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COMPLIANCE INFO_2005-2010
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1777
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2005-2010
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Last modified
11/14/2023 1:36:01 PM
Creation date
6/3/2020 9:56:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2010
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232397_1777 W YOSEMITE_2005-2010.tif
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EHD - Public
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r • <br /> OCT-26-2010 12:12PM FROM- +9255517895 T-167 P.007/008 F-408 <br /> ■ <br /> ' tr <br /> CERTIFICATE OF LIABILITY INSURANCE 9i �131� <br /> TIMS CBRTIFICAW W ISSUED AS AMATr9R OF WFammTmN ONLY ANO CONFERS NO RION73 UPON TIE CE7inFlOATE tWLXIR- THIS <br /> CERTWICAM DOES NOT APFMATIVELY OR NEG WELY AMEND, W ON ALI" "d COVERAGE AFFORDED BY THC PtTAMIA <br /> ROLOML THIS CERTIFICATE OR NIMI&WR DOEg NOT CanwrUTE A CONTRACT 9Erm59N THE MKIINO INDURERM), AUTWFMD <br /> REPRESENTATNE OR PRDDUCER, AND THE CEII WMTE NOMR, <br /> IMPORVANY: E vw anthem holder Ia en AOMMAL INSURED, tdo pollcAln) East he ondun*4 N MMR00AMON 4 WAIHED, ud,].d to <br /> tee ttmme so anditne of Vw peffeA es"M pellrt.e rery,agd,a mo pWmPmmmM% ASOUPWu an No aarMcKts dam not uonror rto* le the <br /> mrs katF balder in!ou of M36 eaderaeraer RS], <br /> PRODIrCFA Home <br /> GALEN HAYES INSURANCE AGENCY : 800 869-6643 rertt57D] 222-6162 <br /> 3550 SAN .PABLO DAN Rll„ STE. C <br /> EL SOBRANTE, CA 94803 ift <br /> clsmoNm>os <br /> WAIRRItMi rJRORDING COVORAW dNco <br /> NauREP SUTFIN, JOHN NSURER A: WESTCHESTER SUAPLUS LINES INS. CO. <br /> SUT'S SUPERIOR UNDER GROUND TANK SERV. Na fi6i e; DELOS INSURANCE COMPANY <br /> P.O. BOX 1467 Alen e: OMFNNSATIONINSURANCE FUND <br /> SAN RAMON, CA 94583 NsuRERD: NAVIGATORS INSURANCE COMPANY <br /> NMAM E: <br /> a+xreer+P: <br /> COVERAGES CER11F1CA.TENUMBER: FiMION NUMBER: <br /> THOS IS TD CERTIFY THAT THE POLICES DR INSURANCE LISTED BELOW HAvE BEEN ISBLIM TO THE WSUHRFJ:? NAMED ABOVE FOR THS POLICY PUOM <br /> INDICATiD, NOTWITM$TMONQ ANY R50WREMENT, TERM OR CONDITION OF ANY CONTRACT OR CRNQTI DOCAGW YNTH WESPECT TO NIH M THIS <br /> OMRTFlCATE MAY BE ISSUED OR MAY PERTAIN, THE NEURANCE AFFORDED BY THE PDLIClF19 DESCRIBED HEREIN E SUSACr TO ALL THE TER11K <br /> EXCLUSIONS AND CONDITIONS CIF SUCH POLICIES. LIMB&81I0101 MAY HAVE BEEN REDUCED BY PND CLIUMS. <br /> uaa TYPE OMSURANCE JIML �{, LIMITs <br /> GENCAAL UAteun' EACH 010r HENCE S 1,000,000 <br /> CK44 a,:ttom� rr <br /> wgt, r maim a 50,000 <br /> f1AIMS4mm I A I OCCUR MED EW WiedePmzw] ! rJ <br /> loop <br /> A 02207507AO05 06/15/10 06/15/11 P!!tlaMLdADWUKRY E 11000400 <br /> p00 <br /> 000M AMMINIAM 52,000,000 <br /> Gen.AAMMATE LadiAPP ASPERPROOaC1'E.0014MPA00 6 2,000,000 <br /> F( POUOY Lm 4 <br /> M 110MOME LVOUW eONBINED sr4m 6"T <br /> ANYAUfO IEeemar4 s 1,000,000 <br /> soDir INAmY IPS peroon] a <br /> ALLOWNEDAUjTO! BOOLYINAIRY Fff NUMNO S <br /> B X lDNaDllulo wros DPA5503202 0811412 0 8/%4/11 tee,DRAW <br /> mm Avmv Oh r ooddma s <br /> s <br /> wamu.M LIM pm,a aAOH OOCURp�E i <br /> arNOU Ludt ccArNs MpO6 AtstrtctiAT¢ s <br /> VIOLVIVIE <br /> RETENTICN f 3 <br /> WNKM GOI1AMir SATMN <br /> MhoaMPLOYERWLIAMIJITY <br /> C A"" a PARW RM VE Y IM <br /> NIA 1420368-10 aro%110 2/01/11 sI.EAaIMOTaDeaNT s 1,000,000 <br /> I mlelewhrNNJ ILL Od .EAEtarLINMs 1,000,000 <br /> OF 0MA-1I0Ns bd. IE asEnsE.PouaY : 16Q�(l 0 Q Q O <br /> A I POLLUTION LIAR. �K G2207507AOOS 6/15110 06/15!11 $1,pbb,000 <br /> D INLAND MARINE 04—IM000599 6/29110 06/29/111$88 000 _ <br /> =01110101 OF OPMAMOW/L4CAT0s IVOW ES IMeabACORD 10I,Aed'IbMI Ram ScPm&*"nlareEaomt9 tegokm) <br /> CERTIFICATE IS PROVIDED AS VROOF OF INSURANCE WITH RESPECT TO <br /> COVERAGES, LIMITS AND EFFECTIVE DATES AS SHOWN. <br /> CERTIFICATE HOLDER CANCELLATION <br /> CERTIFICATE OF INSURANCE ENDUED ANY OF THE ARM DESCRIBED POLICIES BE CArcaLED BEFORE <br /> THE EXPIRATION DATE TWREOR NbTIOE WILL ars DELIVEcRE) N <br /> A000RAANCC WITH THE POLICY PROVISION& <br /> AVYrO MM RrMSONTATNE <br /> w <br /> IG 1988-2001!A GO KIA ON. naserved, <br /> ACCRD25[20139]09) The ACORD nAme and logo are registmW ma4m of ACORN <br /> LZ /L # T091L98M6 L9:91 !N-K-N <br /> ONI S31VI00SSV 3N(IVcl Z09ILS6916T 0E:60 0TOZ/6Z/01 C13AI303N <br />
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