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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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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 Re ulation CFR Title 40 , Chapter 1 , Subchapter 1 , Part 280 . 32 b 91 ii <br /> Component Current Unique Supporting <br /> Manufacturer(s ) UL Years of Identifiers for Blend Test Data & <br /> (including prior Model Type Standard Manufacture Sizes Field Evaluation Concentration Documents <br /> marketed names ) tine . pipe , Attached <br /> tank , etc . ) Listing ( ine . color, material ) Yes/ No <br /> OPW FL- 100 MANHOLE Y 10 37" BLACK <br /> OPW 1C-2100C SPILL Y 30 5 GAL ALUMINUM <br /> OPW 1 DP-2100 PLUG Y 30 1 " WHITE <br /> OPW FSA400 ADAPTER Y 20 4" BLACK <br /> OPW 1612-AN-0200 ADAPTER Y 30 2" ALUMINUM <br /> OPW "63413-0160 CAP Y 30 2" GREY <br /> OPW 61Fstop-2000 OVERFILL Y 30 2" BLACK <br /> OPW 61 FT-0206 TUBE Y 30 2" BLACK <br /> OPW C075A PIPING Y 25 3/4" BLUE <br /> OPW REF4020 ENTRY Y 10 4" BLACK <br /> OPW SBC-2075 FITTING Y 15 3/4" BLACK <br /> OPW VPN4X7 PIPE NIPPLE NA 20 4" BLACK <br /> For tanks and piping please list only double wall products ( Insert a company logo below if available) <br /> Manufacturer: OPW Fueling Components <br /> Corporate : Dover Corp <br /> Headquarters : Smithfield , NC <br /> Address : 3250 Highway 70 Business West <br /> Phone : 513-870-3100 <br /> Email : ed . kammerer@opwglobal . com <br /> 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 /> Edward Kammerer Director of Marketing and Global <br /> Product Strategy <br /> Print Name Title <br /> Manufacturer's Authorized Signature Date 4/ 14/2023 <br /> 1 /2023 <br />
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