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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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Entry Properties
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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EHD - Public
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U LT RAZ+ L®GA9 U 58 <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 /> Current UL <br /> p <br /> Cam onent que Test Data & <br /> Manufacturer( s) Years ofBlend <br /> Identifiers far <br /> (including prior i Model [ Type Standard Sizes Documents <br /> marketed names ) (i .e. pipe, tank, Listing Manufac#ure Field Evaluation Concentration Attached <br /> etc. ) (f .e . color, material) Yes o <br /> Franklin Electric -- UPP Electrofusion UL 971 . Fife 13 years 1112" 1 Black Pipe with Gasoline with No <br /> Fueling Systems Piping Piping f MH25274 ( Franklin 2 , 3" , Gray Stripes 0- 100% <br /> (UPP Brand ) System System I acquired 4" Ultrazol <br /> Petrotechnik GA9058 <br /> Ltd in 2010 ). <br /> First <br /> introduced in ' <br /> 1989 <br /> For tanks and piping please list only double wall <br /> products <br /> Manufacturer: Franklin Electric - Fueling Systems <br /> Corporate : 3764 Marsh Road <br /> Headquarters: Madison, wl 53718 <br /> Address: www, franklinfuelino .com <br /> Phone: -ss6-8s7-ss a Franklin Electric <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 Game Title <br /> � 41/4 <br /> Manufacturer's Authorized Signature Date <br /> 4 Mrt7@ <br />
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