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Overfill Prevention Inspection - OPW 61 and 71 Series Devices <br /> Date: <br /> Owner: `" <br /> Facility : <br /> OPW Overfill Model Number: <br /> Part 1 - Proper Height Setting Calculation RC4L,i-- $ �7 <br /> Tank 1 Tank 2 Tank 3 Tank 4 <br /> Maximum Tank Volume Per: A Gallons <br /> Max shut off requirement for flapper is 95% u 9530 <br /> Multiply Max tank volume by 95% C Gallons OCl z <br /> Use tank chart or ATG to determine height of D Inches / I <br /> calculated volume <br /> Measure top of fill riser threads , or face seal Eches <br /> ada ter <br /> Tank diameter (From Tank Chart) F Inches 9d <br /> Upper Tube in Tank (G) R-D = G G Inches + <br /> Subtract 2 " from upper tube in tank G-2"= K x Inches / fr <br /> Calculated minimum upper tube length (I) I Inches <br /> K+E=I ' <br /> Actual measured upper tube length (Without <br /> fill ada ter I) J Ing "s <br /> Part 2 - Device Certification Criteria Evaluation <br /> Does the overfill prevention device meet the 95% <br /> requirement? <br /> Is the actual measured upper tutee. length 6 .5 inches or <br /> more than the fill riser? (I 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 <br /> xifill Certification PASS / FAIL <br /> Drop Tube Testing PASS / FAIL <br /> Technician certifies that the device is operationally compliant. <br /> Signature of Technician : Data <br /> Technicians Name: <br /> E <br />