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COMPLIANCE INFO 2014 - 2016
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 2014 - 2016
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Last modified
8/21/2019 10:50:53 AM
Creation date
8/21/2019 9:39:01 AM
Metadata
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Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014 - 2016
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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UST Installation / Ratrofittinq <br />3!11 i <br />CINARO�AADEM. NCtL <br />Candidate ID: ICC00042842 <br />Name: LIOSEPH [ AFIT IOi_U <br />Address: <br />Date: 10/23/2013 <br />REGEIVEL) <br />TnACY CA 95376 SEP 2 g 2015 <br />:,q. ,t .� <br />EXAMINATION RESULT: PASS ENVIRONMENTAL_. <br />(JCA"TU r)CDADTIACNIT <br />Congratulations! You have passed the above-named examination. Your wallet card will he forwarded to <br />you by ICC within six weeks from the last day of the month in which you tested. This certification is <br />current for three years. <br />i9 <br />You may request a wall certificate from ICC as well. This certificate will be provided at no cost to you, if <br />you request it within 90 days of your exam. Only one wall certificate per exam passed will be provided to <br />-you at no charge. For more information on requesting a wall certificate, go to www.iccsafe.org/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 certifieate not being received. Please contact Pearson <br />VUE at 800-275-8301 and ICG at certe am @Iccsafe.org with changes to your name and address (name <br />changes may require additional documentation. There maybe an additional fee if a certification is <br />re -issued due to a misspelled name or incorrect address. <br />The authenticity of this score report ran be validated by using Pearson VUE's Online Score Report Authentication found at: <br />ww w.P arsonVUE com/authenticate <br />Digital embos5irng eliminates the possibility of unauthorized embossing of counterfeit score reports. <br />Registration Numbor: 262141615 Validation Number: 1045626632 <br />
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