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uota <br />CGRS <br />Site Information <br />Final <br />ELD <br />Test Project Worksheet <br />Fiberglass <br />Xerxes <br />Final Test Date: 3/3/2020 <br />PASS <br />Tank <br />IOTA Technicians: <br />Sergio L. <br />Nunez <br />Site Information <br />20,000 <br />Installation Contractor Information <br />DW <br />Fiberglass <br />Xerxes <br />Yes <br />PASS <br />Tank <br />Facility: <br />Chevron <br />DW <br />Customer Name/CA Contractors Ucense #: <br />BRT Service Station Contactors <br />Address: <br />1231 North Main St. <br />Tank <br />Address: <br />630 S. Frontage Rd. <br />City, State, Zip: <br />Manteca, CA 95336 <br />Xerxes <br />City, State, Zip: <br />Nipomo, CA 93444 <br />County: <br />San Joaquin <br />56 <br />Contact: <br />Glenn Paredes <br />CUPA Contact: <br />San Joaquin County Environmental Health <br />42 <br />Phone/Email: <br />805-929-8944 ext 1002/glenn@btssc.com <br />CUPA Email: <br />ustOsigov,org <br />Bravo <br />PASS <br />TANKS <br />Tank No. <br />Capacity al. Product Type <br />Manufacturer <br />Brine Test Result <br />Tank 1 <br />20,000 <br />87 Octane <br />DW <br />Fiberglass <br />Xerxes <br />Yes <br />PASS <br />Tank <br />12,000 <br />91 Octane <br />DW <br />Fiberglass <br />Xerxes <br />Yes <br />PASS <br />Tank <br />8,000 <br />Diesel <br />DW <br />Fiberglass <br />Xerxes <br />Yes <br />PASS <br />Si <br />48 <br />56 <br />438.68 <br />87 TS <br />COMPONENTS <br />IN <br />CONTAINMENT <br />56 <br />335.86 <br />87 FS <br />PASS <br />Tank Top <br />Sumps <br />Diameter (in) <br />Depth (in) Volume (cal) <br />91 TS <br />PASS <br />S4 <br />42 <br />Description <br />335.86 <br />Test <br />Result <br />48 <br />56 <br />438.68 <br />87 TS <br />PASS <br />S2 <br />42 <br />56 <br />335.86 <br />87 FS <br />PASS <br />S3 <br />48 <br />56 <br />438.68 <br />91 TS <br />PASS <br />S4 <br />42 <br />56 <br />335.86 <br />91 FS <br />PASS <br />S5 <br />48 <br />56 <br />438.68 <br />DSL TS <br />PASS <br />S6 <br />42 <br />56 <br />335.86 <br />DSL FS <br />PASS <br />Junction Boxes with Tank Connection Descri tion Test Result <br />51 Tank Probe and Turbine J -Boz 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 />Len W in. <br />Width in. <br />De Or in. <br />Volume al. <br />Descri tion <br />Test Result <br />UDCt <br />42 <br />22 <br />32 <br />128.00 <br />Bravo <br />PASS <br />UDC2 <br />42 <br />22 <br />32 <br />128.00 <br />Bravo <br />PASS <br />UDC3 <br />42 <br />22 <br />32 <br />128.00 <br />Bravo <br />PASS <br />UDC4 <br />42 <br />22 <br />32 <br />128.00 <br />Bravo <br />PASS <br />UDC5 <br />42 <br />22 <br />32 <br />128.00 <br />Bravo <br />PASS <br />UDC6 <br />42 <br />22 <br />32 <br />128.00 <br />Bravo <br />PASS <br />Tansition <br />Sum <br />Len <br />ih in. <br />Width in. <br />De <br />th <br />fn. <br />Volume <br />al. <br />Descri <br />tion <br />Test Result <br />NOV <br />DW Fiberglass <br />2 <br />75 <br />PASS <br />DSL Vent <br />NOV <br />DW Fiberglass <br />2 <br />45 <br />PASS <br />TS7 <br />24 <br />22 <br />32 <br />73.14 <br />Bravo <br />PASS <br />87 PL <br />NOV <br />DW Fiberglass <br />2 <br />225 <br />PASS <br />91 PL <br />NOV <br />DW Fiberglass <br />2 <br />220 <br />PASS <br />DSL PL <br />NOV <br />DW Fiberglass <br />2 <br />75 <br />PASS <br />Vent Pt In <br />Manufacturer <br />T e <br />Size in. <br />Len th R. <br />Test Result <br />87 Vent <br />NOV <br />DW Fiberglass <br />2 <br />90 <br />PASS <br />91 Vent <br />NOV <br />DW Fiberglass <br />2 <br />75 <br />PASS <br />DSL Vent <br />NOV <br />DW Fiberglass <br />2 <br />45 <br />PASS <br />Va <br />or Pi in <br />Manufacturer <br />T e <br />Size in. <br />Len <br />th <br />k. <br />Test Result <br />VR <br />NOV <br />DW Fiberglass <br />3 <br />235 <br />PASS <br />��ik-ray' 3/4/2020 <br />Reviewed By Date <br />IOTA <br />CA License No. Date <br />