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COMPLIANCE INFO 2016
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231669
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COMPLIANCE INFO 2016
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Entry Properties
Last modified
7/6/2020 4:40:19 PM
Creation date
11/8/2018 9:44:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016
RECORD_ID
PR0231669
PE
2361
FACILITY_ID
FA0001480
FACILITY_NAME
TESORO (MOBIL) 68222
STREET_NUMBER
2132
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17306035
CURRENT_STATUS
01
SITE_LOCATION
2132 MARIPOSA RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\M\MARIPOSA\2132\PR0231669\COMPLIANCE INFO\COMPLIANCE INFO 2016.PDF
QuestysFileName
COMPLIANCE INFO 2016
QuestysRecordDate
6/15/2017 6:48:05 PM
QuestysRecordID
3131588
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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RECEIVED <br /> 46.U, x CERTIFICATE OF LIABILITY INSURANC�CT 18 2016 nATE(MMoomvr, <br /> 2/16/2016 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H DER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALT��tN1 �p � <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT II�� fySL POLICIES <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. DEPARTIVI " I R(S), AUTHORIZED <br /> IMPORTANT: i(the certlRcale hDldor Is an ADDITIONAL INSURED,the policy(los)must bo andoned. If SUBROGATION IS WAIVED, subject to <br /> the torula and conditions of the polity,Certain policies may require an endorsement A statement on this certificate does not confer rights to the <br /> cortificate holder In Iieu of such ondorsemem(s). <br /> PRODUCER <br /> HAMg;.._Chris Calderon <br /> Amorelli, Rosemann 6 AssociatwsE (909)987-7600 TT ---- <br /> 3333 B Concours St 9-1,0•Ea' <br /> building 9-200 .dhrlao/ar911nsuranoe.coa <br /> Ontario CA 91764 --- M/WRaw91AFFOR01N0 COYlRAO! __tA <br /> —_... ___.._ W ACol InaMranCe Coao4AV <br /> NSUPED -._..._._— <br /> Fuel Pros Inc., IN_ELMAR.0 JLllied p 6 C Insurance o dba: Wash Pros Inc. INwlvaCKidwat Lmolowre Casualt <br /> 14774 Central Avenue <br /> ChlnOIN9URE11 E: _ <br /> G 91710 -- -- -- <br /> COVERAGESR P <br /> CERTIFICATE NUMBEgCL1593012595 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMR TH <br /> ED ABOVE FOE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> EXCLUSIONS AND <br /> CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> MOR <br /> TYPE OF INSURANCE -.._ _ UM _ ..__.-._ -V L <br /> X COMMERCIAL GENERAL Luu,LRY uwrs <br /> A CWM&MAeE OCCUR EACH OCCURRENCE 9 _1,000,000 <br /> TOAENIEO-- <br /> PAM303953 ±REM64E5.1Easrmlea?P B 501000 <br /> -------_ 10/1/2015 10/1/2016 MEDEYP�An rLOm�s,un B 81000 <br /> PERSONAL\AovaLit RV 1,000,000 <br /> OENLAOOREOATEppUp9p, LOC APPLIES PER: GENERAL AGGREGATE I '2,090,000 <br /> % PoLICY❑APRODUCTS-COMPA]P <br /> R' AGG f 2,000,000 <br /> AVIOMOGRA LWRAY B <br /> B A ANY AUTO 1a f 1,000,000 <br /> AALLO ED SCHEDULE BODILYINJURY(Fw,,, sn) f <br /> AUTOS MR7644793329 10/1/2015 10/1/2016 EDILYIWURY(Pxace14a110 9 <br /> NIREO AUTOS <br /> NON-OWNED <br /> r n f <br /> A UMBRELLA LW OCCUR Ma , •m w _.. __— 9 5,000 <br /> % EXCESS We EACH OCCURRENCE i 4 00 000 <br /> CWMSMApE EXC304453 1/21/2016 10/1/2016 AGGREGATE f 6 00 000 <br /> OED RETENTI <br /> WORKERS COMPENSAnON <br /> AND EMPLOYERSUABIUW A,IN X <br /> ANY PRCPRIETORPARTNERMQEXRNE <br /> `, ( I ER <br /> OFFlOEPorEXQUDEOP ❑NIA El EACH ACCIOENr f 1 000 000 <br /> ManWtoryin in NN)NN) MPJN \133329 10/1/2015 10/1/2016 E.LOISEASE-EAEMPLOVE 9 1 000 000 <br /> 0y8s RIPTIOs OF O <br /> DESCRIPTION OF OF RATION60e1vA <br /> E.L DISEASE-PoLICY LWIT p <br /> A Pollution Liability PACe303953 10/1/2015 10/1/2016 ,M PNA COn4Noe <br /> A Profasaional Liability PACIg0395301,000,000 <br /> 10/1/2015 10/1/2016 EstlI WloRplylgd UmE 41,000,000 <br /> DESCRIPTION OF OPERAT10151 LOCAnONS I VaNICLe9(ACORG 1411 Addseml RssR s 3cM4e,e,rtvy M ewcM4 N mea space Is mgwij <br /> PROOF OF INSURANCE <br /> CERTIFICATE HOLDER CANCELLATION <br /> PROOF OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORED REPRESENTATIVE <br /> Chris Calderon/CII RISC <br /> ACORD 262014101 ©1988-2014 ACORD CORPORATION. All rights reserved. <br /> INS025 nnm<nn <br /> ( ) The ACORD name and logo are registered marks of ACORD <br />
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