Loading...
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 10134247Jaco 07/10/2024 #7785 Fastrip #32 3701 Ming Ave Bakersfield 93309 Nwestco LLC (800) 339-9930 2209 Zeus Court, Bakersfield, CA 93308 Brandon Nunez 1073967 10226373 09/06/2024 FFS Phil-Tite Phase I - 101670374 12/07/2024 Industry Standard All Overfill Prevention Devices 07/10/2024 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. T1: 87 UNL FFS Defender FFS Defender FFS Defender 77.5”77.125”77” 91.25%91.01%90.76% T2: 91 PNL T3: DSL ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 3URGXFW87 UNL 134.5 52.5 77.5 10,660 11,682 91.25 11,682 10,660 1,022 3URGXFW ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW 91 PNL 134 52.375 77.125 10,632 11,682 91.01 11,682 10,632 1,050 3URGXFW ))6'HIHQGHU6HULHV2YHUILOO9DOYH:RUNVKHHW DSL 131” 49.5 77 10,603 11,682 90.76 11,682 10,603 1,079 • • XERXES CORPORATION Dipstick Calibration Chart for 12,000 Gallon -8' Diameter Tank Dl>STICK DIPSTICK DIPSTICK DIPSTICK DIPSTICK DIPSTICK READING GALLONS READING GAUONS READING GALLONS READING GALLONS READING GALLONS ~EADINO OAl.LONS 0-1,e· 3 7-318· 427 14-5/8. 1173 21-7/8. 2113 29-1/8" 3184 36-318. 4341 0-1/4" 6 7-112" 438 14-3/4" 1188 22" 2130 29-1/4· 3204 36-1/2" 4381 0-318· 8 7.519· 449 14.719• 1203 22-1/8" 2148 29-3/8" 3223 36-5/8" 4382 0-1/2" 11 7-3/4" 460 15" 1218 22-1/4" 2166 29-112· 3242 36-3/4" 4402 0-518" 15 7-718" 471 15-118" 1232 22-318· 2183 29-518" 3262 36-7/8" 4423 0-3/4" 18 8" 482 15-1/4· 1247 22-1/2" 2201 29-3/4" 3281 37" 4443 0-718" 22 8-118" 493 15-3/8" 1263 22-5/8. 2219 29-7/8" 3301 37-118" 4464 1" 26 8-114• 504 15-1 /2" 1278 22-3/4· 2236 30" 3320 37-1/4" 44&4 1-118" 30 8-3/8" 515 15-518" 1293 22-7/8" 2254 30-1/8· 3340 37-318" 4505 1-1/4" 35 8-112" 527 15-3/4" 1308 23" 2272 30-1/4" 3359 37-1/2" 4525 1--3/8" 39 8-518" 538 15-7/8" 1323 23-1/8" 2290 30-3/8· 3379 37-518" 4546 1-1/2" 44 8-3/4" 550 16" 1339 23-1/4" 2308 30-1/2" 3398 37-3/4" 4566 1-518" 49 8-718" 561 16-1/8" 1354 23-3/8" 2325 30-5/8" 3418 37-7/8" 4587 1-3/4" ~ 9" 573 16-1/4" 1369 23-1/2" 2343 30.314• 3438 38" 4608 1-7/8" . 60 9-118" 585 16-3/8" 1385 23-5/8" 2361 30-7/8" 3457 38-118" 4628 Z' 65 9-1/4" 597 16-1 /2" 1400 23-3/4" 2379 31• 34n 38-1/4" 4649 2-1/8" 71 9-3/8" 609 16-5/8· 1416 23-7/8" 2397 31-118" 3497 38-3/8" 4669 2-114" n 9-1/2" • 621 16-3/4" 1432 24" 2416 31-1/4" 3516 38-1/2" 4690 2--3/8" 83 9-518" 633 16-718" 1447 24-1/8" 2434 31-3/8" 3536 38-518" 4711 2-1/2" 89 9-3/4" 645 17" 1463 24-1/4" 2452 31-1/2" 3556 38-3/4" 4731 2-5/8" Q,:. 