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COMPLIANCE INFO_2002-2010
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2300 - Underground Storage Tank Program
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PR0231764
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COMPLIANCE INFO_2002-2010
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Last modified
11/20/2023 3:20:02 PM
Creation date
6/3/2020 9:52:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2010
RECORD_ID
PR0231764
PE
2361
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231764_5611 E WATERLOO_2002-2010.tif
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EHD - Public
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ILI LHO I i- <br /> za <br /> V0— sk California UST Service Technician <br /> WSW <br /> INTER-NATIONAL. <br /> CODE-COUNIX <br /> Candidate ID: XX4341042455 <br /> Name: GAVIN WILLIAMS Date: 8/6/2010 <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.Throughout 2010,this certificate will be provided at <br /> no cost to you, if you request it within 90 days of your exam. Only one wall certificate per exam passed <br /> will be provided to you at no charge.For more information on requesting a wall certificate,go to <br /> _wwwJccsafe.ore1nsDepLo_r, <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 oerligicate not being roodived.Please contact Pearson <br /> VUE at 800-275-8301 and ICC at certexam @ icesgf_e.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 />
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