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COMPLIANCE INFO_2004-2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231746
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COMPLIANCE INFO_2004-2009
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Entry Properties
Last modified
1/3/2024 2:30:52 PM
Creation date
6/23/2020 6:51:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2009
RECORD_ID
PR0231746
PE
2361
FACILITY_ID
FA0003862
FACILITY_NAME
Marks Fuel & Food, Inc.
STREET_NUMBER
880
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
049-050-32
CURRENT_STATUS
01
SITE_LOCATION
880 E VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\V\VICTOR\880\PR0231746\FINAL JUDGMENT 11-06-09.PDF
Tags
EHD - Public
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• <br />.7 <br />RTlFI ATE iJ �IABtLITYI@Ru,ri <br />Producer Arica Serpa <br />`K ?./14/2008 <br />THIS CERTIFICATE IS ISSUED AS 'A MATTER OF INFORMATION <br />Owen -Dunn Insurance Services <br />2831 G Street <br />Sacramento CA 95816 <br />916.443.0200 <br />www.owendunn.com <br />0670167 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURER Peerless Inc. Co <br />NAIC# 24198 A.M. Best: A XV <br />INSURER Oak River Ins. Co. <br />NAIC# 34630 A.M. Best: A++ XIII <br />insured <br />BZ Service Station Maintenance, Inc. <br />INSURER <br />INSURER <br />P.O. Box 933 <br />INSURER <br />West Sacramento CA 95691 <br />�x <br />THEPOLICIES ST <br />F INSURANCE LIED BELOW HAVE BE N I A D ABOVE FOR THE POLICY WNW I A ED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br />A <br />EN RAL LIABILITY <br />COMMERCIAL GENERAL UAB <br />CLAIMS <br />CLAIMS MADE OCCUR <br />CBP9555195 <br />2/15/2008 <br />2/15/2009 <br />FIRE DAMAGE An one Ne) <br />EACH OCCURRENCEA$01 <br />MED EXP (An one person) <br />PERSONAL Z ADV INJURY <br />NMIT <br />ENERAL AGGREGATE <br />PRODUCTS-COMP/OP AGG <br />$ <br />POLICY OJECT LOC <br />A <br />UTOMOBILE LIABILITY <br />ANY AUTO <br />CBP955195 <br />2/15/2008 <br />2/15/2009 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />BODILY INJURY <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />(Per person) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) S <br />PROPERTY DAMAGE <br />(Per accident) S <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: AGG 5 <br />ANY AUTO <br />EXCESS LIABILITY <br />EACH OCCURRENCE S <br />AGGREGATE S <br />OCCUR 7CLAIMS MADE <br />S <br />$ <br />DEDUCTIBLE <br />RETENTION $ <br />S <br />B <br />WORKERS' COMPENSATION & <br />EMPLOYERS' LIABILITY <br />2210000180071 <br />10/27/2007 <br />10/27/2008 <br />VI STATUTORY LIMITOTHER:. <br />EL EACH ACCIDENT S <br />EL DISEASE - EA EMPLOYEE S00 <br />EL DISEASE - POLICY LIMIT E <br />License #433159 <br />rig. Y t K, ' 1 f) r A 7 ,..1t2e�!f�i'•ji Ii:;i'�;):r,!`,iryll�.�,�<Fi N,�;I <br />Cense 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Contractors State License Board EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br />SENTATIVES. ' 10 Days for Non -Payment of Premium <br />AUTHORIZED <br />Sacramento CA 95826 REPRESENTATIVE <br />Candace AlIces <br />L <br />
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