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COMPLIANCE INFO_2015-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2015-2018
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Last modified
6/20/2023 2:14:17 PM
Creation date
6/3/2020 9:44:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2015-2018.tif
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EHD - Public
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UST Installation / Retrofitting <br /> INTERNATIONAL <br /> CODE COUNCIL r. <br /> Candidate ID: ICC00015745 <br /> Name: MICHAL KENNARD Date: 10/15/2015 <br /> Address: <br /> <br /> <br /> OCT 10 2016 <br /> � <br /> T AL HEALTH <br /> EXAMINATION RESULT: PASS ENVIRONMENTAL <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 certificate is current <br /> for two 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.or ./g 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@iccsafe.org 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 VUEs 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: 289911121 Validation Number: 942812106 <br />
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