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HomeMy WebLinkAbout2024 OPIAppendix 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 10120489 05/09/2024 Samco Oak 1131 Oak Street Bakersfield 93301 Nwestco LLC (800) 339-9930 2209 Zeus Court, Bakersfield, CA 93308 Brandon Nunez 1073967 10226373 09/06/2024 VeederRoot TLS-3XX Technician - C32655 10/11/2024 Industry Standard All DropTube OPVs 05/09/2024 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. 87-1 UNL FFS Defender FFS Defender FFS Defender FFS Defender 76" 75.75" 76.5" 75.75" 90.29% 90.04% 90.80% 90.04" 87-2 UNL 91 PNL DSL ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 3URGXFW87-1 Unleaded 140" 59.5" 76" 8,887 9,842 90.29% 9,842 8,887 955 3URGXFW ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 87-2 Unleaded 140" 59.75" 75.75" 8,862 9,842 90.04% 9,842 8,862 980 3URGXFW ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 91 Premium 140" 59" 76.5" 8,937 9,842 90.80% 9,842 8,937 905 3URGXFW ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW Diesel 141" 60.75" 75.75" 8,862 9,842 90.04% 9,842 8,862 980 • • • e Modem Welding Company Subsidiaries Nationwide www.modweldco.com modem@modweldco.com Depth \'oilHl'f' Or-p\11 Volume '"-htY Ii l . ,II •, 0.000 0 4.250 170 8.500 473 0.125 1 4.375 177 8.825 483 0.250 2 4.500 185 8.750 493 0.375 5 4.625 192 1 a.875 504 0.500 7 4.750 200 9.000 514 0.625 10 4.875 208 19.125 525 0.750 13 5.000 216 9.250 535 0.875 16 5.125 224 I 9.375 546 1.000 20 5.250 232 9.500 557 1.125 23 5.375 240 9.625 568 1.250 27 5.500 249 9.750 578 1.375 32 5.625 257 9.875 589 1.500 36 5.750 266 10.000 600 1.625 40 5.875 27'4 10.125 611 1.750 45 6.000 283 10.250 622 ... ... , 1.875 50 6.125 292 10.375 633 2.000 55 6250 301 10.500 645 2.125 60 6.375 309 10.625 656 2.250 66 6.500 318 10.750 667 ' 2.375 71 6.625 328 10.875 679 2.500 n 6.750 337 11.000 690 2.625 83 6..875 3-46 11.125 701 2.750 89 7.000 355 11.250 713 ·-2.875 95 7.125 365 11.375 725 3.000 101 7250 374 11.500 736 3.125 107 7.375 384 11.625 748 3.250 114 7.500 393 11.750 760 3.375 120 7.625 403 f 11.875 n1 3.500 127 7.750 413 12.000 783 3.625 134 7..875 423 12.125 795 3.750 141 8.000 433 12.250 807 3.875 148 8.125 443 12.375 819 4.000 155 8250 453 12.500 831 '4.125 162 8.375 483 12.625 843 Ocot11 Vr,Limc Ocptl1 Volume , , l 11 I\ ( 'II 12.750 855 17.000 1,296 12.875 888 17.125 1,310 13.000 880 17.250 1,324 13.125 892 17.375 1,337 13.250 905 17.500 1,351 13.375 917 17.625 1,365 13.500 929 17.750 1,379 --13.625 942 17.875 1,393 13.750 954 18.000 1,407 13.875 967 18.125 1,421 14.000 980 18.250 1,435 111~25 • -992j 18.375 1,449 14.250 1,005 18.500 1,463 14.375 1,018 18.625 1,4n 14.500 1,031 18.750 1,491 , 'l 14.625 1,044 18.875 1,506 ·--" 14.750 1,057 19.000 1,520 'II "l'•l, , ;1'~(.i 't 14.875 1,06.!J 19.1?5 1,534 ~- 15.000 1,082 19.250 1,548 °>'\ r -. 15.125 1,096 19.375 1,563 15.250 1,109 19.500 1,sn .... •r~ -~, 15.375 1,122 j 19.625 1,591 15.500 1,135 19.750 1,606 15.625 1,148 19.875 1,620 15.750 1,161 20.000 1,635 .. 