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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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Oct, 29 14 03: 05p Elite IV Contactors 12094616342 <br /> . p. 5 <br /> r <br /> � California UST Service Technician <br /> �_ INTI:RN�tJII�AL <br /> Gg13EC0UN IL <br /> Candidate 10: ICCO0224705 <br /> Name: Christopher Adams Date 12/12/2013 <br /> Address: <br /> <br /> <br /> EXAMINATION RESULT: PASS <br /> Congratulations! You have passed the above named examination. Your or, let card will be forwarded to <br /> you by ICC within six weeks from the last day of the month in which you to A 'd. This certificate is current <br /> for two years. <br /> You may request a wall certificate from ICC as well.This certificate will be p wided at no cost to you, if <br /> you request it within 90 days of your exam. Only one wall certificate per exit passed will be provided to <br /> you at no charge. For more information on requesting a wall certificate, go tc w Wjgcsafe orn/insoe •tor. <br /> It is extremely important that you notify Pearson VUE and ICC of any than 3i .i in name and/or address to <br /> avoid the possibility of your wallet card and/or certificate not being received. 'lease contact Pearson <br /> VUE at 800-275.8301 and ICC at certexam @ iccsafe ora with changes to yo r name and address (name <br /> changes may require additional documentation). There may be an additiona fee if a certification is <br /> re-issued due to a misspelled name or incorrect address. <br /> RECEIVED <br /> OCT 2 9 2014 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> The authenticity of this score report can be validated by using Pearson WE's online Score Remo Authentication found at: <br /> www P arW nV om/a th nH <br /> Digital embossing eliminates the possibility of unauthorized embossing of countertah rcore reports, <br /> Registration Number. 263942749 Valbatlon Number. 758105557 <br />
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