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COMPLIANCE INFO 2017 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO 2017 - 2018
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Entry Properties
Last modified
8/21/2019 11:07:05 AM
Creation date
8/21/2019 9:40:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
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
Scanner
KBlackwell
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EHD - Public
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a" UST Installation / Retrofitting <br />■ a■ <br />INTERNATIONAL <br />CODE COUNCIL <br />Candidate ID: #####2851 <br />Name: Joseph Bartholdi <br />Address: 2535 Wigwam Dr A <br />Stockton CA 95205 <br />Date <br />EXAMINATION RESULT: PASS <br />11/17/2017 <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 day of the month in which you tested. Generally, ICC <br />certificates are current for two years; check with your state for expiration periods in your state. <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.orp/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 certificate not being received. Please contact Pearson <br />VUE at 800-275-8301 and ICC at certexam C iccsafe.oro with changes to your name and address (name <br />changes may require additional documentation). There may be 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 can be validated by using Pearson VUE's Online Score Report Authentication found at: <br />www, PearsonVUE.com/authenticate <br />Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br />Registration Number: 325376687 Validation Number. 862959218 <br />
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