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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
Scanner
SJGOV\kblackwell
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EHD - Public
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IZYKW I I <br /> UST Installation / Retrofitting <br /> INTERNATIONAL <br /> CODE COUNCIL``' <br /> Candidate ID : #####2851 <br /> Name : Joseph, Bartholdi Date : ktt /17/2017,: <br /> Address . 2535 Wigwam Dr A <br /> Stockton CA 95205 <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, IGC <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 90days 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 . org/inspector. <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 . org 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 /> reissued due to a misspelled name or incorrect address . <br /> i <br /> iL <br /> i <br /> i <br /> i <br /> i <br /> The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at: <br /> www . PearsonVOE .com/pLithenticate <br /> Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score. reports. <br /> Registration Number: 325376687 Validation Number. 862959218 <br />
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