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REMOVAL_2007
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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PR0526741
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REMOVAL_2007
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Entry Properties
Last modified
8/24/2021 4:25:19 PM
Creation date
11/5/2018 3:22:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2007
RECORD_ID
PR0526741
PE
2361
FACILITY_ID
FA0018107
FACILITY_NAME
SAMUEL HINOJOSA
STREET_NUMBER
2514
STREET_NAME
JULIET
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17304040
CURRENT_STATUS
02
SITE_LOCATION
2514 JULIET RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JULIET\2514\PR0526741\UST REMOVAL 2007.PDF
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EHD - Public
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,0,,VERIFY AUTHENTICITY OF THIS DOCUMENT YOU MI JRN OVER AND RUB THE PROMISSOR LOGO WITH FINGER.AUT .0 DOCUMENT WILL CHANGE COLOR FROM ORANGE TO YELLO:. <br /> YY x. <br /> YIIA ix' <br /> Age UST Installation/Retrofitting <br /> Ir® H8�✓ <br /> I)l i.k\\I IU\,iL <br /> t'Ul.1f:l'OCAL71.. <br /> Promissor ID: XX4141015561 <br /> Name: RUSSELL CHADWICK Date: 03/11/2005 <br /> Address: <br /> .. <br /> EXAMINATION RESULT: PASS <br /> Congratulabonsl You have passed the UST Installation/Retrofitting examination. Your wallet card and certificate <br /> will be forwarded to you by ICC within six weeks from the last day of the month in which you tested. This certificate <br /> is current for two years. <br /> It is extremely important that you notify Promissor and ICC of any changes in name and/or address to avoid the <br /> possibility of your certificate not being received. Please contact Promissor at 800-275-8301 and ICC atri « Adm. <br /> 877-783-3826 with changes to your name and address. There may be an additional fee Jf a certification Is �. <br /> re-issued due to a misspelled name or incorrect address. <br /> Oft <br /> xR'skQ�a'R. <br /> � 4 <br /> H ¢ <br /> 9d'g��tY <br /> y , <br /> r. <br /> tag p.> •i <br /> T, <br /> + <br /> c � <br /> y 3E1 .d Fb . <br /> *M <br /> 3 <br /> ,� -HOIUCr.1191 8109 SV38V U3NUVO H11M 1H011 01 AUVO WOU3AN3A3 ONV A11V00V8O 80103 S30NVHO 1VH10Nn000NOVS 03UOlOD I11nW V SVH 1N3WO0GG SIHl i0_3DVj 3H1 <br />
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