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ARCHIVED REPORTS XR0003301
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DIAMOND
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801
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3500 - Local Oversight Program
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PR0544620
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ARCHIVED REPORTS XR0003301
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Entry Properties
Last modified
7/3/2019 12:08:32 PM
Creation date
7/3/2019 9:45:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003301
RECORD_ID
PR0544620
PE
3528
FACILITY_ID
FA0002969
FACILITY_NAME
BURLINGTON NORTHERN SANTA FE
STREET_NUMBER
801
STREET_NAME
DIAMOND
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15530003
CURRENT_STATUS
02
SITE_LOCATION
801 DIAMOND ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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STA■ E P-0 BOX 807,SAN FRANCISCO,CA 94101-0807 <br /> COMPENSATION <br /> IIVSURANCIE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> OCTOBER 1 , 1990 POUCYNUMBER 6820369 - 90 <br /> CERTIFICATE EXPIRES 10-1 -91 <br /> This is to certify that we have Issued a valid Workers'Compensation insurance policy in a form approved by the California <br /> Insurance Commissioner to the employer named below for the policUeriod Indicated <br /> This policy is not subject to cancellation by the Fund except upon*X days'advance written notice to the employer <br /> 30 <br /> We will also give you Tf-M days advance notice should this policy be cancelled prior to Its normal expiration <br /> This certificate of Insurance Is not an Insurance policy and does not amend, extend or alter the coverage afforded by the <br /> policies listed herein Notwithstanding any requirement, term, or condition of any contract or other document with <br /> • respect to which this certificate of Insurance may be issued or may pertain the insurance afforded by the policies <br /> described herein is subject to all the terms exclusions and conditions of such policies <br /> X. <br /> PRESIDENT <br /> EMPLOYER <br /> F- <br /> ENVIRONMENTAL SOLUTIONS , INCORPORATED <br /> ATTENTION : DAVID DONOVAN <br /> 21 TECHNOLOGY DRIVE <br /> IRVIINE <br />
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