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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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UST stallation / Retrofitting <br />INTERNATIONAL <br />CODE COUNCIL <br />Candidate ID: ICCO0051963 <br />Name: ROBERTO PLAZA <br />Address: <br /> <br />Date: 10/2/2015 <br />l � 1 <br />EXAMINATION RESULT: PASS ENVIFIONMEN-m-L HEALTH <br />0 Rt T T <br />Congratulationsl You have passed the above named examination. Your wallet card will be forwarded to <br />you by ICC 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 wwww.iccsafe.orq/lnsgector. <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.ora 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 />The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at. <br />www. Peas sir onyUE nom/puthenrticate <br />Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br />Registration Number. 289812654 Valldatlon Number. 108910885 <br />
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