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COMPLIANCE INFO_2001-2011
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231084
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COMPLIANCE INFO_2001-2011
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Last modified
2/6/2024 4:10:21 PM
Creation date
6/23/2020 6:41:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2011
RECORD_ID
PR0231084
PE
2361
FACILITY_ID
FA0006447
FACILITY_NAME
SHELL FOOD MART
STREET_NUMBER
2320
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12521030
CURRENT_STATUS
01
SITE_LOCATION
2320 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\E\EL DORADO\2320\PR0231084\FINAL JUDGMENT 11-06-09.PDF
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EHD - Public
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Plrar*un Ohmang evetwom <br />Carl Henderson - Certification #: 2061133760 <br />Henderson Maintenance Company <br />Heiity Executive Order VR -202-B Mil <br />Healy Training K4ay-20-2007 <br />STATE OF CAUFORNIA <br />SERVICE AGENT LICENSE <br />I�MUje=hy the <br />Dopertrarin of F and Agriculture <br />Division Of Measurement standards <br />1 6790 Florin Perkins Road, Suite 100, Sacramento, CA 95826-1812 <br />This is to certiN that iCA AL- w 14FAJOEAsioAl has been <br />examined on the lieve and regulations governing weights and measures <br />and Is licensed as a Service Agent in California pursuant to Section 12540, <br />Chapter 5.5 of the California Business and Professions Code. <br />License Number <br />Signature of Agent Expires <br />Bonding: <br />This license Bled Contractor's Bond number 630601 in the amount of <br />$12,600 with the bonding company <br />ATE BOAR09 <br />%20NT�AC 71 <br />SURET'r COMPAW C:)r IF, PAi:JFIC <br />_E <br />LiC <br />Effective Date: 01/01/2007 <br />11stor y <br />8W71 INDIV <br />Workers' This license has worker' compensation insurance with the <br />HENDERSON MAINTENANCE COMPANY <br />Compensation: RE)Ah)(A) FIRE AND CASUAL.Tv I\K,A,RAN(.T' <br />Policy Number: <br />SERVICE STATION REPAIR AND <br />4404008536081 <br />EftrAlve Data: 04/01/2008 <br />MAINTENANCE <br />Expire Data: 04/01/2009 <br />0) C61/021 C61/D40 <br />04/30/2009 <br />VEEM.RnOT Certified <br />Technician <br />The ft Card has W.03ESSf* <br />ell <br />AU I-JENDFRSO <br />Crin M le <br />c m <br />IV <br />in <br />WeriprKod', As). <br />CAUFORNI SERV CHNICIAN <br />Carl Wayne Henderson <br />rh individual named hereon is in the category shown, having <br />lotion OF File prescribed witten <br />Technician #A25001 <br />hen 50 certified Pursuant to sUc <br />Expires 6/3/2009 <br />Certified UST Monitoring Technician <br />(In(;[. Secondary Containment Vacuum Sensing - CA only) <br />X.mllnldlln. <br />Expiration elite: Decem 2008 <br />No. 5300061 -UT <br />valid —unless —,,IeneJ�7Jiiffcat <br />You must Contact Tedinted1rialk IWco corn to confin <br />ft = this <br />ICC. c cation arts <br />ststo competent knowl(Age Of (706125 andstandardFn <br />ourrer to o or <br />c person, <br />Plrar*un Ohmang evetwom <br />Carl Henderson - Certification #: 2061133760 <br />Henderson Maintenance Company <br />Heiity Executive Order VR -202-B Mil <br />Healy Training K4ay-20-2007 <br />STATE OF CAUFORNIA <br />SERVICE AGENT LICENSE <br />I�MUje=hy the <br />Dopertrarin of F and Agriculture <br />Division Of Measurement standards <br />1 6790 Florin Perkins Road, Suite 100, Sacramento, CA 95826-1812 <br />This is to certiN that iCA AL- w 14FAJOEAsioAl has been <br />examined on the lieve and regulations governing weights and measures <br />and Is licensed as a Service Agent in California pursuant to Section 12540, <br />Chapter 5.5 of the California Business and Professions Code. <br />License Number <br />Signature of Agent Expires <br />
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