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COMPLIANCE INFO_2013 - 2017
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2300 - Underground Storage Tank Program
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PR0526212
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COMPLIANCE INFO_2013 - 2017
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Last modified
10/26/2023 3:23:19 PM
Creation date
9/5/2018 11:28:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO_2013 - 2017
FileName_PostFix
2013 - 2017
RECORD_ID
PR0526212
PE
2351
FACILITY_ID
FA0017737
FACILITY_NAME
CHEVRON STATION #307709*
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602015
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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� �© CERTIFICATE OF L�G;l�lfl�MY INSURANCE I�A2/2DI�rYYYY) <br />THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY ASID CONFERS NO RIGHTS UFOM THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AHEAD, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />OF -LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A. COMACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT. lir the certif cab Folder ID. an ADDITIONAL. ORLSURED, the p1lay(fes) muM be endoraed. IF SUBROGATION 13 WAIVED, wobject to <br />the t®ITTIS and condItI0n3 Of the UOIky, cerbIn FOIIOIes may r glnlra an ®IIe1¢TmtgmoflL, A statement On We c ortlflCate d®ea not confer vlghw 0 She <br />cerUffoate holder In lieu of such ondOmer ent(a). <br />PRODUCER <br />Vi,1astona R.qk 14anagwant Q InBurance Agency <br />License EST®. UB72766 <br />B cOxyOrt9 Pa.zISB Ste :130 <br />lvvina CA 92006 <br />conAME- <br />M <br />FWL <br />U UREt ffi APPORDINI3g2RR%GG rdAtCfV <br />'INFURERA:Stary gab jus Linap InsJmanan 13604 <br />INSURED <br />Wayne PQM' y' Ina. <br />8281 commo weal. -h AVQ. <br />Buena Park CA 90621. <br />Buena <br />IN uReREI Ganea:a1 ins. Co. off America 24732 <br />IMEURERC:radera1. Ik suz-ante Co. 20281 <br />INSURER®:T.T&v®1 qwm pili Co -5374 <br />- <br />INSURER S: <br />IMSURE61 : <br />COVERAGES CE&IFICAT E HUMBER:12/3 S WRG�®v REVIBION MUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTER BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOPRITHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AM40 CONDITIONS OF SUCH POLICIES. LIMITS SHOUNN MAY HAVE SEEN REDUCED BY PAID CLAIMS. <br />Ns <br />LTR <br />TYPE OF INSURANCE <br />' <br />POLICY HIMEER <br />POLICY Et'P <br />s -All"MMnym <br />POUCYEBp <br />DeatT3 <br />08MCR AL LIABILITY <br />EACH OCCURRENCE 0'MMR1 e 000 OOD <br />P @ j n✓� $ 300, 000 <br />X COMMERCIAL GEMLIABILITY <br />CLAIMS.MADH ® OCCUR <br />S�@ J�3&9202a2� <br />12/31/2012 <br />2/31/2019 <br />MED EXP AP one aril - S 25 000 <br />PE?wONALBADVNJURY 5 1'000,000 <br />* Conti+ Yollution LiabLlllbl�ooegata <br />00,000 Each Ot®asKenw <br />* Vzo� Liab - clams <br />GENERAL AGGREGATE. s 2 OD0,000 <br />00,000 Each Claim <br />, <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMPIOPAGO $ 1.,000 000 <br />©ct to $2,000,000 <br />$ . <br />POLICY PRO LOC <br />SrSolt <br />AUTOMOBILELIAGiIL1TY <br />® INGLE T 1.000 000 <br />BODILY INJURY (Per parsan) 6 <br />ANY AUT <br />ALL OWNED I'll OULE" <br />AUTOS ¢� pWNa9 <br />HIREDAUTO.. ACOS <br />V4 -cc: -305067 -1l <br />+ <br />f <br />1/31/201 <br />LS/31/2013 <br />BODILY INJURY (Par ecddenl) � <br />rPROPERI iY� G � <br />Cam h:olllafon Dadueil6la � $ 000 <br />UMORELLAs LIAS <br />OCCUPY <br />M <br />EACH OCCURRENCE $ 9,000,000 <br />AGGREGATE $ O, 000, ®OD <br />X ! XCE88LIA0 <br />CLAIMS -MADE <br />SLSL�MV73017212 <br />12/31/2012 <br />12/31/2013 <br />CED L j ggEMON9 <br />$ - - <br />C <br />WORKERS COMPENSATION <br />� UVC BTATU• OTN- <br />AND EMPLOYERS, LIABILITY YIN <br />ANY PROPRICTO 11PARTNERIEYFCUTIUE <br />(Mandatory In H) is CLUDED? <br />(Mandatory In NIiI <br />NSA <br />D044727227 <br />1g/N1/2012 <br />x.2/31/1013 <br />E.L. EACH ACCIDENT 6 , �I® <br />El, DISEASE -EA EMPLOYE 6 1. 006 000 <br />E.L. DISEASE -POLICY LIMIT 8 1 0a0 0®I3 <br />Ifyae,deealbsurtrJ <br />DESCRIPTION OF OF9RATIONS below <br />D <br />I :t®d/TeRGOo1 Equlyment <br />9601479CS61 <br />12/31/2012 <br />/31/2013 <br />LIMlt 0100, 000 <br />Deduadble $1,000 <br />F9EeCRipTI€SN OP OPEt�dlTt®N0 P LOCATI®NS 17VPsNICLEO (Attach ACRD 909. Ad&Jltrunot Rernorb Schodub. f7mm opoo to roqulroeQ <br />CERTINCATE MOLDER CAMCEL.L.ATIOM <br />"PROOF ONLY** <br />SNOULD ANY OF THE ABOVE GESOMSED POLUIES ME CANCELLED BEFORE; <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE 9N1H THE POLICY PROVISIONS. <br />AUTHORIZED REPRE8DJTATIU5 <br />ACORD 25 (2010105) - - - - - — 01988.2010_ACORD CORPORAT'IOM. All righty vossvYed.- - <br />INS025I2ot0as).a9 The ACORD name and logo are registered msrlm Of ACORD <br />
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