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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 />"Transition Sump <br />Third -party approval (e.g., UL listing) for use with <br />this specific fuel. <br />NA <br />NA <br />NA <br />❑ 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 />Penetration Fitting <br />Third -party approval (e.g., UL listing) for use with <br />this specific fuel. <br />Bravo <br />FF Series <br />2014x❑ <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 />Penetration Fitting <br />Third -party approval (e.g., UL listing) for use with <br />g <br />this specific fuel. <br />Environ (2 Auto UDC) <br />2000 <br />❑ Manufacturer's Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturers Affirmative Statement ofCompati- <br />bility submitted with this form. <br />Penetration Fitting <br />(e.g., UL listing) for use with <br />❑ rspec <br />this fi fuel. <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 />Penetration Fitting <br />Third -party approval (e.g., UL listing) for use with <br />g <br />this specific fuel. <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 />Other Component(s) That May Contact Stored Prod uct <br />❑ Third -party approval (e.g., UL listing) for use with <br />this specific fuel. <br />OPW Emergency Shut Off Valve <br />10 Series <br />Various <br />x❑ Manufacturer's Affirmative Statement of Compati- <br />bility posted on SWRCB website. <br />❑ Manufacturer's Affirmative Statement of Compad- <br />bility submitted with this form. <br />Other Component(s) That May Contact Stored Prod net <br />O h rspecifi approval (e.g., UL listing) for use with <br />l. <br />FE Petro Turbine <br />STP -5-166-51 <br />Various <br />❑ ManufactureesAffirmativeStatementofCompati- <br />bility posted on SWRCB website. <br />❑ Manufacturces Affirmative Statement of Compati- <br />bility submitted with this form. <br />Other Components) Tbat May Contact Stored Product <br />i approval (e.g., UL listing) for use with <br />this <br />this specific fuel. <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 />Attach additional page(s) if necessa <br />UN -100 www.unidocs.org 314 -11/16/15 <br />