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Home My WebLink AboutDERR-2025-002755ThcPnnp Overfill Prevention Equipment lnspection OPW 61 and 71 Series Overfill Prevention Device lnspection (Non Testable) Customer Name: Facility lD #: Address: 5p;fns #Di Street 0 GDe,, uT City, State Date: Part1-ProperHeight Calculation OPW lnstallation H15S24PA Rev L 1/30/2014| Maximum Tank Volume allons) Shown on customers provided tank chart IVlax Shut off requirement flapper is 95% hrultiply maximum tank by 95% (Gallons) Find the dip stick number the tank chart that corresponds with 95% Measure top of fill riser or face seal adapter Find the Dip Stick Volume corresponds with 100% (FROM TANK C}IART) UpperTube in tank (Y) Subtract 2 inches from Calculated minimum ul = (z) tube in tank Formula: (Z) - 2" = {C } tube length Formula: (C ) + (A) = Upper Tube Length Actual measured upper length (without fill adapter) -lLl 5 Taa kt Tank Designation 1.L] Gallons % 95% Gallons X lnches A lnches Y lnches Z lnches C lnches Calculated lnches Actual lnches Paft2 - Device Certification Citeria Evaluation Criteria L Does the overfill prevention device meet the 95% requirement? {lf Actual is treater than or equal to calculated ( YES) (lf Actual is less than or equal to calculated ( NO) Criteria 2 ls the actual measured upper tube length 6.5 inches or more than the fill riser? (C must be 6.5i' if not then the upper tube length is 6.5 plus measurement A) (For testable niodels endlng ln '.T" upper tube length ls {c)+ (A} - t -tlz". It less than 5.5" than it is 5.5" +(A) - r1-1l2"1 I Criteria 3 Does the overflll prevention device function function as required? {lnspect the dwice for damate, contamlnaton, fteedom of movement, weakening due to wear and corrosion) t#Ttrla ios 2/I t0(,{,LtYr bLrtt 56i. tl).ta u7h tT*7 ttTr to ?7 q'*r 7)ry bAYr'13,/t l,tb5*ilh Part 3 - Device PASS / FAil- that the device is operationally compliant. Criteria 1, 2, and 3 above are YES. fOPffFAV'}TG T6P@iAlrx Technician lf the Signature of Technician: J -r*tru+nrlltr<tqrrrvrr \cr/e s Provided Tank and overfall Tube 0 Atzt-prem 150't114 e 8(rfr(tr$oFTAlr( Y Date:3 -Irf -),J lq f\ Hari1o,, i\i-it Ri/L l*cn I Dic5c Comments:l ^*,-l,vESTECHIOUIPMENI WESTECH EQUIPMENT 195 WEST 3900 SOUTH . P.O. BOX 57307 . SALT LAKE CITY, UTAH 84157-0307 8Ot-266-2545 o TOLL FREE 800-433-8831. 24 HOUR FAX 801-261-4054 SPILL BUCKET INTEGRITY TESTING HYDROSTATIC TEST METHOD SINGLE. AND DOUBLE.WALLED VACUUM TEST METHOD Facility Name I Owner: Address: llf 5 H,xrr ) >ott ij l, Ll Address: City, State, Zip:l/City, State, Zip: Facility l.D.#Phone #: Testing Company: Westech Phone #:801-266-2545 Date:) This procedure is to test the leak integrity of singte. and double-walled spill buckets. See PEI/RP120O Section 6.2 for hydrostatic test method, Section 6.3 for single-wa lled vacuum test method and Section 6.4 for double-walled vacuum test method Tank Number J-at-). Product Stored RUL fiut-Pr" -Pr. -, Spill Bucket Capacity SGel 5 Gdl 5G<t 56'al Manufacturer i Ft't--o ftu 0 PtP O PW Construction d6ouble-walled flSingle-walled ts6ouble-walled trSingle-walled E/uble-walled trSingle-walled Efouble-walled nSingle-walled Test Type EHydrostatic Bfacuum []Double-walled trS,iagle-walled EHydrostatic w("ruu^ EDouble-walled trSingle-walled flHvdrostatic 6"ruu^ EDouble-walled flSingle-walled DHydrostatic ffi"ruu^ nDouble-walled Dsingle-walled Spill Bucket Type dProduct EVapor []Product g6po, Ei€roduct nVapor EProduct wdupo, Liquid and debris remove from spill bu cket?