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COMPLIANCE INFO_2012-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2575
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2012-2018
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Last modified
2/22/2023 4:20:12 PM
Creation date
6/3/2020 9:43:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2018
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2012-2018.tif
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EHD - Public
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coo <br />Candidate ID: ICC0001 5351 <br />Name: STEVEN JONES Date: <br />Address: <br />Mkffl�r y <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. This certification is <br />current for three years. <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.orc <br />1/inspector <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@iggote.org with changes to your name and address (name <br />changes may require additional documentation). There may be an additional fee H 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 />mw.PeiirsonVUr:.comiasiLhc12Ltole <br />Digital embossing eliminates the possibility of unauthorized embossing of counterfeit scare reports. <br />F?egistrafion Number.- 259057320 Validagon Number 1000811505 <br />
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