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COMPLIANCE INFO_2009-2012
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231600
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COMPLIANCE INFO_2009-2012
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Last modified
11/19/2024 1:51:12 PM
Creation date
11/5/2018 10:36:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2012
RECORD_ID
PR0231600
PE
2361
FACILITY_ID
FA0000957
FACILITY_NAME
LATHROP GAS & FOOD MART*
STREET_NUMBER
14800
Direction
S
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19702004
CURRENT_STATUS
02
SITE_LOCATION
14800 S HWY 99 RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\IAError\N\HWY 99\14800\PR0231600\COMPLIANCE INFO 2009-2012.PDF
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EHD - Public
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TO VERIFY AUTHENTICITY Of THIS'DCGUMEN7 YOU KOUqW OVER AND RUR THE PEA:RSONSVUE-LOGO WITH FINGER:RUTH OCUMENT WILL-CHANGE COLOR FROM ORANGE TO YELLOW <br /> UST Installation/Retrofitting <br /> rh <br /> NTER��TlDf�AL <br /> I <br /> CO CNCI <br /> Candidate ID: XX4141©+6603 <br /> i <br /> Name." ALLEN PERlP44AN Date: 06f11/2009 <br /> Address:" <br /> J= <br /> EXAM INATION.RESULT:'PASS, <br /> II <br /> �,.. <br /> C0ngrafulations. You have passed the UST Insta�lafionfRetroftting examination. Yourvuallef.card an"d <br /> certificate will be forwarded fo you by ICC within six weeks from the fast clay of the Month In.whigb. y , <br /> tested. This ceriftato is current for two years <br /> It is extremely.impartant that you notify PearOn VUE and"ICC of any.chan.ges"ih name to <br /> avoid the,possibilityof your certificate-riot being received. Please co.rtact Pearson VUE at 800] 275$3. <br /> and !CC aty888-4�2-7 33 e>:tt."33815-with changedto your name and address... Where"may be`.al, <br /> additional fee if a certification`s, reissued duo to a misspelled"name or incorrect"address. g <br /> +31 <br /> 5 <br /> i <br /> J <br /> Z <br /> k <br /> J <br /> � . 1 <br /> i <br /> I� <br /> t� OF <br /> _ re <br /> e <br /> 1.H DItJ QN4'1j 1 HS.O$5'.'�L�7 tl3 Nkltl�.H1iM 1H.�JII Ol 7i -va woul A-17d3h3 4Nt/'All9FIlaY(k!°J:,2,03QD,53�Id7HD'J.bMl ONf�D�,Dx^V8 Q3bD`t03'a-in N V.!SVH'1N3VJ(IDO `r <br /> a I h wi <br /> E -°l 2t7E919ib60aI s,.Io140e-4uo3 AI a4T T3 IRBE r I I 6o t70 "oaa <br />
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