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COMPLIANCE INFO_2001-2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2001-2009
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Last modified
12/28/2023 11:29:54 AM
Creation date
6/3/2020 9:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2009
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2001-2009.tif
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EHD - Public
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E <br />91 -AYE OF ONLIFORNA <br />,:'SERVICE AQENTUCEVSE <br />A� <br />Dapw#nent of Food and AgwA#U-- <br />DwrAw of Measumn*w ShvKiwds <br />6790 Florin Peftir. Road, Suite 100, Swarmvin, CA 5582&1812 <br />Edward P. Garcia <br />is licensed as a Service Agent for commercial <br />weighing and measuring devices. <br />-------------------------- <br />License Number 01623-1 <br />Expires August 15, 2012 <br />71 <br />L-A <br />INTOMMAL <br />EDWARD P GARCIA <br />CALIFORNIA UST SERVICE TECHNICIAN <br />The individual named hereon is CERTIFIED in the category shown, having <br />been so certified pursuant to successful completion of the prescribed <br />written examination. <br />Expiration date: September 6, 2009 <br />No. 53117294 -UT <br />Not valid unless signed by certificate holder. <br />ICC certification attests to competent knowledge of codes and standards. <br />DRESSER, INC. <br />Rx Group #: 200137877 <br />Issuer: (80840) <br />Member I.D. #: 6961540428 <br />Name: EDWARD P GARCIA <br />IPHARN ARE <br />www.phannacare.corn <br />E <br />Rx BIN#: 610474 <br />Ax PCN#: TDI <br />
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