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COMPLIANCE INFO_2014 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CAPITOL
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2014 - 2018
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Last modified
6/11/2019 2:30:29 PM
Creation date
4/10/2019 4:46:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014 - 2018
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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California UST S <br /> elyd'� ervlce Technician <br /> INTIRNATIONAI <br /> COUROUNCIL <br /> Candidate ID: ICC00015745 <br /> Name: MICHAL KENNARD <br /> Address: Date= i 1!14/2014 <br /> <br /> RECEIVED <br /> DEC 15 2015 <br /> EXAMINATION RESULT: PASS ENVIRONMENTAL <br /> HEACongratulations! You have passed the above named examination. Your wallet card will be forw LTH DEPARTMENT <br /> You by ICC within six weeks from the last day of the month in which you tested. This certificate is <br /> for two years, arded to <br /> current <br /> You may request a wall certificate from ICC as well.This certificate will be provided at no cost to <br /> YOU request it within 90 days of your exam.Only one wall certificate <br /> you'it <br /> You at no charge. For more information on requesting a wall certificate, oto passed will be provided t <br /> g +�n'.iccsafe or rns far. <br /> It is extremely important that you notify Pearson Vt1E and ICC of any changes in name and/or address <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 ccs iwith to <br /> changes may require additional documentation).� The ermay be an additional fee Tiff a cechanges to Your name rt on address <br /> re-issued due to a misspelled name or incorrect address. <br /> The authentlerty of this score_report tan be Validated by usingP <br /> thentl <br /> ww�v.p 3 earson VUE's Online Scoucatt 17 <br /> re ReportAfound at. <br /> Digital em3ossing eliminates the possr� unauthor&t cmbossl <br /> � .9 of counterfeit scole reports. <br /> Registration Number." 275439983 <br /> Vaddatlon Number: 9838537'4 <br />
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