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COMPLIANCE INFO_2025
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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PR0231356
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
2/8/2026 11:13:53 AM
Creation date
1/6/2025 2:10:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0231356
PE
2361 - UST FACILITY
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
02740006
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
2500 W LODI AVE LODI 95242
Tags
EHD - Public
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DATE(MM/DD/YYW) <br /> A�" CERTIFICATELIABILITY INSURANCE <br /> 03/06/2025 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Shala Pearson <br /> NAME: <br /> Leavitt United Insurance Services, Inc. gICC' 0 Ext : (800) 549-4242 aic,No): (888) 329-8842 <br /> Lic 40J02939 EMAIL shala-pearson@leavitt.com <br /> ADDRESS: <br /> 2358 Maritime Dr. Ste, 100 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Elk Grove CA 95758 INSURERA: Westchester Surplus Lines Insurance Company 10172 <br /> INSURED INSURER B : Travelers Property Casualty Company of America 25674 <br /> Walton Engineering, Inc. INSURER c : Service American Indemnity Company 39152 <br /> P.O. Box 1025 INSURER D : Travelers Insurance Companies R18674 <br /> INSURER E : <br /> West Sacramento CA 95691 INSURER F <br /> COVERAGES CERTIFICATE NUMBER: 25/26 Master REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. 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 TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR POLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYW MM/DD/YYYY LIMITS <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> TED <br /> CLAIMS-MADE ® OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $ 50,000 <br /> X Incl. Professional Liability MED EXP(Any one person) $ 5,000 <br /> A X Incl. Pollution Liability G47393735 003 03/06/2025 03/06/2026 PERSONAL 8 ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY [X JECTPRO ❑ LOC PRODUCTS-COMP/OP AGO $ 2,000,000 <br /> PRO <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> ANYAUTO BODILY INJURY(Per person) $ <br /> B OWNED SCHEDULED 8108L7853022443G 03/06/2025 03/06/2026 BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> v HIRED IX NON-OWNED PROPERTY DAMAGE $ <br /> /� AUTOS ONLY AUTOS ONLY Per accident <br /> UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 10,000,000 <br /> A X EXCESS LIAB CLAIMS-MADE G47393747 003 03/06/2025 03/06/2026 AGGREGATE $ 10,000,000 <br /> DED I X1 RETENTION $ O $ <br /> WORKERS COMPENSATION SPERTATUTE ORH <br /> AND EMPLOYERS'LIABILITY Y/N 1,000,000 <br /> C ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A SAMTWC10020102 10/01/2024 10/01/2025 E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L. DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ <br /> Pollution Liability <br /> A G47393735 003 03/06/2025 03/06/2026 Limit $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule, may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> To Whom it May Concern Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> @ 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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