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INSTALL_2014 B100
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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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
Tags
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) TypeUL Years Identifiers for Blend Test Data & <br /> (including prior Model (i.e. pipe, Standard Manufactured Sizes Field Evaluation Concentration Documents <br /> marketed names) <br /> tank, etc.) Listing (i.e. color, material) Attached <br /> OPW 1-2100 Series 1 Spill ULC: Edge: May All No 0-20%* No <br /> Multiports 1 101 Container MH27236 2008, others <br /> BG-Series 1 1- Jan. <br /> 3100 Series 1994 <br /> OPW 60V Series Vapor MH25684 April All No 0-20%* No <br /> Shear 1993 <br /> Valve <br /> OPW 10 Series 1 10 Plus Emergency MH6535 10: Nov. All No 0-20%* No <br /> Series Shut Off ULC: 1955, 10P: <br /> Valve MH27236 Oct. 2007 <br /> OPW 10P-0152E85 Emergency MH6535 July 2010 All No 0-20%* No <br /> Shut Off <br /> Valve <br /> OPW 61 SALP-1020- Fill Swivel No 61 SALP: Oct. All No 0-20%* No <br /> EVR 1633T-8076 Adaptor 2002, 633T: <br /> Aug. 1985 <br /> OPW 61 VSA-1020-EVR Vapor No 61 VSA: Oct. All No 0-20%* No <br /> /1611AVB-1625 Adaptor 2002, 1611: <br /> Sept. 1983 <br /> OPW 634TT-7085-EVR 1 Adaptor No LPC: April All No 0-20%* No <br /> 1711 T-7085-EVR/ Caps 2002, Others: r' <br /> 634LPC-04001 Oct. 2002 <br /> 1711 LPC-0300 <br /> OPW 62M Series Monitoring MH19391 April 1998 All No 0-20%* No <br /> Cap <br /> OPW 61 SO Series 1 Overfill ULC: 61 SO: Oct. All No 0-5%* No <br /> 71 SO Series Valve M H21147 1987, 71 SO: <br /> Aug. 2006 <br /> OPW 6111 & 61TP Tank No 6111: July All No 0-20%* No <br /> Series Bottom 1988, 61 TP: <br /> Protectors July 1979 <br /> OPW 61T Series Drop No Jan. 1978 All No 0-20%* No <br /> Please complete and submit form to Cory Hootman of the SWR.CB at chootman ckwaterboards.ca.gov. 4/2012 <br /> --- „E. .. , ...o.. .. „ <br />
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