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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0527629
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/17/2025 2:33:59 PM
Creation date
5/4/2023 9:47:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0527629
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0018721
FACILITY_NAME
COSTCO WHOLESALE #1031
STREET_NUMBER
2440
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
2440 DANIELS ST MANTECA 95337
Tags
EHD - Public
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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 />kHs requlrea oy r-eaerai K guiatlon c;rK <br />i ive 4u, unapter 1, Subchapter 1, Part 280.32 <br />b)91)(ii)) <br />Manufacturer(s) <br />(including prior <br />markeed names) <br />Model <br />Component <br />Type <br />(i.e. pipe, <br />tank, etc.) <br />Current <br />UL <br />Standard <br />Listing <br />Years ofTest <br />Manufacture <br />Sizes <br />Unique <br />Identifiers for <br />Field Evaluation <br />(i.e. color, material) <br />Blend <br />Concentration <br />Supporting <br />Documents Da <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' ol <br />o <br />C <br />7-. <br />W <br />h <br />r <br />i <br />rui canna anu NlNniy Picasu n5t. Urny UumAti wall Prouu(;ts <br />Manufacturer: <br />Corporate: <br />Headquarters: <br />Address: <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 it available) <br />•'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 Title <br />nufacturer's `Authorized Signature Date <br />I /1')n1)11 <br />1 <br />N <br />\/ <br />C <br />r' ol <br />o <br />C <br />7-. <br />W <br />h <br />r <br />i <br />I /1')n1)11 <br />
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