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ALTON <br /> Overfill Prevention Inspection - OPW 61 and 71 Series Devices <br /> Date: <br /> Owner: ��/7,�' <br /> Fac lity:426 C`, C <br /> OPW Overfill Model Number: _ ,C�i9�/.��J� dim) <br /> Part 1 - Proper Height Setting Calculation C/ <br /> Tank 1 Tank 2 Tank 3 Tank 4 <br /> Maximum Tank Volume Per: A Gallons V� G C <br /> Max shut off requirement for flapper is 95 % B 95% <br /> Multiply Max tank volume by 95 % C Gallons9400 <br /> Use tank chart or ATG to determine height of <br /> calculated volume b A Inches , ��/j 004�05 > 3 ?or 3o <br /> Measure top of fill riser threads, or face seal <br /> adapter E Inches <br /> Tank diameter (From Tank Chart) F Inc es �4� <br /> Upper Tube in Tank (G) F-D = G ; , G Inches <br /> Subtract 2" from upper tube in tank Gl"= K Inches - <br /> Calculated minimum upper tube length (n <br /> I Inches <br /> K+E=I <br /> Actual measured upper tube length (Without i <br /> fill adapter) (J) J Inches <br /> Part 2 - Device Certification Crite ` a Evaluation <br /> Does the overfill prevention device meet e 95 % <br /> requirement? <br /> Is the actual measured upper tube len I i 6.5 inches or w <br /> more than the fill riser? (J must be 6.5 '7or more than E) + 9 <br /> Does the overfill prevention device fL ction as required? <br /> (Inspect the device for damage, con ation, freedom of U 5 2019 <br /> movement, weakening due to wear Ed corrosion) <br /> ENVIRONMPKITAI <br /> Device Overfill CTPAA <br /> ATL T <br /> [.DropTube Testing ' — <br /> es that the device is operationally compliant. <br /> Signature of TechDate : <br /> Technician's Name : <br />