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E <br />WALTON <br />tti <br />E <br />Overi-ill Prevention Inspection - OPW 61 and 71 Series Devices <br />Facility: Quik S�#121 <br />OP W Overfill Model Number: LlSO _ <br />Part 1 - Proper Height Settinp- Calculation -) Ii I <br />Part 2 - Device Certification Criteria Evaluation <br />Does the overfill prevention device meet the 9570 <br />requirement? <br />Yes <br />Tank I <br />Tank 2 <br />Tank 3 <br />Tank 4 <br />Maximum Tank Volume Per: <br />A Gallons <br />11527 <br />11527 <br />more than the fill riser? (J must be 6.5" or more than E) <br />Yes <br />Max shut off requirement for flapper is 95% <br />B 95% <br />.95 <br />95 <br />Multiply Max tank volume by 951'X <br />C Gallons <br />10950 <br />10950 <br />Yes <br />Use tank chart or ATG to determine height of <br />movement, weaken!ET due to wear and corrosion) <br />calculated volume <br />—or <br />D Inches <br />801/2" <br />80 1/2" <br />Measure top of fill riser threads, face ,,—al <br />— <br />adapter <br />E Inches <br />38 3/4" <br />40 3/4" <br />Tank diameter (From Tank Chart) <br />F Inches <br />89 3/4" <br />89 3/4" <br />Upper Tube in Tank (G) F -D = G <br />G Inches <br />9 3/4" <br />9 3/4" <br />Subtract 2" from upper tube in tank G-2"= K <br />K Inches <br />7 3/4" <br />7 3/4" <br />Calculated minimum upper tube length (1) <br />L - <br />K+E=l <br />1 Inches <br />46" <br />48" <br />Actual measured upper tube length (Without <br />till a Japter) (J) <br />j Inches <br />46 3/4" <br />48 1/4" <br />Part 2 - Device Certification Criteria Evaluation <br />Does the overfill prevention device meet the 9570 <br />requirement? <br />Yes <br />Yes <br />I Drop Tube Testing PASS / FAIL <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 />Yes <br />Yes <br />Does the overfill prevention device function as required? <br />(Inspect the device for damage, contamination, freedom of <br />Yes <br />Yes <br />movement, weaken!ET due to wear and corrosion) <br />M"IMIN =,of 14111 <br />I Drop Tube Testing PASS / FAIL <br />ZMEMEW <br />Technician certifies that the device is operationally compliant. <br />Date: 9/24/18 <br />