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Home My WebLink AboutOPI 2023CERS = California Environmental Reporting System, ID = Identification, UST = Underground storage tank, ICC = International Code Council, A/V = Audible and visual UNDERGROUND STORAGE TANK OVERFILL PREVENTION EQUIPMENT INSPECTION REPORT FORM (Page 1 of 1) Type of Action Installation Inspection Repair Inspection 36 Month Inspection I. FACILITY INFORMATION CERS ID 10024039 Date of Overfill Prevention Equipment Inspection 2/6/2023 Business Name (Same as Facility Name or DBA-Doing Business As.) Chevron Coffee Business Site Address 1125 Coffee Rd. City Bakersfield ZIP Code 93308 II. UNDERGROUND STORAGE TANK SERVICE TECHNICIAN INFORMATION Name of UST Service Technician Performing the Inspection (Print as shown on the ICC Certification.) Bruce W. Hinsley Phone # (661) 706 - 4321 Ext. Contractor/Tank Tester License # 971259 ICC Certification # 8032698 ICC Certification Expiration Date 6/22/2023 Overfill Prevention Equipment Inspection Training and Certifications (List applicable certifications.) 1193980 III. OVERFILL PREVENTION EQUIPMENT INSPECTION INFORMATION Inspection Method Used: Manufacturer Guidelines (Specify) FFS Overfill Prevention Industry Code or Engineering Standard (Specify) Engineered Method (Specify) Attach the inspection procedures and all documentation required to determine the results. # of Attached Pages: Tank ID: (By tank number, stored product, etc.) Diesel What is the tank inside diameter? (Inches) 111 Is the fill piping secondarily contained? Yes No Yes No Yes No Yes No Is the vent piping secondarily contained? Yes No Yes No Yes No Yes No Overfill Prevention Equipment Manufacturer(s) FFS What is the overfill prevention equipment response when activated? (Check all that apply.) Shuts Off Flow Shuts Off Flow Shuts Off Flow Shuts Off Flow Restricts Flow Restricts Flow Restricts Flow Restricts Flow A/V Alarm A/V Alarm A/V Alarm A/V Alarm Are flow restrictors installed on vent piping? Yes No Yes No Yes No Yes No At what level in the tank is the overfill prevention set to activate? (Inches from bottom of tank.) 96 What is the percent capacity of the tank at which the overfill prevention equipment activates? 92 Is the overfill prevention in proper operating condition to respond when the substance reaches the appropriate level? Yes Yes Yes Yes No (Specify in section V.) No (Specify in section V.) No (Specify in section V.) No (Specify in section V.) IV. SUMMARY OF INSPECTION RESULTS Overfill Prevention Inspection Results Pass Fail Pass Fail Pass Fail Pass Fail V. COMMENTS All items marked “Fail” must be explained in this section. Any additional comments may also be provided here. VI. CERTIFICATION BY UST SERVICE TECHNICIAN CONDUCTING THIS INSPECTION I hereby certify that the overfill prevention equipment was inspected in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637.2 and all the information contained herein is accurate. UST Service Technician Signature If the facility has more components than this form accommodates, additional copies of this page may be attached. TB0318-03 r2TECHNICALUPDATETB0318-03 r2TECHNICALUPDATE franklinfueling.com3760 Marsh Rd. • Madison, WI 53718, USATel: USA & Canada +1 800 225 9787 • Fax: +1 608 838 6433Tel: UK +44 (0) 1473 243300 • Tel: Mex 001 800 738 7610Tel: DE +49 6571 105 380 • Tel: CH +86 10 8565 4566 © 2022 Franklin Fueling Systems. All Rights Reserved. OPV CO-AXIAL DROP TUBE CALCULATION E-FORM NOTE: For exact dimensions, consult the manufacturer’s tank charts. Use the actual capacity of the tank for calculations. NFPA30 Guidelines limit tank fill to 95%. Actual Tank Capacity Gallons Final Shuto Volume Height X = =B (Multiply) Typically 95%** Fig. “B”Calculate Final Shuto Volume Final shuto volume (gallons) .95 To ﬁnd Upper Drop Tube length “X” “A” “X” Upper Drop Tube Length = (Equals) To ﬁnd Lower Drop Tube length “Y” “B” “Y” Lower Drop Tube Length - (Subtract) = (Equals) - (Subtract) - (Subtract) - (Subtract) "Final shutoff volume height"Drop tube seat surface to bottom of tank “B” "Final shutoff volume height OPV Length Offset15¾" (400 mm) Position and mounting adjustment2.5" (63.5 mm)Tank bottom clearance6" (152mm) Fig. “C” Poppeted Coaxial (EBW) Measure from retaining ring. Detail for “X/A”. “X” “A” “B” “A” “Y” “X” Defender Spill Containment (For Reference Only). Top of Tank Lower Drop Tube (U.S.T.) Overﬁll Prevention Valve Seat surface of upper drop tube. Final Shuto Volume** Bottom of Tank 6" (152 mm) Max* Fig. “A”(Not to scale.) *If local codes require this distance to be smaller, subtract less than 6" (152mm). 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