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COMPLIANCE INFO_2007-2012
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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2300 - Underground Storage Tank Program
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PR0231873
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COMPLIANCE INFO_2007-2012
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Last modified
2/21/2024 1:30:35 PM
Creation date
6/3/2020 9:53:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2012
RECORD_ID
PR0231873
PE
2361
FACILITY_ID
FA0003956
FACILITY_NAME
PACIFIC BELL - UE058 (TRACY)
STREET_NUMBER
10
Direction
E
STREET_NAME
12TH
STREET_TYPE
St
City
TRACY
Zip
95376
APN
23336922
CURRENT_STATUS
01
SITE_LOCATION
10 E 12TH St
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231873_10 E 12TH_2007-2012.tif
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EHD - Public
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INTERNATIONAL <br />UST Installation/Retrofitting <br />COD Ci)t; 01.0 <br />I; <br />Promissor ID: XX4141014777 <br />> <br />Name: JOHN CACIO Date: 01/05/2005 <br />Address: 7328 ZANCADA CT Birth Date: 01/01/1964 <br />�. <br />SSW573395015 <br />I <br />SLOUGHHOUSE CA 95683 <br />EXAMINATION RES°JLT: PASS <br />Cor!�ratu!ations! You have passed the UST Installation/Retic ittLig ex��iunat<on. `Your wallet card and ::ervficate <br />will be forwarded to you by ICC within six weeks from the last day of the.month in which you tested. This certificate <br />is current for two years. <br />It is extremely important that you'notify Promissor and ICC of any changes in narie and/or address to avoid the <br />°possibility of your certificate not being received. Please contact Promissot at8OGw?.75-8.301 and ICC at <br />877=783-3926 with changes to your name and address. There maybe an additional fee] a certification is <br />,, .re -issued due to a misspetled: name or incorrect address. <br />s `` <br />Ir <br />IS <br />7 <br />1' <br />d <br />I' <br />4 <br />I� <br />is <br />a!y CN7 id31 H109 SV_FlV tl3NUVO HIM 114011 <br />0 WOUj A1N3A3 ONV Al <br />• s Ij <br />�Y + <br />u7ir1Vd V SV}, iNaiNnboa StHi jo 30V:3H11 <br />
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