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UST System Affirmative Statement of Compatibility - Page 3 of 4 <br />Manufacturer <br />Model or Part <br />Year <br />Compatibility With the Specific Product <br />Name <br />Number <br />Manufactured <br />Stored Has Been Demonstrated B <br />❑ Third -party approval (e.g., UL listing) for use with <br />Transition Sump <br />this specific fuel. <br />NA <br />NA <br />NA❑ <br />Manufacturers Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Statement of Compati- <br />bility submitted with this form. <br />Third -party approval (e.g., UL listing) for use with <br />Penetration Fitting <br />this specific fuel. <br />Bravo <br />FF Series <br />2014 <br />0 ManufacturefsAffirmative Statement ofCompati- <br />bility posted on SWRCB website. <br />❑ Manufacturers Affirmative Statement ofCompati- <br />bility submitted with this form. <br />❑ Third -party approval (e.g., UL listing) for use with <br />Penetration Fitting <br />this specific fuel. <br />Environ (2 Auto UDC) <br />2000 <br />❑ manufacturonSWRCaBw satementofCompati- <br />btive <br />bility posted❑ <br />Manufacturers Affirmative Statement ofCompati- <br />bility submitted with this form. <br />- <br />-- — - --- <br />Third -party approval (e.g., UL listing) for use with <br />Penetration Fitting <br />this specific fuel. <br />❑ Manufacturers Affirmative Statement ofCompati- <br />bility posted on SWRCB website. <br />❑ Manufacturers Affirmative Statement ofCompati- <br />bility submitted with this form. <br />❑ Third -party approval (e.g., UL listing) for use with <br />Penetration Fitting <br />this specific fuel. <br />❑ Manufacturers Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturers Affirmative Statement of Compati- <br />bility submitted with this form. <br />- <br />❑ Third -party approval (e.g., UL listing) for use with <br />Other Component(s) That May Contact Stored Product <br />this specific fuel. <br />OPW Emergency Shut Off Valve <br />g y <br />10 Series <br />Various <br />MlitypotedonSurees ffrnnativeS itementofCompati- <br />bility posted on SWRCB website. <br />❑ Manufacturers Affirmative Statement ofCompati- <br />bility submitted with this form. <br />x❑ Third -party approval (e.g., UL listing) for use with <br />Other Component(s) That May Contact Stored Product <br />this specific fuel. <br />FE Petro Turbine <br />STP -5-166-51 <br />Various <br />❑ ManutactureesAffirmativeStatementofCompati- <br />bility posted on SWRCB website. <br />❑ Manufacturers Affirmative Statement of Compati- <br />bility submitted with this form. <br />Third -party approval (e.g., UL listing) for use with <br />Other Component(s) That May Contact Stored Product <br />this specific fuel. <br />❑ Manufacturers Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturers Affirmative Statement of Compati- <br />bili submitted with this form. <br />Attach additional ages if necessa <br />CN -100 www.unidocs.org 3/4 - 11/16/15 <br />