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INSTALL_2014 B100
EnvironmentalHealth
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JACK TONE
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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
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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 /> Manufacturer(s) <br /> Component Current Unique Supporting(including prior Model Type UL Years ofSizesIdentifiers 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 /> Jomar T-SS-1001N Ball Valve 842 Since year All Size Silver Body, B20 Yes <br /> International Series 2000 till Yellow Lever <br /> current Handle <br /> For tanks and piping please list only double wall products (Insert a company logo below if available) <br /> Manufacturer: Jomar International Jomar International <br /> Corporate 7243 Miller Drive <br /> Headquarters Warren Michigan, 48092 <br /> Add ress: <br /> Phone: 586-268-1220 <br /> Email: Bryce.Mainville@Jomar.com <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 /> Bryce A. Mainville Actuation Product Manager <br /> Print Name Title <br /> ❖ Please complete and submit form to Cory Hootman of the SWRCB at ellootman(@,waterboards.ca.gov. 4/2012 <br />- _.._ .... n. .... . . �. T .,..._. .. .............. — ..... _ ..... ..................... ... . �. <br />
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