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CGRS V SOWTIONS DEUVERED Tank 1 201 000 Final ELD Test Project Worksheet Installation Contractor Information PASS Final Test Date: 4111/2019 91 Octane Customer NamelCA Contractors License #: Walton Engineering IOTA Technicians: Sergio L. Nunez Tank 1 201 000 87 Octane DW Site Information Xerxes Installation Contractor Information PASS Facility: 7 -Eleven #38153 91 Octane Customer NamelCA Contractors License #: Walton Engineering Address: 121 S. Center Street PASS Address: PO Box 1025 City, State, Zip: Stockton, CA 95202 Fiberglass City, State, Zip: West Sacramento, CA 95691 County: San Joaquin 144.00 Contact: Rick Walton CUPA Contact: San Joaquin County Environmental Health 52 Phone/Email: 916-372-1888/r.waiton@waltonengineering.com CUPA Phone/Email: ust@sjcehcLconn S6 42 52 311.87 144.00 TANKS PASS Tank No. Capacity al. Product Type Manufacturer Brine Test Result 51 000 87 Octane DW Fiberglass Xerxes Yes PASS Tank 81000 91 Octane DW Fiberglass Xerxes Yes PASS Tank3 12,000 Diesel DW Fiberglass Xerxes Yes PASS 51 42 52 311.87 Volume al. 87 TS PASS S2 42 52 311.87 PASS 87 FS PASS S3 42 52 311.87 S5 Tank 91 TS PASS S4 42 52 311.87 144.00 91 FS PASS S5 42 52 311.87 144.00 DSL TS PASS S6 42 52 311.87 144.00 DSL FS PASS Junction Boxes with Tank Connection Descri tion Volume al. Test Result St Tank Probe and Turbine J -Box Open During Test PASS S3 Tank Probe and Turbine J -Box Open During Test PASS S5 Tank Probe and Turbine J -Box Open During Test PASS UDCs Len th in. Width in. De th in. Volume al. Descri tion Test Result UDC1 42 22 36 144.00 Bravo PASS UDC2 42 22 36 144.00 Bravo PASS UDC3 42 22 36 144.00 Bravo PASS UDC4 42 22 36 144.00 Bravo PASS UDC5 42 22 36 144.00 Bravo PASS UDC6 42 22 36 144.00 Bravo PASS Transition Sum Len lh in. Width in. De th in. Volume al. Descri tion Test Result TSt 24 22 36 82.29 Bravo PASS PIPING Product Piping Manufacturer Type Size (in.) Length (ft) Test Result 87 PL AO Smith DW Fiberglass 2 160 PASS 91 PL AO Smith DW Fiberglass 2 160 PASS DSL PL AO Smith DW Fiberglass 2 110 PASS Vent PI in Manufacturer T e Size in. Len th ft. Test Result 87 Venl AO Smith DW Fiberglass 2 100 PASS 91 Vent Ao Smith DW Fiberglass 2 140 PASS DSL Vent AO Smith DW Fiberglass 2 160 PASS c--K--ria. �GLcr,� _ 4!12!2019 Revi w d By Date IOTA Tech Signature CA License No. Date Va or Pi in Manufacturer T e Size in. Len th ft. Test Result VR AO Smith DW Fiberglass 3 180 PASS c--K--ria. �GLcr,� _ 4!12!2019 Revi w d By Date IOTA Tech Signature CA License No. Date