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VALPICO
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2900 - Site Mitigation Program
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PR0506509
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Last modified
6/1/2020 12:23:23 PM
Creation date
6/1/2020 12:10:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0506509
PE
2960
FACILITY_ID
FA0007466
FACILITY_NAME
GEORGIA PACIFIC CORP (FORMER)
STREET_NUMBER
75
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
RD
City
TRACY
Zip
95336
APN
24613007
CURRENT_STATUS
01
SITE_LOCATION
75 W VALPICO RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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009/188/200311:57 WATER DEVELOPMENT 19169397570 _ NO.16-2-.... <br /> D03 <br /> AyQRPn VY` 10AMI .OQXNZIUKA M <br /> � 1 12/27/2002 i <br /> "OWCER (916)646-1919 FAX (916)fia6-09°_S ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> McGee & Thielen Insurance Brokers , Inc, HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3780 Resin Court Suite 206 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Lic B 0633167 INSURERS AFFORDING COVERAGE <br /> Sac•{mento. CA 95834 <br /> NSU Rater OeVel°PECnt COrperation INSURERA XL Specialty Insuran C! COmPaRY <br /> P.O. Box 141 INSURER E. <br /> Zamora, CA 95699 INSURER CI <br /> INSURER 01, <br /> INSURER E: <br /> :OVERAGES., .. �, <br /> TME POLICIES OF INSURANCE LISTED BELOW IIAVE BEEN ISSUED TO THEINSUREDNAM b hOVE FOR POLICY PERIOD INDICATED.NOTWITHSTANOING <br /> ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENTWTH'RESPECTTO WHICm THIS CERTIFICATE MAY'9E ISSUED OR - <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUCIES.AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS- <br /> .TR TYPEOFINSURANCE POLICY NUMBER PATE NNICOMI DATEPAWDUNY) UNITS <br /> GENEJiAI.LIABDATT EACH OCCURRENCE 6 <br /> COMMFRGML GENERALLIASWTY FIRE DAMAGE(AMM") 6 <br /> CLAW MADE OCCUR MED EDSP(MTOna Pe,Ao/') S <br /> PERSONAL L ACV INJURY 6 <br /> GENERAL AGOREGATE S <br /> CEN'LAOGREGATE LDIIT APPLrt9 PER PRODUCTS-COMP/OP AGG 5 <br /> POLICY 0 j'ECC'T LOC <br /> AUTOAt00LE LABILITY COMBINED SINGLE MIT <br /> ANY Avrp <br /> lEa aMeret) E <br /> ALL OIANED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS IPP,Pmmn1 S <br /> HIRED AUTOS ECOILYINJURY <br /> N034-0WNED AUTOS (Per soadw) 6 <br /> PROPERTY DAMAGE S <br /> DPN ooedNdl <br /> 'AGE LUlaILITY AJUTO ONLY-EA ACCIDENT s <br /> ANY AUTO OTHER THAN EA ACC 5 <br /> AUTO ONLY: IDG S <br /> EXCESS JAB6m EACH OCCURRENCE S <br /> OCCUR CLABASMADE AGGREGATE E <br /> E <br /> DEDUCTIBLE a <br /> RETENTION 6 3 <br /> waNNERs oDMPENsaTmN <br /> No C5002909 03/03/2003 01/03/2004 XTORVLIMRi ER <br /> EIIPLOYERB'LIABILITY E-4 EACH ACCIDENT S 1-,0-0-0.0-00 <br /> A EL DISEASE-EA EMPLOYEE S 1,000,000 <br /> LL DISEASE-POLICY LIMIT S 1.000,000 <br /> OTHER <br /> %06—"ON OF OPERATIONSADCATIONSNEHICLESJEXCLUSCItS ADDED BY ENDORSEMENTIEPECIAL PROYMIONB <br /> Waiver of subrogation attached. <br /> 10 DAY NOTICE OF CANCELLATION <br /> APPLIES FOR NONPAYMENT OF PREMIUM <br /> .ERT IGD f= <br /> _HOLDER AODRIDNaL INEDRED;INSURER LETTER tANOPLCAYION <br /> BHOUIJD ANT OP THE ABOVE DESCRIBED POLIMIS BE CANGr1Leg WSPORE THC <br /> EXPIRATIOR DATE THEREOF,THE ISSUING COMPANYVALLENOEAVOR TO MNL <br /> Acton Mickelson EMVlrenmantal 11) <br /> -OAV9 NwR'tEN NOTICE TO THE CERTIFrcATG HOLDER NAMED 10 THE LIFT. <br /> Attn: Ms. Ellen Frosch <br /> SO49 Robert J. Notthews Pkwy. $UT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1200 OF ANY 19NO UPON THE COMPANY,ITE AGENTS OR REPRESENTATIVES <br /> E7 Dorado, CA 95762 ADTNORaEOR PRESENTATVE <br /> )ehn Wood/904 <br /> FAX-. (916)939-7570 1 Von <br />
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