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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 10155971 9-17-21 Jaco #7773 Fastrip #31 3501 Mt Vernon Avenue Bakersfield 93306 Confidence UST Services, Inc.(800) 339-9930 2209 Zeus Court, Bakersfield, CA 93308 Payton Phillips 804904 9482312 1-30-22 OPW 0187328 10-01-22 PEI 1200 Overfill Prevention 9-17-21 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. T1 Unleaded OPW 71SO 97.25” 92.87% 21 Appendix B 71SO Overfill Valve in Tank Shut off Level Worksheet Important: This is meant to be supplemental worksheet and not a substitute to following the installation manual instructions. All length measurements are in inches. Please contact the Authority Having Jurisdic- tion (AHJ) and review local, state, and national codes to determine the regulatory requirements governing shut-off capacity in your region, as well as take into account other considerations such as extreme tank tilt. Take the following measurements with the valve in- stalled in the tank: Distance from the 71SO inlet tube flange to the cast lug in the 71SO body (see figures), upper tube length. Note: the Upper Tube Length must be at least 16” to in- clude the protective bend in the tube. (D)= ______________________ Distance from the 71SO inlet tube flange to the top and bottom of lower tube, valve length. (W)= _____________ (U)= _____________ Distance from the 71SO inlet tube flange to the bottom of the tank. Note: If a tank bottom protector is present it may be necessary to add this thickness to dimension (OPW 6111 & 61TP models add 0.6”) (B)= _____________ From the tank calibration chart provided by tank manu- facturer find the dipstick number (Y) which corresponds to the 100% volume. (Y)= _____________ 1. To determine shut-off percentage: Subtract upper tube length (D) from distance to tank bottom (B) (X) = (B) – (D) - 2” =________________________ Using the tank calibration chart provided by the tank manufacturer determine the tank capacity at the cal- culated (X) dimension and the 100% volume (Y) tank capacity. (X) tank capacity in gallons = _______________ (Y) tank capacity in gallons = _______________ SO% = (X) capacity / (Y) capacity x100 = __________ Note: The overfill valve must be installed per AHJ require- ments and all applicable local, state, and national codes. If the overfill valve is set above the allowable shut-off percent- age the overfill valve must be removed and replaced. For reference 40 CFR part 280 Subpart B Section 280.20 overfill valves should be set to a maximum of 95%. (B) To Tank (D) Upper Tube (W) Valve Length, bottom of cut (Y) Tank Chart 100% Volume Dipstick (U) Valve Length, top of cut 3URGXFW81 55.75 151.75” 151.75” 155 12061 97.25” 11202 12061 92.87% 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: 384.1 inches Total Volume: 12,036 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 4.750 222 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 6.500 353 6.625 363 6.750 373 6.875 383 7.000 393 7.125 404 7.250 414 7.375 425 7.500 436 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 8.750 547 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 10.250 690 10.375 702 10.500 714 10.625 727 10.750 739 10.875 752 