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WALTON EmriINEE�WnfwGj INC Overfill Prevention Inspection Date : 5/13/2019 Owner: Tesoro #68154 Facility : 2500 W . Lodi Ave . OPW Overfill Model Number : Emco Wheaton (Al 100) EVR Guardian Part 1 - Proper Height Setting Calculation Tank 1 Tank 2 Tank 3 Tank 4 Maximum Tank Volume Per: A Gallons 12032 12032 6002 6002 Max shut off requirement for flapper is 95 % B 95 % 95% 95% 95% 95% Multiply Max tank volume by 95 % C Gallons 11430 11430 5702 5702 Use tank chart or ATG to determine height of D Inches 86 . 375 " 86 . 375 " 86 . 375 " 86 . 375 " calculated volume Measure top of fill riser threads, or face seal E Inches 455/8 It 46 471 /8 it 451 /2 It adapter Tank diameter (From Tank Chart) F Itches 95 . 75 " 95 . 75 " 95 . 75 " 95 . 75 " Upper Tube in Tank (G) F-D = G G Itches 9 . 375 " 9 . 375 " 9 . 375 " 9 . 375 " Subtract 2 " from upper tube in tank G-2 " = K K Inches N/A N/A N/A N/A Calculated minimum upper tube length (I) I Inches 55 55 . 375 " 56 . 5 " 54 . 895 " K+E=I Actual measured upper tube length (Without J Inches 55 13/16 " 56 . 5 " 573/8 11 5513/16 11 fill adapter) J Part 2 - Device Certification Criteria Evaluation Does the overfill prevention device meet the 95 % YES YES YES YES requirement? Is the actual measured upper tube length 6 . 5 inches or YES YES YES YES more than the fill riser? (J must be 6 . 5 " or more than E) Does the overfill prevention device function as required? (Inspect the device for damage, contamination, freedom of YES YES YES YES movement, weakening due to wear and corrosion Device Overfill Certification PASS / FAIL PASS PASS PASS PASS DropTube TestingPASS / FAIL PASS PASS PASS PASS Technician certifies that the device is operationally compliant. Signature of Technician : Date :Date : 5/13/19 Technician 's Name : Rey Hernandez