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COMPLIANCE INFO_2009-2012
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231417
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COMPLIANCE INFO_2009-2012
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Last modified
2/15/2024 12:59:10 PM
Creation date
6/23/2020 6:47:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2012
RECORD_ID
PR0231417
PE
2361
FACILITY_ID
FA0003780
FACILITY_NAME
TRACY SHELL*
STREET_NUMBER
3725
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21217030
CURRENT_STATUS
01
SITE_LOCATION
3725 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\T\TRACY\3725\PR0231417\ENFORCEMENT\FINAL JUDGMENT 11-06-09.PDF
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EHD - Public
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ACORD I 1 LI ILII t OP ID Cl <br />STRVIOI <br />DATE' "DD ) <br />06/10/09 <br />oDucER <br />George Petersen Ins Agency <br />P. O. Box 3539 <br />627 College Avenue <br />THIS CERTIFICATE IS ED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER THIS CERTIFICA'T'E DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Rosa CA 95402 <br />PATE <br />Phone:707-525-4150 Fax:707-525-4175 <br />INSURERS AFFORDING COVERAGE NAIL# <br />INSURED <br />INSURER A: Cypress Insurance CO an <br />INSURER S: <br />S rvioe Station Systems, Inc. <br />60 QQuinn Avenue <br />San Jose CA 95112 <br />INSURER C: <br />INSURER D: <br />INSURER E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOIE F IN <br />VE FOR TPOLICY PERDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY IE 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 PAM CLAIMS. <br />HNS <br />LTR <br />SKE <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />PATE <br />pA7E <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE S <br />COMMERCIAL GENERAL LIABEITY <br />CLAIMS MADE D OCCUR <br />PREMISES Ea oeanence S <br />MED EXP (Any one person) S <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE S <br />GENT. AGGREGATE LIMIT APPLES PER: <br />POLICY LOC <br />PRODUCTS . COMPIOP AGO S <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT S <br />(Ea accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY S <br />(Perperson) <br />HIRED AUTOS <br />NON-0WNEO AUTOS <br />BODY INJURY S <br />(Per aeddeld) <br />PROPERTY DAMAGE S <br />(Perecddent) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT S <br />ANY AUTO <br />3 <br />- <br />OTHER THAN EA ACC S <br />AUTO ONLY. ACG S <br />EXCESSNMBRELLA LIABILITY <br />OCCUR ❑ CLAIMS MADE <br />EACH OCCURRENCE S <br />AGGREGATE S <br />S ---- <br />DEDUCTIBLE <br />S <br />RETENTION S <br />s <br />A <br />WORKERS COMPENSATION AND <br />EMPLOYERS' L <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />3310020636091 <br />06/04/09 <br />06/04/10 <br />g TORY LIMITS ER <br />_ <br />E.L. EACHAccMENT $1000000 <br />OFFsFIC EXCLUDED? <br />SPECIAALtPROVl ONS below <br />E.LOICEASE-E4EMPLOYE s 1000000 <br />EL DISEASE -POUCYLIMIT 51000000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUBIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS <br />Proof of Coverage. <br />*Ten day notice of cancellation in the event of non payment of premium. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE 1890140 INSURER WILL ENDEAVOR TO MAIL 30* DAYS WURITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 80 SHALL <br />Proof of Coverage IMPOSE NO OBLIGATION OR LHABUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />1941:1le7 lit FiTMIw7: M. <br />
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