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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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California UST Service Technician } <br /> 0 pa <br /> Candidate ID: ICC00042942 a ' <br /> Name. JOSEPH BARTHOLDI <br /> Address: <br /> Date- 8/8/2014 <br /> . ,. <br /> RECEIVED i <br /> DEC 16 2015 <br /> EXAMINATION RESULT. PASS ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Congratulationst 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 wall certificate from ICC as well:This cediflcate wUl be provided at no coat 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 info rmatton on requesting"all certificate,gc to 1Yww Iccsate ora4nsoector• <br /> It is extremely Important that you notify Pearson VUE and ICC of any changes in name and/or address to <br /> avoid the posslbility of your wallet card and/or cenifloate not being received. Please contact Pearson <br /> VUE at 000.275-8301 and ICC at oQrtexam W Iccsafn n With chanes to Yourn <br /> and addres <br /> changes may.require additional documentation).There be an addido al feeait B certification me is(name <br /> re-Issued due to afnlsspellsd name or incorrect address. <br /> rho authenucay of this scare mport can be wl/dabro by usldg Pearson vim s Dnllna Sbula <br /> vJww Peart^y()p.cem/s�nnentlra� ftP°K AuEhanBgtlan round at: <br /> D/0ftal emboss/ng ellm/nates the po5.vtbtlfty orun7uthm/zed embossing o/cpunMKNf smle Iepo�, <br /> ReglBffaffnn Num69I.. _Y7r4Q8t7B ya8dawn Number. 887892777 <br /> I <br /> i <br />
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