HomeMy WebLinkAbout5625 Gosford Final ELD Major Mod 6-26-2020 UST System Post Installation Test Report
ELD Test Date:
Customer:
Location:
Tested By: CGRS, Inc.
5444 Dry Creek Road
Sacramento, CA 95838
Project No:61-21860
Jauregui & Culver Inc.
Sam's Club #4819
959 W. Mission Ave.
Escondido, CA 92025
5625 Gosford Rd
Bakersfield, CA 93313
June 26, 2020
®
Location:CGRS Project No :
Test Date:
CGRS Techs:
IOTA Tech Signature:
Sergio L. Nunez CA Tank Tester #06-1727
Reviewed by:
Chris Murphy Director of CA Services
Test Certification
Post Installation Enhanced Leak Detection (ELD)
61-21860
Sam's Club #4819 June 26, 2020
5625 Gosford Rd Sergio L. Nunez
Bakersfield, CA 93313
Post Installation ELD Test Results
VR Primary Containment System PASS
6/29/2020
Date
6/26/2020
Date
This document certifies that the UST systems listed below at the above referenced location have been tested
and passed the iota®VaporTite V005 tightness test and iotaVision™L005.CGRS further certifies that the
iota®VaporTite V005 and iotaVision™L005 meets the post installation testing requirements for post
installation testing for newly installed underground storage tank systems as per the California Health and
Safety Code,Chapter 6.7,section 25290.1(j)(1).
Final Test Date:IOTA Technicians:
Site Information Installation Contractor Information
Facility:Customer Name:
Address:Address:
City, State, Zip:City, State, Zip:
County:Contact:
CUPA Contact:Phone/Email:
CUPA Email:
Tank No.Capacity (gal.)Product Type Manufacturer Brine Test Result
Tank 1 N/A N/A N/A N/A N/A N/A
Tank Top Sumps Diameter (in.)Depth (in.)Volume (gal.)Description Test Result
N/A N/A N/A N/A N/A N/A
Junction Boxes with Tank Connection Description Test Result
N/A N/A N/A
UDCs Length (in.)Width (in.)Depth (in.)Volume (gal.)Description Test Result
N/A N/A N/A N/A N/A N/A N/A
Transition Sump Length (in.)Width (in.)Depth (in.)Volume (gal.)Description Test Result
N/A N/A N/A N/A N/A N/A N/A
Product Piping Manufacturer Type Size (in.)Length (ft.) Test Result
N/A N/A N/A N/A N/A N/A
Vent Piping Manufacturer Type Size (in.)Length (ft.)Test Result
N/A N/A N/A N/A N/A N/A
Vapor Piping Manufacturer Type Size (in.)Length (ft.)Test Result
VR Brute DW Steel Flex 2 80 PASS
Reviewed By Date IOTA Tech Signature Date
6/26/2020
CA License No.
6/29/2020 06-1727
5625 Gosford Rd 959 W. Mission Ave.
Escondido, CA 92025
COMPONENTS IN CONTAINMENT
Kern Matt Jauregui
Bakersfield FD; Howard Wines; Kris Karns 760-644-6380/matt@jcincorp.net
Leak Logs / Repair
Bakersfield, CA 93313
kkarns@bakersfieldfire.us; hwines@bakersfieldfire.us
PIPING
TANKS
Final ELD Test Project Worksheet
6/26/2020
Sam's Club #4819 Jauregui & Culver Inc.
Sergio L. Nunez