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WALTON <br /> IFFGENEERMG, INC. <br /> Overfill Prevention Inspection - OPW 61 and 71 Series Devices <br /> Date: <br /> Owner: <br /> Facility: <br /> OPW Overfill Model Number: <br /> Part 1 -Proper Height Setting Calculation <br /> Tank 1 Tank 2 Tank 3 Tank 4 <br /> Maximum Tank Volume Per: A Gallons I G� <br /> Max shut off requirement for flapper is 95% s 95% <br /> �S <br /> Multiply Max tank volume by 95% C Gallons <br /> Use tank chart or ATG to determine height of <br /> calculated volume D Inches 0 �7 <br /> Measure top of fill riser threads,or face seal <br /> E <br /> adapter <br /> InchesLlq <br /> Tante diameter(From Tank Chart) F inches 75 <br /> Upper Tube in Tank(G)F-D=G G Inches <br /> Subtract 2"from upper tube in tank G-2"=K K Inches s <br /> Q' <br /> Calculated minimum upper tube length(1) <br /> K+1rI IInches O <br /> Actual measured upper tube length(Withouaj�,T- h-7Fb <br /> fill ada ter)(J) Q <br /> Part 2 - Device Certification Criteria Evaluation <br /> Does the overfill prevention device meet the 95% J c <br /> requirement? /e <br /> Is the actual measured upper tube length 6.5 inches or <br /> more than the fill riser?(J must be 6.5"or more than E) <br /> Does the overfill prevention device function as required? <br /> (Inspect the device for damage,contamination,freedom of <br /> movement,weakening due to wear and corrosion) [[ <br /> Device Overfill Certification PASS /FAIL �a�S <br /> Drop Tube Testing PASS /FAIL <br /> T <br /> Technician certifies that the device is operationally compliant. <br /> Signature of Technician: Date: <br /> Technician's Name: <br />