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COMPLIANCE INFO_2003-2011
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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14971
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2300 - Underground Storage Tank Program
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PR0231911
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COMPLIANCE INFO_2003-2011
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Last modified
11/20/2024 9:21:33 AM
Creation date
6/23/2020 6:53:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2011
RECORD_ID
PR0231911
PE
2361
FACILITY_ID
FA0000540
FACILITY_NAME
COUNTRYSIDE LIQUORS & GAS
STREET_NUMBER
14971
Direction
N
STREET_NAME
STATE ROUTE 88
City
LODI
Zip
95240
APN
06316025
CURRENT_STATUS
01
SITE_LOCATION
14971 N HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231911_14971 N HWY 88_2003-2011.tif
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EHD - Public
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CARL W HENDERSON MIM. <br /> CALIFORNIA UST SERVICE TECHNICIAN <br /> The individual named hereon is CERTIFIED in the category shown, <br /> having been so certified pursuant to successful completion of the <br /> presented written examinations. <br /> Expiration date: July 28,2092 <br /> No.52M23/+ _ <br /> Not valid unless signed by ceitifitWe holder. <br /> ICC certification attests to competent knoevledge of codes and standards <br /> Certified <br /> l� V -R Technician <br /> The bearer is card has succesdully <br /> con almanufacturer tra rig' <br /> in the pioduct(s) <br /> Carl Wayne Henderson <br /> Technician#A25001 <br /> Expires 6/14/2011 <br /> Certified UST Monitoring Technician <br /> (incl.Secondary containment vacuum Sensing-CA only) <br /> You miu t contact TedvwdTr lberco.can to r�rm <br /> thacurtentcertificatbn this person. <br /> J <br /> a <br /> r <br />
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