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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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SJGOV\rtan
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FilePath
\MIGRATIONS\C\COUNTRY CLUB\2725\PR0231073\COMPLIANCE INFO 2008-2012.PDF
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EHD - Public
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ACORD CERTIFICAT OF LIABILITY INSURANCE OP ID S DATE(MMIDDNYYY) <br /> WAT.TO-2 09/29/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLR Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 3000 Oak Rd. , Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Greek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIL <br /> INSURED INSURER A: SeaBright Insurance Co _ <br /> INSURER B: - <br /> Walton Engineering, Inc. INSURER C: <br /> P.O. Box 1025 INSURER D: <br /> West Sacramento CA 95691 <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING <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 /> fR% <br /> LTP I Y EFFECTIVE POLI A I <br /> LTR INERD NSRD TYPE OF INSURANCE POLICY NUMBER RATE MMfDD DATE(MM/DD/YYLIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES tEa occurance) $ <br /> CLAIMS MADE ]OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERALAGGREGATE $ <br /> �GFRL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPfOP AGO <br /> POLICY I PRO LOC <br /> JECT <br /> AUTOMOBILE LIABILITY <br /> I COMBINED SINGLE LIMIT $ <br /> ANY AUTO i (Ea sccidenl) <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNEDAUTOS (Pereccident) $ <br /> PROPERTY DAMAGE $ <br /> (Per accidert) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTU EA ACC $ <br /> OTHER THAN <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR E CLAIMS MADE 's AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $SIA - <br /> WORKERS COMPENSATION AND TORY TS ER <br /> LIMI - - <br /> EMPLOYERS'LIABILITY <br /> A ANY PROPRIETORIPARTNEPJEXECU71VE BB1093003 10/01/09 10/01/10 E,L.EACH ACCIDENT $ 1,{)00,000 <br /> OFFICERIMEMBER EXCLUDED? <br /> E.L.DISEASE-EA EMPLOYEE $ 1,0 0 0,0 0 0 <br /> 4 yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES 1 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 CANCELLATION <br /> TOWHOMI 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 /> To Whom t May ConcernNOTICE <br /> NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> [AUTHORIZED REPRESENTATJVEt <br /> ennis Cote' <br /> ACORD 25(2041108) p ACORD CORPORATION 1988 <br />
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