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COMPLIANCE INFO_2006-2011
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2575
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2006-2011
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Last modified
2/22/2023 1:52:51 PM
Creation date
6/3/2020 9:43:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2011
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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2006-2011.tif
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EHD - Public
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f.'°''._ ✓::..: �:•.= :nY" c' .`':w _?iw.-. - 'a.. -:5;w^.. .:s.°`= ww�> _ M.a.,a®•w,c_. .!". <br /> ` THE FACE OF THIS DOCUMENT'HAS'A MULTI CUALLY AND EVENLY F RK TO LIGHT WITH DARKER AR-AS SOT HLEF7 AND R;^ ,T <br /> UST Installation/Retrofitting <br /> INTERIfl <br /> �r <br /> . . 'r C� <br /> i <br /> Candidate ID: XX4141048816 <br /> ti - <br /> Narne JOHN.ERESMAN Date: 4/28/2009 ' <br /> Mat, <br /> EX,kMIhIATION RESULTPASS <br /> Congratulations! You have passed 116 UST Installation/Retrofitting examination. Your wallet card and <br /> certificate will be forwardedtc you Icy LCC within six weeks from the last day of the month irrwhrch you <br /> tested Tta:is certificate'is current for two years. <br /> Jt is extremely important that you notify Pearson VUE and ICC of any changes Jr�.name and/or address.to <br /> j avoid tfte possibility ofyo t rerfi�facate'not f3eirtg received. Please.contact Pearson VUE at 800-,276m-`8801 <br /> acid#O At838-422-7.233 ext-33815 'Ath cf anges.t; raur nar+��an ad*cess There-may be an <br /> additional ee if a cerfif ca#pgn'ts re rssued Ddu to a misspelled t�etne or incorrect address. <br /> i <br /> Ilk fJ,O�l3A`01 30NV80 AOifd 8.0100-aDN:V14,0lZIM 1t33W1�000 OIIN3Fl16U3y tS3,lfS1ikkiiT�t„O`J;03,�$3f'C4l"Sj+fDst7t�3d 3Hl 9'llk!ONV Z:19A0 Ni1f111S(TlCu'f10A 1N3W(1JOO SiHl d0 n11^.I1N3r_'1Y nic'�. <br /> .. .-w•+;:::_ - •^vm':. -'A” . ... -+r-.;, -.:, . .:.y,„,.•- _ _ w x'_ '•.-' - *.� '��a• <br />
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