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COMPLIANCE INFO 2012 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EMBARCADERO
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6649
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2300 - Underground Storage Tank Program
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PR0231098
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COMPLIANCE INFO 2012 - 2018
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Entry Properties
Last modified
12/16/2020 4:45:55 PM
Creation date
7/24/2019 9:18:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2018
RECORD_ID
PR0231098
PE
2361
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
01
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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4 <br />I YO VERIFY AUTHENTICITY OF THIS DOCUMENT YOU MUST TURN OVER AND RUB THE PEARSON VUE LOGO WITH FINGER AUTHENTIC DOCUMENT WILL. CHANG <br />! <br />11, <br />61- <br />California UST System Operator <br />IMMUNE <br />INTERNATIONAL <br />CODE COUNCIL <br />Candidate ID: ICCO0206690 <br />>R FROM ORANGE TO YELLOW <br />W_ <br />Name: LUIS TORRES Date: 1/4/2013 g$R'st�Fa' <br />Address: 2825 RAILROAD AVE <br />a. . <br />CERES CA 95307 <br />EXAMINATION RESULT: PASS <br />Congratulations! You have passed the above named examination. Your 'waliet card will be forwarded to <br />you by ICC within six weeks from the last day of the month in which you tested. This certificateis current <br />for two years. <br />You may request a wall certificate from ICC as well. This certificate will be provided at no cost 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.iccsafe.org/inspector. <br />It is extremely important that you notify Pearson VUE and ICC of any changes in name and/or address to <br />avoid the possibility of your wallet card and/or certificate not being received. Please contact Pearson <br />�i VUE at 800-275-8301 and ICC at certexam @iccsafe.org with ch�TlgeS 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 />1HO18 ONV 1331 Hi0a <br />d U3 ! 1VO HiIM 1H011 Ol NUVO bVO8zI A1N3A3 0NV AIIvnav o 2!0100 <br />
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