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REMOVAL_1994
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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PR0505423
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REMOVAL_1994
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Entry Properties
Last modified
4/1/2020 11:52:50 AM
Creation date
11/2/2018 5:24:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1994
RECORD_ID
PR0505423
PE
2381
FACILITY_ID
FA0009484
FACILITY_NAME
SUBURBAN PROPANE TRACY
STREET_NUMBER
23901
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
Rd
City
Tracy
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
23901 S Chrisman Rd
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CHRISMAN\23901\PR0505423\REMOVAL 1994.PDF
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EHD - Public
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STATE P,O, BOX 420807, SAN FRANCISCO, CA 94142.0807 <br />-' CpMriNSATION <br />1 N'1♦,W'eeANC!' <br />FrN:Q CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br />AirGUST 08,1994 POucyNUMeeR: 1331065-94 <br />CERTIFICATE EXPIRES: 10-23-95 <br />C <br />This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California <br />Insurance Commissioner to the employer named below for the policy period indicated. -- <br />t <br />This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer, <br />n <br />We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. <br />This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the <br />policies. listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with <br />reapec! to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies <br />described herein is subject to all the terms, exclusions and conditions of such policies. <br />.. PRESIDENT <br />EMPLOYER <br />ALt E.NV1QR-MENTAL INC. <br />2'641 CROW.CANYON RD #5 <br />SAN RAMON CA, 94583 <br />L <br />ar,a ,n.x9.roCV. ln.411 . <br />
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