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COMPLIANCE INFO 2013-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO 2013-2015
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Last modified
3/11/2021 9:30:46 AM
Creation date
11/5/2018 11:18:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
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\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1630\PR0518624\COMPLIANCE INFO 2013-2015.PDF
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EHD - Public
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TO VEP FY AH IHENTIGITY OF THIS DOCUMENT YOU MUST I ER AND RUB THE REARSON VUE LOGO WITH FINGER AUTHEM UMENT WILL CHANGE COLOR FROM ORANGE TO YELLOW *, <br /> J tt <br /> 1 . <br /> a <br /> California UST Service Technician <br /> t <br /> INERNATIQNAL F <br /> CODE COUNCIL <br /> T <br /> Candidate ID: ICC00042842 <br /> 3 to <br /> Name: JOSEPH BARTHOLDI Date: 7/12/2012 <br /> Address: <br /> s <br /> 0i K <br /> s) <br /> EXAMINATION RESULT: PASS02616606tc-aOrdwill'te <br /> " l; 'akI <br /> ) <br /> .Congratulations! You have passed'the above named examination.- Your wforwarded to , <br /> you by ICC within six weeks from the last day of the month in which you tested. This certificate is current <br /> for two years. <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 9b 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_www.iccsafe.org/inspector. <br /> It is extremely important that you notify Pearson VUE and ICd`of any changesin names and/or address to <br /> 1avoid the possibility of your wallet card and/or certificate not being received. Please contact Pearson <br /> :IVUE at 800-275-8301 and ICC at cartexam@1ccsafe.ora with changes to your name and address(name Lj <br /> changes'"t require additional documentation). There may be an additional fee if a certification is <br /> re-f9sued;tlue to a misspelled name or incorrect address., <br /> 1 Mi <br /> ,x J,je,.r •e <br /> I@ <br /> i I y1 <br /> - I I <br /> S <br /> f <br /> 1H9Itl OrNtl ld3H10B 31 HIDE! <br /> Stl31JV tl3Nk1VG H11M1HOn 01 NUtlO WOM3 AlN3A3 GNtl Alltlf10tltl0 80100 S30NVH01tlH10NDOHONOVH 03tlO10011ROW tl StlH 1N3W000❑SIH'j0 30Vd 3H1 <br />
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