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COMPLIANCE INFO_2003-2015
Environmental Health - Public
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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 <br />:WIF I ::UT HEN71CITY OF THIS DOCUMENT <br />r <br />. �4 <br />ry <br />Promissor ID: <br />Name: <br />Address: <br />HP LASERJET 3200 <br />IF TURN OVER AND RUB THE PROMIS <br />UST Installation/Rletrofitting <br />XX4141013771 <br />ERIC MOLGAARD <br /> <br /> <br />Date: 11/1612006 <br />EXAMINATION! RESULT: PASS <br />Congratulations! You have passed the UST Install0tion/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 <br />tested. Tirs certificate is current for two years. <br />It is extreme!y important that you notify Promissor and ICC of any changes in name and/or address to <br />avoid the possibility of your certificate not being received. Please contact Promissor at 800-275-8301 <br />and ]CC a( 838-422-7233 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 address. <br />P. <br />]F a_31 H1o9 SVAHV l9ML70 WARA 114011 01 NIWVG NIOW 11N3A3 ONV Al-WGV dO100 S3DNVH0 ivH1 oNnotl097VB o3kjoico I1lnin V sVH 1N3Vin300 81141 JU 3. !i 1 _ <br />
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