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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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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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Siodiesel <br /> Manufacturer's Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631(k)) <br /> -- - <br /> Manufacturer(s) <br /> prior Component Current Unique Supporting <br /> for p <br /> (incl+,ain Model Type UL Years Sizes Identifiers for Blend Test Data & <br /> marketed names) (i.e.pipe, Standard Manufactured Field Evaluation Concentration Documents <br /> y tank,etc.) Listing (i.e.coior,material) Attached <br /> N©V Fiber—_- "Red Thread IIA Pipe UL-971 2-6" Light Tan (beer) ; All No <br /> Glass Systems 1concentrations <br /> (Smith <br /> Fibercast <br /> i <br /> i <br /> For tanks and piping please list only double wall products (Insert a company logo below if availabie) <br /> Manufacturer: NOV Fiber Glass Systems <br /> Corporate <br /> Headquarters Fiber Glass Sur-tams <br /> Address: 27'00 West 65th Street <br /> Phone: (501) 568-4010 <br /> Email: snichael.con ner®nov.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. Global. Manager <br /> Michael Conner FE Applications Engineering <br /> Print Name Title <br /> Please complete and submit forra to Co",l lootman of the SXVRCB at cit+uitimnit�watL-ihr cdr .ca,gov. 4!2012 <br />
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