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COMPLIANCE INFO_2022
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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PR0231216
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COMPLIANCE INFO_2022
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Last modified
10/20/2022 4:00:37 PM
Creation date
1/24/2022 10:53:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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1 � <br /> " I Y <br /> INTERNATIONAL ' ' <br /> CODE <br /> COUNCIL® <br /> INTERNATIONAL CODE COUNCIL <br /> BRIAN LEWELLEN <br /> The International Code Council attests that the individual named on this certificate has satisfactorily <br /> demonstrated knowledge as required by the International Code Council by successfully completing the prescribed <br /> written examination based on codes and standards then in effect, and is hereby issued this certification as: <br /> California UST Service Technician <br /> Given this day October 29, 2021 <br /> Certificate No . 10099026 <br /> Cindy vis, CBO <br /> President, Board of Directors <br /> Dominic Sims, CBO CERTIFIED <br /> Chief Executive Officer <br /> ,, <br /> This certificate is the property of ICC and must be returned to ICC in the event of suspension or revocation of the certificate. <br />
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