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COMPLIANCE INFO_2019
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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PR0231906
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COMPLIANCE INFO_2019
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Last modified
9/8/2021 3:18:10 PM
Creation date
7/22/2020 4:14:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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r^'� x�,. � 5 � rt.� � . ,.,� F .,^. � ✓',�-rt , �2 %k^-r ,. l • _ f kh . , -a, � . , rte . ., s rF. �. t f � .� ., ,. <br /> F1 <br /> rill . . ; � . Tt <br /> 1 i '., 1 f jI - <br /> { <br /> li ' ! I � I -1 i I I1 <br /> 1 I { i i it t r <br /> ol <br /> INTERNATIONAL CODE COU"i"' CIL -- ---- <br /> -- J <br /> Ii�r <br /> KRISTOPHER BELLw` <br /> The International Code Council attests that the individual named on this certificate has satisfactorily <br /> demonstrated knowledge as required by the Interisational Code Council by successfully completing the prescribed <br /> written examination based on codes and standards then in effect, and is hereby issued this certification as: <br /> ♦,' moi t ... ,. �- .�i <br /> CALIFORNIA UST SERVICE TECHNICIAN._ <br /> Given this day of July 22, 2018 <br /> Certificate No . 8833000rig 4Kkkf <br /> d , <br /> f <br /> ., moi ; • i �w <br /> 4 <br /> Jay Elbettar Dominic Sims ; <br /> Chief Executive Officer <br /> President , Board of Directors ! - -=- <br /> � . , <br /> f <br /> ......,. Sit <br /> % <br /> Ii I Iti . I ! ` i - <br /> g , l <br /> • ��l <br /> I I <br /> � <br /> { . t I { <br /> { s <br /> F <br /> i <br /> ; E <br /> k . I1 It <br /> I i I ' 1 <br /> li <br /> l ; <br /> i I <br /> I I € ; ! <br /> I I ' 1 i tI 1r <br /> This certi%rcate is the property of ICC and must be returned to ICC in the event of suspension or revocation of the cer,ifrcate. <br />
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