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SITE INFORMATION AND CORRESPONDENCE FILE 3
EnvironmentalHealth
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2575
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2900 - Site Mitigation Program
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/21/2019 5:29:52 PM
Creation date
6/21/2019 3:23:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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i, AUG 11 2004 5 : 14PM HrLASERJET3200 - p . 2 <br /> TE <br /> ACORD CERTIFICM c OF LIABILITY INSURANtrmi Page 1 of 2 08/ 101A/2004 <br /> PRODUCER 877 -945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Willie North America, Inc. - Regional Cert center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Cantury Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> P. 0 . Box 305191 <br /> Nashville, TN 377305191 INSURERS AFFORDING COVERAGE <br /> INSURED are" Drilling a Testing, Inc . NSURR ASsaeright maurence Company 15563-900 <br /> Gregg In situ, Ine . INSURER B: <br /> 3746 Walnut Avenme <br /> signal Hill, CA 90755 INSURmQ <br /> INSURER 6 <br /> WEURER E: <br /> COVERAGES <br /> THE POLICIESOF INSURANCELIMO 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 SUWECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> TYPEOFWBURANCE POLICYNUMBER PD Y FF P N LIMITS <br /> GENERAL LIABILITY EACHOCCURRENCE S <br /> COMMEROALSENERALIJABRITY FHTEDAMAOt (Anvon&i ) S <br /> CLAIMS MADE ❑ OCCUR MED EIP(ArlywaVomoa) 8 <br /> PERSONAL& AMWURY S <br /> GENERALAGSREGATE S <br /> GEN'L AGGREGATE UMITAPPUES PER: PRODUCTS • COMPIOPASO E <br /> POLICY 79 71 LOC <br /> AUTOMOBILE LIABILITY COMBINEDSINGLEUMIT <br /> ANYAUTO (EaacddenQ S <br /> ALLOWNEDAUT05 BODILYINJURY <br /> 6CHEDULEDAUTOS (Pe,Pwrs l E <br /> 141REDAUTOS BODILYINJURY <br /> $ <br /> NON4DWNEDATO <br /> US IPam,+daml <br /> PROPERTYDAMAGE S <br /> (Pwacoaanq <br /> MSARARE LIABRJTY AUTO ONLY. FA ACCIDENT E <br /> ANYAUTO OTHERTHAN - EAACC $ <br /> AUTO ONLY: ASiO S <br /> !%Cee LIABILITY EACHOCCURRENCE S <br /> OCCUR El CLANASMADE AGGREQATE $ <br /> DEDUCTIBLE S <br /> I <br /> RETENTION S <br /> A WORBERSCOMPINSAT1ONAND BB1010261 6/1/3001 8/1/2005 x , vt"&TYrS DER <br /> EYPLOYERIPLIABILITY E.L. EACHACG )ENT _ $ _ S 000 . 000 <br /> E.L DISEASE . EAEMPLOYEE E 1 O00 0 0 <br /> E.L DISEASE - POLICY LIMIT $ 1 . 000 , 000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONnOCATION&YEHICLE&EXCLUSIONSADDED BY ENDORSENENISPECIALPROVISIONS <br /> CERTIFICATE HOLDER ADDITIONAL INSURED; INBURER LETTER: CANCELLATION ammetEmxowmra oa .arom oe <br /> SHOULD ANY OF TWO ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE 16904 INSURER WILL ENDEAVOR TO MNL 30 DAYS WHITTEN <br /> NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br /> IMPOSE NO OBUOATION OR LIAMLITY OF ANY BIND UPON THE INSURER, ITe AGENTS OR <br /> Sas Joaq¢in County mavirommental <br /> Health Dept . REPRFSENTATIYE% , <br /> 304 Most Reber St . � DREVREBEH TIVE <br /> CA 95202 <br /> ACORD 2S-S (1197) Co11 : 1065560 TP1 : 287965 Cert : 4668091 OACORDCORPORATIONT888 <br />
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