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COMPLIANCE INFO_2013-2018
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2300 - Underground Storage Tank Program
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PR0231346
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COMPLIANCE INFO_2013-2018
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Entry Properties
Last modified
12/15/2023 4:05:16 PM
Creation date
6/3/2020 9:47:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231346
PE
2361
FACILITY_ID
FA0003603
FACILITY_NAME
TESORO (SPEEDWAY XP) 68152
STREET_NUMBER
401
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04513019
CURRENT_STATUS
01
SITE_LOCATION
401 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231346_401 W KETTLEMAN_2013-2018.tif
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EHD - Public
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RliCINED <br /> ACCI p• OCT 18 2016 <br /> CERTIFICATE OF LIABILITY INSURANCE DATE("MMOny"1 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO i 16 <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TRE CC R r �•THIS <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOER NOT CONSTITUTE A CONTRACT BETWEEN THELil 1���MM�THE POLICIES <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. r�l$)r AUTHORIZED <br /> IMPORTANT: If the certlficata holder Is an ADDITIONAL INSURED,the policy(lee)must 60 andolsad. If SUBR0f3ATION IS WAIVED,subject to <br /> the terms and conditions of the Policy,curtain Policies may require an endorsement A statement on this certiAcste doss not confer rights to the <br /> certificate holdoi In 11SU Of such endorsement{e. <br /> PRODUCER <br /> Chris Calderon <br /> Amorelli, Roseumann t Associates E (909)987-7600 <br /> 3333 E Concours tat I I Mol 00)997-7656 <br /> Building 9-200 chrisclarainsuranow.com <br /> Ontario CA 91764 -- INSUREwaIlIFFORDINGCOYERAGE NAIL <br /> INSURED M — _.__ N;INRERA:C01ony Irlour�yTiCB CoIDAanV._ 39999 _ <br /> Fuel Pros Inc., ISU R lied P t C Insurance Co. 42579 <br /> dba: Wash Pros Inc. INSU 3tidrrest Emnlovere Casualt C man 23612 <br /> 14774 Central Avenue D` _.- <br /> Chino CA 91710 INSURER <br /> COVERAGESNSURER E: <br /> CERTIFICATE NUMBER:CL1593012595 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INR <br /> TYPE OF OF INSURANCE <br /> JC I COMMERCIAL GENERAL LIABILITY LIMITS <br /> A CLAIMS-MADE D OCCUR W <br /> NCI ; �- 000,400 <br /> TEQ� f 50,000 <br /> PACR303953 10/1/2015 10/1/2016s reon f 8,000 <br /> V INJURY ' 1,000,000 <br /> GEMLAGGREGATELgRIMpIT, APpUESPER; EGATE f 2,000,000 <br /> X POLICYa21 T 0 LOC <br /> OTHER: MPiOP AGG 2,000,000 <br /> AUTOMOBILE LABILITY <br /> }[ ANY AUTO f 11000,000 <br /> H ALL OWNED SCHEDULED BODILY INJURY(Per person) I;AUTOS AUTOS ACP7044795328 10/1/2015 10/1/2016 BODILYINJURY(PeracgI f <br /> HIRED AUTOS NO N�WNED <br /> AUTOS r ER q f <br /> A UMBRELLA LURB OCCUR Medicals la S 5,000 <br /> EXCESS LAB CLAMSMRDE 1=304453 1/21 <br /> OCCURRENCE f 4,200,000 <br /> 1/21/2016 10/1/2016 AGGREGATE S 41,000,00q <br /> D RE I <br /> WORKERS COMPENSATION f <br /> AND EMPLOYERS'LABILITYRIYIN X A <br /> ANY PROPRIETOPARTNER1EXECtrtIVE <br /> OFFICERtMEMBER EXCLUDED? NIA EL EACH ACCIDENT <br /> __ $ T 1,000,000 <br /> NIS"6de <br /> C IF0 In NH)epihe widerBNWC0133329 10/1/2013 10/1/2016 E.LDISEASE.EAEMPLOYE $ 000 <br /> M <br /> D1,000 RIPTION OF OPERATIONS el N <br /> E.L DISEASE•POLICY LIMIT 1 000 000 <br /> A Pollution Liability PACE303933 10/1/2015. 10/1/2016 EachPatAI CoWan <br /> A Professional Liability PACB303953 $1,000,000 <br /> lOJ1/2015 ipJl/2016 EstllNMorlphAAdUmit $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORO 101,Addltlonsl Remarks SehsdWe,may be steaeAsd N non space is required) <br /> PROOF OF INSURANCE <br /> CERTIFICATE HOLDER CANCELLATION <br /> PROOF OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE VYITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Chris Calderon/CHRISC L.We41 <br /> ACORD 26(2014101) - ©M$r�414ACORD CORPORATION. A11 rights reserved. <br /> INS025 rgmanll <br /> The ACORD name and logo are registered marks of ACORD <br />
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