11.000 765 11.125 777 11.250 790 11.375 803 11.500 816 11.625 829 11.750 842 11.875 855 12.000 868 12.125 882 12.250 895 12.375 908 12.500 922 12.625 935 Depth (inches) Volume (gallons) 12.750 949 12.875 962 13.000 976 13.125 989 13.250 1,003 13.375 1,017 13.500 1,031 13.625 1,045 13.750 1,059 13.875 1,073 14.000 1,087 14.125 1,101 14.250 1,115 14.375 1,129 14.500 1,143 14.625 1,158 14.750 1,172 14.875 1,187 15.000 1,201 15.125 1,216 15.250 1,230 15.375 1,245 15.500 1,259 15.625 1,274 15.750 1,289 15.875 1,304 16.000 1,319 16.125 1,333 16.250 1,348 16.375 1,363 16.500 1,378 16.625 1,393 16.750 1,409 16.875 1,424 Depth (inches) Volume (gallons) 17.000 1,439 17.125 1,454 17.250 1,469 17.375 1,485 17.500 1,500 17.625 1,516 17.750 1,531 17.875 1,547 18.000 1,562 18.125 1,578 18.250 1,593 18.375 1,609 18.500 1,625 18.625 1,641 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 1,817 20.125 1,833 20.250 1,849 20.375 1,865 20.500 1,882 20.625 1,898 20.750 1,914 20.875 1,931 21.000 1,947 21.125 1,964 Depth (inches) Volume (gallons) 21.250 1,980 21.375 1,997 21.500 2,014 21.625 2,030 21.750 2,047 21.875 2,064 22.000 2,080 22.125 2,097 22.250 2,114 22.375 2,131 22.500 2,148 22.625 2,165 22.750 2,182 22.875 2,199 23.000 2,216 23.125 2,233 23.250 2,250 23.375 2,267 23.500 2,284 23.625 2,301 23.750 2,318 23.875 2,336 24.000 2,353 24.125 2,370 24.250 2,388 24.375 2,405 24.500 2,422 24.625 2,440 24.750 2,457 24.875 2,475 25.000 2,492 25.125 2,510 25.250 2,527 25.375 2,545 Depth (inches) Volume (gallons) 25.500 2,562 25.625 2,580 25.750 2,598 25.875 2,615 26.000 2,633 26.125 2,651 26.250 2,669 26.375 2,686 26.500 2,704 26.625 2,722 26.750 2,740 26.875 2,758 27.000 2,776 27.125 2,794 27.250 2,812 27.375 2,830 27.500 2,848 27.625 2,866 27.750 2,884 27.875 2,902 28.000 2,920 28.125 2,938 28.250 2,957 28.375 2,975 28.500 2,993 28.625 3,011 28.750 3,029 28.875 3,048 29.000 3,066 29.125 3,084 29.250 3,103 29.375 3,121 29.500 3,140 29.625 3,158 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 3,195 30.000 3,213 30.125 3,232 30.250 3,250 30.375 3,269 30.500 3,287 30.625 3,306 30.750 3,325 30.875 3,343 31.000 3,362 31.125 3,381 31.250 3,399 31.375 3,418 31.500 3,437 31.625 3,456 31.750 3,474 31.875 3,493 32.000 3,512 32.125 3,531 32.250 3,550 32.375 3,568 32.500 3,587 32.625 3,606 32.750 3,625 32.875 3,644 33.000 3,663 33.125 3,682 33.250 3,701 33.375 3,720 33.500 3,739 33.625 3,758 33.750 3,777 33.875 3,796 34.000 3,815 34.125 3,834 34.250 3,853 34.375 3,872 34.500 3,892 34.625 3,911 34.750 3,930 Depth (inches) Volume (gallons) 34.875 3,949 35.000 3,968 35.125 3,987 35.250 4,007 35.375 4,026 35.500 4,045 35.625 4,064 35.750 4,084 35.875 4,103 36.000 4,122 36.125 4,142 36.250 4,161 36.375 4,180 36.500 4,200 36.625 4,219 36.750 4,239 36.875 4,258 37.000 4,277 37.125 4,297 37.250 4,316 37.375 4,336 37.500 4,355 37.625 4,375 37.750 4,394 37.875 4,414 38.000 4,433 38.125 4,453 38.250 4,472 38.375 4,492 38.500 4,511 38.625 4,531 38.750 4,550 38.875 4,570 39.000 4,590 39.125 4,609 39.250 4,629 39.375 4,648 39.500 4,668 39.625 4,688 39.750 4,707 39.875 4,727 Depth (inches) Volume (gallons) 40.000 4,747 40.125 4,766 40.250 4,786 40.375 4,806 40.500 4,825 40.625 4,845 40.750 4,865 40.875 4,885 41.000 