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i <br /> 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 Identifiers for Blend Test Data & <br /> marketed names) <br /> (i.e. pipe, Standard Manufacture Sizes 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 and gallons DWT6 label <br /> sump for Ultrazol <br /> storage <br /> Containment Double-Wall tank tank sump 2012-present 42"die. Additive label 0-100% and all No <br /> Solutions, Inc. sump upgrade upgrade 48"dia. blends between l <br /> 54"dia. <br /> For tanks and piping please list only double was products (Insert a company logo below if available) <br /> CONTAINMENT <br /> SOLUTIONS <br /> Manufacturer: Containment Solutions, Inc. <br /> Corporate: 5150 Jefferson Chemical Rd <br /> Headquarters: Conroe,TX 77301 <br /> Address: <br /> Phone: 877-CSI-TANK <br /> Email: sales@csiproducts.com t <br /> I declare, to the best of my knowledge and belief, that this affirmative statement of compatibility and the information contained herein is true, <br /> correct, and complete. <br /> David Heiman Director of Marketing <br /> Print Name Title <br /> 14 246r <br /> 11/1/2012 <br /> Manufacturer Date <br /> 1- Please complete and submit form to Cory Hootman of the SWRCB al chootmanO-waterboards(a)ca.cov. 4/2012 <br />