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INSTALL_2004
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0521942
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INSTALL_2004
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Last modified
8/18/2022 10:27:44 AM
Creation date
11/2/2018 8:14:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2004
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\AIRPORT\1427\PR0521942\INSTALL 2004.PDF
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EHD - Public
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e: 11/25/02 Time: 1.0 :58 AM To : (R 15586881467 <br /> Page : 002-005 <br /> BATE IMWCDNYYI <br /> ACORD-, CERTIFICATE OF LIABILITY INSURANCE 11/2S/2002 <br /> ,CCLCER (661)834-6222 FAX 0661)834-6662 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION <br /> val ter Mortensen Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> License #90267 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 4701 Stockdal a Hwy. INSURERS AFFORDING COVERAGE <br /> 3akersfield, CA 93309 <br /> SUR€D Franzen-Hill Corporation HS-PERA Gulf Underwriters Ins. Co. <br /> 1100 North "J" Street NSFEP American States <br /> Tulare, CA 93274 rz-PERr_ State Compensation Ins. Fund <br /> I IKLREa D <br /> IrJS,RER E <br /> OVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR GOND{TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, POLICY EXPIANTIUN <br /> I.R TYPE OF INSURANCE POLICY NUMBER DATE MM1Db DATE MMIDOMY UVIRS <br /> j GENERAL LIABIurr UZ837916 06/01/2002 06/01/2005 EaCw rco.rgPENCE % 1 000 00 <br /> r- I :IRE�.AhV� !A1ry finR hfA; S X 50�QQ�l Mh'E,RCIAL GENEP>-`L LIaBIL1T'r <br /> LaI M'$htwCE I '- :CCCUF MEC E:xP;Ary�;na aarsn) i 5,00C <br /> ERSCNAL i ADV INJI_R'i 1 000,00( <br /> I GENERALAGGREGA,E ; 2,000,00( <br /> :3ENt yr_ RELiATE LIMIT APPLIES CERLl <br /> PFCCUCTS.COMPIOP AGG $ 2,000,000 <br /> `PO- <br /> ='JLICY JE-7L`='- <br /> AUTOMOBILELIABILITY O10E764621z OG/Q1/2002 06/01/2003 COMBINEOSINGLE LIh4T <br /> X arry wL�Tp (Ea xarcrt) 1,000,000 <br /> I <br /> ALL!'4NEO AUTOS 51JOKY INJUPr S <br /> IPaf Pof9Pn} <br /> SCHEDI-LED AUTOS <br /> j H4RED AIyTi!7. BODILY INJURY j <br /> I Per acp den[; <br /> P;I`P:-tV;TJE7 AUTOS <br /> PRCPEFTY DAMAGE t <br /> (Per 3Cz.de^[: <br /> + GARAGE LIABILITY -UTO--rJLY-EA A(7 CICENT ; <br /> OTHER THAN EA ACC ; <br /> .AUTO ONLY AGG I <br /> E%CESS LIABILITY <br /> EACH+)r_CLRPEr,+_E I <br /> AGC,REGATE S <br /> �] `--+-r�F• �'-La;hr3 MACE. ; <br /> EG:+:.iIBLE <br /> 3 <br /> zE:TENTION S <br /> WORKERS COMPENSATION AND 4.42010802 10/01/2002 10/01/2003 TORY L,hars X ER <br /> EMPLOYERS'LIABILIYY E L EACH Ar,-ICENT ; 1,000,000 <br /> E L DISEASE•EA EMPLOYEE F 1,000,000 <br /> EL DISEASE-POLICY LIMIT ; 1,0001 <br /> 00 <br /> OTHER <br /> 0 days notice of cancellatio <br /> for non-payment of premium <br /> a <br /> SCRIPTON OF OPERATIONSILOCATIONSIVEHICLESCzXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> ERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION <br /> SHOULD ANY Cf THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ME <br /> EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> DAYS WRITTEN NOTICE TC THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> Workers Compensation Insurance Rating OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. <br /> & Statistical Department. AUTHORLZEDREPRESENTATIVE <br /> Larr Feil KAL r F� <br /> CORD 25-S(7197) <br /> DACORD CORPORATION 1988 <br />
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