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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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PR0523684
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
9/23/2026 8:17:42 PM
Creation date
4/3/2025 3:39:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0523684
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
RD
City
Lathrop
Zip
95330
APN
19602020
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
116 Roth RD Lathrop 95330
Tags
EHD - Public
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Xpress Technical Services, DBA: IEC Services, Alpha Architectural Signs & LightingL/P Insurance Services, LLC <br />25 Certificate of Liability Insurance: Notes <br />Continued from Description of Operations Section: <br />When Named Insureds operations are performed for Certificate Holder and/or entities listed in Description of Operations on the Acord 25 form pursuant to a <br />valid written contract or agreement executed by Named Insured prior to loss, in accordance with the noted policy(ies): Additional Insured Status is <br />determined by attached forms: <br />CGD246 04/19;CGD211 01/04;CGD316 02/19;CGT100 02/19;CAT353 02/15;CAT499 02/16;WC990376(A)-001 <br />ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:FORM TITLE: <br />ADDITIONAL REMARKS <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY CUSTOMER ID: <br />LOC #: <br />AGENCY <br />CARRIER NAIC CODE <br />POLICY NUMBER <br />NAMED INSURED <br />EFFECTIVE DATE:
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