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FIELD DOCUMENTS_CASE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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25355
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2900 - Site Mitigation Program
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PR0508370
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FIELD DOCUMENTS_CASE 2
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Last modified
11/19/2024 1:51:29 PM
Creation date
4/1/2020 1:45:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
CASE 2
RECORD_ID
PR0508370
PE
2950
FACILITY_ID
FA0008045
FACILITY_NAME
PACIFIC AUTO CENTER
STREET_NUMBER
25355
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
25355 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ADDITIONAL INUSRED -OWNERS, LESSEES OR <br /> CONTRACTORS - COMPLETED OPERATIONS <br /> Named Insured Endorsement Number <br /> Gregg Drilling &Testing, Inc. <br /> Pitcher Drilling Co. <br /> Policy Symbol Policy Number Policy Period Effective Date of Endorsement <br /> ECPG24913697002 8/1/2010-8/1/2011 <br /> Issued By(Name of Insurance Company) - <br /> Illinois Union Insurance Company <br /> Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the prepamfion of the policy- <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> ENVIRONMENTAL COMMERCIAL OPERATIONS POLLUTION AND CASUALTY POLICY <br /> COVERAGE A <br /> SCHEDULE <br /> Name of Additional Insured Person(s) or Organization(s): Blanket as required by written contract <br /> Location and Description of Completed Operations: <br /> Section III Who is An Insured is amended to include as an additional insured the person(s) or organization(s) <br /> shown in the Schedule, but only with respect to liability for"bodily injury" or",property damage" caused, in whole <br /> or in part, by "your work" at the location designated and described in the schedule of this endorsement <br /> performed for that additional insured and included in the"products-completed operations hazard". <br /> All other terms and conditions of the policy remain unchanged. <br /> i <br /> EP-26874(04 09) Includes copyrighted material of Insurance Services Office, Inc.with its permission Page 1 of 1 ` <br /> I <br /> I <br /> VyI <br /> I <br /> f <br />
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