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COMPLIANCE INFO_2022
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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PR0231458
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/17/2023 4:14:49 PM
Creation date
2/2/2022 11:07:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231458
PE
2361
FACILITY_ID
FA0001196
FACILITY_NAME
SAVE ON FUEL
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
219-312-06
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 10 <br /> ( Ed . 01 -95 ) <br /> DUTY TO DEFEND -CALIFORNIA <br /> The insurance afforded by Part One , Section C , "We Will Defend " , is hereby deleted and replaced with the following : <br /> WE WILL DEFEND <br /> We have the right and duty to defend at our expense any claim or proceeding against you before the California Workers' <br /> Compensation Appeals Board or its equivalent in any other state (and any appeal of a decision therefrom ) for the benefits payable <br /> by this workers' compensation insurance . We have the right to investigate and settle these claims or proceedings . <br /> We have no duty to defend a claim , proceeding , or suit that is not covered by this insurance . <br /> Nothing contained in this Section shall amend , modify , restrict, or otherwise alter any obligations or conditions under Part Two — <br /> Employer' s Liability Insurance of the policy . <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated . <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy . ) <br /> Endorsement Effective 12/11 /2021 Policy No , WWC3560056 Endorsement No . 0 <br /> Insured Tank-Tight Systems Inc Premium $ 10 , 588 <br /> Insurance Company Wesco Insurance Company <br /> Countersigned by <br /> WC 04 03 10 <br /> ( Ed . 01 -95 ) <br /> i <br /> i <br />
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