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COMPLIANCE INFO_2015-2018
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2015-2018
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Last modified
6/20/2023 2:14:17 PM
Creation date
6/3/2020 9:44:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2015-2018.tif
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EHD - Public
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California UST Serrrice'Technician <br /> cap WIL <br /> Candidate ID: ICC000428.42 <br /> Blame: 'JOSEPH BARTN4LDI Date: 815/2014 <br /> Address: <br /> 201 <br /> EXAMINATION RESULT:PASS <br /> Congratulationst Youhave 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 /> a - <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 wail certificate per exam passed will be provided to <br /> You at.no charge.For more information on requesting a wall certificate;go to M8m.1coafe.org/inspertor. <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 mallet card and/or certificate not being received. Please contact Pearson <br /> VUE at 800-275-8301 and ICC at certexam @ iccsafe ora with changes to your name and address(name <br /> changes may.require additional documentation).There maybe an additional fee if a certification is <br /> re-issued due to a-misspeifed name or incorrect address. <br /> The authenticity of this score report can be varldated by using Pearson VUE's Online Score Report Aut'henUcation found at: <br /> www PearsonYUE cam[a thanHraro <br /> Dlgltal embossing eliminates the possibllity of unauthorized embossing of counterfeit score reports <br /> Reg/sfradoir(Number.• 27749017E; Uelldafion Number. 897962777" <br />
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