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INSTALL_2014 B100
EnvironmentalHealth
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PR0505264
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INSTALL_2014 B100
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Last modified
8/11/2021 11:07:34 AM
Creation date
11/5/2018 3:05:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2014 B100
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\1501\PR0505264\INSTALL FILE B100 2014.PDF
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EHD - Public
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Biodiesel <br /> Manufacturer's Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631(k)) <br /> Component Current Unique Supporting <br /> Manufacturer(s) Type UL Years Sizes Identifiers for Blend Test Data & <br /> (including prior Model (i.e. pipe, Standard Manufactured Field Evaluation Concentration Documents <br /> marketed names) <br /> tank, etc.) Listen (i.e. color, material) Attached <br /> OPW CXXA Double Wall Pipe MH16678 2011 for All No 0-20%* No <br /> Piping CxxA <br /> 2006 for Cxx <br /> OPW DPC-21501DPC- Coupling MH16678 2005 for DPC All No 0-20%* No <br /> 2200, SBC-2150, 2011 for SBC <br /> SBC-2200 <br /> OPW SPC-0150, SPC- Coupling MH16678 1997 All No 0-20%* No <br /> 0200, SPC-0300, <br /> SMA-1515, SMA- <br /> 1520, SMA-2020, <br /> SMA-3030 <br /> OPW STF-1515, STF- Tees MH16678 1997 All No 0-20%* No <br /> 2020, STF-2215, <br /> STF-2020 <br /> OPW SEF-1515, SRE- Elbows MH16678 1997 All No 0-20%* No <br /> 2015, SEF-2020, <br /> SEF-3030 <br /> OPW MBS, DBS,TSS, Tank Sump MH19391 July 1997 All No 0-20%* No <br /> TSM, TSD, TSMF, ULC: <br /> TSDF, TRFS MH27190 <br /> Series °fri' <br /> OPW DS, DSW, FDS, Dispenser MH19391 July 1997 All No 0-20%* No <br /> DFS Series Sump ULC: <br /> MH27190 <br /> OPW EBF, DEB, REF Entry Fitting MH19391 REF: Nov. All No 0-20%* No <br /> 2011, others: <br /> Aug. 1997 <br /> •.� Please complete and submit form to Cory H.00tman of the SWRCB at chootman(cwaterboards.ca.gov. 412012 <br />
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