6,257 57.375 6,274 57.500 6,292 57.625 6,309 57.750 6,326 57.875 6,343 58.000 6,360 58.125 6,378 58.250 6,395 58.375 6,412 58.500 6,429 58.625 6,447 58.750 6,464 58.875 6,481 59.000 6,498 59.125 6,516 59.250 6,533 59.375 6,550 59.500 6,567 59.625 6,584 59.750 6,602 59.875 6,619 60.000 6,636 60.125 6,653 60.250 6,670 60.375 6,688 Depth (inches) Volume (gallons) 60.500 6,705 60.625 6,722 60.750 6,739 60.875 6,756 61.000 6,773 61.125 6,791 61.250 6,808 61.375 6,825 61.500 6,842 61.625 6,859 61.750 6,876 61.875 6,893 62.000 6,911 62.125 6,928 62.250 6,945 62.375 6,962 62.500 6,979 62.625 6,996 62.750 7,013 62.875 7,030 63.000 7,047 63.125 7,065 63.250 7,082 63.375 7,099 63.500 7,116 63.625 7,133 63.750 7,150 63.875 7,167 64.000 7,184 64.125 7,201 64.250 7,218 64.375 7,235 64.500 7,252 64.625 7,269 64.750 7,286 64.875 7,303 65.000 7,320 65.125 7,337 65.250 7,354 65.375 7,371 65.500 7,388 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 111 inches | Length: 287.2 inches | Total Volume: 12,031 gallons Page 2 of 4 Depth (inches) Volume (gallons) 65.625 7,405 65.750 7,422 65.875 7,439 66.000 7,456 66.125 7,473 66.250 7,490 66.375 7,507 66.500 7,524 66.625 7,541 66.750 7,557 66.875 7,574 67.000 7,591 67.125 7,608 67.250 7,625 67.375 7,642 67.500 7,659 67.625 7,675 67.750 7,692 67.875 7,709 68.000 7,726 68.125 7,743 68.250 7,760 68.375 7,776 68.500 7,793 68.625 7,810 68.750 7,827 68.875 7,843 69.000 7,860 69.125 7,877 69.250 7,894 69.375 7,910 69.500 7,927 69.625 7,944 69.750 7,960 69.875 7,977 70.000 7,994 70.125 8,010 70.250 8,027 70.375 8,044 70.500 8,060 70.625 8,077 Depth (inches) Volume (gallons) 70.750 8,093 70.875 8,110 71.000 8,127 71.125 8,143 71.250 8,160 71.375 8,176 71.500 8,193 71.625 8,209 71.750 8,226 71.875 8,242 72.000 8,259 72.125 8,275 72.250 8,292 72.375 8,308 72.500 8,324 72.625 8,341 72.750 8,357 72.875 8,374 73.000 8,390 73.125 8,406 73.250 8,423 73.375 8,439 73.500 8,455 73.625 8,472 73.750 8,488 73.875 8,504 74.000 8,521 74.125 8,537 74.250 8,553 74.375 8,569 74.500 8,586 74.625 8,602 74.750 8,618 74.875 8,634 75.000 8,650 75.125 8,666 75.250 8,683 75.375 8,699 75.500 8,715 75.625 8,731 75.750 8,747 Depth (inches) Volume (gallons) 75.875 8,763 76.000 8,779 76.125 8,795 76.250 8,811 76.375 8,827 76.500 8,843 76.625 8,859 76.750 8,875 76.875 8,891 77.000 8,907 77.125 8,923 77.250 8,938 77.375 8,954 77.500 8,970 77.625 8,986 77.750 9,002 77.875 9,018 78.000 9,033 78.125 9,049 78.250 9,065 78.375 9,081 78.500 9,096 78.625 9,112 78.750 9,128 78.875 9,143 79.000 9,159 79.125 9,175 79.250 9,190 79.375 9,206 79.500 9,221 79.625 9,237 79.750 9,252 79.875 9,268 80.000 9,283 80.125 9,299 80.250 9,314 80.375 9,330 80.500 9,345 80.625 9,361 80.750 9,376 80.875 9,391 Depth (inches) Volume (gallons) 81.000 9,407 81.125 9,422 81.250 9,437 81.375 9,453 81.500 9,468 81.625 9,483 81.750 9,498 81.875 9,513 82.000 9,529 82.125 9,544 82.250 9,559 82.375 9,574 82.500 9,589 82.625 9,604 82.750 9,619 82.875 9,634 83.000 9,649 83.125 9,664 83.250 9,679 83.375 9,694 83.500 9,709 83.625 9,724 83.750 9,739 83.875 9,753 84.000 9,768 84.125 9,783 84.250 9,798 84.375 9,813 84.500 9,827 84.625 9,842 84.750 9,857 84.875 9,871 85.000 9,886 85.125 9,901 85.250 9,915 85.375 9,930 85.500 9,944 85.625 9,959 