9-718" 657 17-1/8" 1479 24-3/8" 2470 31-518" 3576 38-718" 4752 2-3/4" 102 10" 670 17-1/4" 1495 24-1/2" 2488 31-3/4" 3595 39" 4n3 2-7/8" 109 10-1 /8" 682 17-318" 1511 24-5/8" 2507 31-7/8" 3615 39-118" 4793 3"' 116 10-1/4" 694 17-1/2" 1527 24-3/4" 2525 32" 3635 39-1/4" 4814 • 3-1/8" 122 10-3/8" 707 17-518" 1543 24-7/8" 2543 32-118" 3655 39-318" 4835 3-1/4" 130 10-112" 720 17-3/4" 1559 25" 256? 32-1/4" 3675 39-1/2" 4855 3-3/8" 137 10-5/8" 732 17-7/8· 1575 25-1/8" 2580 32-3/8" 3695 39-5/8. 4878 3-112" 1.« 10-3/-4" 745 18" 1591 25-1/4" 2598 32-1/2" 3715 39-3/4" 4897 3-5/8" 152 10-7/8" 758 18-118" 1607 25-3/8" 2617 32-5/8" 3734 39-7/8" 4918 3-314• 159 11· n1 10-114• 1623 25-1/2" 2635 32-3/4" 3754 40" 4938 3-7/8" 167 11-1/8" 784 18-3/8" 1639 25-5/8" 2654 32-7/8· 3n4 40-1/8" 4959 • 4• 175 11-1/4" 797 18-1/2" 1656 25-3/4" 2672 33• 3794 40-1/4" 4980 4-1/8" 183 11-3/8. 810 18-5/8" 1672 25-7/8" 2691 33-118" 3814 40-3/8" 5001 4-1/4" 191 11-112" 823 18-3/4" 1689 26" 2710 33-1/4· 3834 40-1/2" 5021 4-318" 199 11·5/8· 836 18-718" 1705 26-1/8" 2728 33-3/8" 3855 40-5/8" M.d2 4-112"' 2CfT 11-3/4" 850 19" 1722 26-1/4" 2747 33-1 /2" 3875 40-314• 5063 4-518• 216 11-7/8" 863 19-1/8" 1738 26-3/8" 2766 33-5/8" 3895 40-7/8" SOM 4-314• 224 12" 878 19-1/4· 1755 26-1/2" 2784 33-3/4" 3915 41• 5105 4-7/fr 233 12-1/8· 890 19-3/8" 1n1 26-5/8" 2803 33-7/8" 3935 41-1/8" 5125 s-242 12-1/4" QM 19-112" 1788 26-3/4· 2822 34" 3955 41-1/4· 5146 5-118'" 250 12-3/8. 917 19-5/8" 1805 26-7/8" 2841 34-110· 3975 41-3/8· 5167 5-1/4" 259 12-112" 931 19-3/4" 1821 27" 2860 34-1/4· 3995 41-1/2" 5188 5-3/8" 269 12-518· 945 19-7/8" 1838 21-110· 2878 34-3/8" 4016 41-518" 5209 5-112" 278 12-3/4" 958 20" 1855 27-1/4" 2897 34-1/2" 4036 41-3/4" 5230 5-518" • 2B7 12-7/8" 972 20-1/8" 1872 21-310· 2916 34-5/8" 4058 41-7/8" 5250 5-314• 296 13" 986 20-1/4" 1889 27-1/2" 2935 34-314• 4076 42" 5271 5-7,a• 306 13-1/8. 1000 20-3/8" 1906 27-5/8· 2954 34-7/8" 4096 42-1/8" 5292 6" 315 13-114• 1014 20-1/2" 1923 27-3/4" 2973 35• 4117 42-1/4" 5313 20-5/8" 1940 27-7/8" ?99t> ~~1/8" 4137 42-3/8" ~"\.'\4 6-1/8. ~?5 13-~JR• 1n?R 6-1/4" 335 13-1/2" 1043 20-3/4" 1957 28" 3011 35-1/4" 4157 42-Ul" 5355 6-318" 345 13-5/8" 1057 ?0-7/8" 1974 28-118" 3030 35-3/8" 4178 42-~" 5..~78 6-1fl" 355 13-3/4" 1071 21· 1991 28-1/4" 3050 35-1/2" 4198 42-3/4" 5396 8-518" 365 13-7/8" 1nAA 21-1/8" 2009 28-3/A" ~069 35-5/8" 4218 42-7/8" 5.i17 ~75 14" 11M 21.11~· ~?R ~A-1/2" ~nAA ~~~/4" 4239 4..~• .5.i..~A 6-3,14. 14-1 /8" 1114 21-3/8" 2043 28-S/8• 3107 35-7/8" 4259 43-1/8" 5459 6-7/8" 385 396 14-1/4" 1129 21-1,r 2061 28-3/4" 3126 38" 4279 43-1/4" 5480 T 11" 21-5/8" 2078 28-7/8" 3148 36-1/8" 4300 43-3/8" 5501 7·1/8" -408 14-3/8" 14-1fZ' 1158 21-3/4" 2095 29" 3165 36-1/4" 4320 43-112" 5522 7-1/4. 