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Lubrizol <br /> Manufacturer's Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631(k)) <br /> Componen Unique Supporting <br /> Manufacturer(s) t Current UL Years of Identifiers for Blend Test Data & <br /> (including prior Model Type Standard Manufacture Sizes Field Evaluation Concentration Documents <br /> marketed names) (i.e. pipe, Listing <br /> tank, etc.) (i.e. color, material) Attached <br /> OPW 61T Series Drop Tube No Jan. 1978 All NO 0-100% NO <br /> OPW 61 SO Series/71 SO Overfill Valve ULC: 61 SO: Oct. 1987, All No 0-100% NO <br /> Series MH27238, 71 SO: Aug. 2006 <br /> MH21147 <br /> OPW 233 Series Extractor No Jan. 1978 All No 0-100% No <br /> OPW 61JSK-4410 Jack Screw No May 2004 All No 0-100% NO <br /> Kit <br /> OPW 61Fstop-2000 Overfill Valve UL & ULC Oct. 1994 All No 0-100% NO <br /> MH25724 <br /> OPW 6346-0160 2"fill cap No March 1957 All No 0-100% NO <br /> OPW 1-2100 Series, Spill ULC: Edge: May 2008, All NO 0-100% No <br /> Multiports,lC-3100 Containers MH27236 others Jan. 1994 <br /> Series <br /> For tanks and piping please list only double was products (Insert a company logo below if available) <br /> Manufacturer: OPW FCS <br /> Corporate: 3250 HighwaV 70 Business West Smithfield, NC 27577 <br /> Headquarters: <br /> Address: <br /> Phone: 919 934 2786 <br /> Email: cliebal@opwfcs.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 /> Charles Liebal Product Manager <br /> Print Name Title <br /> Man facturer' uthorized nature Date <br /> • Please complete and submit form to Cory Hootman of the SWRCB at chootman@waterboards@ca.cov. 4/2012 <br />