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COMPLIANCE INFO_2000-2007
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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1605
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2300 - Underground Storage Tank Program
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PR0504388
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COMPLIANCE INFO_2000-2007
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Last modified
2/6/2024 2:31:54 PM
Creation date
6/23/2020 6:56:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000-2007
RECORD_ID
PR0504388
PE
2361
FACILITY_ID
FA0006185
FACILITY_NAME
El Dorado Gas & Mart
STREET_NUMBER
1605
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16703101
CURRENT_STATUS
01
SITE_LOCATION
1605 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0504388_1605 S EL DORADO_2000-2007.tif
Tags
EHD - Public
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Aeow C TIFIC T F LIABILITY I R OP ID s DATE,MM/DD/YY <br />WALTO-2 03/06/07 <br />PRODUCER THIS CERTIFICATE IS 19SUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />TLB Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1000 Broadway Suite 289 <br />Oakland CA 94607-4090 <br />Phone: 510-628-9100 Fax:510-628-9115 INSURERS AFFORDING COVERAGE NAIL# <br />INSURED INSURER X. Evanston Insurance Co. <br />INSURER B: Redland Insurance Company <br />Walton Engineering, Inc- INSURER C: state compensation insurance <br />P.O. Box 1025 INSURER D: Hartford Insurance Co 34690 <br />West Sacramento CA 95691 INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 PAID CLAIMS. <br />XPIP <br />POUC <br />TYPE OF INSURANCE POLICY NUMBER DATE MMI0 FFET DATE MM/DD/YY LIMITS <br />$1,000,000 <br />ERAL LIABILITY EACH OCCURRENCE <br />COMMERCIAL GENERAL LIABILITY 07PKGO1395 03/06/07 03/06/08 PREMISES(Eaoccurence)$50,000 <br />7AX <br />EXP (Any one person) $ 5,000 <br />CLAIMS MADE X OCCURMED <br />PERSONAL& ADV INJURY $1,000,000 <br />$5,000 Ded <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS - COMP/OP AGG $2,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />Em Ben. 11000,000 <br />POLICY JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $1,000,000 <br />(Ea accident) <br />B <br />ANY AUTO <br />R001121446 <br />03/06/07 <br />03/06/08 <br />X <br />ALL OWNED AUTOS <br />BODILY INJURY $ <br />(Per person) <br />SCHEDULED AUTOS <br />X <br />HIRED AUTOS <br />BODILYINJURY $ <br />(Per accident) <br />NON -OWNED AUTOS <br />X <br />PROPERTY DAMAGE $ <br />(Per accident) <br />ILITY <br />GAR:ANYAUTO <br />AUTO ONLY - EA ACCIDENT $ <br />EA ACC $ <br />OTHER THAN <br />AUTO ONLY: AGG $ <br />EXCESS/UMBRELLA LIABILITY <br />El MADE <br />07$FX00007 <br />03/06/07 <br />03/06/08 <br />EACH OCCURRENCE $4,000,000 <br />AGGREGATE $4,000,000 <br />A <br />OCCUR CLAIMS <br />DEDUCTIBLE <br />RETENTION $_ <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />713000492706 <br />10/01/06 <br />10/01/07 <br />_[TORY LIMITS ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />C <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT $1,000,000 <br />SPECIAL PROVISIONS below <br />07PKGO1395 <br />03/06/07 <br />03/06/08 <br />Poll/E&O $1,000,000 <br />OTHER <br />A <br />Pollution/E&O <br />Fltr <br />57MSIZ6050 <br />03/06/07 <br />03/06/08 <br />Inst Fltr $1,000,000 <br />D <br />DESCRIPTION <br />Installation <br />OF OPERATIONS I LOCATIONS I VEHICLES <br />/ EXCLUSIONS ADDED BY ENDORSEMENT <br />I SPECIAL PROVISIONS <br />*10 <br />days notice applies if <br />cancelled for non-payment <br />of <br />premium. <br />CERTIFICATE HOLDER <br />To Whom It May Concern <br />CANCELLATION <br />TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />Dennis Cote' <br />©ACORD CORPORATION 1 <br />ACORD 25 (2001108) <br />
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