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INSTALL 2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0543446
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INSTALL 2019
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Entry Properties
Last modified
9/3/2019 10:52:47 AM
Creation date
1/16/2019 2:16:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2019
RECORD_ID
PR0543446
PE
2351
FACILITY_ID
FA0024656
FACILITY_NAME
7-ELEVEN #38153
STREET_NUMBER
121
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
121 S CENTER ST
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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Ethanol <br /> Manufacturer's Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631(k)) <br /> Manufacturer(s) <br /> Component Current Unique Supporting <br /> (including prior Model Type UL ' Years Sizes Identifiers for Blend Test Data <br /> marketod names) i (i.e.pipe, Standard Manufactured Field Evaluation Concentration Documents <br /> tank,etc.) Listin (i.e.color,material) Attached <br /> NOV Fiber Red Thread IiA pipe UL-971 = 2-6" Light Tan (beer) 30,50,100 % Yes ' <br /> Glass System <br /> (Smith <br /> Fibercast Z�� <br /> For tanks and piping please list only double wall products (Insert a company logo below if available) <br /> Manufacturer: NOV Fiber Glass Systems <br /> Corporate <br /> Headquarters 2700 West 65th Street <br /> Address: Fiber Glass Systems <br /> Phone: (501) 568-4010 <br /> i <br /> Email: michael.conner@nov.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. Global Manager <br /> Michael Conner PE Applications Engineering <br /> Print Name Title <br /> Please complete and submit form to Crory Ilootman of the SWRCB at ch:•�t,r.:m'n��alrrboard .ca.�o�. 4,12012 <br />
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