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WP0041626
EnvironmentalHealth
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BACON ISLAND
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041626
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Last modified
6/7/2021 3:04:15 PM
Creation date
6/7/2021 2:54:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
File Section
COMPLIANCE INFO
RECORD_ID
WP0041626
PE
4372
STREET_NUMBER
2751
Direction
S
STREET_NAME
BACON ISLAND
STREET_TYPE
RD
City
STOCKTON
Zip
95206-
APN
12905015
ENTERED_DATE
1/20/2021 12:00:00 AM
SITE_LOCATION
2751 S BACON ISLAND RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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AGENCY CUSTOMER ID: CN109612360 <br />LOC #: Seattle <br /> <br /> <br />ADDITIONAL REMARKS SCHEDULE Page 2 of 2 <br /> <br />AGENCY <br />Marsh USA, Inc. <br />NAMED INSURED <br />Cascade Drilling, L.P. <br />BU #107 <br />22722 29th Drive SE, Ste. 228 <br />Bothell, WA 98021 <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER. 25 FORM TITLE. Certificate of Liability Insurance <br />Excess Layer Liability: <br />Insurer: Allied World Assurance Company <br />Policy No.: 03125674 <br />Effective Period: 11/01/2020 - 11/01/2021 <br />Limit Each Occurrence: $10,000,000 xs $5,000,000 <br />Limit Aggregate: $10,000,000 xs $5,000,000 <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD
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