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COMPLIANCE INFO_2006 - 2008
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0526212
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COMPLIANCE INFO_2006 - 2008
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Last modified
9/7/2018 2:32:22 PM
Creation date
9/7/2018 2:01:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO_2006 - 2008
FileName_PostFix
2006 - 2008
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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Q LIABILITYNSU AACE ; <br />Date <br />�orso2 07.. <br />iCERT1F1C4TE. <br />Producrr Arica SarpA <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, <br />Owen -Dunn Insurance Services <br />2831 G Street <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />Sacramento CA 95816 <br />INSURER Peerless Inc. Cc <br />916.443.0200 <br />www.owendunn.com <br />NAIC# 24198 A.M. Best: A XV <br />U670167 <br />INSURER Oak River Ins_ Co. <br />NAIC# 34630 A.M. Best A++ XIII <br />insured <br />INSURER <br />BZ Service Station Maintenance, Inc. <br />INSURER <br />P_O, Box 933 <br />West Sacramento CA 95691 <br />INSURER <br />E <br />COVERAGES .::. .. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE REEN ISSUED TO THE (NSU ED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING 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 IS SUBJECT TO ALL THE <br />TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY <br />POLICY <br />INSR <br />LTR <br />TYPE OF INSIMANCF <br />POI ICY NtJMHFR <br />EFFECTIVE <br />M DATEYY <br />EXPIRATION <br />DAT YY <br />I IMITS <br />A <br />GENERAL LIABILITY <br />COMMERCIAL GENERALU a <br />CBP9555195 <br />2/1512007 <br />2115/2008 <br />EACH OCCURRENCE S 1.00 .000 <br />FIRE DAMAGE (Any wm Nlr) 5 100000 <br />Kim F XP (An nnr. p n. 5 5.9 <br />f'.1 AINIi MADF �DCc IR <br />PERSONAL & ADV INJURY 5 QUU <br />GENERAL AGGREGATE 5 <br />ENT R LIMIT APPUE PER <br />PRODUCTS•COMPIOP AGG 5 2,000,000 <br />5 <br />POLICY PROIEcT LOC <br />A <br />UTOMOBILE LIABILITY <br />ANY AUTO <br />CBP955195 <br />2/15/2007 <br />2115!2008 <br />COMBINED SINGLE LIMIT <br />s 1,000,000 <br />BODILY IN JURY <br />(Per person) S <br />ALL OWNED AUTOS <br />SCHFDI II FD AIITOS <br />BODILY INJURY <br />(Per accident) S <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE <br />(Per accident) 5 <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENt S <br />IS <br />OTHER THAN EA ACC S <br />AUTO ONLY: AOC: S <br />ANY AUTO <br />EXCESS LIABILITY <br />EACH OCCURRENCE <br />OCCUR FICLAIMS MADE <br />AGGREGATE 5 <br />S <br />S <br />E <br />5 <br />ROEDUCTIBL <br />RETENTION 5 <br />B <br />WORKERS' COMPENSATION & <br />FMPLOYFRS' LIABILITY <br />2210000160071 <br />10127/2007 <br />10/2712008 <br />VISTATILITORY LIMIT THEN, <br />EL EACH ACCIDENT <br />FI DISFASF - FA FMR OYFF 5 <br />EL DISEASE . POLICY LIMIT is <br />DESURIP I I N <br />License #433159 <br />Ct RT1.F{GAT F#Ql p.. €t' GANC�t.L.ATIC?PI <br />(cense *7511bg <br />SHOULD ANY OF THE ABOVE DE CRIBED POLICIES BE CANCELLED BEFORE THE <br />Contractors State License Board <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />P.O. Box 26000 <br />SEN I A I IVES. 10 Days far Non -Payment of Premium <br />AUTHORIZED <br />REPRESENTATIVE �r /1 <br />t Cko—, <br />Sacramento CA 95826 <br />Candace Alicea <br />ACORD :25 S 17197) ACftRT3 CpaPORATIp>•1 1 J8b <br />
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