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REMOVAL_1988
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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2300 - Underground Storage Tank Program
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PR0501432
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REMOVAL_1988
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Entry Properties
Last modified
11/19/2024 3:46:06 PM
Creation date
11/6/2018 9:10:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1988
RECORD_ID
PR0501432
PE
2381
FACILITY_ID
FA0009271
FACILITY_NAME
OAK RIDGE WINERY, LLC
STREET_NUMBER
6100
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
04912034
CURRENT_STATUS
02
SITE_LOCATION
6100 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\6100\PR0501432\REMOVAL 1988.PDF
QuestysFileName
REMOVAL 1988
QuestysRecordDate
4/27/2016 4:43:47 PM
QuestysRecordID
3068761
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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ISSUE DATE(MM/DD/YY) <br /> ©� ® IN , <br /> 061111 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, <br /> CORROON &BLACKWAMES BURPO EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURANCE SERVICES COMPANIES AFFORDING COVERAGE <br /> P.O. BOX 255228 <br /> SACRAMENTO, CA 95865 <br /> TEL: (916) 485.4500 COMPANY A <br /> LETTER <br /> COMPANY B <br /> INSURED LETTER <br /> REPUBLIC INDEMNITY <br /> COMPANY <br /> AMERICAN FIRE SYSTEMS, INC. LETTER C <br /> AMERICAN BACKHOE COMPANY COMPANY D <br /> P.O. Box 926 LETTER <br /> Lodi, CA 95241 COMPANY E <br /> LETTER <br /> THIS IS TO CERTIFY THAT POLICIES OFINSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI. <br /> TIONS OF SUCH POLICIES. <br /> COTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXHBATON LIABILITY LIMITS IN THOUSANDS <br /> LTR DATE(MMND(M DATE(MMNDNYI EACH AGGREGATE <br /> OCCURRENCE <br /> GENERAL LIABILITY BODILY <br /> COMPREIffNSIVE FORM INJURY $ $ <br /> PREMISES/OPERATIONS PROPERTY <br /> A EXPLOSION UBND COLLAPSE HAZARD 63 SM 1048160 10/24/86 10/24/87 DAMAGE $ $ <br /> PRODUCTS/COMPLETED OPERATIONS <br /> CONTRACTUAL B16 PO <br /> ICOMBINED $ 1,000 $ 1,000 <br /> INDEPENDENT CONTRACTORS <br /> BROAD FORM PROPERTY DAMAGE <br /> PERSONAL INJURY PERSONAL INJURY $ 1,000 <br /> AUTOMOBILE LIABILITY BODILY <br /> u" <br /> ANY AUTO IPER PUM) $ <br /> ALL OWNED AUTOS(PRIV. PASS.) EODLY <br /> AALL OWNED AUTOS(PRIV RPASSN) 63 PJ 035830 10/24/86 10/24/87 Iff MCDENn $ <br /> HIRED AUTOS PROPERTY <br /> NON-OWNED AUTOS DAMAGE $ <br /> GARAGE LIABILITY BI 6 PD <br /> COMBINED $ <br /> EXCESS LIABILITY <br /> UMBRELLA FORM BIB PO <br /> COMBINED $ $ <br /> OTHER THAN UMBRELLA FORM <br /> STATUTORY <br /> WORKERS' COMPENSATION <br /> $AND (EACH ACCIDENT) <br /> B EMPLOYERS' LIABILITY PC 988 380 1/15/87 1/15/$$ $ (DISEASE-POLICY LIMIT) <br /> * $ (DISEASE-EACH EMPLOYEE) <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS <br /> EAST SIDE WINERY <br /> All California Operations <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br /> LATTN: <br /> AST SIDE WINERY PIRATION GATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> 100 E. HWY 12 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> ODI, CA. 95240 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> JIM CORNELIUS AUTHORIZED REPRESENTATIVE / <br /> 1 .•. .••.- .M. <br />
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