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iota <br />Final ELD Test Project Worksheet <br />Final Test Date: 1214/2018 IOTA Technicians Sergio L Nunez <br />CGRS <br />Site Information <br />Length in. <br />Installation Contractor Information <br />COMPONENTS IN CONTAINMENT <br />Facility: <br />City Food & Liquor <br />Tank Top Sums <br />Customer Name/CA Contractors License #: <br />Elite IV Contractors CA #1001331 <br />Address: <br />16470 Cambridge Dr <br />Test Result <br />Address: <br />2535 Wigwam Dr <br />City, State, Zip: <br />Stockton, CA 95330 <br />87 TS <br />City, State, Zip: <br />Stockton, Ca 95205 <br />County: <br />San Joaquin <br />311.87 <br />Contact <br />Terry Masters <br />CUPA Contact: <br />San Joaquin County Environmental Health <br />52 <br />Phone/Email: <br />209461-6337/tmestem383@gmail.com <br />CUPA Phone/Email: <br />ustosjcehd.com <br />42 <br />52 <br />311.87 <br />91 FS <br />PASS <br />TANKS <br />48 <br />Tank No. <br />Capacity al. Product Type <br />Manufacturer <br />Brine Test Result <br />Tank 1 12,000 87 Octane DW Fiberglass CSI Yes PASS <br />Tank 6,000 91 Octane DW Fiberglass CSI Yes PASS <br />Tank 6,000 Diesel DW Fiberglass CSi Yes PASS <br />Junction Boxes with Tank Connection Description Test Result <br />St 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 <br />Length in. <br />Width in. <br />COMPONENTS IN CONTAINMENT <br />Volume et. <br />Oestri tion <br />Tank Top Sums <br />Diameter in. <br />Depth in. <br />Volume al. <br />Description <br />Test Result <br />S1 <br />48 <br />52 <br />407.35 <br />87 TS <br />PASS <br />S2 <br />42 <br />52 <br />311.87 <br />87 FS <br />PASS <br />S3 <br />48 <br />52 <br />407.35 <br />91 TS <br />PASS <br />S4 <br />42 <br />52 <br />311.87 <br />91 FS <br />PASS <br />S5 <br />48 <br />52 <br />407.35 <br />DSL TS <br />PASS <br />S6 <br />42 <br />52 <br />311.87 <br />DSL FS <br />PASS <br />Junction Boxes with Tank Connection Description Test Result <br />St 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 <br />Length in. <br />Width in. <br />Depth in. <br />Volume et. <br />Oestri tion <br />Test Result <br />UDC1 <br />42 <br />22 <br />36 <br />144.00 <br />Bravo <br />PASS <br />UDC2 <br />42 <br />22 <br />36 <br />144.00 <br />Bravo <br />PASS <br />UDC3 <br />42 <br />22 <br />36 <br />144.00 <br />Bravo <br />PASS <br />UDC4 <br />42 <br />22 <br />36 <br />144.00 <br />Bravo <br />PASS <br />Transition Sump Len tit in. Width in. Depth in. Volume al. Description Test Result <br />TS1 24 22 36 82.29 Bravo PASS <br />Vent Piping Manufacturer Type Size in. Length ft. Test Result <br />87 Vent A.O. Smith DW Fiberglass 2 95 PASS <br />91 Vent A.O. Smith DW Fiberglass 2 85 PASS <br />DSL Vent A.O. Smith DW Fiberglass 2 105 PASS <br />Va or Piping Manufacturer Type Size In. Length ft. Test Result <br />VR A.O. Smith DW Fiberglass 3 200 PASS <br />12/5/2018 'v-/ �' a 06-1727 12/4/2018 <br />Reviewed By Date IOTA Tech Signature CA License No. Date <br />PIPING <br />Product Piping <br />Manufacturer <br />Type <br />Size in. <br />Length ft. <br />Test Result <br />87 PL <br />A.O. Smith <br />DW Fiberglass <br />2 <br />165 <br />PASS <br />91 PL <br />A.O. Smith <br />DW Fiberglass <br />2 <br />175 <br />PASS <br />DSL PL <br />A.O. Smith <br />DW Fiberglass <br />2 <br />105 <br />PASS <br />Vent Piping Manufacturer Type Size in. Length ft. Test Result <br />87 Vent A.O. Smith DW Fiberglass 2 95 PASS <br />91 Vent A.O. Smith DW Fiberglass 2 85 PASS <br />DSL Vent A.O. Smith DW Fiberglass 2 105 PASS <br />Va or Piping Manufacturer Type Size In. Length ft. Test Result <br />VR A.O. Smith DW Fiberglass 3 200 PASS <br />12/5/2018 'v-/ �' a 06-1727 12/4/2018 <br />Reviewed By Date IOTA Tech Signature CA License No. Date <br />