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COMPLIANCE INFO_2010-2015
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2300 - Underground Storage Tank Program
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PR0231691
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COMPLIANCE INFO_2010-2015
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Last modified
12/6/2023 4:58:56 PM
Creation date
6/3/2020 9:50:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231691
PE
2361
FACILITY_ID
FA0003593
FACILITY_NAME
Nella Oil #487
STREET_NUMBER
983
STREET_NAME
MOFFAT
STREET_TYPE
Blvd
City
Manteca
Zip
95336
APN
221-15-06
CURRENT_STATUS
01
SITE_LOCATION
983 Moffat Blvd
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231691_983 MOFFAT_2010-2015.tif
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EHD - Public
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'Owl <br />Allk OP ID: JM <br />CTIFI ATE OF <br />LIABILITY INSU NCE <br />0912 <br />THIS CERTIFICATE M ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsemen s . <br />PRODUCER <br />A Dennis Cote' <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />PHONE .925.395-2600 .925-287.0710 <br />Walnut Creek, CA 94597 <br />ARM <br />Dennis Cote' <br />RIALTO-2 <br />INSURE AFFORDING COVERAGE NARI 0 <br />INSURED Walton Engineering, Inc. <br />INSURER A: State Compensation Insurance <br />P.O. Box 1025 <br />West Sacramento, CA 95691 <br />INSURER a : <br />INSURER C <br />INSURER D: <br />INSURERS: <br />E18 <br />COVERAGES CERTIFICATE NUMBER: 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 />owl-115LICY <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />EFF <br />POLICY EXP <br />LIMBS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />S <br />COMMERCIAL GENERAL LIABILITY <br />CLASISMADE ® OCCUR <br />MED EXP ft one S <br />PERSONAL & ADV INJURY S <br />GENERAL AGGREGATE S <br />GENT. AGGREGATE UMR APPLIES PER: <br />PRODUCTS - COMPIOP AGG S <br />S <br />POLICY LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />(En ao�aM) S <br />BODILY INJURY (Per pammr) S <br />ALL OWNED AUTOS <br />BODILY INJURY (Per awmem S <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />(PER ACCIDENT) S <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />S <br />S <br />UMBRELLA UAS <br />HOCCUR <br />EACH OCCURRENCE S <br />EXCESS UAB <br />CAME <br />AGGREGATE S <br />DEDUCTIBLE <br />RETENTION S <br />$ <br />WORKERS COMPENSATION <br />AND BMPLOYERB'LIABILITY <br />BTATU- OTH- <br />X L <br />A <br />ANY PROPRIETORIPARTNERIEXECUTNE YIN <br />OFFICERFAMMSER EXCLUDED? ® <br />N I A <br />113339-14 <br />10/01/2014 <br />10101/2015 <br />E.L EACH ACCIDENTS 1,000 0 <br />(UManddmY In NHj <br />undw <br />8 <br />EL DNSEASE-> ERIPLOYE $ ` 4i0ft,dQ <br />L �SEASE - POLICY LIMIT S 1;000 00 <br />FU RATKM <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHrA= IAaaoA ACORD 101, AddMonal Ramada aebedulo, N acre spew h roqul `� <br />*10 days notice applies if cancelled for non-payment of <br />pre=um. <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL LED BEFORE <br />To Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIM RBPRBSwffAwv <br />Dennis Cole' <br />®1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />
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