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COMPLIANCE INFO_2016
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2016
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Last modified
8/11/2021 10:45:06 AM
Creation date
6/23/2020 6:57:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016
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.tif
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EHD - Public
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California UST Service Technician ' <br /> UIRMS <br /> INTERNATIONAL <br /> CODE COUNCIL <br /> Candidate ID: IG000231112 <br /> Name: Fabian Gomez Date: 5/30/2015 <br /> Address: <br /> <br /> <br /> ` EXAMINATION RESULT:PASS <br /> Congratulations! 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 cortificate 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 certt7k ate,go to www.iecsala orgAnspecfor. <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 aiocsafe.ora with changes to your name and address(name <br /> changes may require additional documentation).There may be an additional fee if a certification Is <br /> re-Issued due to a misspelled name or incorrect address. <br /> � C <br /> 'mss CD <br /> The authenttdty of thfs score report can be mhdated by using Pearson WE's cifte score Report Authentiratinn Found at: �) t <br /> wwm.va3rsnn mm/a ahenttr-- <br /> Dlgitaf embossing eliminates the P—lbllity Of mauthor/sed ombwsing olmunteilett score repotts. <br /> ftwimlion Number, 289154751 WRdaton Number. 550844436 <br />
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