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COMPLIANCE INFO 2016 - 2017
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0523684
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COMPLIANCE INFO 2016 - 2017
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Entry Properties
Last modified
11/7/2023 2:34:16 PM
Creation date
11/6/2018 12:48:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2017
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROTH\116\PR0523684\COMPLIANCE INFO 2016 - 2017.PDF
QuestysFileName
COMPLIANCE INFO 2016 - 2017
QuestysRecordDate
4/24/2018 11:35:23 PM
QuestysRecordID
3866361
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Biodiesel <br /> Manufacturer's Affirmative Statement of Compatiblilty <br /> (As required by California Code of Regulations section 2631(k)) <br /> Manufacturer(s) Component Ce=nt Unique Supporting <br /> (including prior Mode! Type UL Years Sizes Identifiers for Blend Test Data & <br /> marketed names) (i.e. pipe, Standard Manufactured Field Evaluation Concentration Documents <br /> tank,etc.) Listin (i.e.color,material) Attached <br /> NOV Fiber Dualoo 300011- & Primary and UL-971 2'P-6r' Translucent All No <br /> Glass Systems Secondary . d" green/black Concentration <br /> (Ameron Pipe and <br /> International) Fittings <br /> NOV Fiber DualoyO Primary and UL-971 211-4" Translucent All No <br /> Glass Systems 3000fLCX Secondary /' greenlblack Concentration <br /> (Ameron Pipe and <br /> International) Fittings <br /> For tanks and piping please list only double wen products (Insert a company logo below if available) <br /> Manufacturer: NOV Fiber Glass Systems <br /> Corporate <br /> (Headquarters W ffiffam4ftm <br /> Address: 1ptl>�r A Dw ep ,Z5WZBG dWSTT, 7X A! 3519r- <br /> Phone: <br /> 5ffPhone: <br /> Email:He-46r, #kreA o :,L'n,ov.GQ1ri <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 /> 4- Please complete and submit form to Cory Hootman of the 3WRCB at chootman@wataboards.ca.gov. 412012 <br />
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