85.750 9,973 85.875 9,988 86.000 10,002 Depth (inches) Volume (gallons) 86.125 10,016 86.250 10,031 86.375 10,045 86.500 10,060 86.625 10,074 86.750 10,088 86.875 10,102 87.000 10,117 87.125 10,131 87.250 10,145 87.375 10,159 87.500 10,173 87.625 10,187 87.750 10,201 87.875 10,215 88.000 10,229 88.125 10,243 88.250 10,257 88.375 10,271 88.500 10,285 88.625 10,299 88.750 10,313 88.875 10,326 89.000 10,340 89.125 10,354 89.250 10,368 89.375 10,381 89.500 10,395 89.625 10,409 89.750 10,422 89.875 10,436 90.000 10,449 90.125 10,463 90.250 10,476 90.375 10,490 90.500 10,503 90.625 10,516 90.750 10,530 90.875 10,543 91.000 10,556 91.125 10,570 Depth (inches) Volume (gallons) 91.250 10,583 91.375 10,596 91.500 10,609 91.625 10,622 91.750 10,635 91.875 10,648 92.000 10,661 92.125 10,674 92.250 10,687 92.375 10,700 92.500 10,713 92.625 10,726 92.750 10,739 92.875 10,752 93.000 10,764 93.125 10,777 93.250 10,790 93.375 10,802 93.500 10,815 93.625 10,827 93.750 10,840 93.875 10,852 94.000 10,865 94.125 10,877 94.250 10,890 94.375 10,902 94.500 10,914 94.625 10,927 94.750 10,939 94.875 10,951 95.000 10,963 95.125 10,975 95.250 10,987 95.375 10,999 95.500 11,011 95.625 11,023 95.750 11,035 95.875 11,047 96.000 11,059 96.125 11,071 96.250 11,082 Depth (inches) Volume (gallons) 96.375 11,094 96.500 11,106 96.625 11,117 96.750 11,129 96.875 11,140 97.000 11,152 97.125 11,163 97.250 11,175 97.375 11,186 97.500 11,197 97.625 11,208 97.750 11,220 97.875 11,231 98.000 11,242 98.125 11,253 98.250 11,264 98.375 11,275 98.500 11,286 98.625 11,297 98.750 11,308 98.875 11,318 99.000 11,329 99.125 11,340 99.250 11,351 99.375 11,361 99.500 11,372 99.625 11,382 99.750 11,393 99.875 11,403 100.00011,413 100.12511,424 100.25011,434 100.37511,444 100.50011,454 100.62511,464 100.75011,474 100.87511,484 101.00011,494 101.12511,504 101.25011,514 101.37511,523 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 111 inches | Length: 287.2 inches | Total Volume: 12,031 gallons Page 3 of 4 Depth (inches) Volume (gallons) 101.50011,533 101.62511,543 101.75011,552 101.87511,562 102.00011,571 102.12511,581 102.25011,590 102.37511,599 102.50011,608 102.62511,618 102.75011,627 102.87511,636 103.00011,645 103.12511,654 103.25011,662 103.37511,671 103.50011,680 103.62511,688 103.75011,697 103.87511,705 104.00011,714 104.12511,722 104.25011,731 104.37511,739 104.50011,747 104.62511,755 104.75011,763 104.87511,771 105.00011,779 105.12511,786 105.25011,794 105.37511,802 105.50011,809 105.62511,817 105.75011,824 105.87511,831 106.00011,839 106.12511,846 106.25011,853 106.37511,860 106.50011,867 Depth (inches) Volume (gallons) 106.62511,873 106.75011,880 106.87511,887 107.00011,893 107.12511,899 107.25011,906 107.37511,912 107.50011,918 107.62511,924 107.75011,930 107.87511,936 108.00011,941 108.12511,947 108.25011,952 108.37511,957 108.50011,963 108.62511,968 108.75011,973 108.87511,977 109.00011,982 109.12511,987 109.25011,991 109.37511,995 109.50011,999 109.62512,003 109.75012,007 109.87512,010 110.00012,014 110.12512,017 110.25012,020 110.37512,023 110.50012,025 110.62512,027 110.75012,029 110.87512,030 111.00012,031 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 111 inches | Length: 287.2 inches | Total Volume: 12,031 gallons