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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1111
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2300 - Underground Storage Tank Program
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PR0506724
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
9/20/2022 8:27:59 AM
Creation date
5/19/2022 11:35:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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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 /> Component Current Unique Supporting <br /> Manufacturer(s) Type UL Years Identifiers for Blend Test Data & <br /> marketed names) ( ' . e . pipe , <br /> (including prior Model Standard Manufactured Sizes Field Evaluation Concentration Documents <br /> tank, etc . ) Listing (i.e . color, material ) Attached <br /> Bravo B-400 Series cont . sump MH29867 2003-present 2003-2005 with 1 - 100 Yes <br /> white interior. <br /> 2006 + is light <br /> brown fiberglass <br /> Bravo B-500 Series cont. sump MH29867 2003-present Same as B-400 1 - 100 Yes <br /> + cream poly <br /> Bravo 13-600 Series cont. sump MH29867 2003-present Same as 13400 1 - 100 Yes <br /> + cream poly <br /> Bravo 13-800 Series cont . sump 3rd Party 2008-present light brown 1 - 100 Yes <br /> fiber lass <br /> Bravo B-8000 Series cont. sump MH29867 2003-present Same as B400 1 - 100 Yes <br /> Bravo 13-8500 Series cont. sump No 2004-present Same as 13400 1 - 100 Yes <br /> Bravo 13-9000 Series cont . sump MH29867 2003-present Same as B400 1 - 100 Yes <br /> Bravo F-Series entry fitting MH29867 2006-present -- light brown 1 - 100 Yes <br /> fiberglass <br /> Bravo FF-Series entry fitting MH29867 2008- present -- light brown 1 - 100 Yes <br /> fiberglass <br /> Bravo FPE-Series entry fitting MH29867 2010-present light brown 1 - 100 Yes <br /> fiber lass <br /> Bravo FR-Series test reducer MH29867 2010 -present light brown 1 - 100 Yes <br /> fiberglass <br /> Bravo F-Series BLR retrofit entry MH29867 2008- present light brown 1 - 100 Yes <br /> fitting fiberglass <br /> Bravo F-Series D- BLR-S retrofit entry 3rd Party 2009- present light brown or 1 - 100 Yes <br /> fitting red fiberglass <br /> Bravo F-Series D-INR-S retrofit entry 3rd Party 2012- present light brown or 1 - 100 Yes <br /> fitting red fiberglass <br /> F-Series Retrofit-S retrofit entry MH29867 2010- present light brown or 1 - 100 Yes <br /> fitting I red fiberglass <br /> For tanks and piping please list only double wall products ( Insert a company logo below if available ) <br /> ❖ Please complete and submit form to Cory Hootman of the SWRCB at chootman a ,waterboards . ca. gov. 4/2012 <br />
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