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COMPLIANCE INFO_2003-2015
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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PR0231438
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COMPLIANCE INFO_2003-2015
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Last modified
12/20/2023 2:15:50 PM
Creation date
6/3/2020 9:49:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2015
RECORD_ID
PR0231438
PE
2361
FACILITY_ID
FA0003716
FACILITY_NAME
SUPER STOP GAS & LIQUOR*
STREET_NUMBER
290
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309101
CURRENT_STATUS
01
SITE_LOCATION
290 N MAIN ST STE C
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231438_290 N MAIN_2003-2015.tif
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EHD - Public
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JUN 11 2000 6:17AM HP LASERJET 3200 p-5 <br />0 VERIFY AUTHENTICITY OF THIS OOCLMENT YOUPWTUANOVER AND nU(3 -HE PROMISS 13 LOGO WITH FINGER. AUTHOWOCUMENTWILL CHANGE COLON MUM 1 011AN(C TO )v <br />NN, <br />4 <br />- k <br />California S r s. Technician <br />IN't`}: 3 kTIOX:t1, <br />Promissor ID: XX414i013771 <br />i4 <br />Name: <br />ERIC MOLGAARD Date: <br />t <br />Address`. <br /> <br /> <br /> <br />EXAMINATIQNiIRESULT: PASS <br />Congratulations! You have passed the California U$T Service Technician examination. Your wallet card <br />and certificate will be forwarded to you by BCC within! six weeks from the last day of the month in which <br />you tested. This certificate is current for two years. <br />It is::extremely important that you notify Promissor 4d ICC of any changes in name and/or address to <br />avoid the,pdssibility of your certificate not being recoved. Please contact Promissor at 800-2754301' <br />and.ICC 0888-422-7233 ext. 33815 with changes to your name and address. There may be an <br />additibriNlee if a certification is re -issued due to a Misspelled name or incorrect address. <br />HU ONV 1j31 H10B SV3Hv H3N8VO H11M 1H011 01 <br />41 <br />S39NVHO 1VHI CNrOH0N0V0 <br />OOO SIH I JO 30V1 <br />
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