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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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25651
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2300 - Underground Storage Tank Program
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PR0231628
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COMPLIANCE INFO_2013-2018
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Last modified
11/19/2024 1:51:14 PM
Creation date
6/23/2020 6:50:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231628
PE
2361
FACILITY_ID
FA0003835
FACILITY_NAME
SMK CHEVRON
STREET_NUMBER
25651
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00514120
CURRENT_STATUS
01
SITE_LOCATION
25651 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231628_25651 N HWY 99_2013-2018.tif
Tags
EHD - Public
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Nov 26 14 02t47p Elit Iw Contractors Inc 2084616 42 p.6 <br />i <br />I OUST Installation / Retrofitting <br />, <br />i M ,C CIL. �. <br />Candidate ID: ICCO0042842 I <br />I' <br />Name: JOSEPH BARTHOLDI; ' Dente: 10/23l2013 <br />.i Address: <br />j, <br />EXAMINATION RESULT: PASS <br />Congratulationsl You have passed the above-named examination. Your wallet card will be forwarded to I j <br />I you by ICD within six wooks from the last day of the month in which you tested: This certification is <br />j current for threeyears, <br />You may requestia wall certificate from ICC'as well. This certificate will be provided at no cost to you, if <br />you request it wltliln 90 days of your exam. Only one wali certificate per exam passed will be provided to <br />you at no chargo: For more iriformatlon on requesting a wall cor�lficato, go to www.icesafe.orarinsoettftor. <br />I <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 cendioato not being-received: Please contact Pearson <br />VUE at 800-275.8301 and [CC at certexam 9iccsafe.org with changes to your name and address (name <br />j 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 />I , <br />RECEIVED <br />�. <br />OV 2 6 2014 <br />FNAII-RON MENTALHEALTH_ <br />OUARTIVIENT <br />rl)P euthiWirity of this score report!can be validated by using Awevon WE'S Online"Score Report Awthentication found at; <br />' www.PenrsonUUE.camJe�nerrtlr�te <br />Digital en)bossln, p!lminates the. , sibfdt ofunautha&ed emboss/n of cavnterfe/t store rts. <br />g 9_::. _... pa+ <br />._.5......_......,........ �° <br />Registration Number. 262141675 VafidatlonWnber: 1045826632 � <br />
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