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HomeMy WebLinkAboutOPI 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 10134223 09-07-2021 Jaco #2233 D & G 2732 Brundage Lane Bakersfield 93304 Confidence UST Services, Inc.(800) 339-9930 2209 Zeus Court, Bakersfield, CA 93308 Ronald Clark 804904 9482314 06-15-2022 OPW 0187329 08-28-2022 Precision measurement device Drop tube 09-07-2021 Total # of Pages 6 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. T3 diesel OPW 71-SO 79.75” 89% ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 3URGXFWDiesel 131.50” 47.25” 79.75” 10684 12032 89 12032 10684 1348 Modern Welding Company Subsidiaries Nationwide www.modweldco.com modern@modweldco.com Tank Calibration Chart Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches Diameter: 96 inches Length: 384 inches Total Volume: 12,032 gallons Depth (inches) Volume (gallons) 0.000 0 0.125 1 0.250 3 0.375 5 0.500 8 0.625 11 0.750 14 0.875 18 1.000 22 1.125 26 1.250 30 1.375 35 1.500 40 1.625 45 1.750 50 1.875 55 2.000 61 2.125 67 2.250 73 2.375 79 2.500 85 2.625 92 2.750 98 2.875 105 3.000 112 3.125 119 3.250 126 3.375 133 3.500 141 3.625 148 3.750 156 3.875 164 4.000 172 4.125 180 Depth (inches) Volume (gallons) 4.250 188 4.375 196 4.500 204 4.625 213 4.750 221 4.875 230 5.000 239 5.125 248 5.250 257 5.375 266 5.500 275 5.625 285 5.750 294 5.875 304 6.000 313 6.125 323 6.250 333 6.375 343 6.500 352 6.625 363 6.750 373 6.875 383 7.000 393 7.125 404 7.250 414 7.375 425 7.500 435 7.625 446 7.750 457 7.875 468 8.000 479 8.125 490 8.250 501 8.375 512 Depth (inches) Volume (gallons) 8.500 524 8.625 535 8.750 546 8.875 558 9.000 570 9.125 581 9.250 593 9.375 605 9.500 617 9.625 629 9.750 641 9.875 653 10.000 665 10.125 677 10.250 689 10.375 702 10.500 714 10.625 727 10.750 739 10.875 752 11.000 764 11.125 777 11.250 790 11.375 803 11.500 816 11.625 829 11.750 842 11.875 855 12.000 868 12.125 881 12.250 895 12.375 908 12.500 921 12.625 935 Depth (inches) Volume (gallons) 12.750 948 12.875 962 13.000 975 13.125 989 13.250 1,003 13.375 1,017 13.500 1,031 13.625 1,044 13.750 1,058 13.875 1,072 14.000 1,086 14.125 1,101 14.250 1,115 14.375 1,129 14.500 1,143 14.625 1,157 14.750 1,172 14.875 1,186 15.000 1,201 15.125 1,215 15.250 1,230 15.375 1,244 15.500 1,259 15.625 1,274 15.750 1,289 15.875 1,303 16.000 1,318 16.125 1,333 16.250 1,348 16.375 1,363 16.500 1,378 16.625 1,393 16.750 1,408 16.875 1,423 Depth (inches) Volume (gallons) 17.000 1,439 17.125 1,454 17.250 1,469 17.375 1,484 17.500 1,500 17.625 1,515 17.750 1,531 17.875 1,546 18.000 1,562 18.125 1,577 18.250 1,593 18.375 1,609 18.500 1,624 18.625 1,640 18.750 1,656 18.875 1,672 19.000 1,688 19.125 1,704 19.250 1,720 19.375 1,736 19.500 1,752 19.625 1,768 19.750 1,784 19.875 1,800 20.000 1,816 20.125 1,832 20.250 1,849 20.375 1,865 20.500 1,881 20.625 1,898 20.750 1,914 20.875 1,930 21.000 1,947 21.125 