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INSTALL_2013
EnvironmentalHealth
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INSTALL_2013
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Entry Properties
Last modified
7/6/2020 4:41:30 PM
Creation date
11/8/2018 9:53:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2013
RECORD_ID
PR0535432
PE
2351
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\R\REYNOLDS RANCH\2680\PR0535432\INSTALL PLAN 2013.PDF
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EHD - Public
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Lubrizol@9888 <br /> Manufacturer's Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631(k)) <br /> Manufacturer(s) ComponentFStandard <br /> Unique Supporting <br /> (including prior Model TypeYears of Sizes Identifiers for Blend Test Data & <br /> marketed names) (i.e. pipe, Manufacture Field Evaluation Concentration Documents <br /> tank, etc.) (i.e. color, material) Attached <br /> NOV Fiber Glass Red Thread IIA Pipe 1969-Present 2", 3", Light tan (beer) 100% No <br /> Systems 4", 6" <br /> For tanks and piping please list only double was products (Insert a company logo below if available) <br /> Manufacturer: NOV Fiber Glass Systems <br /> Corporate: <br /> Headquarters 2700 W 65"St, Little Rock,AR 72209 / <br /> Address 1 <br /> Phone: (501)565-4010 <br /> Email: matthew.smith2@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. <br /> Matt Smith Applications Engineer <br /> Print Name Title <br /> to Please complete and submit form to Cory Hootman of the SWRCB at chootmant7o waterboardstaDca.00v. 4/2012 <br />
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