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REMOVAL_2007
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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PR0527026
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REMOVAL_2007
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Last modified
4/28/2021 12:25:38 PM
Creation date
11/5/2018 12:57:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2007
RECORD_ID
PR0527026
PE
2361
FACILITY_ID
FA0018313
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15688
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620077
CURRENT_STATUS
02
SITE_LOCATION
15688 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARLAN\15688\PR0527026\REMOVAL 2007.PDF
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EHD - Public
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ACORD_ CERTIFICATt wOF LIABILITY INSURAW _: GP ID S DATE IMM/DDI YY) <br /> WALTO-2 03/06/07 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 1000 Broadway Suite 289 ALTER THE COVERAGE AFFORDED BY T E P LICIES BELOW. <br /> Oakland CA 94607-4090 / <br /> Phone: 510-628-9100 Fax:510-628-9115 INSURERS AFFORDING COVERAGE <br /> INSURED INSURER A: Evanston Insurance Co. <br /> INSURER B: Redland Insurance Company `- <br /> Walton Engineering, Inc. state C: state ccepaneation xnaa aaee <br /> P.O. Box 1025 INSURER D: Hartford Insurance Co 34690 <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 15 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> ..UK RUIX MUCY EFFECTIVE POLICY EXPIRATION <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MWDD DATE NWOO LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE f1,000,000 <br /> TEU <br /> A X COMMERCIAL GENERAL LIABILITY 07PKGO1395 03/06/07 03/06/08 PREMISESEeocamnce $ 50,000 <br /> CLAIMS MADE aOCCUR MED EXP(Any we Person) $ 5,000 <br /> X $5,000 Ded PERSONAL S ADV INJURY 51,000,000 <br /> GENERAL AGGREGATE 32,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 <br /> POLICY QCT Loc Emp Ben. 1,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMB <br /> B X ANY AUTO 8001121446 03/06/07 03/06/08 (Ea accident) <br /> 31,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIREDAUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE $ <br /> (PeraradenQ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $4,000,000 <br /> A OCCUR F-1CLAIMSMADE 079FX00007 03/06/07 03/06/08 AGGREGATE s4,000,000 <br /> s <br /> DEDUCTIBLE $ <br /> RETENTION $ S <br /> WORKERS COMPENSATION AND X TORY LIMITS I I ER <br /> C, EMPLOYERS'LIASILITY 713000492706 10/01/06 10/01/07 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br /> OFFICERAIEMSER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 31,000,000 <br /> ttyes,deear E.L. <br /> lse undeDISEASE-POLICY LIMIT $ 1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> A Pollution/E&O 07PKG01395 03/06/07 03/06/08 Poll/E&O $1,000,000 <br /> D Installation Fltr I 57KSIZ6050 03/06/07 03/06/08 Inst Fltr $1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURERWILL ENDEAVOR TO MAIL 30* DAYSWRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> TO Whom It May Concern IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORRED REPRESENTATIVE <br /> Dennis Cote' <br /> ACORD 25(2001/08) 0ACORD CORPORATION 1988 <br />
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