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COMPLIANCE INFO 2001-2006
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PR0516736
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COMPLIANCE INFO 2001-2006
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Last modified
4/1/2020 11:52:22 AM
Creation date
11/8/2018 9:48:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2006
RECORD_ID
PR0516736
PE
2361
FACILITY_ID
FA0012764
FACILITY_NAME
SAFEWAY FUEL CENTER #1769
STREET_NUMBER
2802
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2802 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\C\COUNTRY CLUB\2802\PR0516736\COMPLIANCE INFO 2001-2006.PDF
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EHD - Public
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MAR. 4.2005 11:55AM FIII-NER CONSTRUCTION NO.614 P.2i7 <br /> Voluntary Certification Program <br /> t�oolnvcn. I� 'itl <br /> September 22, 2004 SEP 2 7 2004 <br /> 8 Y:.............. <br /> A2'MY J VAN VELDHUIZEN <br /> NO 200 <br /> <br /> <br /> 111 L„I,11111111111111111 111„I <br /> RE: UST INSTALLATION/RETROFITTING EXAMINATION <br /> ADMINISTERED ON AUGUST 12,2004 <br /> Congratulations on passing your recent certification examination. You have demonstrated a <br /> commitment to the code enforcement profession by successfully achieving ICC certification. You <br /> are commended on your accomplishment, <br /> Your certificate and wallet card are enclosed. Your certification information will be posted on the <br /> Certification Website as an Active Certification. <br /> RENEWAL:Your certificate will be valid for a two year period. Prior to the expiration date shown <br /> on your wallet card,we Will mail you a reminder notice with information on how to register for the <br /> exam. <br /> While the AST/UST certificate is valid for a two year period,state licensing requirements may vary <br /> and a state AST/C%ST license may be valid for a different length of time. Contact the appropriate <br /> state agency in charge of AST/UST work for information on licensing requirements. <br /> Renewal of certifications is the resnonsibiliV of the certified individual.Please make sureyou keep <br /> track ofyour renewal dare(s). <br /> CHANGE OF ADDRESS: It is extremely important that you notify ICC Renewal Department of <br /> any change of address to avoid the possibility of your renewal information not being received. <br /> Yours very truly, <br /> 9 ANDY 1 VAN VELDHUIZEN David S. Nelson, Ph.D„P.E. <br /> UNDERGROUND STORAGE TANK w Vice President of Certification and Licensing <br /> INSTALLATION/RETROFITTING <br /> he Individual named hereon Is CERTIFIED in the categoryshown,having <br /> sen to certlfled pursuant to successful completion of the prescribed written <br /> uminadon. <br /> tpirarion date:August 12,2008 (� <br /> e. 5240956-U I // // }tl0 Worluuan Mill Roads Whinier,CA 9MI-2298 USA. <br /> y' V (s )264 4406 • www,ieesofe.org <br /> of valid unless signed N certin ate holder. <br /> .0 eerdhcatim attests to competent k"ledge of codex and standards. <br />
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