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COMPLIANCE INFO_2003-2009
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PR0231442
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COMPLIANCE INFO_2003-2009
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Last modified
8/10/2022 10:22:04 AM
Creation date
6/3/2020 9:49:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2009
RECORD_ID
PR0231442
PE
2361
FACILITY_ID
FA0006441
FACILITY_NAME
QUIK STOP MARKET #5124*
STREET_NUMBER
505
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
217-260-21
CURRENT_STATUS
01
SITE_LOCATION
505 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231442_505 N MAIN_2003-2009.tif
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EHD - Public
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I <br />VE;111$ Y ALITI-if NNCfTY OF THIS DOC <br />Promissor ID: <br />0 Temporary Certs • <br />1P,,V I— ' i',6o W;F I 'RIGGER <br />California UST Service Technician <br />XX4141016190 <br />Name: PHILLIP KLINGMAN Date: 06/11/2005 <br />Address: <br /> <br /> <br /> <br />EXAMINATION IUN tlt,-)UL 1: rAOQ I <br />Congratulations! You have passed the California UST Service Technician examination. Your wallet card and <br />certificate will be forwarded to you by [CC within six weeks from the last day of the month in which you tested. This <br />certificate is current for two years. <br />It is extremely important that you notify Promissor and ICC of any changes in name and/or address to avoid the <br />possibility of your certificate not being received. Please contact Promissor at 800-275-8301 and ICC at <br />877-783-3926 with changes to your name and address. There may be an additional fee if a certification is <br />re4ssued due to a misspelled name or incorrect address. <br />FIO VERIFY AUTHENTICITY OF THIS DOGI, <br />Promissor ID: <br />Name: <br />Address: <br />California UST Service Technician <br />XX4132001661 <br />MICHAEL LAWRENCE Date: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Congratulationsl You have passed the California UST Service Technician examination. Your wallet card and <br />certificate will be forwarded to you by ICC within six weeks from the last day of the month in which you tested. This <br />certificate is current for two years. <br />It is extremely important that you notify Promissor and ICC of any changes in name and/or address to avoid the <br />possibility of your certificate not being received. Please contact Promissor at 800-275-8301 and ICC at <br />877-783-3926 with changes to your name and address. There may be an additional fee if a certification is <br />reissued due to a misspelled name or incorrect address. <br />
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