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CO0041812
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CO0041812
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Last modified
7/17/2019 3:02:37 PM
Creation date
2/7/2019 1:05:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0041812
PE
2546
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815011
ENTERED_DATE
7/6/2016 12:00:00 AM
SITE_LOCATION
6649 EMBARCADERO DR DOCK E SLIP24
RECEIVED_DATE
7/5/2016 12:00:00 AM
P_LOCATION
01
QC Status
Approved
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ADMIN
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FilePath
\MIGRATIONS\E\EMBARCADERO\6649\CO0041812.PDF
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EHD - Public
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Claim No. 16BSP03286 r Adj. No. 358 <br /> RELEASE OF POLLUTION CLEAN-UP COST <br /> KNOW ALL MEN BY THESE PRESENTS: <br /> That the Undersigned, being of lawful age, for the sole consideration of One Thousand One <br /> Hundred Fifty and 30/100 Dollars ($1,150.30 to the undersigned in hand paid, receipt where of is hereby <br /> acknowledged, do/does hereby and for my/our/its heirs, executors, administrators, successors, any and all <br /> subcontractors or independent contractors involved herein and any assigns release, acquit and forever <br /> discharge John Gaetano in personam and/or the yacht 111999 20' Carrera" Hull Identification Number <br /> CPA20127F999, in rem and his, her, their or its agents, servants, successors, heirs, executors, <br /> administrators and all other persons, firms, corporations, association or partnerships together with <br /> GEICO Marine Insurance Company and Boat Owners Association of The United States as well as the <br /> vessel of and from any and all claims, actions, causes of action, deman_ds_, rights, damages, costs,loss of <br /> service, expenses and compensation whatsoever which the undersigned now has/have or which may <br /> hereafter accrue in law or at admiralty on account of or in any way growing out of any and all known <br /> and unknown, foreseen and unforeseen bodily and personal injuries and property damage and the <br /> consequences thereof resulting or to result from the incident which occurred on or before the 4th day of <br /> June, 2016 at or near Stockton CA . <br /> The Undersigned agrees to indemnify the releasees for any claims made which arise out of the <br /> actions or failure to act of the undersigned. This includes but is not limited to failure to compensate <br /> subcontractors or failure to properly clean-up and dispose of said pollutants. <br /> It is understood and agreed that this settlement is the compromise of a doubtful and disputed <br /> claim, and that the payment made is not to be construed as an admission of liability on the part of the <br /> party or parties hereby released, and that said releasees deny liability therefore and intend merely to <br /> avoid litigation and buy their peace. <br /> The Undersigned further declare(s) and represent(s) that no promise, inducement, or agreement <br /> not herein expressed has been made to the undersigned's, and that this Release and Settlement <br /> Agreement contains the entire agreement between the parties hereto and that its terms are contractual <br /> and not a mere recital. <br /> THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY <br /> UNDERSTANDS IT. <br /> Signed, sealed and delivered this_day of 20_ <br /> CAUTION: READ BEFORE SIGNING BELOW <br /> Witness San Joaquin County Environmental Health Dept. <br /> STATE of <br /> COUNTY/CITY OF <br /> On the_day of ,20_,before me personally appeared and <br /> to me known to the person(s) named herein and who executed the foregoing <br /> Release and voluntarily executed the same. <br /> My Commission Expires <br /> Notary Public <br />
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