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WP0039747
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039747
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Entry Properties
Last modified
1/31/2022 2:08:13 PM
Creation date
1/31/2022 1:38:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039747
PE
4373
STREET_NUMBER
0
STREET_NAME
CHRISMAN
City
TRACY
Zip
95304-
APN
25327028
ENTERED_DATE
6/24/2019 12:00:00 AM
SITE_LOCATION
0 CHRISMAN
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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AG ORA FARWCOR41 IvLEFI <br />��- CERTIFICATE OF LIABILITY INSURANCE <br />ornontns <br />IS ERTitriCATE 19 189UFD -_— AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT1FiCAlE HOLDER THit5 <br />CERTIFICATE DOES NOT AFFutlaATIVFlY OR NEGATIVELY AMEND, "TEND Oft ALTER THE COVERAGE AFFORDED BY THEPOUCIES <br />BELOW THIS CERTIFICATE OF INWRANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE E5SU NG NtBURER431, AUTItORtzEo <br />REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. <br />IMPORTANT: M thf-- - <br />eviii ala trot is as ADOITIOMAL WWR®, Hes <br />a SUBROGATION t8 W Polky(Ns) WOW Is ays ADDITIONAL INSURED prrntatorss or be andcrssd. <br />DIVED, sutyoc! ado 00 l N sled conditions of the porky, OWWn poSciaa may require an andonmKneni A staftnwa on <br />this certlfkste dos not oonfer rums to "W certificate holder In lieu of such an lorsoment(s}. <br />PRODl1019t Llcsnaa00707776 — _ <br />cr — <br />Newport Basch, CA - HUB International Insurance Ssrvkm kw_ <br />4695 MacArthur Court, Sults 6W aA: (949) 623.3980 Fa, s„i.(949) 391-0407 <br />Newport Beech, CA 926M WAss <br />CERTIFrA>['_NUmpt& _I"r}jQj( NtltillHtER: __ -- <br />TMS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST® BELOW HAVE SM MIM TO THE INSURED NA IM AWW FORTHE POLICY PERIOD <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT. i ERIN OR CONDITION OF ANY COUTRACT OR OT"ER 0OCUM8fT"M fi:sWWI TO WHICH THIS <br />CERTIFICATE MAY OF ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREINESURJECTTOIILLTHETt?RI1e8- <br />CXCLIISK)N5 AND CONDITIONS OF SUCH POLICIES LIWTS SHOWN MAY HAVE OEFN RF <br />btJCtD BY PND CLAIMSMart ADOI�L <br />I LIR _ _- ryK OF IM*UK*UW* .11aQ.. }!MQ P Cy Muk"A r�T: .. <br />A X cOnM6RaAL.ea l LxarrY — 1 <br />CW116�IAOE X OOCaIt E.r 0CCU"WM� .. --- —8 i <br />EO1t1WIS9 omirms 0W1l2olfi AM rIO RENffD <br />GWI AGIGREGATE LINIT APPLIES PFA <br />POLICY X Lm <br />0 AUTOYOaaE LMilTY <br />X ANY <br />r�IAE�M y�puL�O ASd7610369972011 <br />�AurOB nn11, <br />1117 AUYD�S <br />X % ONLY X 0 4� <br />usrsau►I" X OCMM <br />X olcaaausa Ctw06-MWE MU1e64211" <br />OED X RETWOONa 0 <br />C AND CYML Ma T AKYETy <br />.`zn�t- r`x'- ur — YIN <br />WC <br />; <br />
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