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COMPLIANCE INFO_2021
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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PR0231801
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/27/2021 8:35:05 AM
Creation date
1/29/2021 3:18:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231801
PE
2361
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN 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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ILIL i1a <br /> California UST Service 'Tech ian <br /> Man <br /> INTERNATIONAL � <br /> CODE COUNCIL? r : <br /> Candidate ID : #####4811 <br /> Name : Michael Kennard pate : 6/19/2019 <br /> Address : <br /> 461111&L "etc <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 Z�ww, lccsafe . org/lns ector. <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 .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 /> i <br /> E <br /> F <br /> The outhent/city of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at; <br /> www, PearsonUE.com/authenticate <br /> Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br /> Registration Number.' 954767630 Validation Number., 1040177072 <br /> 1 <br />(t <br /> t <br />
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