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COMPLIANCE INFO_2019
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2300 - Underground Storage Tank Program
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PR0232523
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
9/17/2020 3:49:48 PM
Creation date
9/17/2020 2:46:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0232523
PE
2361
FACILITY_ID
FA0003833
FACILITY_NAME
Super Store Industries - Grocery Division
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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t1- UST Installation ! Retrofitting <br /> INTERNATIONAL <br /> CODE COUNCIL=° i <br /> Candidate ID: ICCO0015013 <br /> Name: GREG KAISER Date: 4/1112017 <br /> Address: 331 N NEWiTT RD ��� <br /> 1 was E <br /> ` � � <br /> LINDEN CA 95236 JAN mg <br /> rr'- <br /> o-N TAI_ <br /> EXAMINATION RESULT: PASS _ + 'Q-rj4F: )r <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 wail certificate, go to www.iccsafe.org/inspecto . <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 certexam0iccsafe-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 /> The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authenticatlon found at: <br /> wwwYearsonVlQE coM�authencate <br /> ti <br /> Dlgltal embossing eliminates the possiblilty ot'unauthorized embossing or counterfeit score reports, <br /> Registration Number: 314218078 Validation Number- 948809632 <br />
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