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HomeMy WebLinkAboutOPI 2024Appendix 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 10129798 04/18/24 Panama-Buena Vista USD 4200 Ashe Road Bakersfield 93313 Nwestco LLC (800) 339-9930 2209 Zeus Court, Bakersfield, CA 93308 Mark Fisher 1073967 10278702 03/10/25 OPW - 1193587 08/04/25 PEI1200 All Overfill Prevention Devices 04/18/24 Total # of Pages 7 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 OPW OPW 85.875”86.5” 94.37%94.87% Diesel 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 3URGXFW87 48.625” 134.125” 131.125” 136.50” 96” 85.875” 11469 12153 94.37% 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 3URGXFWDiesel 45” 130.375” 128.375” 133.50” 96” 86.5” 11530 12153 94.87% 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: 387.84 inches Total Volume: 12,153 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 31 1.375 35 1.500 40 1.625 45 1.750 50 1.875 56 2.000 62 2.125 67 2.250 74 2.375 80 2.500 86 2.625 93 2.750 99 2.875 106 3.000 113 3.125 120 3.250 127 3.375 135 3.500 142 3.625 150 3.750 157 3.875 165 4.000 173 4.125 181 Depth (inches) Volume (gallons) 4.250 190 4.375 198 4.500 206 4.625 215 4.750 224 4.875 232 5.000 241 5.125 250 5.250 259 5.375 269 5.500 278 5.625 287 5.750 297 5.875 307 6.000 316 6.125 326 6.250 336 6.375 346 6.500 356 6.625 366 6.750 376 6.875 387 7.000 397 7.125 408 7.250 418 7.375 429 7.500 440 7.625 451 7.750 462 7.875 473 8.000 484 8.125 495 8.250 506 8.375 517 Depth (inches) Volume (gallons) 8.500 529 8.625 540 8.750 552 8.875 564 9.000 575 9.125 587 9.250 599 9.375 611 9.500 623 9.625 635 9.750 647 9.875 659 10.000 672 10.125 684 10.250 696 10.375 709 10.500 721 10.625 734 10.750 747 10.875 759 11.000 772 11.125 785 11.250 798 11.375 811 11.500 824 11.625 837 11.750 850 11.875 863 12.000 877 12.125 890 12.250 904 12.375 917 12.500 931 12.625 944 Depth (inches) Volume (gallons) 12.750 958 12.875 971 13.000 985 13.125 999 13.250 1,013 13.375 1,027 13.500 1,041 13.625 1,055 13.750 1,069 13.875 1,083 14.000 1,097 14.125 1,112 14.250 1,126 14.375 1,140 14.500 1,155 14.625 1,169 14.750 1,184 14.875 1,198 15.000 1,213 15.125 1,227 15.250 1,242 15.375 1,257 15.500 1,272 15.625 1,287 15.750 1,301 15.875 1,316 16.000 1,331 16.125 1,346 16.250 1,361 16.375 1,377 16.500 1,392 16.625 1,407 16.750 1,422 16.875 1,438 Depth (inches) Volume (gallons) 17.000 1,453 17.125 1,468 17.250 1,484 17.375 1,499 17.500 1,515 17.625 1,530 17.750 1,546 17.875 1,562 18.000 1,577 18.125 1,593 18.250 1,609 18.375 1,625 18.500 1,641 18.625 1,657 18.750 1,673 18.875 1,689 19.000 1,705 19.125 1,721 19.250 1,737 19.375 1,753 19.500 1,769 19.625 1,785 19.750 1,802 19.875 1,818 20.000 1,834 20.125 1,851 20.250 1,867 20.375 1,883 20.500 1,900 20.625 1,917 20.750 1,933 20.875 1,950 21.000 1,966 21.125 1,983 Depth (inches) Volume (gallons) 21.250 2,000 21.375 2,016 