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COMPLIANCE INFO_2013-2018
EnvironmentalHealth
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EL DORADO
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2300 - Underground Storage Tank Program
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PR0231092
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COMPLIANCE INFO_2013-2018
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Last modified
11/2/2020 4:19:40 PM
Creation date
6/23/2020 6:41:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231092
PE
2361
FACILITY_ID
FA0001946
FACILITY_NAME
El Dorado Food Mart
STREET_NUMBER
1901
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16508019
CURRENT_STATUS
01
SITE_LOCATION
1901 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231092_1901 S EL DORADO_2013-2018.tif
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EHD - Public
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#NTERNATIO L <br />CODE COUNINIT <br />Candidate 1 <br />Name: <br />Address: <br />0 ft <br />California UST Service Technician <br />c� 2 <br />ICC00042"l <br />CARL. HENQERSON pate: 7/30/2016 <br /> <br /> <br />EXAMINATION RESULT: PASS <br />Congratulati nsl You have passed the above named examination. Your wallet card will be forwarded to <br />you by ICC 1 rithin six weeks from the last day of the month in which you tested. Generally, ICC <br />certificates E re current for two years; check with your state for expiration periods in your state. <br />You may rec uest a wail certificate from ICC as well. This certificate will be provided at no cost to you, 9 <br />you request t within 90 days of your exam. Only one wall certificate per exam passed will be provided to <br />you at no ch irge. For more information on requesting a wall certificate, go to www iecsaferg/insoector. <br />it is extrem Ito <br />important that you notify Pearson VUE and ICC of any changes In name and/or address to <br />avoid the p sibility of your wallet card and/or certificate not being received. Please contact Pearson <br />VUE at 80075-8301 and ICC at ggrtexam �iccsafe aro with changes to your name and address (name <br />changes mrequire additional documentation). There may be an additional fee if a certification is <br />re -issued a misspelled name or Incorrect address. <br />The authentic) of this score report can be validated by using Pearson VUE's online Score Report Authentication found cat: <br />w4ti v Pearsot�IJ,Somlauti'�eri!lrate <br />t3J 'tai embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br />Number: 303223694 Validation !Number: 36909"02 <br />
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