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COMPLIANCE INFO_2016-2017
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2016-2017
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Last modified
8/11/2021 8:36:01 AM
Creation date
6/23/2020 6:57:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2017
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2016-2017.tif
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EHD - Public
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"i <br /> silk <br /> ,i. <br /> UST Installation / Retrofitting <br /> INTERNATIONAL <br /> CODE COUNCIL <br /> Candidate ID: ICCO0051963 <br /> Name: ROBERTO PLAZA Date: 10/2/2015 <br /> Address: <br /> <br /> EXAMINATION RESULT: PASS <br /> Congratulations! You have passed the above named examination. Your wallet card will be forwarded to <br /> you by!CC within six weeks from the last day of the month in which you tested. This certificate Is current <br /> for two years. <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 wall certificate,go to wwWjccsafe.org/ins eu ctor. <br /> It is extremely important that you notify Pearson VUE 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 @ iccsafe.oru with changes to your name and address(name <br /> changes may require additional documentation).There maybe an additional fee if a certification is <br /> re-issued due to a misspelled name or Incorrect address. <br /> RECEIN <br /> �V!`4 =D <br /> JAN 302017 <br /> ENVIRONMENTAL H Ag T <br /> DEPARTMENT <br /> The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at., <br /> ww. grsonVUE.Mmiauthenticate <br /> Digital embossing eliminates the possibillty of unauthorized embossing of counterfeit score reports. <br /> Registration Number. 289312654 Validation Number.• 108990886 <br /> i <br />
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