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Home My WebLink AboutOPI 2023 REPAIRAppendix IXUnderground 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 Total # of Pages ✔ 5/18/23 CHEVRON 1125 COFFEE BAKERSFIELD 93312 BSSR INC 661-588-2777 6630 ROSEDALE HWY NATHAN HOLMAN 672812 8111067 8/22/24 FRANKLIN ELECTRIC PHASE 1 7/18/24 MANUFACTUER SPECS 87,91 OVERFILL VALVES 5/19/23 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 answers marked “No” or “Fail” and proposed remedy. List all monitoring equipment either replaced or repaired. * Mark here if: Flow restrictors interfere with overfill prevention and equipment repairs required. 87 91 ✔✔ DEFENDER DEFENDER ✔✔ ✔✔ 98 97.5 93.43 93.06 ✔✔ ✔✔ RETEST AFTER REPAIR #( o@ ' -q¯ %M (D ¨t¯ +, ( v b V¯ &¯ g ¯ ]8 (("( )¯¯+ 8 pfiI m^< p23 #$J ! &'XYr "_ " ( !% '?P 1 ©¯¯2 s .BG /0 & 4"_u¯ 6$hbY -3 '8 ,BC/ 8(HxI¯ 67c yz{ )"6 ¡W L¯ eJK¯ ( $@ =@&@(2@ './!5@ &$( z¯ #8 !' m§¯ V n ¢¯ Qs RZ T+ d'¯ 8 D V EF ' Ji N 6"37;%,@ #48@ t|9-*@ :0+@ @ 9 kunqwz =kS¯ '''' @ '( ( 2*.8 ¯*¯¯+¯ n~®[¯ op@,¯ $8 rT\/¯ s0]¯ `> g¦¯ OZP` YAt Q v{} ¤3 £ ! `#a¯ Sd c¯ 8 Mx #' 5!418 GH4h I5} K~6W = ªyj¯ lym : d^ M{¯ >T ?H 8; O>¯ @" x o A¯ gW ;N^ = FP¯ G¯ (u )b %$' 3E 5Q¯ ¥¯ @ 4 F j RZ¯) ? ><1@ ¯ 0[\ !Ke_ N«|¯ 71]l < ,78 ¬?}l¯ :UCL .j BCf.¯ D:UX E ¯ #q$ )[* -Xr %Ok& @aL -A~a <Rh 12S *c /&8 ew v%;¯ i7w¯ U9f (8 5\ 0%8 | 9¯ 5RWWHQ5REELH777 DEFENDER SERIES® OVERFILL PREVENTION VALVE INSPECTION WITHOUT REMOVAL FROM TANK TECH UPDATE TB0617-01 r2 PREPARATION The magnetically-coupled actuator system along with a testing tool allows for primary functionality testing of the Defender Series® overfill prevention valve (OPV) without having to remove the assembly from the riser. Use the following procedures to carry out Defender Series® OPV inspection. To identify that you are inspecting a Defender Series® OPV, use these two distinguishing visual indicators without removing the drop tube assembly. 5 Stick Deflector Ribs Use a light source to illuminate the drop tube - identify the 5 stick deflector ribs. 1 2 3 4 5 OPERATIONAL INSPECTION The operational functionality of a Defender Series® OPV can be done easily from grade without having to remove the drop tube assembly using the collapsible 11’ (3,353mm) remote testing tool show below (P/N 708534901). Insert the Test Tool Insert the remote test tool into the drop tube. You should feel a “pull” when the magnets are positioned correctly and attract. Raise the Tool Slowly raise the remote test tool about 1 ½” (38mm) and you should see the flapper move into the flow path. Observe the Flapper If the flapper is observed moving back and forth, the valve is functioning normally. Name Plate Locate the name plate which should be affixed to the fill point within the spill container TECH UPDATETB0617-01 r2 INSTALLATION INSPECTION You can verify the correct installation of a Defender Series® OPV at 95% level without having to remove the drop tube assembly using the measurements below and the calculations worksheet on the following page. DEFINITIONS Distance from the upper drop tube to the bottom of the underground storage tank. 95% tank volume - obtained from the tank chart provided by the tank manufacturer. To find the 95% tank level on the tank chart, multiply the actual tank capacity by 0.95. Then on the tank chart, find the level measurement that matches the calculated volume the closest. Distance from the upper drop tube to the top edge of the upper drop tube adapter. Distance from 95% shutt-off to the top of upper drop tube