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COMPLIANCE INFO_2012 - 2016
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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PR0530093
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COMPLIANCE INFO_2012 - 2016
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Last modified
11/20/2019 2:40:59 PM
Creation date
11/20/2019 8:45:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2016
RECORD_ID
PR0530093
PE
2351
FACILITY_ID
FA0019793
FACILITY_NAME
CRUISERS MANTECA #29
STREET_NUMBER
1137
Direction
W
STREET_NAME
LATHROP
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19724002
CURRENT_STATUS
01
SITE_LOCATION
1137 W LATHROP RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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I� <br /> a��`�- UST Installation r <br /> tion / Retrofitting <br /> 2!Sr <br /> INTERNATIONAL <br /> CODE COUNCIL <br /> Candidate ID: ICC00052026 <br /> Name: TIM HARDIN <br /> Date: 8/11/2014 <br /> Address: 4819 W VASSAR <br /> VISALIA CA 93277 <br /> EXAMINATION RESULT: PASS <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 ora/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!c rtex � fe.or 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 /> RECEIVE[ <br /> DEC 02 2015 <br /> ENVIRONMENTAL <br /> The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at: <br /> Digital embossing eliminates the p ssibr7lty of u authorized embossing of counterfeit score reports. <br /> Registration Number• 271994350 Validabbn Number: 42519831 <br />
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