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COMPLIANCE INFO_2013 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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701
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2300 - Underground Storage Tank Program
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PR0231059
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COMPLIANCE INFO_2013 - 2018
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Last modified
4/3/2023 4:26:58 PM
Creation date
11/16/2018 11:31:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2018
RECORD_ID
PR0231059
PE
2361
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
01
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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KBlackwell
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EHD - Public
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lwe California UST Service Technician <br />C GALiN IL <br />Candidate I D: ICC000428,42 <br />Name: }JOSEPH BARTHOLDI Date= 8/5/2014 <br />Address: <br />JUN 2 2 2016 <br /> <br /> <br /> . EXAMINATION RESULT:- PASS <br />Congratulationsl You have passed the above named examination. Your wallet card will be forwarded to <br />,You by ICC within six weeks from the last day of the month. in:which you tested. This certificate is current <br />for two years. <br />You may request a wall certificate from. ICC as well: This certificate will be provided at no cost to yQu, if <br />you request It within 90 days of your exam. Only one wail certificate per exam passed will be provided to <br />you at no charge. For more information on requesting a wall certificate, go to www.iccsafeag/Inspector. <br />It is extremely important that you notify Pearson VUE and ICC of any changes. in name and/or address to <br />avoid.the possibility of your wallet card and/or certificate not being received. Please contact Pearson. <br />VUE at 800,275-8301 and ICC at certexam @ Iccsafe.orgwith changes to your name and address (name <br />changes may.require additional documentation). There may be an additional fee if a certification is <br />no -issued due to a. -misspelled name or incorrect address. <br />The authentldty of this score report can be mfldated by using Pearson- VUE's Online score Report Authentication found at: <br />w'ww. Pea rsonVU E. com/'authenticate <br />Digital embossing eliminates the possibility of.unauthorized embossing of counterfeit score reports. <br />Regfstraffon Number - .271440176 Vaddaflon Number: 89796Z777' <br />
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