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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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2680
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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 LTRAZOL® GA9058 <br /> Manufacturer' s Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631 ( k) ) <br /> As re uired by Federal Regulation CFR Title 40 , Cha ter 1 , Subchapter 1 , Part 280 . 32 b 91 ii <br /> Unique <br /> Manufacturer(s ) Component Current Identifiers for Supporting <br /> Test Data <br /> g p Sizes Document <br /> ( including prior Model Type UL Years of Field Blend s <br /> s <br /> marketed names ) ( i . e . pipe , tank, Standard Manufacture Evaluation Concentration <br /> etc. Attached <br /> Listing ( i . e . color, ( <br /> material Yes/No ) <br /> OmegaFlex DoubleTrac Piping UL971A Since 1 , 1 - 1 /2" , 2" SS w/ Up to 100 % n/a <br /> /UL1369 3/ 12/2008 Nylon12 <br /> OmegaFlex DoubleTrac Flex Piping UL2039 Since %it , 1 " , 1 - 1 /2 " , SS braided Up to 100 % n/a <br /> Connectors 7/1 /2015 2 3" <br /> For tanks and piping please list only double wall products ( Insert a company logo below if available) <br /> Manufacturer: OmegaFlex <br /> Corporate : <br /> Headquarters : <br /> Address : 451 Creamery Way Exton Pa. 19341 <br /> Phone : 610 524 7772 <br /> Email : brian . breitinger@omegaflex. net <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 Title <br /> Manufkturer' s Aut orized Signature Date <br />
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