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WALTON_.. _ ____.._..,.,_,...._..,.,_.._........_ <br /> Overfill Prevention.Inspection-OPW 61 and 71 Series Devices <br /> Date: <br /> Owner: <br /> Tesoro <br /> Facility: <br /> #68221 - 2705 Country Club, Stockton CA <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 c/o/ <br /> Max shut off requirement for flapper is RN s 95% 90% <br /> Multiply Max tank volume b g 0% C Gallons <br /> Use tank chart or ATG to determine height of DInches 80.625 <br /> calculated volume <br /> Measure top of fill riser threads,or face seal E orches <br /> adapter <br /> Tank diameter(From Tank Chart) Finch" G; �T <br /> Upper Tube in Tank(G)F-D=G G Inches �I'3 <br /> Subtract 2"from upper tube in tank G-2"=K K Inches , <br /> Calculated minimum upper tube length(1) I Inches <br /> K+E=I <br /> Actual measured upper tube length(Without Ij <br /> inches <br /> fill adapter <br /> Part 2-Device Certification Criteria Evaluation <br /> Does the overfill prevention device meet the 95% <br /> requirement? <br /> Is the actual measured upper tube Iength 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 /> F4 1�- t F", W, E D <br /> Device Overfill Certification PASS/FAU- <br /> Drop Tube Testing PASS/FAIL n V 16 201 <br /> Technician certifies that the device is operationally compliant. ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Signature of Technician: Date: <br /> Technician's Name: <br />