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COMPLIANCE INFO_2015-2018
EnvironmentalHealth
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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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l <br /> yi 1 <br /> Cahf+ rN6 UST Service Technician �= <br /> J <br /> INIRWMAL - , <br /> <., CODE CUUML <br /> Candidate ID: IC000025547 <br /> Name: FREDRICK BABEL Date: 2/20/2015 <br /> Address: <br /> <br /> <br /> ENVIRONMENTAL <br /> -. <br /> EXAMINATION RESULT: PASS <br /> Congratulations) You have passed the above named examination. Your sialle:card will be forwarded to <br /> you by IC.0 withinsix weeks from the fast day of the month in which you tested. This certiticate Is current <br /> for fano yews. <br /> You may request a wall oe,'tifloate from I well.This certificate will be pmuMed at no cost to you: if <br /> ,,you request it within ill Bays of'yfour exam.d nl on wall certificate per exam passed will W.provided to <br /> you at no charge.For more Wormaticxt onrequesting a well certificate,go to wuMiccsafe.ordlinsl2ggtQr. <br /> it is extremely important that you notify Pearson Wt and ICC of an«changes in name andlor address to <br /> avoid the possibility of your wallet card and/or certificate not being received. Please contact Pearson <br /> VUE at 900-275-8301 and ICG at certe ®ices esu with char, es to your name and address(name <br /> changes may require adWoonal documentation).Where may be an additional tee if a certification is <br /> re-issued due to a misspelled name or incorrect address_ <br /> The authentiay of this ware report cen be vaiwated by using Pearson Vila s Online sc"Report Audi entkation rued at:. <br /> WM.F"rsanVUE QmiaUthe M <br /> !:Digital embossing eliminates the possibility of unauthorized embossing of caunter€eit sc om reports. <br /> ROWShaffan Numbe� 279334175 veiwiiarr Number. 727172395 <br />
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