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COMPLIANCE INFO 2013-2015
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PR0518288
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COMPLIANCE INFO 2013-2015
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Entry Properties
Last modified
2/26/2021 4:34:29 PM
Creation date
11/8/2018 10:21:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0518288
PE
2361
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\G\GRANT LINE\3250\PR0518288\COMPLIANCE INFO 2013-2015.PDF
QuestysFileName
COMPLIANCE INFO 2013-2015
QuestysRecordDate
7/5/2017 11:14:25 PM
QuestysRecordID
3483232
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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i <br /> UST Installation / Retrofitting <br /> INTERNMIONAL <br /> COOS COUNCIL <br /> Candidate ID: 100 0 0 042942 <br /> Name: JOSEPH BARTHOLDI Data: 11/312016 <br /> Address: MITY RECEIVED <br /> -- DEC 16 2015 <br /> I <br /> ENVIRONMENTAL <br /> EXAMINATION RESULT: PASS HEALTH DEPARTMENT <br /> Congratulations] You have passed the above named examination. Your wallet card will be forwarded to <br /> You by ICC within six weeks from the last day of the month In which you tested. This certificate is current <br /> for two years. <br /> You may request a wail certificate from ICC as well.This certificate will be provided at no oust to you,if <br /> you request It within 90 days of your exam.Only one wall certificate per exam passed will be provided to <br /> you at no charge. For more information on requesting a wall certificate,go to www-Iccsal5e.nrajnNPector. <br /> i <br /> It is extremely Important that you notify Pearson VUE and ICC of any changes in name and/or address to f <br /> avoid the possibility of your wallet card and/or certificate not being received.Please contact Pearson <br /> VUE at 800.275-8301 and ICC at cartexam 0Icesate.ord with changes to your name and Address(name <br /> changes may require additional documentation).There may be an additional fee If a certification is <br /> re-Issued due to a misspelled name or incorrect address. <br /> The nthent/Uty Of this score report can be xa9dated by us/ny Pearson VVE'g OhAV Scars Repart Authenb'cation round at: <br /> w PaArspnMLIE,cornhuthpntkabe <br /> MOW embosxfng eeminetes the pesslbllny of une99ronred embossing of counterthk amre reports. <br /> Aeotsbmeon Number: 290392996 VaQda9on Number 762019740. <br />
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