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COMPLIANCE INFO 1986-1997
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231191
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COMPLIANCE INFO 1986-1997
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Entry Properties
Last modified
7/6/2020 4:39:19 PM
Creation date
11/8/2018 9:45:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-1997
RECORD_ID
PR0231191
PE
2381
FACILITY_ID
FA0003836
FACILITY_NAME
LOCAL FOOD MARKET
STREET_NUMBER
2650
STREET_NAME
MONTE DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13311131
CURRENT_STATUS
02
SITE_LOCATION
2650 MONTE DIABLO AVE
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\M\MONTE DIABLO\2650\PR0231191\COMPLIANCE INFO 1986-1997.PDF
QuestysFileName
COMPLIANCE INFO 1986-1997
QuestysRecordDate
8/11/2017 6:31:58 PM
QuestysRecordID
3573212
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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RT I FICAT. E 0INSURAE- ISSUE DATE, 06/28/0' <br /> PRODUCER I THIS C.ERTIFICATF IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> W.FOOTHILLEVALLEY INS. I EN EXTENDRIGHTS <br /> OR ALTERTTHEHE CCOVERAGETAFFORDED BYHIS THECPOLICIESTBELOW. I(OT AMEND, <br /> I 2381 EL CAMINO AVE <br /> SACRAMENTO, CALIFORNIA COMPANIES AFFORDING COVERAGE <br /> ZIPCCQiE 95821 <br /> 1 I COMPANY LETTER A MARYLAND CASUALTY <br /> -------------------------------------- <br /> iNSLIRF.O <br /> COMPANY LETTER B USF66 INSURANCE <br /> SACRAMENTO FOUIPMFNT COMPANY LETTER C <br /> MATNTENANCF. CO , INC <br /> 2533 CONNIE. i IVF COMPANY LETTER D <br /> SACRAMENTO, CALIFORNIA <br /> ZIP CODE 95815 - COMPANY LETTER E <br /> ------------------ <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD TNDICATFO NOTWITHSTANDING ANY RF.OUIRFMFNT TERM OR CONDITION OF ANY CONTRArT OR OTHER 110CUMENT WITH RESPECT TO <br /> WHICH THIS CFRTIhCATE MAY BE ISSUED OR MAY PFRTAfN, THE INSURANCE. AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJFC' <br /> TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. <br /> CO POLICY POLICY <br /> i ITR TYPE OF INSURANCE POLICY NUMBER EFF. DATE EXP. DATE ALL LIMITS IN THOUSANDS <br /> AIf,F.NERAI_ LIABILITY <br /> (X) COMMERCIAL. GENERAL LIABILITY 110193EC 07/01/88 07/01/89 I RENERAL AGGREGATE $1,00.' <br /> I r ) CLAIMS MADE (X) OCCURRENCE I I PRODUCT-COMP/OPS AGGREGATE 41,000 <br /> ) OWNERS 6 CONTRACTORS PROTECTIVE) PERSONAL d ADVERTISING INJURY $1100( <br /> EACH OCCURRENCE $1,00( <br /> FIRE DAMAGE (ANY ONE FIRE) $ lk <br /> MEDICAL EXPENSE (ANY ONE PERSON) $ <br /> ---------------------- ----------------------------- ----- - ------------ ------------------------------------------ <br /> IAUTOMOBILF LIABILITY I I <br /> Al (X) ANY AUTO 110193AU 07/01/88 07/01/89 1 CSL $1,000 <br /> I ( ) ALL OWNED AUTOS' I I BODILY INJURY <br /> SCHEDULED I OYE $(X) DlTOBODILY INJURY <br /> (X) NON-OWNtD AUTOS (PER ACCIDENT) $ <br /> O GARAGE LIABILITY I PROPERTY <br /> 1 <br /> DAMAGEf <br /> ' ) 1 -------------------------------------�- ---------- ------------------- <br /> CH <br /> IF.XCESS LIABILITY II I OCCURRENCE . AGGREGATE <br /> A! (X) IJMBRFILA FORM 1 10193X8 07/01/88 07/01/89 <br /> ( ) OTHER THAN UMBRFLLA FORM $1,000 $1,000 <br /> I I <br /> • I <br /> AIWORKERS' COMPENSATION 17402273865 10/01/87 10/01!88 STAT$ 100 (EACH ACCIDENT) <br /> I ANO I S 500 (DISEASE-POLICY LIMIT) <br /> IFMPLOYFRS' LIABILITY - --I -- -------- --- - - -- - ---- - -i-- -- -- <br /> $ 100-(DISEASE FACH EMPLOYEE) <br /> ----------------------------------- <br /> --------------- <br /> OTHER <br /> I I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> I <br /> TMi,5 CERTIFICkIF SUPERSEDES ANY PREVIOUSLY ISSUED CERTIFICATES. 6/28/88 DiH <br /> CERTIFICATE HOLDER I CANCELLATION <br /> SAN JOAQUIN LOCAL HEALTH DEPT I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br /> ATTNI ENVIRON. HEALTH PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS j <br /> P.O. BOX 2009 WRITTEN NOTICE. TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE <br /> j STOCKTON, CA TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND <br /> ---------ZIP CODE 95201 I UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> ------------------- ------ --------------------------------------------- <br /> - --- <br /> AUTHORIZED REPRESENTATIVE <br /> BILL STENKEN <br /> I n <br /> --- - �— <br />
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