15.875 1,175 20.125 1,649 16.000 1,188 20.250 1,664 • V -, 16.125 1,201 20.375 1,679 16.250 1,215 20.500 1,693 16.375 1,228 20.625 1,708 16.500 1,242 20.750 1,723 16.625 1,255 20.875 1,737 16.750 1,269 21.000 1,752 16.875 1,283 21.125 1,767 Page 1 of 3 Tank Clllbntlon Chart Cylindrical Tank / Horizontal Orientation Striker Plate: o inches Diameter: 89.75 Inches Length: 359.35 inches Total Volume: 9,842 gallons Dr.0th Vol 1rr1r: 21.250 1,782 25.500 2,302 21.375 1,797 I 25.825 u1a l 21.500 1,811 25.750 2,334 21.625 1,826 25.875 2,350 21.750 1,841 26.000 2,365 21.875 1,856 28.125 2,3811 22.000 1,871 26.250 2,397 22.125 1,886 28.375 2,4131 22.250 1,901 26.500 2,429 22.375 1,916 28.625 2,445 22.500 1,932 26.750 2,461 22.625 1,9't7 26.875 2,4771 22.750 1,962 27.000 2,493 .... 22.875 1,9n 27.125 2,509 , 23.000 1,992 27.250 2,525 23.125 2,008 27.375 2,541 23.250 2,023 27.500 2,557 23.375 2,038 27.825 2,573 I 23.500 2,054 27.750 2,589 ( 2.~ 23.625 2,069 27.875 23.750 2,084 28.000 2,622 23.875 2,100 28.125 2,638 24.000 2,115 28.250 2,654 24.125 2,131 28.375 2.6701 24.250 2,146 28.500 2,686 2.703, 24.375 2,162 28.625 -24.500 2.1n 28.750 2,719 24.625 2,193 28.875 2,735 24.750 2,208 29.000 2,751 2-4.875 2,224 29.125 2,768 25.000 2,239 29.250 2,784 25.125 2,255 29.375 2,801 25.250 2,271 29.500 2,817 25.375 2,287 29.625 2,833 This volumetric tank chart is supplied to you for informational purposes only. These capacity calculations are based on theoretical volumes not actual volumflS, and do not refl6ct atmospheric conditions or thermal expansion/contraction due to temperature changes. If int9fnal 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. 1iZ Rf t &tltte-t Cylindrical Tank/ Hortzon181 0rten1atton Striker Plate: 0 Arraydepth t Diameter: 89.75 inches t Length: 359.35 lnche• I Total Volume: 9,842 gallons Oopth \'nl.1•1'c Dco:11 \ ,ft11·w D0ptt· VnlL1Tr CrP"' '. nl 11·1c [ • : ''I , ' I 1 ·,r, [1ni.;•1· Jr 11.1•10 ' ' • ' ' 11 I I . I '• ' ' 29.750 2,850 34.815 3,536 40.000 4,241 45.125 4,956 50.250 5,669 55.375 6,373 60.500 7,057 29.875 2,866 35.000 3,553 40.125 4,259 45.250 4,973 50.375 5,887 55.500 8,390 60.625 7,074 30.000 2,883 35.125 3,570 40.250 4,276 45.375 4,991 50.500 5,704 55.625 6,407 60.750 7,090 30.125 2,899 35.250 3,687 40.375 4,294 45.500 5,008 50.825 5,721 I ss.1so 8,424 160.875 7,106 30.250 2,916 35.375 3,604 40.500 4,311 45.625 5,025 50.750 5,739 55.875 6,441 61.000 7,123 30.375 2,932 35.500 3,621 140.625 4,328 45.750 5,043 50.875 5,756 56.000 6,458 61.125 7,139 30.500 2,949 35.625 3,639 40.150 4,346 45.875 5,060 51.000 5,773 56.125 6,475 61.250 7,155 30.625 2,965 35.750 3,656 40.875 4,363 46.000 5,078 51.125 5,791 56.250 6,492 61.375 7,171 30.750 2,982 35.875 3,673 41.000 4,380 46.125 5,095 51.250 5,808 56.375 6,509 61.500 7,188 30.875 2,998 36.000 3,690 41.125 4,398 46.250 5,113 51.375 5,825 56.500 6,525 61.625 7,204 31.000 3,015 36.125 3,707 41.250 4,415 46.375 5,130 51.500 5,842 56.625 6,542 61.750 7,220 4,"33 1 t 46.500 _,.. 