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Ultrazol <br /> Manufacturer's Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631(k)) <br /> Manufacturer(s) Component Current Unique Supporting <br /> (including prior Model Type UL Years of Sizes Identifiers for Blend Test Data & <br /> marketed names) (i.e. pipe, Standard Manufacture Field Evaluation Concentration Documents <br /> tank, etc.) Listing (i.e. color, material) Attached <br /> Containment Additive-DWT6 tank UL file# 2011 -present 550- UL unique number 0-100% and all No <br /> Solutions, Inc. Double-Wall MH7991 50,000 label, Additive- blends between <br /> fiberglass tank for gallons DWT6 label <br /> URrazol storage <br /> For tanks and piping please list only double was products (Insert a company logo below if available) <br /> CONTAINMENT <br /> Manufacturer: Containment Solutions, Inc. SOLUTIONS <br /> Corporate: 5150 Jefferson Chemical Rd <br /> Headquarters: Conroe,TX 77301 <br /> Address: <br /> Phone: 677-CSI-TANK <br /> Email: sales@csiproducts.com <br /> I declare, to the best of my knowledge and belief, that this affirmative statement of compatibility and the information contained herein is tri( <br /> correct, and complete. <br /> David Heiman Director of Marketing <br /> Print Name Title <br /> Ma acturer's Authorized Signature Date <br /> r Please complete and submit form to Cory Hootman of the SWRCB at chootman(aDwaterboards(raca.00v. 4/2012 <br />