Laserfiche WebLink
® Change in terms or conditions wilospect to the deductible: <br />NIA <br />• Change in terms or conditions with respect to other item(s) as identified: <br />An endorsement entitled CLAIM EXPENSES LIMIT OF LIABILITY wilt be attached to your renewal policy, <br />or added to your existing policy as of that policy's next. anniversary date. This endorsement amends your <br />Annual i • :,, Training <br />SVYRCS TWe 23 -271 5(f) <br />Plem note the verificeMon of employees trained as attached. <br />,e <br />Training requirements and Monthly Inspections r"Wred as of Jwv.WY I <br />2005♦. r Title 23. <br />.e,i <br />Monitor Alarm Response <br />vr <br />Emergency procedures including dean -up, cbspo$W " Safety <br />Emergency rt r_dw inforrnation including 911 <br />D t a response and similar lroWents <br />V <br />Large spill / Incident Response:hckiding Evacuation procedures <br />dean - <br />up materials <br />Proper disposal procedures <br />ve <br />Location and operation of emergency shut-off system <br />V <br />Evacuation " procedures per HMMP & Response Plan <br />/ <br />Vapor Recovery inspection procedures <br />IV, <br />In the event of an alaM do not raise sensors or tamper With monitor <br />BeV <br />SAN JoAQUIN COUNTY <br />ENVIRONMENTAL AEALTH DEPARTMENT <br />304 East Webcr Avenue, 3`d Floor; Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 l=ax; (209),468.3433 Web: www.siwov.or 6d <br />Any kINOR violations noted in the "Notice to Comply" in the attached inspection report must be <br />corrected within 30 days of receipt of this inspection. This certification form must be submitted to the <br />.►�+�nmental Health Detiartment (EI -ID) address at the top of this form within 35 days of receipt of the <br />ACORDCERTIFICATE oAT�(►�/pnYYY) LIABILITY ��_1 y <br />