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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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E
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88 (STATE ROUTE 88)
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14971
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2300 - Underground Storage Tank Program
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PR0231911
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/20/2024 9:21:33 AM
Creation date
9/15/2020 2:19:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231911
PE
2361
FACILITY_ID
FA0000540
FACILITY_NAME
COUNTRYSIDE LIQUORS & GAS
STREET_NUMBER
14971
Direction
N
STREET_NAME
STATE ROUTE 88
City
LODI
Zip
95240
APN
06316025
CURRENT_STATUS
01
SITE_LOCATION
14971 N HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UST Installation / Retrofitting ; " r <br /> ILL <br /> Yti 4 � <br /> INTERNATIONAL A4 : <br /> CODE COUNCIL' <br /> Candidate ID : ICC00015746 <br /> Name : JAROD BURKE Date : c/21 /2011..7 <br /> Address : J1=W6Q*WX)ftSt <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 . ora/ins sector. <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 certificate not being received. Please contact Pearson "! <br /> VUE at 800-275 -8301 and ICC at certexam@iccsafe . ora 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 /> Registration Number: 318364225 Validation Number: 951095278 <br />
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