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COMPLIANCE INFO 2010 - 2013
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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4315
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO 2010 - 2013
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Last modified
8/19/2019 4:52:21 PM
Creation date
8/19/2019 4:16:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2013
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Oct 04 12 10:47a Elite 1 Contactors 12094E 342 p.2 <br />PTO VERIFY AUTHENTICITY OF rHJS DOCUMENT YOU MUST TURN OVER AND RUB THE PEARSON VUE LOCO WITH FiNGE11. AUTHEN'l C -Uf,1I,rJT WILL CHANGE COLLI.� Flio%i -.M,\r1(A 11: YLI.Ltl%`; W <br />ME%" 0100"al <br />California UST Service Technician <br />INTERNATIONAL <br />CODE COUNCIL <br />P, Candidate ID: ICC00015746 <br />Name: JAROD BURKE Dater 6/25/2012 <br />Address: 1992 Bayberry Ct <br />Tracy CA 95376 <br />EXAMINATION RESULT: PASS <br />Congratulations! You have passed the above named examination. Your w let card will be forwarded to <br />you by ICC within six weeks from the last day of the month in which you t(:s nd. This certificate is current <br />for two years. <br />You may request a wall certificate from ICC as well. This certificate will be l; ovided at no cost to you, if <br />you request it within 90 days of your exam. Only one wall cert if icate per e:- a , passed will be provided to <br />you at no charge. For more information on requesting a wall certificate, gc t www.iogsafe.orghnspecto . <br />-g in name and/or address to <br />It is extremely important that you notify Pearson VUE and ICG of any chai <br />avoid the possibility of your wallet card and/or certificate not being receivej. Please contact Pearson <br />VUE at. 800-275-8301 and ICC at certexam@iccsafe.org with changes to It jr name and address (name <br />changes may require additional documentation). There may be an additions lee if a certification is <br />re -issued due to a misspelled name or incorrect address. <br />. . . . ... .... <br />d. <br />4 <br />P <br />R <br />1H918 (INV 1331 H109 qV38V SDHVO Uhl iH911 01 MV0 INQUA AIWAI 0NVkiivn0vu9 V0103 S39NVHD M1 ONnou,)I, ,j(qi3uoiooLilfivCVSVHIN3tp4n000siFiijol)t'j3HJ.. <br />
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