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COMPLIANCE INFO_2013-2018 DOUBLE CHECK
Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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2300 - Underground Storage Tank Program
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PR0231261
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COMPLIANCE INFO_2013-2018 DOUBLE CHECK
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Last modified
11/29/2023 2:01:09 PM
Creation date
6/23/2020 6:45:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018 DOUBLE CHECK
RECORD_ID
PR0231261
PE
2361
FACILITY_ID
FA0002890
FACILITY_NAME
QUIK STOP MARKET #2120*
STREET_NUMBER
9321
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
080-180-05
CURRENT_STATUS
01
SITE_LOCATION
9321 N THORNTON RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231261_9321 N THORNTON_2013-2018 DOUBLE CHECK.tif
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EHD - Public
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r <br />Z�Icc"'111 <br />California UST Service Technician <br />on <br />INTERNATIONAL <br />CODE COLINCIr <br />Candidate ID: <br />Name <br />Address: <br />ICCO001 5745 <br />MICHAL KENNARD <br />Date: <br />10/28/2016 <br />OCT 2 4 201M <br />*P--, <br />ENVIRONMENTAL HEALT <br />EXAMINATION RESULT: PASS DEPARTMENT <br />Congratulationsl 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. Generally, ICC <br />certificates are current for two years; check with your state for expiration periods in your state. <br />NMNff#X1#j m-1 Loran itq A I ffoly-M I# <br />It is extremely important that you notify Pearson WE and [CC 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 @iccsafg.oru 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 VUE's Online Score Report Authentication found at: <br />Www. Pei t5gnyLJ E.com/a uthpaUcate <br />Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br />Registration Number 307093298 Validation Number: 440663736 <br />
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