21.500 2,033 21.625 2,050 21.750 2,067 21.875 2,084 22.000 2,101 22.125 2,118 22.250 2,135 22.375 2,152 22.500 2,169 22.625 2,186 22.750 2,203 22.875 2,220 23.000 2,237 23.125 2,254 23.250 2,272 23.375 2,289 23.500 2,306 23.625 2,324 23.750 2,341 23.875 2,358 24.000 2,376 24.125 2,393 24.250 2,411 24.375 2,428 24.500 2,446 24.625 2,463 24.750 2,481 24.875 2,499 25.000 2,516 25.125 2,534 25.250 2,552 25.375 2,570 Depth (inches) Volume (gallons) 25.500 2,587 25.625 2,605 25.750 2,623 25.875 2,641 26.000 2,659 26.125 2,677 26.250 2,695 26.375 2,713 26.500 2,731 26.625 2,749 26.750 2,767 26.875 2,785 27.000 2,803 27.125 2,821 27.250 2,839 27.375 2,857 27.500 2,876 27.625 2,894 27.750 2,912 27.875 2,930 28.000 2,949 28.125 2,967 28.250 2,985 28.375 3,004 28.500 3,022 28.625 3,040 28.750 3,059 28.875 3,077 29.000 3,096 29.125 3,114 29.250 3,133 29.375 3,152 29.500 3,170 29.625 3,189 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 3,207 29.875 3,226 30.000 3,245 30.125 3,263 30.250 3,282 30.375 3,301 30.500 3,319 30.625 3,338 30.750 3,357 30.875 3,376 31.000 3,395 31.125 3,414 31.250 3,432 31.375 3,451 31.500 3,470 31.625 3,489 31.750 3,508 31.875 3,527 32.000 3,546 32.125 3,565 32.250 3,584 32.375 3,603 32.500 3,622 32.625 3,641 32.750 3,660 32.875 3,679 33.000 3,699 33.125 3,718 33.250 3,737 33.375 3,756 33.500 3,775 33.625 3,795 33.750 3,814 33.875 3,833 34.000 3,852 34.125 3,872 34.250 3,891 34.375 3,910 34.500 3,929 34.625 3,949 34.750 3,968 Depth (inches) Volume (gallons) 34.875 3,988 35.000 4,007 35.125 4,026 35.250 4,046 35.375 4,065 35.500 4,085 35.625 4,104 35.750 4,124 35.875 4,143 36.000 4,163 36.125 4,182 36.250 4,202 36.375 4,221 36.500 4,241 36.625 4,260 36.750 4,280 36.875 4,299 37.000 4,319 37.125 4,339 37.250 4,358 37.375 4,378 37.500 4,398 37.625 4,417 37.750 4,437 37.875 4,457 38.000 4,476 38.125 4,496 38.250 4,516 38.375 4,535 38.500 4,555 38.625 4,575 38.750 4,595 38.875 4,614 39.000 4,634 39.125 4,654 39.250 4,674 39.375 4,694 39.500 4,714 39.625 4,733 39.750 4,753 39.875 4,773 Depth (inches) Volume (gallons) 40.000 4,793 40.125 4,813 40.250 4,833 40.375 4,853 40.500 4,872 40.625 4,892 40.750 4,912 40.875 4,932 41.000 4,952 41.125 4,972 41.250 4,992 41.375 5,012 41.500 5,032 41.625 5,052 41.750 5,072 41.875 5,092 42.000 5,112 42.125 5,132 42.250 5,152 42.375 5,172 42.500 5,192 42.625 5,212 42.750 5,232 42.875 5,252 43.000 5,272 43.125 5,292 43.250 5,312 43.375 5,332 43.500 5,352 43.625 5,372 43.750 5,392 43.875 5,412 44.000 5,432 44.125 5,452 44.250 5,473 44.375 5,493 44.500 5,513 44.625 5,533 44.750 5,553 44.875 5,573 45.000 5,593 Depth (inches) Volume (gallons) 45.125 5,613 45.250 5,633 45.375 5,653 45.500 5,674 45.625 5,694 45.750 5,714 45.875 5,734 46.000 5,754 46.125 5,774 46.250 5,794 46.375 5,814 46.500 5,835 46.625 5,855 46.750 5,875 46.875 5,895 47.000 5,915 47.125 5,935 47.250 5,955 47.375 5,976 47.500 5,996 