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COMPLIANCE INFO_2013 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231136
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COMPLIANCE INFO_2013 - 2018
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Last modified
12/18/2023 1:43:23 PM
Creation date
11/1/2018 4:00:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2018
RECORD_ID
PR0231136
PE
2361
FACILITY_ID
FA0003610
FACILITY_NAME
A&A GAS & FOOD MART
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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KBlackwell
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EHD - Public
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Jan 23 13.11:20a �Etli t IV Contactors 120948 342 p,3 <br />TO VERIFY AUTHENTICITY OF THIS DOCUMENT YOU MUST TURNOVER AND RUO THE PEARSON VU_E LOG_ O WITH FINGER. AUTHETI I'OCUINENT WILL CHANGE COLOR FROM -ORANGETO YELLOW <br />,�•} 3 <br />Q <br />fil�r�a�r••r- California UST Service Technician AL <br />ell <br />COD COUNCIL <br />Fk <br />,Candidate ID: 1CC00042842 , <br />m'. <br />Name: JOSEPH BARTHOLDI DWI:., 7/12/201:2 „ <br />Address + f f <br />7. <br />EXAMINATION RESULT,':1PNw <br />:I <br />�..#��� � Congratuiations! You have passed the above named examination Your V :11et card will <br />you by ICC within six weeks from the last day of the month in which you 1:3: I.d. This certificate <br />for two years. 3 <br />N <br />You may request a wall certificate from ICC as well. This certificate will b- i 4vided at no cosf to <br />k ; " you request it within 90 days of your exam. Only one wall certificate per E!K4 Pas will be.provit <br />you at no charge. For more information on requesting a wall cert irate, g�) : ws�ivu.iccsafe <br />"�,•, < It is extremely important that you notify Pearson VUE and ICC of'any chair siin name and/or. actdres�; w %. <br />avoid the possibility of your wallet card and/or certificate not being receivoc clease contact Pearson <br />VUE at 800-278-8301 and ICC at. certexam@iccsafe.oro with changes To y ur n4me and addres.V.-ol <br />changes may require additional documentation). There,may be an additicn I fee �f'a certification is <br />re -issued due to a misspelled name or incorrect address. <br />� I <br />at <br />13. <br />d. <br />I <br />{ <br />�� -:. o �, l � •�..� Z"yh;4„x ,eat <br />4 &. .. <br /> <br />,�.,� � .$ 3., •'a q, mal[. .Pus3a wyy' �`iY.s ' <br />'3' <br />UM <br />A p <br />-;'`,y%3 +kk{ _' r: .r rc V.? sM'. <br />. xCrr. <br />
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