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WALTON, <br />ENGINEERING, INC. <br />Overiill Prevention Inspection - Or 61 and 71 Series Devices <br />Date: 10/1 /2018 <br />Owner: Quik Stop Market #152 <br />Facility: 1721 S. Cherokee In. <br />OPW Overfill Model Number: <br />Part 1 - Proner Height Setting Calculation <br />Part 2 - Device <br />Yes <br />Tank 1 <br />Tank 2 <br />Tank 3 <br />Tanlc 4 <br />Maximum Tank Volume Per: <br />A Gallons <br />9684 <br />9684 <br />7841 <br />Max shut off requirement for flapper is 95% <br />B 95% <br />.95 <br />.95 <br />.95 <br />Multiply Max tank volume by 95% <br />C Gallons <br />9200 <br />9200 <br />7449 <br />Yes <br />Use tank chart or ATG to determine height of <br />calculated volume <br />D Inches <br />803/8 <br />803/8 <br />801/4 <br />Measure top of fill riser threads, or face seal <br />adapter <br />E Inches <br />391/2 <br />393/4 <br />373/4 <br />Tank diameter (From Tank Chart) <br />F Inches <br />893/4 <br />893/4 <br />893/4 <br />Upper Tube in Tank (G) F -D = G <br />G Inches <br />93/8 if <br />9 3/8" <br />91/2 <br />Subtract 2" from upper tube in tank G.2"= K <br />K Inches <br />73/8 If <br />7 3/8" <br />71/2 <br />Calculated minimum upper tube length (I) <br />K+E=I <br />I Inches <br />463/4 <br />47" <br />451/2 <br />Actual measured upper tube length (Without <br />fill adapter) J <br />J Inches <br />481/2 <br />57 <br />55" <br />Certification Criteria Evaluation <br />Does the overfill prevention device meet the 95% <br />requirement? <br />Device Overfill Cert <br />Yes <br />Yes <br />Yes <br />Is the actual measured upper tube length 6.5 inches or <br />Yes <br />Yes <br />Yes <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 />Yes <br />Yes <br />Yes <br />movement, weakening due to wear and corrosion <br />ification PASS /FAIL <br />Pass <br />Pass <br />Pass <br />Dro Tube Testin PASS /FAIL <br />Pass <br />Pass <br />Pass <br />Technician certifies that the device is operationally compliant. <br />Signature of Technician: <br />Technician's Name: Max Hines <br />��� Date: 10/1/18 <br />