47.625 6,016 47.750 6,036 47.875 6,056 48.000 6,076 48.125 6,097 48.250 6,117 48.375 6,137 48.500 6,157 48.625 6,177 48.750 6,197 48.875 6,217 49.000 6,238 49.125 6,258 49.250 6,278 49.375 6,298 49.500 6,318 49.625 6,338 49.750 6,358 49.875 6,378 50.000 6,399 50.125 6,419 Depth (inches) Volume (gallons) 50.250 6,439 50.375 6,459 50.500 6,479 50.625 6,499 50.750 6,519 50.875 6,539 51.000 6,560 51.125 6,580 51.250 6,600 51.375 6,620 51.500 6,640 51.625 6,660 51.750 6,680 51.875 6,700 52.000 6,720 52.125 6,740 52.250 6,760 52.375 6,781 52.500 6,801 52.625 6,821 52.750 6,841 52.875 6,861 53.000 6,881 53.125 6,901 53.250 6,921 53.375 6,941 53.500 6,961 53.625 6,981 53.750 7,001 53.875 7,021 54.000 7,041 54.125 7,061 54.250 7,081 54.375 7,101 54.500 7,121 54.625 7,141 54.750 7,161 54.875 7,181 55.000 7,201 55.125 7,221 55.250 7,240 Depth (inches) Volume (gallons) 55.375 7,260 55.500 7,280 55.625 7,300 55.750 7,320 55.875 7,340 56.000 7,360 56.125 7,380 56.250 7,400 56.375 7,419 56.500 7,439 56.625 7,459 56.750 7,479 56.875 7,499 57.000 7,518 57.125 7,538 57.250 7,558 57.375 7,578 57.500 7,598 57.625 7,617 57.750 7,637 57.875 7,657 58.000 7,676 58.125 7,696 58.250 7,716 58.375 7,735 58.500 7,755 58.625 7,775 58.750 7,794 58.875 7,814 59.000 7,834 59.125 7,853 59.250 7,873 59.375 7,892 59.500 7,912 59.625 7,932 59.750 7,951 59.875 7,971 60.000 7,990 60.125 8,010 60.250 8,029 60.375 8,049 Depth (inches) Volume (gallons) 60.500 8,068 60.625 8,088 60.750 8,107 60.875 8,126 61.000 8,146 61.125 8,165 61.250 8,185 61.375 8,204 61.500 8,223 61.625 8,243 61.750 8,262 61.875 8,281 62.000 8,300 62.125 8,320 62.250 8,339 62.375 8,358 62.500 8,377 62.625 8,397 62.750 8,416 62.875 8,435 63.000 8,454 63.125 8,473 63.250 8,492 63.375 8,511 63.500 8,531 63.625 8,550 63.750 8,569 63.875 8,588 64.000 8,607 64.125 8,626 64.250 8,645 64.375 8,664 64.500 8,682 64.625 8,701 64.750 8,720 64.875 8,739 65.000 8,758 65.125 8,777 65.250 8,796 65.375 8,814 65.500 8,833 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 96 inches | Length: 387.84 inches | Total Volume: 12,153 gallons Page 2 of 3 Depth (inches) Volume (gallons) 65.625 8,852 65.750 8,871 65.875 8,889 66.000 8,908 66.125 8,927 66.250 8,945 66.375 8,964 66.500 8,983 66.625 9,001 66.750 9,020 66.875 9,038 67.000 9,057 67.125 9,075 67.250 9,094 67.375 9,112 67.500 9,131 67.625 9,149 67.750 9,167 67.875 9,186 68.000 9,204 68.125 9,222 68.250 9,241 68.375 9,259 68.500 9,277 68.625 9,295 68.750 9,314 68.875 9,332 69.000 9,350 69.125 9,368 69.250 9,386 69.375 9,404 69.500 9,422 69.625 9,440 69.750 9,458 69.875 9,476 70.000 9,494 70.125 9,512 70.250 9,530 70.375 9,548 70.500 9,565 70.625 9,583 Depth (inches) Volume (gallons) 70.750 9,601 70.875 9,619 71.000 9,636 71.125 9,654 71.250 9,672 71.375 9,689 71.500 9,707 71.625 9,724 71.750 9,742 71.875 9,759 72.000 9,777 72.125 9,794 72.250 9,812 72.375 9,829 72.500 9,846 