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COMPLIANCE INFO 2004-2007
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2300 - Underground Storage Tank Program
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PR0521942
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COMPLIANCE INFO 2004-2007
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Last modified
9/25/2019 9:18:31 AM
Creation date
11/2/2018 8:12:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2007
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\AIRPORT\1427\PR0521942\COMPLIANCE INFO 2004-2007.PDF
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EHD - Public
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AUTHENTICITY OF THIS DOCUMENT YOU MU$ OVER AND RU6THE RROMI$SOR LOGO WITH FINGER,gUTHE ' <br /> OCUMEN,WILL OHANGE COLOR FROM ORANGE TO YELLOC. <br /> 9 41 <br /> ' UST Installation/Retrofitting <br /> b <br /> 1 ISTER)'dT10NA1. <br /> CQUFCOnelI.. <br /> f� PromissorID: XX4141014428 <br /> Ai <br /> Name: RANDY CHADWICK Date: 12/29/2004 <br /> Address: <br /> NI <br /> EXAMINATION RESULT: PASS <br /> Congratulatlonsl You have passed the UST Installation/Retrofitting examination. Your wallet card and certificate <br /> will be forwarded to you by ICC within six weeks from the last day of the month in which you tested. This certificate <br /> t is current for two years. <br /> R <br /> It Is extremely Important that you notify Prcmissor and ICC of any changes In name and/or address to avoid the <br /> possibility of your certificate not being received. Please contact Promissor at 800-275-8301 and ICC at <br /> 877-783.3926 with changes to your name and address. There may be an additional fee if a certification is <br /> re-issued.due to a misspelled name or incorrect address. <br /> Fp <br /> Ilk <br /> I <br /> i <br /> I <br /> i "•A"wr <br /> I <br /> I <br /> Fa <br /> r: <br /> 1� <br /> 1H91tl ONV li3l H10e Stl3tltl tl3NtlV0 H11M 1HOIl Ol HtlVO WOtli AlN3A3 ONV AllVOOVtlO t101OO 530NVH01VH1 ONOON0NOV003fO10O IlinW V SVH 1N3Wn000 SIHI i0 30V3 3H1 <br />
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