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COMPLIANCE INFO 2011 - 2017
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHEROKEE
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900
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2300 - Underground Storage Tank Program
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PR0231841
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COMPLIANCE INFO 2011 - 2017
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Entry Properties
Last modified
11/4/2022 1:58:23 PM
Creation date
7/12/2019 1:58:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011 - 2017
RECORD_ID
PR0231841
PE
2361
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
01
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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TURN i_ ,..i AND RUB THE PI.ARSON VUE LOGO WITH FINGER. AUTHENTIC <br />1'0 VERIFY AUTHENTICITY OF THIS DOCUMENT YOU MUST <br />Ilk <br />UST Installation /Retrofitting <br />ta <br />INTERNATIONAL <br />CODE COUNCIL <br />Candidate ID: <br />Name: <br />Address: <br />XX4341046799 <br />RYAN OLIVAS <br />2203 CERVANTES DR <br />RANCHO CORDOVA CA <br />TENT WILL <br />OR FROM ORANGE TO YELLOW <br />Date: 8/3/2011 <br />Birth Date: 6/21/1979 <br />95670 <br />EXAMINATION RESULT: PASS <br />Congratulations! You have passed the above named examination. Your wallet card will be forwarded to <br />you by ICC within six weeks from the last clay 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. Throughout 2011, this certificate will be provided at <br />no cost to you, if you request it within 90 days of your exam. Only one wall certificate per exam passed <br />will be provided to you at no charge. For more information on requesting a wall certificate, go to <br />www !ccsafe org/inspector. <br />It is extremely important that you notify Pearson VUE <br />icateand <br />notICC <br />of any <br />eceived. Please contand/or <br />adrsdress to <br />avoid the possibility of your wallet card an d/or cert 9 <br />on <br />VUE at 800-275-8301 and ICC at certexain@iccsafe.org with changes to your name and address (name <br />changes may require additional documenmation). There may be an additional fee if a certification is <br />re -issued due to a misspelled name or incorrect address. <br />..,....nu� 11WaA-1 nNv xjjv(1OvN0 2!0100 S30NVHO m ONT1OWD),10y9 03410100,nn tl s7H 1N3Wll000 SIH! d0 30vd 3H1_ <br />
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