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Final Test Date: IOTA Technicians: <br />Site Information CGRS Project No : 61-24608 Installation Contractor Information <br />Facility: Customer Name: <br />Address: Address: <br />City, State, Zip: City, State, Zip: <br />County: Contact: <br />CUPA Contact: Phone/Email: <br />CUPA Email: <br />Tank No. Capacity (gal.) Product Type Manufacturer Brine Test Result <br />Tank 1 20,000 87 Octane DW Fiberglass Xerxes Yes PASS <br />Tank 2 8,000 91 Octane DW Fiberglass Xerxes Yes PASS <br />Tank 3 12,000 Diesel DW Fiberglass Xerxes Yes PASS <br />Tank Top Sumps Diameter (in.) Depth (in.) Volume (gal.) Description Test Result <br />S1 42 60 359.86 87 TS PASS <br />S2 42 60 359.86 87 FS PASS <br />S3 42 60 359.86 91 TS PASS <br />S4 42 60 359.86 91 FS PASS <br />S5 42 60 359.86 DSL TS PASS <br />S6 42 60 359.86 DSL FS PASS <br />Junction Boxes with Tank Connection Description Test Result <br />S1 Tank Probe and Turbine J-Box Open During Test PASS <br />S3 Tank Probe and Turbine J-Box Open During Test PASS <br />S5 Tank Probe and Turbine J-Box Open During Test PASS <br />UDCs Length (in.) Width (in.) Depth (in.) Volume (gal.) Description Test Result <br />UDC1 38 28 32 147.39 OPW PASS <br />UDC2 38 28 32 147.39 OPW PASS <br />UDC3 38 28 32 147.39 OPW PASS <br />UDC4 38 28 32 147.39 OPW PASS <br />UDC5 38 28 32 147.39 OPW PASS <br />UDC6 38 28 32 147.39 OPW PASS <br />Transition Sump Length (in.) Width (in.) Depth (in.) Volume (gal.) Description Test Result <br />TS1 24 22 36 82.29 Bravo PASS <br />Product Piping Manufacturer Type Size (in.) Length (ft.) Test Result <br />87 PL NOV DW Fiberglass 2 255 PASS <br />91 PL NOV DW Fiberglass 2 245 PASS <br />DSL PL NOV DW Fiberglass 2 155 PASS <br />Vent Piping Manufacturer Type Size (in.) Length (ft.)Test Result <br />87 Vent NOV DW Fiberglass 2 55 PASS <br />91 Vent NOV DW Fiberglass 2 30 PASS <br />DSL Vent NOV DW Fiberglass 2 25 PASS <br />Vapor Piping Manufacturer Type Size (in.) Length (ft.)Test Result <br />VR NOV DW Fiberglass 3 275 PASS <br />Reviewed By Date IOTA Tech Signature Date <br />2/16/2023 <br />CA License No. <br />2/20/2023 06-1727 <br />1110 N. Main St.11000 N. MoPac Expressway #500 <br />Austin, TX 78759 <br />COMPONENTS IN CONTAINMENT <br />San Joaquin Jerry Belloli <br />San Joaquin Valley Environmental Health 209-481-670/jbelloli@tanknology.com <br />Leak Logs / Repair <br />Manteca, CA 95336 <br />ust@sjgov.org <br />PIPING <br />TANKS <br />Final ELD Test Project Worksheet <br />2/16/2023 <br />7-11 #41530 Tanknology <br />Sergio L. Nunez