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INSTALL AST TO UST INSTALL PLAN 2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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3940
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2300 - Underground Storage Tank Program
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PR0507837
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INSTALL AST TO UST INSTALL PLAN 2011
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Last modified
7/6/2020 4:41:01 PM
Creation date
11/6/2018 10:48:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
AST TO UST INSTALL PLAN 2011
RECORD_ID
PR0507837
PE
2361
FACILITY_ID
FA0008057
FACILITY_NAME
TRACY TRUCK AND AUTO STOP
STREET_NUMBER
3940
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21220004
CURRENT_STATUS
01
SITE_LOCATION
3940 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\3940\PR0507837\INSTALL\AST TO UST INSTALL PLAN 2011.PDF
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EHD - Public
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O VER AUTHENTICITY OF THIS DOCUMENTYOU MUST TURNOVER AND RUB THS PROMISSOR LOGO WITH,FINGER AUTHENTIC DOC UMENTMJ L CHANGE COLOR FROM On ANGE TO YELLON <br /> UST instaf!ation/Retrofitting <br /> INTERNATIONAL <br /> CODE COUNCIL c <br /> Candidate ID: XX.4341044640 <br /> Name: LANCE JUAREZ Date: 9/9/2009 <br /> Address: { .: p <br /> 2.ay ta?' r�9, * <br /> _ S```WaiM�'_4"o..,m.4:..� °o <br /> tin $ ,' .H;a-ayy Fro.Ea�� q 5FNNm �- <br /> EXAMINATION RESULT: PASS r <br /> . - .: <br /> Congratulations! You have passed the UST Installation/Retrofitting examination. Your wallet carte <br /> certificate will be forwarded to you by ICC within six weeks from the last day of the month in which <br /> tested. This certificate is current for two years. <br /> r. It is extremely important that you notify Pearson VUE and ICC of,any changes in name and/or addr <br /> avoid the possibility of your certificate not being received. Please contact Pearson VUE at 800-275-83 w ° <br /> and ICC at 888-422-7233 ext. 33815 with changes to your name and address There may be an <br /> additional fee if a certification is re-issued due to a misspelled name or Incorrect address <br /> - #S3M�.�} <br /> a y <br /> c <br /> s <br /> 4 <br /> OR[GINAL <br /> , 1H9N0 1431 H10H Stl3H tl3b OH11M1HOl0 NNd 0 l 30 Tl llO 0O'IOOS3O 711ONO0 `NJtl903H0 OO 1l0W VStlH11J3W IJOD SIH13030Vd3H1 JF�� <br />
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