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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 />Integral with primary <br />Secondary Product Pipe Elt <br />rn <br />d-paty <br />❑ hirpeci fi approval (e.g., UL listing) for use with <br />s <br />this specific fuel. <br />AO Smith /NOV Fiber Glass Systems <br />Red Thread <br />2000 <br />x❑ 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 />ElThird-partyapproval (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 />Manufacturers Affirmative St ofCompati- <br />bility posted on SWRCB websitement te. <br />Manufacturer's Affirmative Statement ofCompati- <br />bility submitted with this form. <br />ElThird-partyapproval (e.g., UL listing) for use with <br />Flexible Connector <br />this specific fudl. <br />Flexing (Frankling Fuels) <br />Fireflex <br />2014 <br />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 />ElThird-partyapproval (e.g., UL listing) for use with <br />Tank Fill Spill Containment <br />P <br />this specific fuel. <br />OPW <br />1-2000 Series/Multi ort <br />2000 <br />❑x Manufacturer's Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Statement ofCompati- <br />bility submitted with this form. <br />El 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 />❑x Manufacturer's Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Statement ofCompati- <br />bility submitted with this form. <br />❑ Third -party approval (e.g., L1L listing) for use with <br />Ball Float Valve <br />this specific fuel. <br />NA <br />NA <br />NA <br />❑ Manufacturer's Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Statement ofCompati- <br />bility submitted with this form. <br />Third -party approval (e.g., UL listing) for use with <br />Tank To Sum <br />P P <br />this specific fuel. <br />Advanced Containment &Xerxes <br />DiMa io <br />9g <br />2000 <br />❑ 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 />El Third -party approval (e.g., UL listing)0b"use with <br />Under -Dispenser Containment Sum <br />P P <br />this specific fuel. r °s <br />Bravo truck lanes <br />( ) <br />Bravo 8000 Series <br />2014 <br />0 Manufacturer's Affirmative Statern ompati- <br />r <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Staters m aw <br />bili submitted with this form. <br />UN -100 www.unidocs.org <br />Y1 F� <br />,( I" � 4 - <br />?:rte <br />N <br />1ii6/15W__'I <br />r, <br />rn <br />
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