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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. 4.2905 11:57AM FIL.VER CONSTRUCTION 1,10.614 P.4/7 <br /> .4„ mar <br /> Voluntary Certification Program <br /> 01NrW;AT[0NAL <br /> CORE OWN= <br /> January 26, 2005 <br /> JOHN M FITZPATRICK <br /> <br /> <br /> Illhllll�1�11�II I�I�IIIIIIII III <br /> RE- UST INSTALLATION/RETROFITTING EXAMINATION <br /> ADML-'ISTERED ON DECEMBER 10,2004 <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 fora two year period. Priorto 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/UST 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 ofcertifications is the ib li o the certified r Please make sure you keep <br /> track of your renewal date(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 /> pol <br /> JOHN M FITZPATRICK amint'e <br /> UNDERGROUND STORAGE TANK <br /> INSTALLATION/RETROFITTING <br /> The Indlvldual named hereon Is CERTIFIED In the category shown,havine <br /> been 0 certlfled pursuant to wceettnsl completion or the prescribed written <br /> David S, Nelson,Ph.D.,P.E. <br /> eurnInadon, <br /> Egelradon date:December 2 Vice President of Certification and Licensing <br /> No.5250249•U I <br /> Noe veld unless signed by c..tlnrate holder. <br /> ICC centAwtion attests w competent knowledge of codes and standards. <br /> Los Angeles District Offace:5560 Wwlarum Mill Road a Whittier,CA 90601.2298 U.S.A. <br /> 'tri:+1(800)284-4406 a www.iccsafe.org <br />
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