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COMPLIANCE INFO_2026
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2448
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2300 - Underground Storage Tank Program
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PR0231948
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COMPLIANCE INFO_2026
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Entry Properties
Last modified
2/3/2026 8:32:57 AM
Creation date
2/3/2026 8:31:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2026
RECORD_ID
PR0231948
PE
2361 - UST FACILITY
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SPEEDWAY) #68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
2448 W KETTLEMAN LN LODI 95240
Tags
EHD - Public
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Client#: 2079581 <br />I' 11lipIN <br />DATE (MM/DD/YYYY) <br />10/01/2025 <br />THIS CERTIFICATE IS ISSUED ASA 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 endorse <br />iI SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement, A statement on <br />this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />USI Insurance Services NW CLI <br />825 NE Multnomah, Suite 1500 <br />Portland, OR 97232 <br />503 224=8390 <br />INsuRED <br />Able Maintenance, Inc. <br />3224 Regional Parkway <br />Santa Rosa, CA 95403 <br />' Rhonda Scialpi <br />Ekt) 503 224.8390 <br />rhonda.scialpi@usi.com <br />I �a ,�, 610 362-8130 _ <br />INSURERS) AFFORDING COVERAGE _ NAIC # <br />INSURER A: Zurich American insurance Company 16535 <br />INSURER B: <br />INSURER D <br />E: <br />COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 />_.iADDL'SUBR -__ .— _._—... ----- <br />LTR - TYPE OF INSURANCE INSR WVO _ POLICY NUMBER (MM DDY F IMM ODS) . LIMITS <br />COMMERCIAL GENERAL LIABILITY _ 'f— _. — <br />CLAIMS -MADE OCCUR !EACH OCCURRENCE 5 _ <br />pgry�p� TO <br />RENT - - -� -- -- <br />_._.__. I PREMISS (Ea occurzence �. $ <br />GEN'L AGGREGATE LIMIT APPLIES PER:PRO <br />MED EXP (Any one person) $ <br />POLICY [..j ECT LOC <br />AUTOMOBILE LIABILI <br />TY <br />ANY AUTO <br />OWNED SCHEDULED j <br />AUTOS ONLY ,AUTOS <br />HIRED NON•OWNED <br />AUTOS ONLY AUTOS ONLY <br />1 UMBRELLA LIAB IIT OCCUR <br />ESS LIAB <br />EXCESS II <br />� � CLAIMS -MADE' <br />A I WORKERS COMPENSATION i ' 88J79I3 <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBER EXCLUDED? � ;N / A <br />(Mandatory in NH) <br />12025 (7 O/01 /2026 <br />E.L. EACH <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 901, Additional Remarks Schedule, may baaUachad it more space Is required) <br />FOR INFORMATION ONLY <br />ACORD 25 (2016!03) 1 of 1 <br />#551099994/M51070548 <br />SiT <br />-POLICY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLIGY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. Ail rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />PDNZP <br />PERSONAL & ADV INJURY <br />S <br />GENERALAGGREGATE�f$ <br />__ <br />PRODUCTS-COMP/OPAGG <br />$ <br />I� <br />$ <br />COMBINED SINGLE LIMIT <br />IEa accidenti <br />BODILY INJURY (Per person) <br />` $ <br />INJURY (Per accident)) <br />$ <br />�BOpILY <br />ROPERTY DAMAGE <br />ill <br />$ <br />Per accident/ ...... <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />Is <br />12025 (7 O/01 /2026 <br />E.L. EACH <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 901, Additional Remarks Schedule, may baaUachad it more space Is required) <br />FOR INFORMATION ONLY <br />ACORD 25 (2016!03) 1 of 1 <br />#551099994/M51070548 <br />SiT <br />-POLICY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLIGY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2015 ACORD CORPORATION. Ail rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />PDNZP <br />
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