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WORK PLANS FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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WORK PLANS FILE 2
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Last modified
3/4/2019 6:51:14 PM
Creation date
3/4/2019 2:16:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
FileName_PostFix
FILE 2
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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ACORIZ CERTIFICA're- OF LIABILITY INSURAN OE DATE(M <br /> 02/2M1D01YYYY) <br /> 02/2 /2007 <br /> PRODUCER (916)646-1919 FAX (916)646-0995 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> McGee & Thielen Insurance Brokers, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 3780 Rosin Court Suite 200 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Lic # 0633187 <br /> Sacramento, CA 95834 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA Zurich American Insurance <br /> WDC Exploration & Wells, Inc. INSURER B: <br /> 500 Main Street INSURER C: <br /> Woodland, CA 95695 INSURER D. <br /> INSURER E: <br /> COVERAGES <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 CONDITION 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. <br /> 94SR ADWL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONum DATE(MMMDnM LI .I,S <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ <br /> CLAIMS MADE r OCCUR MED EXP(Any one person) $ <br /> PERSONAL S ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S <br /> POLICY jER; LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea acadent) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) S <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per acddent) $ <br /> PROPERTY DAMAGE S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN FA ACC S <br /> AUTO ONLY: AGG $ <br /> F1 <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE _ $ <br /> OCCUR CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE 5 <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND WC9047568-01 03/01/2007 03/01/2008 X I 0c STAT-- OTH- <br /> EMPLOYERS`LIABILITY <br /> A ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 11000,00 <br /> OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE S 10000,00( <br /> It yes:describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE•POLICY LIMB I 5 1,000,00 <br /> OTHER <br /> DESCRIPTION OF QPERATIONS I LOCATINS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> Evidence or insurance Tor the above captioned insured <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> WDC Exploration & Wells BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 500 Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. <br /> Woodland, CA 95695 AUTHORIZED REPRESENTATIVE �C ucetJ <br /> John Wood/EN <br /> ACORD 25(2001/08) ©ACORD CORPORATION 1988 <br />
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