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COMPLIANCE INFO 2008-2012
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231073
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COMPLIANCE INFO 2008-2012
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Last modified
1/19/2024 1:34:02 PM
Creation date
11/2/2018 6:36:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2012
RECORD_ID
PR0231073
PE
2361
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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\MIGRATIONS\C\COUNTRY CLUB\2725\PR0231073\COMPLIANCE INFO 2008-2012.PDF
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EHD - Public
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ACORC3CERTIFICA OF LIABILITY INSURANCE QP ID S ❑A7EIMMfDD1YYYY) <br /> PRODUCER WALTQ-2 09 29 09 <br /> THIS CERTIFICATE 15 ISSUEp AS A MATTER OF INFORMATION <br /> TLB Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 3044 Oak Rd. , Suite 214 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Walnut Creek CA 94597 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> Phone: 925-395-260o Fax;925-287-0710INI <br /> SURERS AFFORDING COVERAGE !MAIC <br /> INSURED <br /> tNSURERA: SeaBright Insurance Co <br /> INSURER B: <br /> Walton Engineering, Inc. INSURERO: <br /> P.O. Box 1025 <br /> West Sacramento CA 95691 INSURER D: <br /> COVERAGES INSURER E: <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABDVE FOR THE POLICY PERIOD INDICATED,NOTWFTHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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 PAID CLAIMS, <br /> LTR(NSR TYPE OF INSURANCE POLICY NUMBER I Y F C. E II PO C <br /> I DATE MMIDDIYY f DATE MM1DDm LIMITS <br /> I GENERAL LfABILITY <br /> COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ <br /> CLAIMS MADE E OCCUR PREMISES Ea ocowence S <br /> MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S <br /> POLICYPRCOT- LOC PRODUCTS-COMPlOP AGG $ <br /> JE <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO ' COMBINED SINGLE LIMIT <br /> ( <br /> ALL OWNED AUTOS Ea accident) S <br /> { SCHEDULED AUTOS 11 (Per <br /> BODILY <br /> of RY $ <br /> HIRED AUTOS I ' <br /> NON-OWNED AUTOS 4 BODILY INJURY <br /> (PeraccIdent) S <br /> ' PROPERTY DAMAGE <br /> (Per accident) S <br /> GARAGE LIABILITY <br /> ANY AUTO AUTO ONLY-EA ACCIDENT <br /> OTHER THAN EA ACC S <br /> EXCESSlUMBRELLA LIABILITY AUTO ONLY: AGO S <br /> OCCUR ❑ CLAIMS MADE ! EACH OCCURRENCE $ <br /> ! AGGREGATE $ <br /> DEDUCTIBLE + I $ <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND S . <br /> A EMPLOYERS'LIABILITY XTORYLIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE BB 10 9 3 0 0 3 10/01/09 10/01/100 01/10 .E.L.EACH ACCIDENT <br /> OFFICERIMEMBER EXCLUDED? $ 1,044,000 <br /> S yPRO <br /> ECIAL PROVISIONS <br /> describe tinder <br /> below <br /> SE.L.DISEASE•EA EMPLOYEE $ 1,0 0 0�0 0 0 <br /> P ] <br /> OTHER 6 E.L.DISEASE•POLI CYLIMIT $ 1,000,000 <br /> 1 <br /> DESCRIPTION OF OPERATIONS LOCATIONS 7 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only. <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> TQWHOM:[ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* <br /> DAYS WRITTEN <br /> To Whom it May Concern NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTA <br /> ACORI]26(200110$) <br /> Aennis. Cote� i <br /> ACC RD CORPORATION 1988 <br />
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