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COMPLIANCE INFO_2004 - 2007
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LOUISE
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85
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2300 - Underground Storage Tank Program
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PR0231656
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COMPLIANCE INFO_2004 - 2007
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Entry Properties
Last modified
4/26/2022 11:54:19 AM
Creation date
5/8/2020 4:22:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2007
RECORD_ID
PR0231656
PE
2351
FACILITY_ID
FA0003635
FACILITY_NAME
ARCO 06080
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
01
SITE_LOCATION
85 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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'� '-"`'�P • -".'7"+- g�--^ '—i-,-.G, '.-..„, ..”, b•� -i€ y1,7:.•*•-F.,,--.«rKr "7 <br /> e <br /> a S J_-Jr D-UDYOU?U'J T,4HN� _A.AND RUC N..rrit)fi+3.dJR L'' 0.d(. ..'R¢L EiiAur HENT)GDOC, m-tiJ7"v.LL S..4, E G..L,)R F40M OR.A PIG,n TO Y Et I t <br /> Isk, <br /> California UST System OperatorINTYRNMIMAJ i <br /> Mi <br /> 1 <br /> Promissor ID XX4141014157 <br /> Name: JAMES KASDORF Date: 12121/2004 <br /> Address: 5161 N IDLEWILD AVE Birth Date: 0116611966 a <br /> SSN.' 39654929 <br /> Nllt <br /> ^. MILWAUKEE WI 58217 <br /> EXAMINATION RESULT: PASS <br /> I Congratulations! You have passed the California UST System Operator examination. Your wallet card and <br /> certificate will be forwarded to;you by 1CC within six weeks from-the last day o f the month in which you tested. This <br /> 3 certificate is current for two years- <br /> 11 is extremely irnportant that you notify Promissor and ICC of any changes in name and/or address to avoid the <br /> possibility of your certificate not being received. Please contact Promissor at 800-275-3501"and)CC at <br /> ' 877-783-5926 with changes to your name and address. There may an additional fee if a certification is <br /> re-issued due to a misspelled name or incorrect address. <br /> �j <br /> �u <br /> q4' <br /> a: 4 <br /> N'1 <br /> 4 <br /> ' <br /> 4 <br /> c <br /> �. r � %,� �t �-`�_..._.�,..: ��,.-.,� ,.,sN•�."_.;S�r.� �.� �•,. X ,� 1?,........_�'_k, t "Rr'x 1F ,. �S .�`�-....'yi�� <br /> �,.._.__-�..u..,..,.._�........c..�. .� ^..._.,��,�-L�«v-L:•.u,.C._ ..,�,'-...wu•�'�v..�:L�L•�G rte... ' � ,:::.Yi.Y `L, i_"4 <br />
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