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COMPLIANCE INFO 2008 - 2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231405
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COMPLIANCE INFO 2008 - 2011
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Entry Properties
Last modified
5/29/2019 11:06:01 AM
Creation date
10/29/2018 11:24:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2008 - 2011
FileName_PostFix
2008 - 2011
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
A ONE GAS & FOOD
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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DEC -9-2011 01:15 FP.OM:FAHY CONSTRUCTION 12095452972 <br />V Underwriters <br />Laboratories fnc.0 <br />October 5, 2006 <br />70:120953376 6 P.4 14 <br />NOTICE OF AUTHORIZATION TO APPLY THE UL MARK <br />Mr. Drew Henry <br />Blueline Technologies L L C <br />265 Bums Dr <br />Yuba City. CA 95991 <br />United States <br />Fax number: 530.671.5208 <br />E-mail: blueengineering®sbcglobal.not <br />mothbrooit Dh 11211M <br />333 Pf3rgsten Road <br />Wnhtuook IL 80062.20% usA <br />www.d.can <br />lel, 1 847 272 8800 <br />tax; 1 847 272 8129 <br />Umar 9ervleei 1977 854 3577 <br />Reference: File MH28727 Project 06NK20402 P.O. Number HENRY, DREW Mr. <br />Product: USL - SPLIT REPAIR SUMP PENETRATION FITTINGS AND REDUCERS ASSEMBLED <br />WITH BLUE SEAL GLUE, AND BOSTIK 1100 FAST SET URETHANE SEALANT. <br />Dear Mr. Henry, <br />UL's investigation of your product has been completed under the above project number and the subject product <br />was determined to comply with the applicable requirements, <br />This letter temporarily supplements the UL Follow -Up Services Procedure and serves as authorization to apply <br />the UL Listing Mark only at the factory under UL's Fallow -Up Service Program to the subject product, which is <br />constructed as described below: <br />Identical to the subject model, which was submitted to UL for this Investigation. The UL Records <br />covering the product will be In the Follow -Up Services Procedure, File MH28727, Volume 1. <br />This authorization applies only to the address on this letter. <br />This authorization is effective from the date of this Notice and only for products at the Indicated manufacturing <br />locations. Records in the Follow -Up Services Procedure covering the product are now being prepared and will <br />be sent to the indicated manufacturing locations In the near future. Please note that Follow -Up Services <br />Procedures are sent to the manufacturers only unless the Applicant specifically requests this document. <br />Products that bear the UL Mark shall be Identical to those that were evaluated by UL and found to comply with <br />UL's requirements. If changes in construction are discovered, appropriate action will be taken for products not <br />in conformance with UL's requirements and continued use of the UL Mark may be withdrawn. <br />Sincerely, <br />John Silsdorf <br />Engineering Assoc Lead <br />Department: 3009DNBK <br />Tel: 877 854-3577, Ext 43133 <br />Fax: 847 919.5217 <br />E-mail: john.a.silsdorf@us.ul.com <br />Reviewed by: <br />Tim Crews <br />Staff Engineer <br />Department: 3009DNBK <br />E-mail: timothy.a.cmws@us.ul.com <br />An Io0upandanl u , U 4 1 1 1 4 1 i 0 A 1*01 king for a s a t a r worl4 with In to aIfty, pr00ia on ora kaowlodpu- <br />Ekki- <br />e' <br />r,�1'll <br />
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