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WALTON.____._.• - <br /> 'lfGttllEEFtBt+Efx, INC. G/K ✓f_ '—" /C %46 <br /> Overfill Prevention Inspection-OPW 61 and 71 Series Devices <br /> Date: <br /> Owner. <br /> Tesoro <br /> Facility: #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'©/ <br /> Max shut off requirement for flapper is 95% B 95% 90% <br /> Multiply Max tank volume by 95% C Gallons ��rl <br /> Use tank chart or ATG to determine height of D Inches 86.,3 7 <br /> calculated volume U C: <br /> Measure top of fill riser threads,or face seal <br /> adapter <br /> Tank diameter(From Tank Chart) F Inches -; <br /> Upper Tube in Tank(G)F-D=G G Inches <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 J 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 length 6.5 inches or <br /> more than the fill riser?Q 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 R <br /> Drop Tube Testing PASS/FAIL tl . LJ <br /> Technician certifies that the device is operationally compliant. <br /> NOV 9 X018 <br /> ENVIRONMENTAL HEALTH <br /> Signature of Technician: Date: DEPARTMENT <br /> Techniciao's Name: <br />