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COMPLIANCE INFO_2020
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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PR0231070
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
1/7/2021 9:29:39 AM
Creation date
5/15/2020 3:33:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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LIST Installation / Retrofitting <br /> 0 ERNAVINAL <br /> C�ifididate ID : #####6205 <br /> Name. Steve Jones Date: f/ 312019 <br /> Address : PO BOX 281 <br /> FOLSOM CA 95763-0281 <br /> EXAMINATION RESULT : PAS 'S <br /> ongratulations! 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 . Generally, ICC <br /> cernI are current for ,two years; check with your state for expiration periods in your state . , <br /> Y o r ay; reg0est a wall certificate from IC as well . This certificate will be provided at no cost �o 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 o wall certificate, go to www. iccsafe . org/inspector. <br /> It is extreely importan <br /> rmt 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 /> t;g lQ 275=8301';-and 1CC at cetfexam iccsafe . ora with changes to your name and address ( name <br /> % ranges may require additional documentation ) , There may be an additional fee if a certification is <br /> reissud "due " to a misspelled- name or incorrect address . <br /> If <br /> If <br /> tiIf <br /> � ' t1rf1his s� repc can vtadr usi3 F` �rsz�rt V�1E� ��iir�e Score Report �tu�h�nticatt"on found at: <br /> FIC <br /> r <br /> sp of un_auLpArz zeAd -4`j a ureter eit SCOre reports. <br />
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