4,904 41.125 4,924 41.250 4,944 41.375 4,964 41.500 4,983 41.625 5,003 41.750 5,023 41.875 5,043 42.000 5,063 42.125 5,082 42.250 5,102 42.375 5,122 42.500 5,142 42.625 5,162 42.750 5,181 42.875 5,201 43.000 5,221 43.125 5,241 43.250 5,261 43.375 5,281 43.500 5,300 43.625 5,320 43.750 5,340 43.875 5,360 44.000 5,380 44.125 5,400 44.250 5,420 44.375 5,440 44.500 5,460 44.625 5,479 44.750 5,499 44.875 5,519 45.000 5,539 Depth (inches) Volume (gallons) 45.125 5,559 45.250 5,579 45.375 5,599 45.500 5,619 45.625 5,639 45.750 5,659 45.875 5,679 46.000 5,699 46.125 5,719 46.250 5,738 46.375 5,758 46.500 5,778 46.625 5,798 46.750 5,818 46.875 5,838 47.000 5,858 47.125 5,878 47.250 5,898 47.375 5,918 47.500 5,938 47.625 5,958 47.750 5,978 47.875 5,998 48.000 6,018 48.125 6,038 48.250 6,058 48.375 6,078 48.500 6,098 48.625 6,118 48.750 6,137 48.875 6,157 49.000 6,177 49.125 6,197 49.250 6,217 49.375 6,237 49.500 6,257 49.625 6,277 49.750 6,297 49.875 6,317 50.000 6,337 50.125 6,357 Depth (inches) Volume (gallons) 50.250 6,377 50.375 6,397 50.500 6,417 50.625 6,437 50.750 6,456 50.875 6,476 51.000 6,496 51.125 6,516 51.250 6,536 51.375 6,556 51.500 6,576 51.625 6,596 51.750 6,616 51.875 6,636 52.000 6,656 52.125 6,675 52.250 6,695 52.375 6,715 52.500 6,735 52.625 6,755 52.750 6,775 52.875 6,795 53.000 6,814 53.125 6,834 53.250 6,854 53.375 6,874 53.500 6,894 53.625 6,914 53.750 6,933 53.875 6,953 54.000 6,973 54.125 6,993 54.250 7,013 54.375 7,032 54.500 7,052 54.625 7,072 54.750 7,092 54.875 7,111 55.000 7,131 55.125 7,151 55.250 7,171 Depth (inches) Volume (gallons) 55.375 7,190 55.500 7,210 55.625 7,230 55.750 7,249 55.875 7,269 56.000 7,289 56.125 7,308 56.250 7,328 56.375 7,348 56.500 7,367 56.625 7,387 56.750 7,407 56.875 7,426 57.000 7,446 57.125 7,466 57.250 7,485 57.375 7,505 57.500 7,524 57.625 7,544 57.750 7,563 57.875 7,583 58.000 7,602 58.125 7,622 58.250 7,641 58.375 7,661 58.500 7,680 58.625 7,700 58.750 7,719 58.875 7,739 59.000 7,758 59.125 7,778 59.250 7,797 59.375 7,816 59.500 7,836 59.625 7,855 59.750 7,874 59.875 7,894 60.000 7,913 60.125 7,932 60.250 7,952 60.375 7,971 Depth (inches) Volume (gallons) 60.500 7,990 60.625 8,010 60.750 8,029 60.875 8,048 61.000 8,067 61.125 8,086 61.250 8,106 61.375 8,125 61.500 8,144 61.625 8,163 61.750 8,182 61.875 8,201 62.000 8,220 62.125 8,239 62.250 8,259 62.375 8,278 62.500 8,297 62.625 8,316 62.750 8,335 62.875 8,354 63.000 8,373 63.125 8,392 63.250 8,410 63.375 8,429 63.500 8,448 63.625 8,467 63.750 8,486 63.875 8,505 64.000 8,524 64.125 8,542 64.250 8,561 64.375 8,580 64.500 8,599 64.625 8,617 64.750 8,636 64.875 8,655 65.000 8,674 65.125 8,692 65.250 8,711 65.375 8,729 65.500 8,748 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 96 inches | Length: 384.1 inches | Total Volume: 12,036 gallons Page 2 of 3 Depth (inches) Volume (gallons) 65.625 8,767 65.750 8,785 65.875 8,804 66.000 8,822 66.125 8,841 66.250 8,859 66.375 8,878 66.500 8,896 66.625 8,914 66.750 8,933 66.875 8,951 67.000 8,969 67.125 8,988 67.250 9,006 67.375 9,024 67.500 9,043 67.625 9,061 67.750 9,079 67.875 9,097 68.000 9,115 68.125 9,133 68.250 9,152 68.375 9,170 68.500 9,188 68.625 9,206 68.750 9,224 68.875 9,242 69.000 9,260 69.125 9,278 69.250 9,295 