1,963 Depth (inches) Volume (gallons) 21.250 1,980 21.375 1,997 21.500 2,013 21.625 2,030 21.750 2,046 21.875 2,063 22.000 2,080 22.125 2,097 22.250 2,114 22.375 2,130 22.500 2,147 22.625 2,164 22.750 2,181 22.875 2,198 23.000 2,215 23.125 2,232 23.250 2,249 23.375 2,266 23.500 2,283 23.625 2,301 23.750 2,318 23.875 2,335 24.000 2,352 24.125 2,370 24.250 2,387 24.375 2,404 24.500 2,422 24.625 2,439 24.750 2,457 24.875 2,474 25.000 2,491 25.125 2,509 25.250 2,527 25.375 2,544 Depth (inches) Volume (gallons) 25.500 2,562 25.625 2,579 25.750 2,597 25.875 2,615 26.000 2,632 26.125 2,650 26.250 2,668 26.375 2,686 26.500 2,704 26.625 2,721 26.750 2,739 26.875 2,757 27.000 2,775 27.125 2,793 27.250 2,811 27.375 2,829 27.500 2,847 27.625 2,865 27.750 2,883 27.875 2,901 28.000 2,919 28.125 2,938 28.250 2,956 28.375 2,974 28.500 2,992 28.625 3,010 28.750 3,029 28.875 3,047 29.000 3,065 29.125 3,084 29.250 3,102 29.375 3,120 29.500 3,139 29.625 3,157 Page 1 of 3 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 3,176 29.875 3,194 30.000 3,212 30.125 3,231 30.250 3,250 30.375 3,268 30.500 3,287 30.625 3,305 30.750 3,324 30.875 3,342 31.000 3,361 31.125 3,380 31.250 3,398 31.375 3,417 31.500 3,436 31.625 3,455 31.750 3,473 31.875 3,492 32.000 3,511 32.125 3,530 32.250 3,549 32.375 3,567 32.500 3,586 32.625 3,605 32.750 3,624 32.875 3,643 33.000 3,662 33.125 3,681 33.250 3,700 33.375 3,719 33.500 3,738 33.625 3,757 33.750 3,776 33.875 3,795 34.000 3,814 34.125 3,833 34.250 3,852 34.375 3,871 34.500 3,891 34.625 3,910 34.750 3,929 Depth (inches) Volume (gallons) 34.875 3,948 35.000 3,967 35.125 3,986 35.250 4,006 35.375 4,025 35.500 4,044 35.625 4,063 35.750 4,083 35.875 4,102 36.000 4,121 36.125 4,141 36.250 4,160 36.375 4,179 36.500 4,199 36.625 4,218 36.750 4,237 36.875 4,257 37.000 4,276 37.125 4,296 37.250 4,315 37.375 4,335 37.500 4,354 37.625 4,373 37.750 4,393 37.875 4,412 38.000 4,432 38.125 4,451 38.250 4,471 38.375 4,491 38.500 4,510 38.625 4,530 38.750 4,549 38.875 4,569 39.000 4,588 39.125 4,608 39.250 4,628 39.375 4,647 39.500 4,667 39.625 4,686 39.750 4,706 39.875 4,726 Depth (inches) Volume (gallons) 40.000 4,745 40.125 4,765 40.250 4,785 40.375 4,804 40.500 4,824 40.625 4,844 40.750 4,864 40.875 4,883 41.000 4,903 41.125 4,923 41.250 4,943 41.375 4,962 41.500 4,982 41.625 5,002 41.750 5,022 41.875 5,041 42.000 5,061 42.125 5,081 42.250 5,101 42.375 5,121 42.500 5,140 42.625 5,160 42.750 5,180 42.875 5,200 43.000 5,220 43.125 5,240 43.250 5,259 43.375 5,279 43.500 5,299 43.625 5,319 43.750 5,339 43.875 5,359 44.000 5,379 44.125 5,398 44.250 5,418 44.375 5,438 44.500 5,458 44.625 5,478 44.750 5,498 44.875 5,518 45.000 5,538 Depth (inches) Volume (gallons) 45.125 5,558 45.250 5,578 45.375 5,597 45.500 5,617 45.625 5,637 45.750 5,657 45.875 5,677 46.000 5,697 46.125 5,717 46.250 5,737 46.375 5,757 46.500 5,777 46.625 5,797 46.750 5,817 46.875 5,837 