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COMPLIANCE INFO_2013-2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0535432
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COMPLIANCE INFO_2013-2015
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Last modified
1/12/2024 4:04:53 PM
Creation date
6/23/2020 6:39:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0535432
PE
2351
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0535432_2680 REYNOLDS RANCH_2013-2015.tif
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EHD - Public
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c. Whenever requested by a Director of an implementing agency, the Insurer agrees to <br /> furnish to the Director a signed duplicate original of the policy and all endorsements. <br /> d. Cancellation or any other termination of the insurance by the Insurer, except for non- <br /> payment of premium or misrepresentation by the insured, will be effective only upon <br /> written notice and only after the expiration of 60 days after a copy of such written <br /> notice is received by the insured. Cancellation for non-payment of premium or <br /> misrepresentation by the insured will be effective only upon written notice and only <br /> after expiration of a minimum of 10 days after a copy of such written notice is received <br /> by the insured. <br /> e. The insurance covers claims otherwise covered by the policy that are reported to the <br /> Insurer within six months of the effective date of cancellation or non-renewal of the <br /> policy except where the new or renewed policy has the same retroactive date or a <br /> retroactive date earlier than that of the prior policy, and which arise out of any covered <br /> occurrence that commenced after the policy retroactive date, if applicable, and prior to <br /> such policy renewal or termination date. Claims reported during such extended <br /> reporting period are subject to the terms, conditions, limits, including limits of liability, <br /> and exclusions of the policy. <br /> I hereby certify that the wording of this instrument is identical to the wording in 40 CFR <br /> 280.97 (b) (2) and that the Insurer is eligible to provide insurance as an excess or surplus <br /> lines insurer in one or more states. <br /> Signature of Authorized Representative of Insurer <br /> Lori Larkin <br /> Regional Manager <br /> Authorized Representative of Chartis Specialty Insurance Company <br /> 120 S. Central Ave., <br /> 12" Floor <br /> Clayton, MO 63105 <br /> 103197 (11/09) 2 <br />
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