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COMPLIANCE INFO_PRE 2019
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2300 - Underground Storage Tank Program
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PR0523684
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
12/1/2023 2:59:02 PM
Creation date
9/10/2021 4:32:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
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
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SJGOV\kblackwell
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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) Component Current Unique Supporting j <br /> (indudin9 Prior Model Type UL Years Identifiers for Blend Test Data& <br /> marketed names) (i-e.pipe, Standard Manufactured Sizes Field Evaluation Concentration Documents j <br /> tank,etc.) Listing (i.e.color,material) Attached <br /> NOV Fiber Red Thread IIA Pipe UL-971 2-6" Light Tan (beer) All No <br /> Glass Systems /9ye9 concentrations <br /> (Smith <br /> Fibercast <br /> -- I <br /> For tanks and piping please list only double wall products (Insert a company logo below if available) <br /> Manufacturer: NOV Fiber Glass Systems <br /> Corporate <br /> Headquartersp <br /> Address: 2700 West 65th Street FiberU4ss Systeons <br /> Phone: (501) 568-4010 <br /> Email: michael.conner®nov.com <br /> 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 PE Applications Engineering <br /> Print Name Title <br /> Please complete and submit form to Cory Hootman of the SWRC13 at clioc�ti3ian<i��ti�atrrhoai.d�.ca.Qov. 412012 <br />
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