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COMPLIANCE INFO_2018
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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PR0231465
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COMPLIANCE INFO_2018
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Entry Properties
Last modified
7/20/2020 1:53:30 PM
Creation date
7/20/2020 11:29:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231465
PE
2361
FACILITY_ID
FA0003739
FACILITY_NAME
Colonial Energy CE 40134 (DBA Power Mart)
STREET_NUMBER
1434
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
1434 W Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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To: Elena Manzo Page 2 of 13 2018-09-05 16:47:04(GMT) 17076380484 From:Nucleus Pump Services <br /> `� <br /> R,1 California UST Service Technician <br /> ■n■ <br /> INTERNATIONAL <br /> CODE COUNCIL <br /> Candidate ID: X4817 <br /> Name: Brian Roth Date: 10/19/2017 <br /> Address: 4960 PINE TREE LN <br /> POLLOCK PINES CA 95726-9428 <br /> EXAMINATION RESULT: PASS <br /> Congratulations! 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 /> You may request a wall certificate from ICC as well,This certificate will be provided at no cost to you,if <br /> you request it within 90 days of your exam. Only one wall certificate per exam passed will be provided to <br /> you at no charge. For more information on requesting a wall certificate,go to www.iccsafe.orglinsactor. <br /> It is extremely important that you notify Pearson WE and ICC 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(tDiccsafe.om 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'PearsonVUE.com/authenticate <br /> Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. <br /> Regishation Number 324212391 Validation Number. 282721884 <br />
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