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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 /> Manufacturer( s) Component Current Unique Supporting <br /> (including prior Model Type UL Years Sizes Identifiers for Blend Test Data & <br /> marketed names) (i .e . pipe , Standard Manufactured Field Evaluation Concentration Documents <br /> tank, etc. ) Listing (i .e. color, material ) Attached <br /> Bravo 13-2000 Series cont. sump MH29867 1887-present black steel 1 - 100 Yes <br /> Bravo CONY-62000 dispenser 3rd Party 1991 - present black steel 1 - 100 Yes <br /> CONY-132000-opp conversion <br /> frame <br /> Bravo B-3000 Series cont. sump MH29867 1995-present black steel w/ 1 - 100 Yes <br /> fiberglass pan <br /> Bravo B4000 Series cont. sump MH29867 1997- present black steel w/ 1 - 100 Yes <br /> fiber lass pan <br /> Bravo B-7000 Series cont . sump MH29867 2008-present light brown or 1 - 100 Yes <br /> red fiber lass <br /> Bravo 13-8600 Series cont . sump 3rd Party 1998-present black steel or 1 - 100 Yes <br /> stainless <br /> Bravo B-700 Series cont . sump 3rd Party 2006-present light brown or 1 - 100 Yes <br /> red fiberglass <br /> Bravo ES- 1 reducing 3rd Party 1998-present black alcryn 1 - 100 Yes <br /> boot <br /> Bravo B- 17 ent boot 3rd Party 2003-present black alcryn 1 - 100 Yes <br /> Bravo B-30 Series entry boots 3rd Party 2003-present black alcryn 1 - 100 Yes <br /> Bravo BR-Series reducing 3rd Party 1998-present black alcryn 1 - 100 Yes <br /> boot <br /> Bravo B1 Series vapor shear CARB + 1997-present yellow zinc 1 - 100 Yes <br /> valve MH18310 coated cast iron <br /> Bravo MO Series cast offsets No 1998-present black cast iron 1 - 100 No <br /> Bravo CXX Covers tank sump No 2003-present white or red 1 - 100 Yes <br /> covers fiberglass <br /> Bravo Retrofit Epoxy Adhesive I MH29867 2011 -present ll <br /> right yellow I 1 - 100 Yes <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(awaterboards . ca. ,gov. 412012 <br />
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