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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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REYNOLDS RANCH
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2300 - Underground Storage Tank Program
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PR0535432
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COMPLIANCE INFO_2023
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Last modified
1/18/2024 2:54:38 PM
Creation date
5/5/2023 2:53:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
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
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ULTRAZOL® GA9058 <br /> Manufacturer' s Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631 ( k)) <br /> As required by Federal Regulation CFR Title 40 , Chapter 1 , Subchapter 1 , Part 280 . 32 b 91 ii <br /> Unique Supporting <br /> Manufacturers <br /> ComponentpeCurrent UL q Test Data & <br /> ( ) Years of Identifiers for Blend <br /> (including prior Model Type Standard Sizes Documents <br /> marketed names) (i .e. pipe , tank, Listing Manufacture Field Evaluation Concentration Attached <br /> etc . ) (i . e . color, material ) Yes/No <br /> Franklin Electric — FF , FFUL Flexible UL 2039 . File 10 years Y4 — 2" Exterior Steel Gasoline with No <br /> Fueling Systems Connectors MH25059 ( Franklin Braid 0A 00 % <br /> ( FLEX- ING acquired Ultrazol <br /> Brand ) FLEX- ING GA9058 <br /> 2013 <br /> Franklin Electric — 85000 Spill ULC/ORD- 18 years NA "PHILJITE MOD Gasoline with No <br /> Fueling Systems Series Containers C58 . 19 . File ( Franklin 85000" Molded 0A00% <br /> ( Phil-Tite Brand ) MH21091 acquired Phil- into top lip of spill Ultrazol <br /> Tite 2005 ) container GA9058 <br /> Franklin Electric — DMP361 MultiPort ULC/ORD- 12 years 36" or Gray Cover with Gasoline with No <br /> Fueling Systems DMP42 Manway with C58 . 19 . File 42 Yellow/Red/ 0- 100 % <br /> ( branded Defender Spill MH21091 OrangeMhite Ultrazol <br /> Series) Containers (Spill Lids GA9058 <br /> Containers <br /> For tanks and piping please list only double wall <br /> products <br /> Manufacturer: Franklin Electric — Fueling Systems <br /> Corporate: 3760 Marsh Road <br /> Headquarters : Madison, WI 53718 <br /> Address : www,franklinfueling .com Franklin Electric <br /> Phone : 1 -866-887-9904 <br /> Email : info@franklinfueling .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 /> Brad Fawcett Product Certification Engineer <br /> Print Name Title <br /> Z 2�� 6/a !/ a3 <br /> Manufacturer' s Authorized Signature Date <br />
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