*,(, o*o #es trruo #s trrrro dro*o Visual lnspection (no cracks, loose parts or separation of the bucket from the fill pipe.) #es nrrro {* arto 4rarto dro*o Tank Riser cap included in test?Efes trtlo t]NA des nNo trNA dYes !ruo trNA Elfes nuo NNA Drain valve included in test? flYes [No s{^ nYes f,lNo 6,o EYes ENo s(o nYes ENo ar6, Starting Level - l\wc - 15rrc - lS we - 15't//c Test Start Time 3',rl b 4.a i 3io r ",:55 Ending Level - l5wc -15wL -lS wt-- tSv/c Test End Time 3:5 t ,1.0b 3: i\5, UU Test Period 5 rr,tl S ,o'c 5m'n 6rnil Level Change O 0 0 0 Paryfail c1t"ri.: Murt p.ss visual inspection. Hydrostatic: Water level drop of less than 1/8 inch; Vacuum si ngle-walled only: Maintain at least 26 inches water column; Vacuum double-walled: maintain at least '12 in.hes ulter column. Test Results /Pass EFail Elfass trrail l8fass trrail Erait Comments: Tester's Signature l.r *All liquids and debris must be disposed of properly Tester's *" " .5 P,A4 Jrr,",lio c ,*WESTECH EOUIPMENT iAll liquids and Tester's Name debris m 5 WESTECH EQUIPMENT 195 WEST 3900 SOUTH . P.O. BOX 57307 . SALT LAKE CITY, UTAH 84157-0307 80\-266-2545 . TOLL FREE 800-433-8831 . 24 HOUR FAX 801-261-4054 ust be disposed of properlY SPILL BUCKET INTEGRITY TESTING HYDROSTATIC TEST METHOD SINGLE. AND DOUBLE.WALLED VACUUM TEST METHOD Facility Name:I Owner: Address:S aty,0t,Address City, State, Zip:G L City, State, Zip: Facility l.D.#:Phone #: Testing Company: Westech Phone #:80L-266-2545 Date 3-Asl -As This procedure is to test the leak integrity of single- and double-walled spill buckets. See PEI/RP120O Section 6.2 for hydrostatic test method, Section 6.3 for single-walled vacuum test method and Section 6.4 for double-walled vacuum test method. Tank Number ] Product Stored Uicsol Spill Bucket Capacity SCa.l M anufacturer OFW Construction 6ouble-walled nsingle-walled EDouble-walled nSingle-walled []Double-walled flsingle-walled EDouble-walled nSingle-walled Test Type E Hvdrostatic l! /acuum flDouble-walled !Single-walled flHydrostatic EVacuum DDouble-walled nSinele-walled EHydrostatic ElVacuum EDouble-walled !Single-walled IHydrostatic EVacuum nDouble-walled flSingle-walled Spill Bucket Type D{roduct nVapor EProduct EVapor flProduct !Vapor nProduct DVapor Liquid and debris remove from spill bucket?*#es f uo flYes flNo [Yes ENo EYes ENo Visual lnspection (no cracks, loose parts or separation of the bucket from the fill pipe.) #es trrvo nYes flNo nYes [No lYes ENo Tank Riser cap included in test?E{es trlto trNA EYes lNo trNA DYes ENo trNA UYes flNo trNA Drain valve included in test? flYes DNoto nYes flNo trNA lYes ENo trNA DYes DNo trNA Starting Level - lSwc Test start Time t).i 56 Ending Level - l5v-t Iest tnd ltme l'.() I Test Period 5rq, rt Level Change o Pass/ftil criteria: Must pass visual inspection'Hydrostatic: Water level drop of less 1/8 inch; Vacuum single-walled only: Maintain at least 26 inches water column; Vacuum double-walled: maintain at least 12 column. Test Results dpar, trr"it EPass EFail EPess EFail EPass EFail Comments: la,il;r, -Tester's Signature ,J.r-,r,fri,r/,'