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INSTALL_2013
EnvironmentalHealth
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PR0535432
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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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ManufacturiL,ubskW&U Sompatibility <br /> (As required by California Code of Regulations section 2631(k)) <br /> Unique <br /> Manufacturer(s) Component Current Supporting <br /> Identifiers for <br /> (including prior Model Type UL Years of Blend Test Data & <br /> Sizes Field Evaluation <br /> (i.e. pipe, Standard Manufacture color, material Concentration Documents <br /> marketed names) tank, etc.) Listing al) Attached <br /> Blueline All Pellethane Reducer MH28727 2003-current 1.0- Blue semi Upto 100% for NA <br /> Technologies 2375-55 fittings fitting 1.5inch flexible spill but not <br /> including Per to 8.8- material, 2 continmuousm <br /> range reducers eg 6.8 inch clamps. mersion <br /> PER 3.5x1.4 <br /> For tanks and piping please list only double was products <br /> Manufacturer: Blueline Technologies <br /> Corporate Oroville Californla <br /> Headquarters 2001 Challenger Avenue <br /> Address: CA 95965 <br /> Phone: 5305324700 <br /> Email: Sales@blue-linetechnologies.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 /> Please complete and submit form to Cory Hootman of the SWRCB at chootman(a)-waterboardsCcD _ ov. 4/2012 <br />
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