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COMPLIANCE INFO_2019
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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PR0518624
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
3/10/2021 4:25:20 PM
Creation date
9/21/2020 11:08:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0518624
PE
2371
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1630 E Hammer Ln
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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UST Instalation Retrofifting <br /> INTERIVAnGNAI <br /> CODE CONCIr <br /> Candidate ID . ##6#5738 <br /> Name: Nicholas Harvey Date: 9/19/2017 <br /> Address: 8281 COMMONWEALTH AVE <br /> BUENA PARK CA 90621 -2537 <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, IGC <br /> certificates are current for two years; cheek 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 wail certificate per exam passed will be provided to <br /> you at no charge. For more information on requesting a wall certificate, go to www. iccsafe, org/ins'pector, <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. PIease contact Pearson <br /> VUE at 80027&8301 and ICC at certexam @icosafe, 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 /> reissued due to •a misspelled name or incorrect address. <br /> The authenticity ofthlsscore report can be validated by using Pearson VUffs Online Score Report Authentication found at: <br /> www, PearsonVUE. com/authenticate <br /> Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br /> Registration Number 322345045 Validation Number: 115004918 <br />
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