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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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KBlackwell
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EHD - Public
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Sep 09 13 12: 19p Elite IV Contactors 12094616342 p. 2 <br /> TO VERIFY.AUTHENTICITY OF THIS DOCUMENT YOU t, ST OVER AND RUB THF PEARSON VUE LOGO WITH FINGER.AUTHENTI JNIENT WILL CHANGE COLOR FROM ORANGE TO YELLOW <br /> California UST Service Technician N <br /> ^COD ,,COU iVII' ... 4t <br /> Candidate ID: ICC00025547 ' <br /> Name: FREDRICK BABEL Date: 9/19/2012 , s A �� . <br /> `Address: 4346 pissaro gft <br /> � • 1i ur a. €ice :. : 's5,'s�:�.^� .. <br /> STOCKTON CA -95206 <br /> S t� <br /> fi +< <br /> EXAMINATION RESULT: PASS <br /> 4 P0 <br /> Congratuiationsl You have passed the above named examination: 1`olir: a et card wll.be fo t F pq <br /> i you by ICC within-six weeks from the last day of the month in'which you teidt ds This eertifieate.c. art g <br /> for two years.- . <br /> s ms's <br /> You ma�+,request a wall certificate from !CC as well.This certificat W wldJed at no cost to you, <br /> you requast it within 90 days of your exam. Only one wall certlfic to per exar passed will be'pravtrld t <br /> you at no charge. For more information on requesting a wall certificdta,go tf +'yww iccs ora/insr�ector ; <br /> It is extremely important that you notify Pearson VUE and ICC of any chan')( anname and/or address to <br /> avoid the possl8llity of your wallet card and/or certificate not being receives Ilease,.contact Pearson r <br /> VUE�t 800-275-8301 and„[CC at certexam @ Iccsafg.or with.,changes to,,o i ane and add,ess (name `�'• <br /> changes may require additional documentation).There may bie an additiorla fee`f a certification'is <br /> re issued due to a misspelled name or incorrect address. <br /> a <br /> 3+t <br /> ,4,s.� fttK <br /> a <br /> { <br /> g ,N <br /> t t k <br /> A <br /> . y r <br /> a :'":w a i•: ^'.-::'. ^..:. t <a<.;, ., < .::,Y i'.3.1';� ..'Ei't•9 e. jt ,� <br /> iHOIW ONV-1331 H109 SV3HN 3�4dVC 1,111M 1H'Jnpi�HVO Woo j AlN3A3'dNV A'1"1V(1QVb9 H rg 03801Wi1<NI V SVH:V00000 SIH13o'30V3 3Hl <br />
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