5,860 1 . 31.125 3,032 36.250 3,724 5,148 , 51.625 56.750 6,559 61.875 7,236 31.250 3,048 36.375 3,741 41.500 4,450 46.625 5,165 51.750 5,877 56.875 6,576 62.000 7,252 -41.625 ., 4,467 ] • 46. 750 ----, 31.375 3,065 36.500 3,758 5,182 51.875 5,894 57.000 6,593 62.125 7,268 --. .. .. 31.500 3,081 36.625 3,775 41.750 4,485 46.875 5,200 52.000 5,911 57.125 6,610 62.250 7,285 31.625 3.098 36.750 3,793 41.875 4,502 , [47.?00 . \2~7 ct~: 52.125 5,929 57.250 6,626 62.375 7,301 31.750 3,115 36.875 3,810 42.000 4,520 47.125 5,235 52.250 5,946 57.375 6,643 62.500 7,317 31.875 3,131 37.000 3,827 ~42.125-i Vi~.,,'.~f' .,._,,.. .r" .. ~---'1-~"!'! ;-'. --' ::-,p.-,. ----62.625 7,333 4,537 1 i 47.250 5,252,. 52.375 5,963 57.500 6,660 ... -~' J• .. ... ... ... .... i ... -.. 32.000 3,148 37.125 3,844 42.250 4,554 47.375 5,270 52.500 5,980 57.625 6,677 62.750 7,349 32.125 3,165 37.250 3,861 r i2";1s 4,s12 ·~ ·, 41]oo • 5,201 .. l ., 52.625--L ... ~~.:t:.t.-:,.:t. ,,-J--,-•--' -5,997 57.750 6,693 62.875 32.250 3,182 37.375 3,879 42.500 4,589 47.625 5,304 52.750 6,015 57.875 6,710 63.000 7,381 -r't'l•' ---I 32.375 3,198 37.500 3,896 42.625 4,607 47.750 5,322 .t . 52.875 6,032 58.000 6,727 63.125 7~ "' 32.500 3,215 37.625 3,913 42.750 4,624 47.875 5,339 53.000 6,049 58.125 6,743 63.250 7,413 . 32.825 3,232 37.750 3,930 42.875 4,642 48.000 5,357 53.125 6,066 58.250 ..I 32.750 3,249 37.875 3,947 43.000 4,659 48.125 5,374 53.250 6,083 58.375 63.500 7,444 . .,.,., 32.875 3,266 38.000 3,965 43.125 4,677 -48.250 5,392 53.375 6,100 58.500 6,793 33.000 3,282 38.125 3,982 43.250 4,694 48.375 5,409 53.500 6,118 58.625 6,810 63.750 7,476 33.125 3,299 38.250 3,999 j ! 43.375 4,711 ! l 4_8.500 5,42s l ' 53.625 6,135 58.750 6,827 63.875 7,492 ... 33.250 3,316 38.375 4,016 43.500 4,729 48.625 5,444 53.750 6,152 58.875 6,843 64.000 7,508 j 43"':s25 " 4,74s l L 48.750 5,461] 33.375 3,333 38.500 4,034 53.875 6,169 59.000 6,860 64.125 7,524 -33.500 3,350 38.625 4,051 43.750 4,764 48.875 5,479 54.000 6,186 59.125 6,876 64.250 7,539 33.625 3,367 38.750 4,068 43.875 4,781 49.000 5,496 54.125 6,203 59.250 6,893 j 33.750 3,384 38.875 4,086 44.000 4,799 49.125 5,513 54.250 6,220 59.375 6,909 64.500 7,571 33,875 3,401 39.000 4,103 44.125 4,816 49.250 5,531 54.375 6,237 59.500 6,926 64.625 7,586 34.000 3,417 39.125 4,120 44.250 4,834 49.375 5,548 54.500 6,254 59.625 6,942 64.750 7,602 34.125 3,434 39.250 4,137 44.375 4,851 49.500 5,565 54.625 6,271 59.750 6,959 64.875 7,~ j 34.250 3,451 39.375 4,155 44.500 4,868 49.625 5,583 54.750 6,288 59.875 6,975 65.000 7,633 34.375 3,468 39.500 4,172 44.625 4,886 49.750 5,600 54.875 6,305 60.000 6,992 65.125 7,649 34.500 3,485 39.625 4,189 44.750 4,903 49.875 5,617 55.000 6,322 60.125 7,008 65.250 7,664 34.625 3,502 39.750 4,207 44.875 4,921 IL 50.000 5,635 55.125 8,339 60.250 7,025 65.375 7,680 34.750 3,519 