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COMPLIANCE INFO_2006-2011
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_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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R�ERf y 7F 9f HIS OOGUWtO YOU'>PriU91'MOVER ANq RU67NE FRQ _[SS46i� �� F h�NGEft.AUTHE GUMt0T;WILL OHANGEC `6 <br /> C <br /> kk <br /> UST Installation/Retrofitting:` <br /> 9 <br /> ,1 gggg <br /> AL <br /> 4VL* <br /> tromissor ID: XX4141014955 <br /> �t <br /> Name: JAMES WILUAMS Date. 11/03/2007 <br /> . Aozfress <br /> <br /> <br /> <br /> <br /> EXAMINATION RESULT: PASS <br /> , t r W cations! Youhave passed the UST Installation/Retrofitting examination. Your wallet caro and <br /> -' certif!cate will be forwarded to you by ICC within six weeks from the last day of the month in which yQu <br /> t tested. This certificate is current for tviio years. s> <br /> i, <br /> ttxtranaely important that you notify Promissor and ICC of any changes in name and/or address fo t <br /> "av®id the possibility of your certificate not being received. Please contact Promissor at 800-275-8301' <br /> and IGC t 888-422-7233 ext. 33815 with changes to your name and address. There may be an } <br /> "$ailI fee if a c`ertificafion Ps6 issued Clue to a misspelled name or incorrect:eddra3s, <br /> f <br /> f` <br /> t <br /> 3 S <br /> Ea <br /> 5 <br /> z , <br /> r2 <br /> : <br /> { <br /> t F <br /> F � <br /> 9Nt% 3Tl�> Si` !{ i/q"y,'l;llfiA,iH`JI1,0,1 NHYQ WOW-qA A3 ORVF A:7ltlL1C]YILI`3>nf:TlZ?�:S3`.3,NFakt,0.,11YH t}N(1 FJ,`JkI,0U8 O�kl;Ol{ <br />
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