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COMPLIANCE INFO 2010 - 2012
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3212
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2300 - Underground Storage Tank Program
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PR0231035
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COMPLIANCE INFO 2010 - 2012
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Last modified
10/3/2022 4:35:27 PM
Creation date
3/28/2019 8:40:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2012
RECORD_ID
PR0231035
PE
2361
FACILITY_ID
FA0006773
FACILITY_NAME
ARCO 02186
STREET_NUMBER
3212
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12532001
CURRENT_STATUS
01
SITE_LOCATION
3212 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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ACORD�, CERTIFICATE OF LIABILITY INSURANCE 03/23/10/10fYYYY) <br /> 03/2 <br /> PRODUCER LIC #OB29370 1-925-244-7700 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Edgewood Partnere Insurance Centers (EP{C) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> [San Ramon Branch] HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P. O. Box 5003 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> San Ramon, CA 94583 <br /> EPICcertoOedgewoodine.com _ INSURERS AFFORDING COVERAGE __N_AIC# <br /> INSURED INSURER WESTCHESTER SURPLUS LIMB INS CO �10172 <br /> Gettler-Ryan, Inc. <br /> INSURERB:PESRL833 IN8 CO 124196 <br /> 6747 Sierra Court, Suite J INSURER C:TRAVELWW PROPERTY CAS CO OF AXSR <br /> _ 25674 <br /> Dublin, CA 94568 INSURERD: <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 /> MSR ADD'LI DATE POUCYNUMBER POLICY EFFECTIVE POLICY EXPIRATION ID LIMITS <br /> A GENERAL LIABILITY 024014484003 04/01/10 04/01/11 EACHOCCURRENCE $1,000,000 <br /> ED <br /> E COMMERCIAL GENERAL LIABILITY `EREMISES(EaoO-RETre 50,000 <br /> PREMISES Eeocarence $ <br /> f ,CLAIMS MADE a OCCUR <br /> MED EXP(Any one peman) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> _ 1< GENERALAGGREGATE $2,000,000 <br /> �GFJWLAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP)OPAGG 1$2,000,000 <br /> POLICY E PRO- i LOC <br /> B AUTOMOBILEUABILTTY BAS404396 04/01/10 04/01/11 <br /> ;COMBINEDSINGLE LIMIT $1,000,000 <br /> E ANY AUTO (Ee acadent) <br /> E ALLOWNEDAUTOS BODILYINJURY $ <br /> E SCHEDULEDAUTOS (Parp—n) <br /> E HIRED AUTOS <br /> E BODILY INJURY $ <br /> NON-OWNEDAUTOS I (Per accident) <br /> ---- PROPERTYDAMAGE $(Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 1$ <br /> ANYAUTO OTHERTHAN EAACC $ <br /> AUTOONLY: AG, $ <br /> A EXCESS/UMBRELIALLADAM (124014502003 04/01/10 04/01/11 EACH OCCURRENCE $4,000,000 <br /> E OCCUR L:1CWMSMADE AGGREGATE $4.000,000 <br /> $ <br /> DEDUCTIBI E $ <br /> RETENTION $ $ <br /> C WORKERS COMPENSATION AND DTMM7827P41510 04/01/10 04/01/11 E WCYS'TATT" Eµ <br /> EMPLOYERS'LIABILITY EL.EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETORMARTNERIEXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? EL DISEASE-EAEMPLOYEE $1,000,000 <br /> I yes,descaibe under <br /> SPECIAL PROVISIONS below E.L-DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER � <br /> A Pollution 024014484003 04/01/10 04/01/11 I sr Occurrence 1,000,000 <br /> A ,Professional Liability 024014484003 04/01/10 04/01/11 'Per Claim 1,000,000 <br /> B 4ented/Leased Equipment CBP0404796 04/01/10 04/01/11 Per Item 100,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATIONTen Day Notice for Non-Payment of Premium <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> •EVIDENCE OF COVERAGE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE L � <br /> ACORD 25(2001/08)ztalabzadsh ©ACORD CORPORATION 1988 <br /> 14876120 <br />
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