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COMPLIANCE INFO_2005 - 2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231433
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COMPLIANCE INFO_2005 - 2009
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Last modified
2/19/2020 4:59:42 PM
Creation date
2/19/2020 10:50:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005 - 2009
RECORD_ID
PR0231433
PE
2361
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
01
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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'it�-"v :`-9�.'u, +..[i '_ �Scc�„( �� t V '�_• w '.-s =�,:.: --w.. q :h_"'LL t <br /> TO VERIFY AUTHENTICITY" OF THIS DOCUMENT YOU MU- ,kRN OVER AND RUB THE f EA.RSON VUE LOGO WITH FINGER AUTHEf- DOCUMENT WILL CHANGE COLOR FROM ORANGE TO YEILON I <br /> iolll- <br /> `s= UST Installation/Retrofitting " s <br /> INTERN, TONAL <br /> CODE COEINCILx � y <br /> I i <br /> 1 Candidate ID: XX414.1014911 i <br /> ,., ..id i <br /> Name: MARIANO LUCERO Date: <br /> Address: "Mffii i <br /> Berth Date <br /> },,"N".N'+3'R•c`..uot4. a \"�"SaJaFS t�3,+�i����w<s�"�.:. <br /> sr� tr�"�g <br /> iP9 <br /> EXAMINATION RESULT: PASS.: <br /> Congratulations! You have passed the UST Installation/Retrofitting examination. Your wallet card and <br /> certificate will be forwarded to you by ICC within six weeks from the last day of the month in which you_ t - <br /> tested. This certificate is current for two years. <br /> It is extremely important that you notify Pearson VUE and ICC of any changes,in name and/or address to z <br /> avoid the possibility of your certificate not being received. Please contact Pearson VUE at 800-275-8301 <br /> and ICC at 888-422-7233 ext, 33815 with changes to your name and address There may be an � <br /> additional fee if a certification is re issued due to a misspelled name or incorrect;_ddress. <br /> .; K 1 <br /> � 1 � i��yy9��p <br /> ' �� i,�T*"o.-c fix,;v••L"0��!y`s"�� `:; 1ti r <br /> ••> .r•t �9 AL3+Rt' <br /> �w r. <br /> 4" 64VE <br /> i"< °fSxiV ciyyart",Flty(�✓'yH.n- <br /> ��. ) <br /> �Y5(�y+8��•, <br /> -M <br /> L <br /> h_1H9)8 0110,J l31 KIOS S 3LIV 83NIUVO HIM 11-1911 01 N8VO 6101,1:1 Al N3A3 GNV Al1VfloyHO UOlOO 939NVH01VH1 ONnoI:jgN0y0 o3UO-100 V SVH 1N�wn000 SIH130 30v3 3H1 <br />
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