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COMPLIANCE INFO_2016-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO_2016-2018
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Last modified
3/11/2021 11:13:49 AM
Creation date
11/5/2018 11:20:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2018
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 2016-PRESENT .PDF
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EHD - Public
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Cad*nia UST Service Technician* <br /> Candidate ID: ICC00231112 <br /> Name: Fabian Gomez <br /> • 5130/20tS <br /> Address: <br /> <br /> <br /> DEC it 9 2016 <br /> ENVIRONMENTAL HEALTH <br /> EXAMINATION RESULT: PASS DEPARTMENT <br /> Congratufatiorq! You have Passed the above named examination. Your wallet card will be forwarded to <br /> YOU ny!CC within sir weeks from firs lag day of the month in which you tested. This csrtNicate is current <br /> for two Years. <br /> You may request a wall c"icate from ICC as well_ This arM atte wiry be Provided at no cost W you, d <br /> you request ry charge. <br /> 90 days of your exam. Curtly one wail certificate Per exam passed will be Provided to <br /> You at no charge. For more information on requesting a wary csrti irate. go to <br /> ry�e�meiy Important that you notify Pearson VUE and ICG of any changes in name and/or address to <br /> VUE the po275-W, Your and ICC at card and/or certificate not being contact <br /> VUE at tTpO 27 g►eaived. Please Pearson <br /> go <br /> changes may require addiryonal docafe oraith wchange to your name and address(name <br /> re-ksued due to a mkmpeNed name or Inncorirect address.aY be an additional fee d a celcation Is <br /> The authenticlty of drls score report can be validated by using Pearson WE s Online <br /> Score Re ort Authentication <br /> found at:Digital embossing eliminates theltlo' vPWllltyfr aizm sing <br /> of countar/e!t score reports <br /> Registration Number. 283154281 <br /> validation Number: 5809454M <br />
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