adapter. “A” “B” “Z” “Z” “B” “A” 4.5” 4.5” (114mm) MEASURING “Z” WITHOUT REMOVING THE FILL ADAPTER “X” - “Y” = Z “Y” “Z” “X” Distance from the top of the fill adapter to the top edge of the upper drop tube adapter. Distance from the top of the fill adapter to the top edge of the drop tube flange. “X” “Y” TECH UPDATETB0617-01 r2 FINDING “Z” IN DIFFERING INSTALLATIONS Depending on the type of spill container and local installation methods, the top of the drop tube may be installed at different locations. Use the diagrams below to identify the “Z” measurement for your application. DEFINITIONS Distance from the upper drop tube to the bottom of the underground storage tank. Distance from the upper drop tube to the top edge of the upper drop tube adapter. “A” “Z” “Z” “A” “Z” “A” “Z” “A” “Z” “A” Grade Level Spill Container Drop Tube Below DT Riser Grade Level Spill Container Drop Tube Above Nipple Below Grade Spill Container Drop Tube Below DT Riser Below Grade Spill Container Drop Tube Above Nipple TECH UPDATETB0617-01 r2 UST OVERFILL EQUIPMENT INSPECTION - DEFENDER SERIES® OVERFILL PREVENTION VALVE Facility Name:Owner: Address: City, State, Zip Code:Phone: Testing Company:Phone:Date: Product Grade: 1. REFER TO THE MANUFACTURER’S TANK CHART. Tank Volume (gal) Tank Diameter (ft) 95% Tank Volume (gal) (× Multiply Tank Volume by 0.95) 95% Volume Height (in inches) Based on Calculation Above 1 1 1 1 1 1 2. PERFORM THE OVERFILL PREVENTION VALVE INSPECTION. Inspection performed? Flapper moves freely into the flow path? Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Measure “A” (in) - Subtract “Z” (in) - Subtract 4.5 in - 4.5 - 4.5 - 4.5 - 4.5 - 4.5 - 4.5 = Calculated 95% Final Shutoff Volume Height (in inches) Based on Measurements Above 2 2 2 2 2 2 Difference Between 1 and 2 (equal or less than = pass, greather than = fail) 3. DETERMINE WHETHER THE OVERFILL PREVENTION VALVE INSTALLATION PASSES THE INSPECTION. Find the Final Shutoff Volume in the manufacturer’s tank chart. Enter the closest corresponding volume (gal). ÷ Divide by Actual Tank Capacity (gal) × Multiply by 100 = Equals Final Shutoff Volume % If the final shutoff volume percentage is 95% or less, the installation meets FFS and industry recommended practices. This percentage can, however, exceed 95% as long as the ullage volume remaining is greater than or equal to 250 gallons so that “none of the fittings located on the top of the tank are exposed to product due to overfilling” according to EPA 40 CFR, Part 280. The installation must also meet all applicable regulatory requirements, and must be acceptable to the Authority Having Jurisdiction. Enter Actual Tank Capacity (gal) - Subtract Final Shutoff Volume (gal) = Equals Ullage Volume Remaining (gal) The OPV passes the installation inspection? Yes □ No □Yes □ No □Yes □ No □Yes □ No □Yes □ No □Yes □ No □ Comments: Tester’s Name (print) _________________________________________ Tester’s Signature ____________________________________________ © 2018 Franklin Fueling Systems, LLC. All Rights Reserved. franklinfueling.com3760 Marsh Rd. • Madison, WI 53718, USATel: +1 608 838 8786 • Fax: +1 608 838 6433Tel: USA & Canada +1 800 225 9787 • Tel: UK +44 (0) 1473 243300Tel: Mex 001 800 738 7610 • Tel: DE +49 6571 105 308 • Tel: CN +86 10 8565 4566 87 12023 12023 111 11421.85 101.1 156 53.5 98 11234 93.43% 154 52 97.5 11189 93.06% CHEVRON 1125 COFFEE RD BAKERSFIELD,CA BSSR INC 661-588-2777 5/18/23 91 111 11421.85 101.1 PASS PASS 12023 12023 12023 11234 789 12023 11189 834 NATHAN HOLMAN