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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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SJGOV\kblackwell
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EHD - Public
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I-AA me <br /> T InstallationI Retrofitting <br /> 41 <br /> 11 A <br /> A In.3333 <br /> 1A AmAx <br /> " 1 ' <br /> C,andldcite ID ; ' #006205 <br /> ane : Steve Tones Dater 1123/2019 <br /> Address% . PQ AB, _4 OX 281 <br /> me A <br /> 1=Qt "v - ASUM CA 95763-0281 <br /> EXAMINATION RESULT; PASS <br /> ;ongratueA latiorsAA l ' YouA have 'passed " theA above named examination. Your wallet card will be forwarded to <br /> you %y"ICC Within six weeks` from the" last day of the month in which you tested . Generally, JCC <br /> mA <br /> cerncates: are current foriwo years ; check with your state for expiration periods in your state. <br /> me <br /> YoAA u° rimy reques# a wlA all cm A ertificate from ICC as well .. This certificate will be provided atno cost to you , if <br /> you request. it within 9Q` days of your exam . Onlyone wail certificate per exam passed will be provided to <br /> you at rio charge. .For more information on requesting a wall certificate, go to www. iccsafe. org/inspectoCA <br /> r. <br /> If is extrernelyy� mportant that you notify Pearson VUA A <br /> E and 1CC of any changes in name and/or address to <br /> 'a�ro�d tte poestbll►ty of your walleticard and/or certificate not being received . Please contact Pearson <br /> AmeI: <br /> Il <br /> m A <br /> mA <br /> AAA A : <br /> 0 1 <br /> Vul at 800-275=830.1 and ICC at certexamQiccsafe. org with changes to your name and address ( name <br /> changes may requr" e "additional docg A . A I tion) . There may be an additional fee if a certification is <br /> me <br /> re-issued due fo a riiisspelled ,name orincorrect address . AA <br /> AAA <br /> 1 <br /> TFie a eb e� f e c re eRn�t c xr 7� v iT Sated , u fng Featsan i�iiE's C% tn11 , Z a ? core I�aort Authe %ntication Found at: <br /> r Am tam #a � n cam <br /> ttgttrl ebasslniilm�naYesh4161fi1raatc� tzesf etIross7ra of coynarfeTt score reports. <br /> t ' <br /> A. <br />
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