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Home My WebLink AboutOPI 2024CERS = 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 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. 91 5/8 9696 53 3/8 64 1/2 11 1/8 80 1/2 9062 93.4 T1 (87) PASS 9696 53 3/8 67 1/8 13 3/4 77 7/8 8828 91.0 PASS T2 (91) 91 5/8 91 5/8 9696 56 65 5/8 9 5/8 82 9184 94.7 PASS T3 (89) 8'-10000 DWT6 Double-Wall Tank 9696 Gals DIPSTICK|GALLONS I DIPSTICK|GALLONS [DIPSTICK|GALLONS||DIPSTICK|GALLONS|DIPSTICK|GALLONS 60 1/8 6800 66 1/8 7553 72 18 8245 78 18 8852 84 1/8 9,342 60 1/4 6816 66 1/4 7569 72 Wa 8259 78 4 8863 84 1/4 9,351 60 3/8 6832 66 3/8 7584 72 318 8272 78 38 8875 84 38 9,360 60 1/2 6848 66 1/2 7599 72 U2 8286 78 U2 8886 84 1/2 9,368 60 5/8 6864 66 5/8 7614 72 518 8299 78 5/8 8898 84 5/8 9,377 60 3/4 6881 66 3/4 7629 72 34 8313 78 3/4 8909 84 3/4 9,385 60 7/8 6897 66 7/3 7644 72 718 8326 78 7/8 8920 84 7/8 9,394 61 6913 67 7659 73 8340 79 8931 85 9,402 61 18 6929 67 1/8 7674 73 18 8353 79 18 8943 85 1/8 9,410 61 1/4 6945 67 1/4 7689 73°14 8366 79 14 8954 85 1/4 9,418 61 3/8 6961 67 3/8 7703 73 WB 8379 79 48 8965 85 38 9,426 61 1/2 6977 67 1/2 7718 73 U2 8393 79 12 8976 85 1/2 9,434 67 67 67 6 68 68 68 68 68 68 68 61 5/8 6993 5/8 7733 73 5/8 8406 79 5/8 8987 85 5/8 9,442 61 3/4 7009 34 7748 73 3/4 8419 79 3/4 8998 85 3/4 9,450 61 7/8 7025 718 7763 73 718 8432 79 7/8 9008 85 7/8 9,458 62 7041 8 WT 74 8445 80 9019 86 9,465 62 18 7057 18 7792 74 18 8458 80 1/8 9030 86 1/8 9,473 62 1/4 7072 14 7807 74 4 8471 80 1/4 9041 86 1/4 9,480 62 3/8 7088 v8 7821 74 38 8484 80 3/8 9051 86 3/8 9,488 62 1/2 7104 2 7836 74 2 8497 80 12 9062 86 1/2 9,495 62 5/8 7120 5/8 7850 74 5/8 8510 80 5/8 9072 86 5/8 9,502 62 3/4 7136 3/4 7865 74 3/4 8523 80 3/4 9083 86 3/4 9,509 7152 86 7/8 Containment Solutions,Inc.3