47.000 5,857 47.125 5,877 47.250 5,897 47.375 5,916 47.500 5,936 47.625 5,956 47.750 5,976 47.875 5,996 48.000 6,016 48.125 6,036 48.250 6,056 48.375 6,076 48.500 6,096 48.625 6,116 48.750 6,136 48.875 6,156 49.000 6,176 49.125 6,196 49.250 6,216 49.375 6,236 49.500 6,256 49.625 6,275 49.750 6,295 49.875 6,315 50.000 6,335 50.125 6,355 Depth (inches) Volume (gallons) 50.250 6,375 50.375 6,395 50.500 6,415 50.625 6,435 50.750 6,455 50.875 6,475 51.000 6,495 51.125 6,515 51.250 6,534 51.375 6,554 51.500 6,574 51.625 6,594 51.750 6,614 51.875 6,634 52.000 6,654 52.125 6,674 52.250 6,694 52.375 6,713 52.500 6,733 52.625 6,753 52.750 6,773 52.875 6,793 53.000 6,813 53.125 6,833 53.250 6,852 53.375 6,872 53.500 6,892 53.625 6,912 53.750 6,932 53.875 6,951 54.000 6,971 54.125 6,991 54.250 7,011 54.375 7,031 54.500 7,050 54.625 7,070 54.750 7,090 54.875 7,110 55.000 7,129 55.125 7,149 55.250 7,169 Depth (inches) Volume (gallons) 55.375 7,188 55.500 7,208 55.625 7,228 55.750 7,248 55.875 7,267 56.000 7,287 56.125 7,307 56.250 7,326 56.375 7,346 56.500 7,366 56.625 7,385 56.750 7,405 56.875 7,424 57.000 7,444 57.125 7,464 57.250 7,483 57.375 7,503 57.500 7,522 57.625 7,542 57.750 7,561 57.875 7,581 58.000 7,600 58.125 7,620 58.250 7,639 58.375 7,659 58.500 7,678 58.625 7,698 58.750 7,717 58.875 7,737 59.000 7,756 59.125 7,776 59.250 7,795 59.375 7,814 59.500 7,834 59.625 7,853 59.750 7,872 59.875 7,892 60.000 7,911 60.125 7,930 60.250 7,950 60.375 7,969 Depth (inches) Volume (gallons) 60.500 7,988 60.625 8,007 60.750 8,027 60.875 8,046 61.000 8,065 61.125 8,084 61.250 8,104 61.375 8,123 61.500 8,142 61.625 8,161 61.750 8,180 61.875 8,199 62.000 8,218 62.125 8,237 62.250 8,256 62.375 8,275 62.500 8,294 62.625 8,313 62.750 8,332 62.875 8,351 63.000 8,370 63.125 8,389 63.250 8,408 63.375 8,427 63.500 8,446 63.625 8,465 63.750 8,484 63.875 8,503 64.000 8,521 64.125 8,540 64.250 8,559 64.375 8,578 64.500 8,597 64.625 8,615 64.750 8,634 64.875 8,653 65.000 8,671 65.125 8,690 65.250 8,709 65.375 8,727 65.500 8,746 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 96 inches | Length: 384 inches | Total Volume: 12,032 gallons Page 2 of 3 Depth (inches) Volume (gallons) 65.625 8,764 65.750 8,783 65.875 8,801 66.000 8,820 66.125 8,838 66.250 8,857 66.375 8,875 66.500 8,894 66.625 8,912 66.750 8,930 66.875 8,949 67.000 8,967 67.125 8,985 67.250 9,004 67.375 9,022 67.500 9,040 67.625 9,058 67.750 9,077 67.875 9,095 68.000 9,113 68.125 9,131 68.250 9,149 68.375 9,167 68.500 9,185 68.625 9,203 68.750 9,221 68.875 9,239 69.000 9,257 69.125 9,275 69.250 9,293 69.375 9,311 69.500 9,329 69.625 9,347 69.750 9,364 69.875 9,382 70.000 9,400 70.125 9,418 70.250 9,435 70.375 9,453 70.500 9,471 70.625 9,488 Depth (inches) Volume (gallons) 70.750 9,506 70.875 9,523 71.000 9,541 71.125 9,558 71.250 9,576 71.375 9,593 71.500 9,611 71.625 9,628 71.750 9,645 71.875 9,663 72.000 9,680 72.125 