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COMPLIANCE INFO 2007 - 2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2448
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2300 - Underground Storage Tank Program
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PR0231948
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COMPLIANCE INFO 2007 - 2009
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Last modified
1/19/2022 9:31:54 AM
Creation date
4/29/2019 9:19:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007 - 2009
RECORD_ID
PR0231948
PE
2361
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
01
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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ACORD CERTIFICA'i - OF LIABILITY INSURANC. OP ID DATE(MM/DDIYYYY) <br /> ABLEM-1 09/27/07 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO <br /> George Petersen Ins Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P. 0. Box 3539 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 627 College Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> Santa Rosa CA 95402 <br /> Phone: 707-525-4150 Fax:707-525-4175 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED - <br /> INSURER A: Redwood Fire & Casualty Ins Co <br /> INSURER B: <br /> Able Maintenance, Inc. INSURER C: <br /> 3224 Regional Parkway INSURER D: <br /> Santa Rosa CA 95403 _ <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 W HICH 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 /> iNbK POLICY EFFECTIVE POLI Y EXPIRATION <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDD/Y`/ LIMITS <br /> GENERAL LIABILITY <br /> EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ <br /> CLAIMS MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL 8 ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY JPEC <br /> JECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (Per acadent) <br /> GARAGE LIABILITY <br /> AUTO ONLY•EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F' CLAIMS MADE AGGREGATE <br /> $ <br /> DEDUCTIBLE <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATU- <br /> X TORY LIMITS ER <br /> EMPLOYERS'LIABILITY <br /> A ANY PROPRIETOR/PARTNER/EXECUTIVE W7A35050 1 10/01/07 10/01/08 E.L.EACH ACCIDENT $ 10D0000 <br /> OFFICER/MEMBER EXCLUDED? <br /> If yes,tlescribeunder E.L.DISEASE-EA EMPLOYE $ 1000000 <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 100 0 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> *Cancellation - except 10 day notice for non-payment of premium/non <br /> reporting of payroll. Employers Liability Limit $1,000,000. (per <br /> accident/aggregate policy limit) <br /> Proof of Insurance. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Service Station Systems IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 680 Quinn Ave REPRESENTATIVES. <br /> San Jose CA 95112 <br /> ACORD 26-W01/08) `�(� \ ©ACORD CORPORATION 1 <br />
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