417 .. . • XERXES CORPORATION Dipstick Calibration Chart for 12,000 Gallon -8' Diameter Tank DIPSTICK DIPSTICK Dl'STICK DIPSTICK DIPSTICK DIPSTICK READING GALLONS READCNQ OAl.LONS READlfQ GALLONS READING OALLONS READING GALLONS READING GAU.OHS 43.519• 5543 51-3/4" 6899 59-7/8" 8215 68" 9436 76-1/8" 10501 84-1/4" 11322 43-3/4" 5564 51-7/8" 6919 so· 8234 68-1/8" 9454 76-1/4" 10516 94.319• 11332 43-7/8" 5585 52" 6940 60-1/8" 8254 68-1/4" 9472 76-3/8" 10531 84-112" 11342 44• 5605 52-1 /8" 6961 60-1/4" 8273 68-3/8" 9490 76-1/2" 10545 84·5/8" 11352 44-1/8. 5626 52-1/4" 6981 60-3/8" 8293 68-1/2" 9507 76-5/8" 10560 94.314• 11361 44·1/4· 5647 52-3/8" 7002 60-1/2" 8313 68-5/8" 9525 76-3/4" 10574 84-7/8" 11371 44-3/8· 5668 52-1/2" 7023 60-5/8" 8332 68-3/4" 9542 76-7/8" 10589 es· 11381 44-1/2" 5689 52-5/8· 7043 60-3/4· R~52 68-7/8" 9560 n· 10603 85-1/8" 11390 44-5/8· 5710 52.314• 7064 60-7/8" 8371 69" 95n n-119• 10618 85-1/4" 11399 44.314• 5731 52-7/8· 7084 51• 8391 69-1/8" 9595 77·1/4 .. 10632 85-3/8" 11409 44-7/8· 5752 53• 7105 61-1/8" 8410 69-1/4" 9612 n-319• 10646 85-1/2" 11418 45• 5n3 53.119• 7126 61-114• 8430 69-3/8" 9630 n-1I2· 10660 95-519• 11427 45-1/8· 5794 53-1/4" 7146 61-3/8" 8449 69-1/2" 9647 77-5/8" 10674 85-3/4" 11438 '45-1/4· 5815 53-3/8" 7167 61-1/2" 8468 69-5/8" 9664 n.3I4• 10688 85-7/8" 11444 45-3/8" 5836 53-1/2" 7187 61-5/8" 8488 69-3/4" 9682 n-1,a• 10702 es· 11453 45-112" 5856 53-5/8" 7208 61-3/4· 8507 69-7/8" 9899 78" 10716 86-1/8" 11462 45-~/8" san C..'l.J/4" 7228 61-7/8" AS::?t:. 10· 9716 78-1/8" 1n7'ln 86-1/4" 11470 45.314• 5898 53-7/8" 7249 62" A546 70-1/8" 9733 78-1/4" 10744 86-3/8" 11479 45-7/8" 5919 54• 7269 62-1 ,a· 8565 70-1/4" 9750 78-3/8" 10758 86-112" 11487 46" 5940 54-1/8" 7290 62·1/4" 8584 70-3/8" 9767 78-1/2" 10n1 86-5/8" 11495 46-1/8" 5961 54-1/4" 7310 62-3/8" 8603 70-1/2" 9784 78-5/8" 10785 86-3/4" 11503 A~1/4" ~9A? "-4-3/8" 7331 62-1 n• Qt..,,, 70-5/8" 9801 78-3/4" 107QQ at:..7/A" 11 i:;11 46-3/8" 6003 54-112" 7351 52.5,a• 8642 70-3/4" 9818 78-7/8" 10812 er 11519 46-112" 6024 54-S.'8" 7372 62·3/4" 8661 70-7/8" 9835 79• 10825 87-1/8" 11526 46-5/8" 6045 54.314• 7392 62-7/8" 8680 71" • 9852 79-1/8" 10839 87-1/4" 11534 45-314• 6066 54-7/8" 7412 53· 8699 71-1/8" 9869 79-1/4" 10852 87-3/8" 11541 46-7/8" 6087 5S' 7433 63-1/8" 8718 71-1/4" 9885 79.3,a• 10865 87-112" 11549 4r 6108 55-1/8" 7453 63·1/4" 8737 71-3/8" 9902 79-1/2" 10878 87-5/8" 11556 • • 47-1/8" 6128 55-1/4" 7473 63-318" 97i;,; 71-1/2" 9919 79-5/8" 10891 87-3/4" 11563 47-1/4" 61-49 55-3/8" 7494 63-1/2" 8775 .. 71-5/8" 9935 79.314• 1~ 87-7/8" 11570 47-3/8" 6170 S.C...117' 7514 63-518" A7~ 71-3/4" 9952 79-7/8" 10017 88" 11576 47-112" 6191 55-518" 7534 63.314• 8813 -11q19· • 9968 eo· 10930 88-1/8" 11563 47•5/fr' 6212 55-3/4" 7555 63-7/8" 883? 