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COMPLIANCE INFO_2010-2015
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2010-2015
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Last modified
12/28/2023 11:35:02 AM
Creation date
6/3/2020 9:51:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
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_2010-2015.tif
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EHD - Public
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,.,_.. , . H[: - i_: -". C , ,u,. �_..0U "; :7H F,t�GE�. CHAYGL- COMP .PGG 'D6...Cc . � Y _ ..d <br />California UST Service Technician ` <br />INTERNATIONAL <br />CODECOUNCIL <br />Candidate ID: ICC32018075 <br />Name: WILLIAM ROSS Date: 3/8/2013 <br />Address <br /> <br />EXAMINATION RESULT: PASS <br />Congratulations! You have 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 />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 wall certificate per exam passed will be provided to <br />you at no charge. For more information on requesting a wall certificate, go to www.iccsafe.oro/inspector. <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 wallet card and/or certificate not being received. Please contact Pearson <br />VUE at 800-275-8301 and ICC at certexam@iccsafe.org with changes to your name and address (name <br />changes may require additional documentation). There may be an additional fee if a certification is <br />re-issued due to a misspelled name or incorrect address. <br />VIED <br />NOV 1 .2014 <br />'TA <br />L <br />wt <br />�- }r{^ i i 530)p tH� `+H QhEiOti Si 9 <br />03at'l0 1 r , ,' S -_. 3l 00G S H J 52, `t° . <br />
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