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COMPLIANCE INFO 2016 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO 2016 - 2018
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Entry Properties
Last modified
5/28/2019 2:27:51 PM
Creation date
10/19/2018 10:08:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0516526
PE
2361
FACILITY_ID
FA0012659
FACILITY_NAME
LOVE'S COUNTRY STORES OF CALIF #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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UST System Affirmative Statement of Compatibility - Page 2 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 />Secondary Product Pipe ❑ Integral with primary <br />this <br />❑x Manufacturer's Affirmative Statement of Compati- <br />AO Smith /NOV Fiber Glass Systems <br />Red Thread <br />2000 <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 />Pipe Connector Fitting <br />p g <br />this specific fuel. <br />AO Smith /NOV Fiber Glass Systems <br />y <br />Various <br />2000/2014 <br />Manupotones S Affirmative tementofCompati- <br />bility posted on SWRCB website. <br />x❑ Manufacture's Affirmative Statement of Compati- <br />bility submitted with this form. <br />ElThird-partyapproval (e.g., UL listing) for use with <br />Flexible Con nectoa' <br />this fuel. <br />Flexin Franklin Fuels <br />g ( g ) <br />Fireflex <br />2014 <br />0 Manufacturer's Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Statement of Compati- <br />bility submitted with this form. <br />- <br />❑ Third -party approval (e.g., UL listing) for use with <br />Tank Fill Spill Containment <br />this specific fuel. <br />QP�/�/ <br />1-2000 Series/Multi Oft <br />P <br />2000 <br />x❑ Manufacturer'sAffrrmativeStatement ofCompati- <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 />Overfill Prevention Valve <br />this specific fuel. <br />Flapper Valve/OPW <br />61 -SO -4 <br />2000 <br />bitytpostedonSffWRCBwebsitementofCompati- <br />❑ Manufacturees Affirmative Statement of Compati- <br />bility submitted with this form. <br />C]ird-pa approval (e.g., UL listing) for use with <br />Ball Float Valve <br />th ty fuel. <br />NA <br />NA <br />NA <br />E] Manufacturer's Affirmative Statement ofCompati- <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 />Tank Top Sump <br />this specific fuel. <br />D i M <br />D i M a 10 <br />2000 <br />❑ Manufacturers Affirmative Statement of Compati- <br />a 10 <br />g9 <br />99 <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Statement of Compati- <br />bil ity submitted with this form. <br />E]Third-partyapproval (e.g., UL listing) for use with <br />Under -Dispenser Containment Sum <br />p p <br />this specific fuel. <br />Bravotruck lanes <br />Bravo 8000 Series <br />2014 <br />9Manufacturer's Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />Environ (2 auto UDC) <br />2000 <br />❑ Manufacturer's Affirmative Statement of Compati- <br />bility submitted with this form. <br />I. N-100 eww.unidocs.org 2/4-11/16/15 <br />
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