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COMPLIANCE INFO_2000-2005
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2300 - Underground Storage Tank Program
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PR0232272
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COMPLIANCE INFO_2000-2005
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Last modified
2/22/2022 1:42:01 PM
Creation date
6/23/2020 6:54:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000-2005
RECORD_ID
PR0232272
PE
2361
FACILITY_ID
FA0003925
FACILITY_NAME
COS MUNICIPAL SERVICE CTR
STREET_NUMBER
1465
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206-1941
APN
16504015
CURRENT_STATUS
01
SITE_LOCATION
1465 S LINCOLN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232272_1465 S LINCOLN_2000-2005.tif
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EHD - Public
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K <br /> . 2 z <br /> liY AUTHEtdi8CI1 Y.QF THIS DOCUMENTYOU MUST N OVER.AND Rue?HE PROMISSOR LOGO WITH FINGER.'AUTHE.. )OCUMENT WILL CHANCE COLOR FROM ORANGETO YELLOW' <br /> a x+qr <br /> UST Installation/Retrofitting <br /> ' <br /> It7f>K\,t RIVAL: <br /> t'til3#;CoUNC1I.« <br /> Promissor ID: XX4141014045 w <br /> Name: MARK HENDERSON Date; 12/20/2004 <br /> Y <br /> Address: <br /> EXAMINATION RESULT:PASS <br /> Congratulationsi You have passed the UST Installation/Retrofitting examination'. Your wallet card and certificate <br /> will be forwarded to you by ICC within six weeks from the last day of the month In which you tested. This cej7tl rcate: <br /> is current for two years. ' <br /> It is extremely important that you notify Promissor and ICG of any changes In name and/or address to avoid the <br /> possibility of your certificate not being received. Please contact Promissor at 800-275-8301 and ICC at <br /> 877-783-3926 with changes to-your name and address. There may be"an additional fee If a certification is <br /> re-issued due to a misspelled name or incorrect address, E <br /> xu <br /> F? <br /> y _ <br /> 1. <br /> r <br /> -d7 niCB SV3tlV tl3k1Jd3 HliM 1HO1101 NUVO WOU3 h1N3fl3 ONV Al1V(iCYtlO.db1OO S30NVHO 1VN1 ONnol191 DV8 G3UOIOO 111nW V SVH 1N3Wnt)OO SiHl dO 3O7d 3H1 } l <br />
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