69.375 9,313 69.500 9,331 69.625 9,349 69.750 9,367 69.875 9,385 70.000 9,402 70.125 9,420 70.250 9,438 70.375 9,455 70.500 9,473 70.625 9,491 Depth (inches) Volume (gallons) 70.750 9,508 70.875 9,526 71.000 9,543 71.125 9,561 71.250 9,578 71.375 9,596 71.500 9,613 71.625 9,631 71.750 9,648 71.875 9,665 72.000 9,683 72.125 9,700 72.250 9,717 72.375 9,734 72.500 9,751 72.625 9,769 72.750 9,786 72.875 9,803 73.000 9,820 73.125 9,837 73.250 9,854 73.375 9,871 73.500 9,888 73.625 9,905 73.750 9,921 73.875 9,938 74.000 9,955 74.125 9,972 74.250 9,989 74.375 10,005 74.500 10,022 74.625 10,038 74.750 10,055 74.875 10,072 75.000 10,088 75.125 10,105 75.250 10,121 75.375 10,137 75.500 10,154 75.625 10,170 75.750 10,186 Depth (inches) Volume (gallons) 75.875 10,203 76.000 10,219 76.125 10,235 76.250 10,251 76.375 10,267 76.500 10,283 76.625 10,300 76.750 10,316 76.875 10,331 77.000 10,347 77.125 10,363 77.250 10,379 77.375 10,395 77.500 10,411 77.625 10,426 77.750 10,442 77.875 10,458 78.000 10,473 78.125 10,489 78.250 10,504 78.375 10,520 78.500 10,535 78.625 10,551 78.750 10,566 78.875 10,581 79.000 10,597 79.125 10,612 79.250 10,627 79.375 10,642 79.500 10,657 79.625 10,672 79.750 10,687 79.875 10,702 80.000 10,717 80.125 10,732 80.250 10,747 80.375 10,761 80.500 10,776 80.625 10,791 80.750 10,805 80.875 10,820 Depth (inches) Volume (gallons) 81.000 10,834 81.125 10,849 81.250 10,863 81.375 10,878 81.500 10,892 81.625 10,906 81.750 10,921 81.875 10,935 82.000 10,949 82.125 10,963 82.250 10,977 82.375 10,991 82.500 11,005 82.625 11,019 82.750 11,032 82.875 11,046 83.000 11,060 83.125 11,073 83.250 11,087 83.375 11,100 83.500 11,114 83.625 11,127 83.750 11,141 83.875 11,154 84.000 11,167 84.125 11,180 84.250 11,193 84.375 11,207 84.500 11,220 84.625 11,232 84.750 11,245 84.875 11,258 85.000 11,271 85.125 11,284 85.250 11,296 85.375 11,309 85.500 11,321 85.625 11,334 85.750 11,346 85.875 11,358 86.000 11,370 Depth (inches) Volume (gallons) 86.125 11,383 86.250 11,395 86.375 11,407 86.500 11,419 86.625 11,431 86.750 11,442 86.875 11,454 87.000 11,466 87.125 11,477 87.250 11,489 87.375 11,500 87.500 11,512 87.625 11,523 87.750 11,534 87.875 11,545 88.000 11,556 88.125 11,567 88.250 11,578 88.375 11,589 88.500 11,600 88.625 11,611 88.750 11,621 88.875 11,632 89.000 11,642 89.125 11,652 89.250 11,663 89.375 11,673 89.500 11,683 89.625 11,693 89.750 11,703 89.875 11,713 90.000 11,722 90.125 11,732 90.250 11,741 90.375 11,751 90.500 11,760 90.625 11,769 90.750 11,779 90.875 11,788 91.000 11,796 91.125 11,805 Depth (inches) Volume (gallons) 91.250 11,814 91.375 11,823 91.500 11,831 91.625 11,839 91.750 11,848 91.875 11,856 92.000 11,864 92.125 11,872 92.250 11,880 92.375 11,887 92.500 11,895 92.625 11,902 92.750 11,910 92.875 11,917 93.000 11,924 93.125 11,931 93.250 11,937 93.375 11,944 93.500 11,950 93.625 11,957 93.750 11,963 93.875 11,969 94.000 11,974 94.125 11,980 94.250 11,986 94.375 11,991 94.500 11,996 94.625 12,001 94.750 12,005 94.875 12,010 95.000 12,014 95.125 12,018 95.250 12,021 95.375 12,025 95.500 12,028 95.625 12,031 95.750 12,033 95.875 12,035 96.000 12,036 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 96 inches | Length: 384.1 inches | Total Volume: 12,036 gallons