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ALTON <br /> Overfill Prevention Inspection - OPW 61 and 71 Series Devices <br /> Date: <br /> T <br /> Owner: esoro <br /> Facility :_ _ #68154 <br /> OPW Overfill Model Number: <br /> Part 1 - Proper Height Setting Calculation 91 & Diesel Tanks <br /> Tank 1 Tank 2 Tank 3 Tank 4 <br /> Maximum Tank Volume Per: A Gallonsa02 ' <br /> Max shut off requirement for flapper is 95 % B 95 % q ,5 <br /> Multiply Max tank volume by 95 % C Ganons <br /> Use tank chart or ATG to determine height of D Inches6 ,� <br /> calculated volume <br /> Measure top of fill riser threads, or face seal E �� <br /> adapter <br /> Tank diameter (From Tank Chart) F Inches <br /> 7�'� <br /> Upper Tube in Tank (G) F-D = G G Inches <br /> �abtra r e in tank U-27=� <br /> J 70F <br /> Calculated minimum upper tube length (I) <br /> I Inches <br /> K+E=1 <br /> Actual measured upper tube length (Without J Inches <br /> fill adapter) (n <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? (7 must be, 61.5 " 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 /> I _. <br /> Device Overfill Certification PASS / FAIL <br /> Drop Tube Testi n PASS / FAIL <br /> EINVIRONMEWAL <br /> Technician certifies that the device is operationally compliant. f� ERAr HEALTH <br /> VENT <br /> Signature of Technician: Date: <br /> Tectmieian's Name: <br /> - i <br />