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HomeMy WebLinkAboutOPI 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. CK #2701270 10/30/2024 T1 87 117.75 14,425 46.5 65 18.5 99.25 13,621 94.4 CK #2701270 10/30/2024 T2 91 117.75 11,849 47 61 14 103.75 11,171 94.2