72.625 9,864 72.750 9,881 72.875 9,898 73.000 9,915 73.125 9,933 73.250 9,950 73.375 9,967 73.500 9,984 73.625 10,001 73.750 10,018 73.875 10,035 74.000 10,052 74.125 10,069 74.250 10,086 74.375 10,103 74.500 10,119 74.625 10,136 74.750 10,153 74.875 10,170 75.000 10,186 75.125 10,203 75.250 10,220 75.375 10,236 75.500 10,253 75.625 10,269 75.750 10,286 Depth (inches) Volume (gallons) 75.875 10,302 76.000 10,318 76.125 10,335 76.250 10,351 76.375 10,367 76.500 10,384 76.625 10,400 76.750 10,416 76.875 10,432 77.000 10,448 77.125 10,464 77.250 10,480 77.375 10,496 77.500 10,512 77.625 10,528 77.750 10,544 77.875 10,560 78.000 10,575 78.125 10,591 78.250 10,607 78.375 10,622 78.500 10,638 78.625 10,653 78.750 10,669 78.875 10,684 79.000 10,700 79.125 10,715 79.250 10,730 79.375 10,746 79.500 10,761 79.625 10,776 79.750 10,791 79.875 10,806 80.000 10,821 80.125 10,836 80.250 10,851 80.375 10,866 80.500 10,881 80.625 10,896 80.750 10,911 80.875 10,925 Depth (inches) Volume (gallons) 81.000 10,940 81.125 10,955 81.250 10,969 81.375 10,984 81.500 10,998 81.625 11,012 81.750 11,027 81.875 11,041 82.000 11,055 82.125 11,070 82.250 11,084 82.375 11,098 82.500 11,112 82.625 11,126 82.750 11,140 82.875 11,154 83.000 11,167 83.125 11,181 83.250 11,195 83.375 11,209 83.500 11,222 83.625 11,236 83.750 11,249 83.875 11,263 84.000 11,276 84.125 11,289 84.250 11,302 84.375 11,316 84.500 11,329 84.625 11,342 84.750 11,355 84.875 11,368 85.000 11,381 85.125 11,393 85.250 11,406 85.375 11,419 85.500 11,431 85.625 11,444 85.750 11,456 85.875 11,469 86.000 11,481 Depth (inches) Volume (gallons) 86.125 11,493 86.250 11,506 86.375 11,518 86.500 11,530 86.625 11,542 86.750 11,554 86.875 11,566 87.000 11,577 87.125 11,589 87.250 11,601 87.375 11,612 87.500 11,624 87.625 11,635 87.750 11,647 87.875 11,658 88.000 11,669 88.125 11,680 88.250 11,691 88.375 11,702 88.500 11,713 88.625 11,724 88.750 11,734 88.875 11,745 89.000 11,755 89.125 11,766 89.250 11,776 89.375 11,787 89.500 11,797 89.625 11,807 89.750 11,817 89.875 11,827 90.000 11,836 90.125 11,846 90.250 11,856 90.375 11,865 90.500 11,875 90.625 11,884 90.750 11,893 90.875 11,902 91.000 11,911 91.125 11,920 Depth (inches) Volume (gallons) 91.250 11,929 91.375 11,938 91.500 11,946 91.625 11,955 91.750 11,963 91.875 11,971 92.000 11,979 92.125 11,987 92.250 11,995 92.375 12,003 92.500 12,011 92.625 12,018 92.750 12,026 92.875 12,033 93.000 12,040 93.125 12,047 93.250 12,054 93.375 12,060 93.500 12,067 93.625 12,073 93.750 12,079 93.875 12,085 94.000 12,091 94.125 12,097 94.250 12,102 94.375 12,108 94.500 12,113 94.625 12,117 94.750 12,122 94.875 12,127 95.000 12,131 95.125 12,135 95.250 12,138 95.375 12,142 95.500 12,145 95.625 12,148 95.750 12,150 95.875 12,152 96.000 12,153 Cylindrical Tank / Horizontal Orientation Striker Plate: 0 inches | Diameter: 96 inches | Length: 387.84 inches | Total Volume: 12,153 gallons