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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/17/2025 2:32:27 PM
Creation date
3/6/2023 3:48:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0518624
PE
2371 - UST FACILITY - 1702 COMPLIANT
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
1630 E Hammer LN Stockton 95210
Tags
EHD - Public
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U LTRAZOLoGA9058 <br />Manufacturer's Affirmative Statement of Compatibility <br />(As required by California Code of Regulations section 2631(k)) <br />(As rerniired by Federal Renulatinn CFR Title 4n (hantPr 1 giihrhant.-r 1 Part ?Rn 37 (h)Q1Vii\\ <br />: v1 canna auu NiNnly NicaaC iia, uiny uuuuic wail Piuuu(;ia <br />Manufacturer: <br />OmegaFlex <br />Corporate: <br />Z <br />Headquarters: <br />Unique <br />451 Creamery Way Exton Pa. 19341 <br />Phone: <br />Manufacturer(s) <br />Email: <br />Component <br />Current <br />Identifiers for <br />Supporting <br />Test Data <br />(including prior <br />marketed names) <br />Model <br />Type <br />(i.e. pipe, tank, <br />UL <br />Standard <br />Years of <br />Manufacture <br />Sizes <br />Field <br />Evaluation <br />Blend <br />Concentration <br />Documents <br />Ncm <br />etc.) <br />Listing <br />N <br />C <br />(i.e. color, <br />W <br />Attached <br />(Yes/No) <br />material)I <br />OmegaFlex <br />DoubleTrac <br />Piping <br />UL971A <br />Since <br />1",1-1/2", 2" <br />SS w/ <br />Up to 10% <br />n/a <br />/UL1369 <br />3/12/2008 <br />Nylon12 <br />i <br />i <br />OmegaFlex <br />DoubleTrac Flex <br />Piping <br />UL2039 <br />Since <br />3/", 1", 1-1/2", <br />SS braided <br />Up to 10% j n/a <br />Connectors <br />7/1/2015 <br />2", 3" <br />: v1 canna auu NiNnly NicaaC iia, uiny uuuuic wail Piuuu(;ia <br />Manufacturer: <br />OmegaFlex <br />Corporate: <br />Z <br />Headquarters: <br />Address: <br />451 Creamery Way Exton Pa. 19341 <br />Phone: <br />610 524 7772 <br />Email: <br />brian.breitinger@omegaflex.net <br />kinsen a company logo Deiow it avauabie) <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 />Print Name <br />Ma'nufacture'rs Authorized Signature <br />Title <br />Date <br />1/2023 <br />Z <br />i <br />^' <br />N <br />�• <br />O <br />`_ 1 <br />Ncm <br />^r <br />N <br />C <br />�= <br />W <br />1/2023 <br />
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