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COMPLIANCE INFO_2016-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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4855
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2300 - Underground Storage Tank Program
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PR0506650
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COMPLIANCE INFO_2016-2018
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Entry Properties
Last modified
11/19/2024 1:51:14 PM
Creation date
11/8/2018 9:50:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2018
RECORD_ID
PR0506650
PE
2361
FACILITY_ID
FA0007571
FACILITY_NAME
ARCH ARCO AM PM*
STREET_NUMBER
4855
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
APN
17926051
CURRENT_STATUS
01
SITE_LOCATION
4855 S HWY 99
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\N\HWY 99\4855\PR0506650\COMPLIANCE INFO 2016-PRESENT .PDF
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EHD - Public
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J If <br /> .., . <br /> I i <br /> California UST Sel vice 7echpiclan <br /> 120 <br /> 1i{l� <br /> Candidate D; ICC00042842 <br /> ' �. <br /> Name: JOSEF,'H BARTHOLDI ( ' <br /> Pate: 8/5/20114 <br /> Address: <br /> <br /> - - <br /> EXAMINATION RESI-Jdt; PA <br /> Congratulat ortslYou have assed the above named examination. Your wallet card Will be forwarded tq+ <br /> youby ICS it6ln'six weeks�from the last bay of,the month 1n�Whlch you tested This certiffc to is':currenE <br /> for iv✓o year - <br /> You may re fest a;Walt certificate from ]CC as well;.'f his cert{f+cate ✓+II be ptovided at no posX to yQU� if <br /> you request i(Iwithin;90 day of your examl Only 1. <br /> one,wall.cerificate'per exa passeduatll be provided to <br /> you at no c ar e. Fdr more nformation o(requesting a wall certrflcate,go td www,Lcsafe 1 -h dectoI <br /> j. <br /> It is extremgqlly important tha you notify Pearson VUi=and lbq of any.changes In narne'and/or address to <br /> avoid the pdssibllitylof your'wallet card and/or rtiffoate not'6 (Og r elved.;blease contact i3earson j <br /> VUE at 800-X275.8301 and ICC at certexamY�fd 5af $rb 1N{if3hartgs to your name!and addtess (nage, <br /> i changes may require additional documentation).Ttigre may lie'an additional fee If`a certification is <br /> re-issued duel to a misspell name or incorrect address. <br /> 1 f <br /> I <br /> III 77fe ab65entidty ft{�ls scofa report L be validated by uslry pearsort VUE s dnllne.5core ReporF Aurhentica(ion found at: <br /> www PearSonV f �••! en T . <br /> D7g/t/embussing e!!minates the posslblllty ofudadthodzed embossingof c'ounferfelt score reports. <br /> Registration Nu 7ber. <br /> 27.1440176 Validation Number <br /> `897962777- r <br /> I <br />
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