DERR-2024-008856

PEI/RP1200 -19
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APPENDIX C-6
OVERFILL ALARM
OPERATION INSPECTION
Facility Name:Owner:
Address:Address:
City, State, Zip Code:City, State, Zip Code:
Facility I.D. #:Phone #:
Testing Company:Phone #:Date:
This procedure is to determine whether the high level alarm is operational and will trigger when the tank is no more than 90% full.
See PEI/RP1200 Section 7.3 for the inspection procedure. This procedure is applicable to tank level monitor stems that touch the
bottom of the tank when in place.
Tank Number
Product Stored
Tank Level Monitor Brand and Model
1. Tank Volume, gallons
2. Tank Diameter, inches
3. Overfill alarm activates in the test mode at the
console? Yes No Yes No Yes No Yes No
4. When activated, overfill alarm can be heard or
seen while delivering to the tank? Yes No Yes No Yes No Yes No
5. After removing the probe from the tank, it has
been inspected and any damaged or missing
parts replaced?
Yes No Yes No Yes No Yes No
6. Float moves freely on the stem without binding? Yes No Yes No Yes No Yes No
7. Moving product level float up the stem trigger
alarm? Yes No Yes No Yes No Yes No
8. Inch level from bottom of stem when 90% alarm
is triggered.
9. Tank volume at inch level in Line 8.
10. Calculate (Line 9 / Line 1) x 100
11. Is Line 10 less than 90%? Yes No Yes No Yes No Yes No
12. Fuel float level on the console agrees with the
gauge stick reading? Yes No Yes No Yes No Yes No
13. Overfill alarm activates at any product level
above 90% tank capacity? Yes No Yes No Yes No Yes No
If any answers in Lines 3, 4, 5, 6, 7 or 11 are “No,” or Line 13 is “Yes,” the system has failed the test.
Test Results Pass Fail Pass Fail Pass Fail Pass Fail
Comments:
Tester’s Name (print) ___________________________________ Tester’s Signature _________________________________