39.875 4,224 45.000 4,938 50.125 5,652 55.250 6,356 60.375 7,041 65.500 7,696 Page 2of 3 W 5 $ ,w· $ i«NII ,,,,,. :,ca;; ihiJiE J;:. i A • Cyflndr1cal Tank/ Horizontal Orientation Striker Plate: O Arraydeplh I Diameter: 89.75 inches I Length: 359.35 inches I Total Volume: 9,8-42 gallons Dcpti1 \ olumc Ot'l''i1 \':-il,11'10 [kpt11 V,111 rp D('u••1 '.1r1l.ll'11' r )1•p·11 -' 11 1·(' I '• ,, 1!1 'l::., !1 .._ 1 I <... ' I , ' ' I 65.625 7,711 70.750 8,322 75.875 8,874 81.000 9,348 86.125 9,708 85.750 7,726 70.875 8,336 78.000 8,887 81.125 9,358 88.250 9,714 65.875 7,742 71.000 8,350 76.125 8,900 81.250 9,369 86.375 91721 66.000 7,757 71.125 8,364 76.250 8,912 181.376 9,379 88.500 e,1aa l 66.125 7,TT3 71.250 8,379 76.375 8,925 81.500 9,389 86.625 9,734 66.250 7,788 71.375 8,393 76.500 8,937 81.825 9,399 86.750 9,740 66.375 7,803 71.500 8,407 76.625 8,949 81.750 9,409 86.875 9,747 68.500 7,819 71.625 8,421 76.750 8,962 81.875 9,419 87.000 9,753 66.625 7,834 71.750 8,435 76.875 8,974 82.000 9,429 87.125 9,759 66.750 7,849 71.875 8,449 77.000 8,988 82.125 9,439 87.250 9,765 66.875 7.~ 72.000 8,463 77.125 8,998 82.250 9,448 87.375 9,770 67.000 7.880 72.125 8,477 n.250 9,010 82.375 9,458 87.500 9,776 67.125 7,895 72.250 8,490 77.375 9,022 82.500 9,467 87.625 9,781 67.250 7,910 72.375 8,504 n.soo 9,034 82.625 9,4n 87.750 9,786 67.375 7,925 72.500 8,518 n.625 9,046 82.750 9,486 87.875 9,791 67.500 7,940 72.625 8,532 n.150 9,058 82.875 9,496 88.000 9,796 67.625 7,955 72.750 8,545 77.875 9,070 83.000 9,505 88.125 9,801 67.750 7,970 72.875 8,559 78.000 9,082 83.125 9,514 88.250 9,806 67.875 7,985 73.000 8,573 78.125 9,094 83.250 9,523 88.375 9,810 • 68.000 8,000 73.125 8,586 78.250-9,105 83.375 9,532 88.500 9,814 68.125 8,015 73.250 8,600 78.375 9,117 83.500 9,541 88.625 9,818 68.250 8,030 73.375 8,613 78.500 9,129 83.625 9,550 88.750 9,822 68.375 8,045 73.500 8,627 78.625 9,140 83.750 9,559 88.875 9,826 68.500 8,060 73.625 8,640 78.750 9,152 83.875 9,567 89.000 9,829 68.625 8,075 73.750 8,654 78.875 9,163 84.000 9,576 89.125 9,832 68.750 8,089 73.875 8,667 79.000 9,174 84.125 9,584 89.250 9,835 68.875 8,104 74.000 8,680 79.125 9,186 84.250 9,593 89.375 9,837 69.000 8,119 74.125 8,693 79.250 9,197 84.375 9,601 89.500 9,839 69.125 8,134 74.250 8,707 79.375 9,208 84.500 9,609 89.625 9,841 89.250 8,148 74.375 8,720 79.5oo 9,219 84.625 9,618 89.750 9,842 J 69.375 8,163 74.500 8,733 79.625 9,230 84.750 9,626 69.500 8,178 7-4.625 8,746 79.750 9,2-41 84.875 9,634 69.625 8,192 74.750 8,759 79.875 9,252 85.000 9,641 88.750 8at,7 74.875 a,n2 80.000 9,263 85.125 9,649 69.875 8,221 75.000 8,785 80.125 9,274 85.250 9,657 70.000 8,236 75.125 8,798 80.250 9,285 185.375 9,664 70.125 8,250 75.250 8,811 80.~75 9,296 85.500 9,672 70.250 8,264 75.375 8,82-4 80.600 9,308 85.825 9,679 70.375 8,279 75.500 8,836 80.625 9,317 85.750 9,686 70.500 8,293 75.625 8,849 80.750 9,327 11 85.875 9,694 70.625 8,308 75.750 8,862 80.875 9,338 86.000 9,701