9,697 72.250 9,715 72.375 9,732 72.500 9,749 72.625 9,766 72.750 9,783 72.875 9,800 73.000 9,817 73.125 9,834 73.250 9,851 73.375 9,868 73.500 9,885 73.625 9,902 73.750 9,919 73.875 9,936 74.000 9,952 74.125 9,969 74.250 9,986 74.375 10,003 74.500 10,019 74.625 10,036 74.750 10,052 74.875 10,069 75.000 10,086 75.125 10,102 75.250 10,118 75.375 10,135 75.500 10,151 75.625 10,168 75.750 10,184 Depth (inches) Volume (gallons) 75.875 10,200 76.000 10,216 76.125 10,232 76.250 10,249 76.375 10,265 76.500 10,281 76.625 10,297 76.750 10,313 76.875 10,329 77.000 10,345 77.125 10,361 77.250 10,376 77.375 10,392 77.500 10,408 77.625 10,424 77.750 10,439 77.875 10,455 78.000 10,471 78.125 10,486 78.250 10,502 78.375 10,517 78.500 10,533 78.625 10,548 78.750 10,563 78.875 10,579 79.000 10,594 79.125 10,609 79.250 10,624 79.375 10,639 79.500 10,654 79.625 10,669 79.750 10,684 79.875 10,699 80.000 10,714 80.125 10,729 80.250 10,744 80.375 10,759 80.500 10,773 80.625 10,788 80.750 10,803 80.875 10,817 Depth (inches) Volume (gallons) 81.000 10,832 81.125 10,846 81.250 10,861 81.375 10,875 81.500 10,889 81.625 10,903 81.750 10,918 81.875 10,932 82.000 10,946 82.125 10,960 82.250 10,974 82.375 10,988 82.500 11,002 82.625 11,016 82.750 11,029 82.875 11,043 83.000 11,057 83.125 11,071 83.250 11,084 83.375 11,098 83.500 11,111 83.625 11,124 83.750 11,138 83.875 11,151 84.000 11,164 84.125 11,177 84.250 11,191 84.375 11,204 84.500 11,217 84.625 11,230 84.750 11,242 84.875 11,255 85.000 11,268 85.125 11,281 85.250 11,293 85.375 11,306 85.500 11,318 85.625 11,331 85.750 11,343 85.875 11,355 86.000 11,368 Depth (inches) Volume (gallons) 86.125 11,380 86.250 11,392 86.375 11,404 86.500 11,416 86.625 11,428 86.750 11,439 86.875 11,451 87.000 11,463 87.125 11,474 87.250 11,486 87.375 11,497 87.500 11,509 87.625 11,520 87.750 11,531 87.875 11,542 88.000 11,553 88.125 11,564 88.250 11,575 88.375 11,586 88.500 11,597 88.625 11,608 88.750 11,618 88.875 11,629 89.000 11,639 89.125 11,649 89.250 11,660 89.375 11,670 89.500 11,680 89.625 11,690 89.750 11,700 89.875 11,710 90.000 11,719 90.125 11,729 90.250 11,738 90.375 11,748 90.500 11,757 90.625 11,766 90.750 11,775 90.875 11,784 91.000 11,793 91.125 11,802 Depth (inches) Volume (gallons) 91.250 11,811 91.375 11,820 91.500 11,828 91.625 11,836 91.750 11,845 91.875 11,853 92.000 11,861 92.125 11,869 92.250 11,877 92.375 11,884 92.500 11,892 92.625 11,899 92.750 11,906 92.875 11,914 93.000 11,921 93.125 11,927 93.250 11,934 93.375 11,941 93.500 11,947 93.625 11,953 93.750 11,960 93.875 11,966 94.000 11,971 94.125 11,977 94.250 11,982 94.375 11,988 94.500 11,993 94.625 11,998 94.750 12,002 94.875 12,007 95.000 12,011 95.125 12,015 95.250 12,018 95.375 12,022 95.500 12,025 95.625 12,027 95.750 12,030 95.875 12,031 96.000 12,032 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 96 inches | Length: 384 inches | Total Volume: 12,032 gallons