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COMPLIANCE INFO 2016 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232482
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COMPLIANCE INFO 2016 - 2018
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Last modified
10/9/2019 3:44:53 PM
Creation date
10/9/2019 1:31:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0232482
PE
2361
FACILITY_ID
FA0003719
FACILITY_NAME
WEST LANE CHEVRON
STREET_NUMBER
4747
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10437010
CURRENT_STATUS
01
SITE_LOCATION
4747 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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California UST Service Technician <br />INTERNATIONAL <br />CODE COUNCIL <br />Candidate ID: ICC00015745 <br />Name: MICHAL KENNARD <br />Address: 6883 ANNAPOLIS QUAY CIR <br />Date: 11/14/2014 <br />U <br />R E C,%,p P N <br />1/14/2014 <br />F <br />55LL." <br />SEP 3 0 2016 <br />STOCKTON CA 95219 <br />ENVIRONMENTAL HEALTH <br />EXAMINATION RESULT: PASS 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 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 />VUE at 800-275-8301 and ICC at certexam@iccsafe.org 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 authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at: <br />www,PearsonVUE.com/authenticate <br />Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br />Registration Number: 275439963 Validation Number: 96385374 <br />
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