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COMPLIANCE INFO_2007-2011
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2300 - Underground Storage Tank Program
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PR0231766
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COMPLIANCE INFO_2007-2011
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Last modified
11/21/2023 4:44:22 PM
Creation date
6/3/2020 9:53:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2011
RECORD_ID
PR0231766
PE
2361
FACILITY_ID
FA0003717
FACILITY_NAME
CHEVRON STATION #99840*
STREET_NUMBER
4344
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95215
APN
10102156
CURRENT_STATUS
01
SITE_LOCATION
4344 E Waterloo Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231766_4344 E WATERLOO_2007-2011.tif
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EHD - Public
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OP ID Cl <br /> H1.VRtJ VGIZ 1 1rltr ! I' LI 1L1 ' Y ' SERVTOl 06 10 09 <br /> PRODUCER THIS CERTIFICATE UED AS A MATTER OF INFORMATION <br /> George Petersen Ins Agency RP ONLY AND CONFER O RIGHTS UPON THE CERTIFICATE <br /> P. O. Box 3539 HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 627 College Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Santa Rosa CA 95402 <br /> Phone: 707-525-4150 Fax:707-525-4175 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: Cypress Insurance Company <br /> INSURER B: <br /> gg rvicg Station Systems, Inc. INSURER C: <br /> 60 Quinn Avenue INSURER D: <br /> San Jose CA 95112 <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 /> INS <br /> LTR SRR_TYPE OF INSURANCE POLICY NUMBER DATE POLICY EXPIRATION <br /> DATE Maen LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S _ <br /> COMMERCIAL GENERAL LIABLITV PREMISES Ea oO e® S _ <br /> CLAIMS MADE D OCCUR MED EXP(Atte one person) S „ <br /> PERSONAL 6 AIN INJURY S <br /> GENERAL AGGREGATE S <br /> GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGG S <br /> POLICY ME f7 LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (En seddent) S <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS (Perperson) <br /> HIRED AUTOS <br /> BODILY INJURY S <br /> NON-OWNED AUTOS (Per oWdent) <br /> PROPERTY DAMAGE $ <br /> (Per wAdent) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANYAUTO EAACC 5 <br /> 11 OTHER THAN <br /> AUTO ONLY: AGG S - <br /> EXCESBAIMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR ®CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION S VVL;ZiIAIU- loin <br /> S <br /> WORKERS COMPENSATION AND g ITORY LIMITS ER <br /> A EMPLOYERS'LIABILITY 3310020636091 06/04/09 06/04/10 E.L.EACH ACCIDENT s 1000000 <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICERIMEMBEREXCLUDED? E.LDISEASE-EAEMPLOYEE S 1000000 <br /> I s,describe ender <br /> SFECIAL PROVISIONS bebw E.L.DISEASE-POLICY LIMIT S1000000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS T VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT T SPECIAL PROVISIONS <br /> Proof of Coverage. <br /> *Ten day notice of cancellation in the event of non payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE F,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRIT PEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Proof of Coverage IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> IA=7FE!_, <br /> ACORD 26(2001/08) C ACORD CORPORATION 1988 <br />
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