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Tanknology <br />Date: <br />Customer Name: <br />Location #: <br />Location Address: <br />DPW Model Number: <br />Overfill Prevention Equipment Inspection <br />OPW 61 and 71 Series Overfill Prevention Device Inspection <br />11/27/2018 <br />CHEVRON PRODUCTS USA <br />307709 <br />10858 TRINITY PKWY ,STOCKTON ,CA , 95219 <br />71SO <br />PART 1) Proper height setting calculation <br />Maximum Tank Volume per: Tank Chart pgallons <br />Max shut off requirement for Flapper is 95% a s5/ <br />Multiply Maximum tank volume by 95% c gallons <br />Use tank chart or ATG to determine height of calculated volume o inches <br />Measure top of fill riser threads, or face seal adapter Finches <br />Tank diameter From Chart Finches <br />Upper Tube in tank (G) F - D = G G inches <br />Subtract 2 inches from upper tube in tank G - 2"= K K inches <br />Calculated minimum upper tube length (I) K + E = I I inches <br />Actual measured upper tube length (Without fill <br />adapter) (J) J inches <br />PART 2) Device certification criteria evaluation <br />Criteria 1 <br />Does the overfill prevention device meet the 95% requirement? <br />Criteria 2 Is the Actual measured upper tube length 6.5 inches <br />or more than the fill riser? (J must be 6.5" or more <br />than E) <br />Criteria 3 Does the overfill prevention device function as <br />required? (Inspect the device for damage, <br />contamination, freedom of movement, <br />weakening due to wear and corrosion) <br />PART 3) Device Cert <br />ification PASS /FAIL <br />Technician certifies that the device is operationally <br />compliant. If the response to Criteria 1, 2 and 3 above <br />are YES <br />omments: <br />T-3 T-2 T1 <br />7901 11904 19782 <br />0.95 <br />0.95 <br />0.95 <br />0.95 <br />7505.950 <br />11308.800 <br />18792.900 <br />106.875 <br />105.750 <br />106.250 <br />49.500 <br />54.500 <br />55.250 <br />118.375 <br />118.375 <br />118.375 <br />11.500 <br />12.625 <br />12.125 <br />9.500 <br />10.625 <br />10.125 <br />59.000 <br />65.125 <br />65.375 <br />59.750 <br />65.500 <br />66.000 <br />Yes Yes Yes <br />Yes Yes Yes <br />Yes Yes Yes <br />Pass Pass Pass <br />t <br />Signature of <br />Technician: Date: 11/27/2018 <br />Tim Elebeck <br />NO: <br />NW1- 2338978 <br />