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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3000 – Underground Injection Control Program
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PR0515446
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COMPLIANCE INFO
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Entry Properties
Last modified
2/13/2020 2:29:48 PM
Creation date
2/13/2020 11:26:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0515446
PE
3030
FACILITY_ID
FA0012150
FACILITY_NAME
NAVAL COMPUTER TELECOMMUNICATIONS
STREET_NUMBER
305
STREET_NAME
FYFFE
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
305 FYFFE AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Client # : 3 AGS _ DATE <br /> INc <br /> a ORD. CERTIFICATE 4F LIABILITY INSURa► NCE 08 /126 / 99 <br /> PRODUCER THIS CERTIFICATE _ _ ISSUED AS A MATTER OF INFORMATION <br /> Dealey , Renton & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P . O . BOX 12675 HOLDER . THIS CERTIFICATE DOES NOT AMEND , EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW , <br /> Oakland , CA 94604 - 2675 <br /> cs` 4 6 5 - 3 0 9 0 I INSURERS AFFORDING COVERAGE <br /> INSURED ! INSURER A: American Motorists Ins . Co . <br /> AGS , Inc . INSURER B : REFLECTS RENEWAL OF WORKERS ' <br /> 111 New Montgomery Street , # 500 ! INSURERC: COMP ONLY . ALL OTHER COVERAGES <br /> San Francisco , CA 94105 INSURERD: REMAIN IN FORCE . <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 /> INSR , TYPE OF INSURANCE POLICY NUMBER IPOLICYEFFECTIVEOLICYEXPIRATIONI LIMITS <br /> R ! DA MM / DD / IPDA MM / DD / <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) S <br /> I � CLAIMS MADE❑ OCCUR MED EXP (Any one person) 5 <br /> PERSONAL & ADV INJURY S <br /> GENERAL AGGREGATE S <br /> GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS -CC MP/ CP AGGi S <br /> POLICY ' PR� ! LOC j I <br /> ' OMBINEO SINGLE : iMIT a <br /> AUTOMOBILE LIABILITY I <br /> ANY AUTO I (Ea accident ) <br /> ALL OWNED AUTOS i BODILY INJURY <br /> (Per person) S <br /> SCHEDULED AUTOS <br /> HIRED AUTOS i BODILY INJURY S <br /> I (Per accident) <br /> ' NON - OWNED AUTOS <br /> I <br /> PROPERTY DAMAGE <br /> s <br /> (Per accident) <br /> GARAGE LIABILITY i I AUTO ONLY - EA ACC . DENT S <br /> I <br /> ' ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: qGG 5 <br /> EXCESS LIABILITY I I EACH OCCURRENCE S j <br /> OCCUR J CLAIMS MADE; I AGGREGATE S <br /> I <br /> DEDUCTIBLE 5 <br /> ETENTION S � S <br /> A j WORKERS COMPENSATION AND j 7 CW14 3 8 5 313 j 09 / 01 / 99 1 09 / 01 / 00 X ORY L MITS ' OTR J <br /> EMPLOYERS$ LIABILITY t <br /> j ! E .L . EACH ACCIDENT i 51. , 000 , 000 <br /> E.L. DISEASE - EAEMPLOYEE! 31 , 0 0 0 , 0 0 0 <br /> I ' E . L. DISEASE - POLIC `/ LIMIT S1 je 000 000 <br /> i OTHER <br /> j I � <br /> DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> ALL OPERATIONS OF NAMED INSURED <br /> CERTIFICATE HOLDER i ADD MORAL INSURE D: INSURER LETTER: CANCELLATION <br /> SHOULD ANY OFTHE ABOVE DESCR18ED POLICIES BE CANCE LLE D BEFCRE THE EXPIRATION <br /> DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 _ DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TO DO SO SHALL <br /> IMPOSE NO 08LIGATICN OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> REPRESENTATIVES. <br /> ^ AUTHORIZ EC MIN & n. CeOCIAT <br /> Ott <br /> ACORD 25 = S (7/97) 1 Of 1 # M17637 MIN RD COR ORATION 1988 <br />
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