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ULTRAZOL®GA9058 (OS634188E) <br />Manufacturer's Affirmative Statement of Compatibility <br />(As required by California Code of Regulations section 2631(k)) <br />(As reauired by Federal Reaulation CFR Title 40_ Chanter 1 _ Suhchenter 1 Part 280 39 (h)91 )(ill) <br />Manufacturer(s) <br />(including prior <br />marketed names) <br />Model <br />Component <br />Type <br />(i.e, pipe, <br />tank, etc.) <br />Current <br />UL <br />Standard <br />Listing <br />Years of <br />Manufacture <br />Sizes <br />Unique <br />Identifiers for <br />Field Evaluation <br />(i.e. color, material) <br />Blend <br />Concentration <br />Supporting <br />Test Data & <br />Documents <br />Attached <br />Yes/No <br />Jomar <br />Valve <br />T -SS -1001 N <br />100-964yellow <br />Ball Vavle <br />YES <br />3/4' <br />SS, '/4 turn, <br />handle <br />r <br />cm <br />LO <br />r <br />d <br />rui Lanes anu pipiny piease list ony aoume wail proaucts <br />Manufacturer: <br />Corporate: <br />Headquarters: <br />Ad d ress: <br />Phone: <br />Email: <br />Jomar Valve <br />7243 Miller Dr <br />Warren, MI <br />586-268-1220 <br />csr@jomar.com <br />insert a company logo below a available) <br />e'Omar' <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 />Rick Rank Engineering Manager <br />Print Nam <br />nufacturer's `Authorized Signature <br />Title <br />Date r <br />r•. <br />z <br />r <br />cm <br />LO <br />r <br />d <br />r <br />1 »MIZ <br />