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COMPLIANCE INFO_2007-2010
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2300 - Underground Storage Tank Program
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PR0231765
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COMPLIANCE INFO_2007-2010
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Last modified
12/20/2023 4:22:53 PM
Creation date
6/3/2020 9:52:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2010
RECORD_ID
PR0231765
PE
2361
FACILITY_ID
FA0003600
FACILITY_NAME
Nella Oil #427
STREET_NUMBER
3300
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
3300 Waterloo Rd
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231765_3300 WATERLOO_2007-2010.tif
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EHD - Public
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ACORD C RTI I FICATALF LIABILITY INSURAIV OP ID <br />WALTO-2 <br />DATE(IAM/DDmYY) <br />I 09 26 07 <br />PRODUCEn <br />TLB insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek CA 94597 <br />Phone: 925-395-2600 Fax:925-287-0710 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE MAIC# <br />INSURED <br />Walton Engineering, Inc. <br />P.O. BOX 1025 <br />West Sacramento CA 95691 <br />INSURER N. State Compensation xas=ance <br />INSURER B: <br />INSURER C: <br />INSURER D: <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 />IN5R <br />LTR <br />A1301 <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE MM/DD/YY) <br />DATE MM/DD <br />LIMITS <br />AUTHORIZED REPRESENTATIVE,. <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />PREMISES Ee occurence) $ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE � OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG $ <br />POLICY PRO- <br />JECT 7 LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT $ <br />(Ea accident) <br />BODILY INJURY <br />(Per person) $ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY $ <br />(Per accident) <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />PROPERTY DAMAGE $ <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: AGG $ <br />EXCESSAIMBRELLA LIABILITY <br />EACH OCCURRENCE $ <br />OCCUR F] CLAIMS MADE <br />AGGREGATE S <br />$ <br />DEDUCTIBLE <br />$ <br />RETENTION $ <br />WORKERS COMPENSATION AND <br />X TORY LIMITS ER <br />A <br />EMPLOYERS'LIABILITY <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />7130004927-07 <br />10/01/07 <br />10/01/08 <br />_ <br />E.LEACH ACCIDENT $1000000 <br />E.LDISEASE -EAEMPLOYEE $ 1000000 <br />OFFICERIMEMBEREXCLUDED? <br />H yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT $ 1000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />*10 days notice applies if cancelled for non-payment of premium. Evidence of <br />insurance only. <br />CERTIFICATE HOLDER CANCELLATION <br />TOWHOMI <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 * DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />To Whom It May Concern <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE,. <br />Dennis Cote, +� <br />ACORD 25 (2001/08) %) ACORD CORPORATION 1933 <br />
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