72" 9985 80-1/8" 10943 88-1/-4· 11589 47.314• 6233 55-7,rr 7575 64" 8850 72-1/8" 10001 80-1/4" 10958 88-3/8" 11596 47-7/8" 6254 58" 7595 64-1/8" A86q 72-1/4" -10018 80-3,'8" 10968 88-1/2" 11602 AAAA 72-3/8" 10034 80-1/2" 10QA1 A8-5/8" 11i::n0 48" 6275 ~,JR" 7616 64-1/4" 6296 56-1/4" 7636 64-3/8" 8907 72-112" 10050 80-5/8" 10993 88-3/4" 11814' 48-118" 64-1/2" 8925 72-5/8" 10067 80-3/4" 11006 88-7/8" 11619 6316 56-3/8" 7656 48-1/4" 72-3/4" • 10083 80-7/8" 11018 89" 11625 8337 56-1/2" 7ff16 64-5/8" 8944 48-318" 7696 64-3/4" 8963 72-7/8" 10099 91• 11031 89-1/8" 11630 48-1/2" 6358 56-5/8" 8981 73• 10115 81-1/8" 11043 89-1/4" 11635 48-518" 6379 56-314'" n11 64-7/8" 7737 65" 9000 73-1/8" 10131 81-1/4" 11055 89-3/8" 11640 : 48-3/4" 6400 56-7/8" 73-114" 10147 81·3/8" 11067 89-112" 11845 ' n51 65-1/8" 9019 48-7/8" 6421 5r or\'l7 73-3/8" 10163 81-112" 11079 89-5/8" 11849 57-1/fr' nn 65-1/4" 49" 6442 10179 81-5/8" 11091 89-3/4" 11654 n91 65-3/8" or\~ 73-1/2" -_!2::1/8" 6462 57-1/-4" 65-112" 9074 73-5/8" 10195 81-3/4" 11103 89-7/8" 11858 6483 57-3/fr 7817 49-114• 65·5/8· 9092 73-3/4" 10211 81-7/8" 11114 90" 11662 57-112" 7837 49-318" 6504 65-3/4" 9111 73.7,a• • 10226 82" 11126 90-1/8" 11665 49-1/2" 6525 57-5/fr 7857 74• 10242 82·1/8" 11138 90-1/4" 11669 57-314'" 1an 65-7/8" 9129 49-518" 6546 Q148 74-1/8" 10258 82-1/4" 11149 90-3/8" 11672 7897 66" 49-3/4" 6587 57-7/8" 66-1/8. 9166 , 74-1/4" 10273 82·3/8" 11161 90-112" 11675 6587 58" 7917 11172 90-5/8" 11&n 49-7/8" 66-1/4" 9184 -74-3/8" 10289 82-1/2" 6608 58-1/fr'' 7'l'J7 10304 82-5/8" 11183 90-3/4. 11679 50" 58-1/4" 79fi7 66-3/8. 9202 • . ·74-1/2" 11681 50-1/8" 6629 66-1/2" 9221 . 74.519• 10320 92.314• 1119-4 90-7/8" 50--1/-4" 6650 58-3/fr. 19n 74.314• 10.135 82-7/8" 11206 91• 11682 6671 58-112" 7'197 66-5/8" 9239 83" 11217 91-1/8" 11682 50-3/8" 66-3/4" 9257 14-116" 10351 6691 58-5/8" 8017 83-1/8" 11227 91-1/4" 11882 50--1/2" 66-7/8" 9275 75• 10366 50-5/8" 6712 58-314" l 8037 75-1/8" 10381 83·1/4" 11238 91-3/8" 11682 58-7/8" : 8057 -67" 9?03 91-1/2" 11682 5()-3/4" 6733 75-1/4" 10396 83·3/8" 1124'9 • 8076 ffT-1/8·· 9311 91·5/8" 11882 5()-7/8" 6754 59" ffT-1/<l" 9329 75-3/8" 10412 83-1/2" 11260 59-118'" • 8098 83-518" 11270 91-314• 11882 51• 6774 67-3/8" 9347 75-112" 10427 6795 59-114• 8116 83-3/<l" 11281 91-7/8" 11682 51-1/8" ffT-112" 9365 75-5/8" 104-42 6816 59-318" 8136 83-7/8" 11291 92" 11882 51-114" 59-112" 8155 ffT-5/8" 9383 75.314• 10457 51-318" 6837 8175 67-3/4" 9401 75-7,e• 10472 94• 11301 -51-112" 6857 59-5/8" ffT-7/8" 9419 7ft' 10488 84-1/8" 11312 t-13-11 Rev.MA 11111 6878 59-31,• 1195 1-518"' 5