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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231405
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
5/26/2021 9:37:54 AM
Creation date
8/27/2020 3:08:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UST Installation / Retrofitting <br /> ® ® n <br /> INTERNATIONAL <br /> CODE COUNCIL° <br /> Candidate ID : # 0218 <br /> Name : Christopher Adams Date : 6/ 19/2019 <br /> Address : I �! <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 . Generally , ICC <br /> certificates are current for two years ; check with your state for expiration periods in your state . <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 www. icesafe . org /inspector. <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 certexam0kcsafe . org 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 /> 0plclll � <br /> The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at: <br /> www , PearsonVUE. comlauthenticate <br /> Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br /> Registration Number: 354661412 Validation Number: 865538734 <br />
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