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COMPLIANCE INFO_2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0526212
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COMPLIANCE INFO_2009
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Last modified
10/26/2023 3:02:30 PM
Creation date
9/6/2018 10:43:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO_2009
FileName_PostFix
2009
RECORD_ID
PR0526212
PE
2351
FACILITY_ID
FA0017737
FACILITY_NAME
CHEVRON STATION #307709*
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602015
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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Ayyc.a„ %ob-. �� ivn 1 L. Vr LIMpILI 1 T 11,40U1'[HIV�.►C OP ID Cl ' - "TI <br />PRODUCER <br />SERVIO1 06 10 09 George Petersen Ina Agency THIS CERTIFICATE I ED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS v RIGHTS UPON THE CERTIFICATE <br />P. 0. Box 3539 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />627 College Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />S t as R as CA 95402 <br />a o <br />Phone: 707-525-4150 Fax: 707--925-4175 <br />INSURED <br />Swice Station Systems, Inc. <br />680 Quinn Av;nue <br />San .Tose CA 95112 <br />COVERAGES <br />INSURERS AFFORDING COVERAGE <br />INSURER A. Cypress Insuran <br />INSURER B: <br />INSURER c: <br />INSURER D: <br />INSURER E <br />NAIC # <br />-- ------ - — ---... ---� , „� w.wamav n 141 ^DUvr rUn IME POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI] CLAIMS. <br />INE <br />LTR <br />S <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE DM' <br />DATE I <br />LIMITS <br />GENERAL LIASILITY <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S <br />AMNIE1 nn 5 <br />CLAIMS MADE OCCUR <br />MED EXP (My one Person) S <br />PERSONAL S ADV INJURY It <br />GENERAL AGGREGATE S <br />GEWL. AGGREGATE LIMIT APPLIES PER: <br />POLICY QCT7 LOC <br />PRODUCTS • COMPIOP AGG 5 <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMB 5 <br />(Ea accident) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY 5 <br />(Psrl»non) <br />HIRED AUTOS <br />NDN-0WNEO AUTOS <br />BODILY INJURY 1 <br />(Par accident) <br />PROPERTY DAMAGE 5 <br />(Par accident) <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT S <br />ANY AUTO <br />OTHER THAN EA ACC S <br />AUTO ONLY: qGG S <br />EXCESSAIMBRELLA LIABILITY <br />OCCUR F1 CLAIMS MADE <br />EACH OCCURRENCE 5 <br />AGGREGATE 5 <br />1 <br />DEDUCTIBLE <br />S <br />RETENTION S <br />s <br />A <br />WORMERB COMPENSATION AND <br />EMPLOYERWLIABSJTY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />3310020636091 <br />06 /04/09 <br />06/04/10 <br />g TORY LIMRB ER <br />EL EACH ACCIDENT 51000000 <br />OFFICERIMEMBEt EXCLUDED7 <br />IYOa ALPRdescribe PROVurxWISIONS <br />SPECUIL PROVIBtON3 below <br />OTHER <br />ELDISEASE - EA EMPLOYE $1000000 <br />EL DISEASE -POLICY LIMIT $ 1000000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Proof of Coverage. <br />*Ten day notice of cancellation in the event of non payment of premium. <br />CERTIFICATE HOLDER CANCELLATION <br />Proof of Coverage <br />ACORD 26 (2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />0 ACORD CORPORATION 1 sea <br />
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