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WALTON <br /> EIdGINEERING, INC. <br /> Hate: <br /> Owner: <br /> Facility: <br /> 4PW Overfill Model Number: <br /> Part I -Proper Height Setting.Calculation <br /> Tank I Tank 2 Tank 3 Tank 4 <br /> Maximum Tank Volume Per: A Gallons , J <br /> Max shut off requirement for flapper is 95% 8 95% <br /> Multiply Max tank volume by 95% C Cauons N- 014� <br /> Use tank chart or ATG to determine height of n Inches <br /> calculated volume <br /> Measure top of fill riser threads,or face sea] E Inches <br /> adapter <br /> Tank diameter(From Tank Chart) IF Inches <br /> Upper Tube in Tank(G)F-D=G G Inches <br /> Subtract 2" from upper tube in tank G.2"=K K Inches <br /> Calculated minimum upper tube length(I) <br /> t inches <br /> Ktl�l <br /> Actual measured upper tube length(Without d Inches <br /> fill adapter) <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 5.5"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 /> Device Certification PASS 1 FAIL <br /> Technician certifies that the device is operationally compliant. <br /> Signature of Technician: Date: <br />