Laserfiche WebLink
fi LTON <br /> WSW I <br /> row 00% <br /> Overfill Prevention Inspection - OPW 61 and 71 Seri NED <br /> Date : <br /> Owner: <br /> - NVIInNMENTAL HEALTH <br /> Faclity : / �� �� �A/ ' NME TMENT <br /> � , <br /> i <br /> OPW Overfill Model Number: -Iellzf zlAl <br /> Part 1 - Proper Height Setting Calculation <br /> Tank 1 Tank 2 Tank 3 Tank 4 <br /> Maximum Tank Volume Per: A Gallons <br /> G' a <br /> Max shut off requirement for flapper is 95 % B 95 % <br /> Multiply Max tank volume by 95 % C Gallons C' , <br /> Use tank chart or ATG to determine height of <br /> calculated volume b D Inches <br /> Measure top of fill riser threads , or face seal <br /> ada ter F E Inches <br /> Tank diameter (From Tank Chart) F Inches <br /> Upper Tube in Tank (G) F-D = G ° ' G Inches l � �" ' J <br /> Subtract 2" from upper tube in tankl'r K K Inches i G <br /> Calculated minimum upper tube length (1) <br /> K+E=I I Inches <br /> Actual measured upper tube length (Without <br /> fill Adapter) (J) J Inches <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? (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 /> movement, weakening due to wear and corrosion) <br /> Device Overfill Certification PASS / FAIL, <br /> LDrop Tube Testing PASS / FAIL <br /> Technician certifies that the device is operationally compliant. <br /> Signature of Technician : Date : <br /> Technician 's Name : <br />