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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/22/2020 9:25:12 AM
Creation date
6/11/2020 3:51:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
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
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SJGOV\kblackwell
Tags
EHD - Public
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California UST Service Technician <br /> INTERNATIONAL <br /> CODE COUNCIL <br /> Candidate ID: ######5558 <br /> Name : RHOME DESSIENS Date : 1 /412019 <br /> Address : PO BOX 933 <br /> W SACRAMENTO CA 95691 -0933 <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 . Generally , ICC <br /> certificates are current for two years; check with your state for expiration periods in your state . <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 wail certificate , go to www . iccsafe . oro/inspect <br /> It is extremely important that you notify Pearson WE 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(a iccsafe . ora 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 /> The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at: <br /> www.PearsonVUE .com/authenticate <br /> Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score recons. <br /> Registration plumber 345666652 Validation Number: 776971293 <br /> i <br /> i <br /> i <br />
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