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COMPLIANCE INFO 2006-2012
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0518288
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COMPLIANCE INFO 2006-2012
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Entry Properties
Last modified
2/25/2021 4:48:12 PM
Creation date
11/8/2018 10:21:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2012
RECORD_ID
PR0518288
PE
2361
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\G\GRANT LINE\3250\PR0518288\COMPLIANCE INFO 2006-2012.PDF
QuestysFileName
COMPLIANCE INFO 2006-2012
QuestysRecordDate
7/5/2017 10:08:33 PM
QuestysRecordID
3482644
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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ACORO CE TIfl A7E F L1�BIL J3V <br /> 12/29/2008 <br /> Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br /> SuIllvanCurtisMonroe Insurance Services THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> 251 S. Lake Ave.,Suite 150 COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Pasadena, CA 91101 INSURERS AFFQRQING CQV RAGE <br /> INSURER American International Specialty <br /> Lines AXIV Ncci 32220 <br /> 626-792-5622 License#OE83670 <br /> www.SullivanCurtisMonme.Dom INSURER CommerceIndustry <br /> AXV Ncci 199 410 <br /> Insured INSURER American Intl. Specialty Lines <br /> Wayne Perry Inc. AXIV Ncci 32220 <br /> 8281 Commonwealth Ave. INSURER SeaBright Insurance Company <br /> Buena Park CA 90621 A-IX Ncci 15563 <br /> INSURER <br /> E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 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 <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br /> TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY POLICY <br /> NSR EFFECTIVE EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE Y M DATE LIMITS <br /> MWDGENERALMERCIABILITYL GENE EACH OCCURRENCE S 1.000,000 <br /> PROP1665078 12/31/2008 12/31/2009 PRE DAMAGE IAn one arca E 0 <br /> A COMMERCIAL GENERAL UAB <br /> CLAIMS MADE OCCUR PERSONAL&ADV INJURY SOO 0 O <br /> GENERAL AGGREGATE 4 <br /> N'LAG LIMI AP UE P R PRODUCTS-COMP/OP AGG S 0 <br /> POLICY ROJECT LOC E <br /> UTOMOBILE LIABILITY <br /> B ANY AUTO CA6691454 12/31/2008 12/31/2009 COMBINED SINGLE LIMIT - f 1,000 000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (ft person) E <br /> HIRED AUTOS BODILY INJURY <br /> NONAWNED AUTOS (Per acdden0 S <br /> PROPERTY DAMAGE <br /> (Per apcl0ent) E <br /> GARAGE LIABILITY AUTO ONLY.EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC f <br /> AUTO ONLY: AW f <br /> EXCESS LIABILITY EACH OCCURRENCE E 5000000 <br /> C OCCUR FCLAIMSMADE PROU7340721 12/31/2008 12/31/2009 AGGREGATE s 5 0 <br /> S <br /> OEOUCT"" S <br /> RETENTIONS 10,000 Is <br /> WORKERS'CD EMPLOYERS'OLIABILITYTION& Y`jSTATUBBIOBI086 111/2009 1/1/2010 EACHA ACCIDENT <br /> TH <br /> EL EACH S 1.000.000 <br /> EL DISEASE EA EMPLOYEE is 1 <br /> EL DISEASE-POLICY LIMIT Is OO <br /> A7 T—rofeEsional Liab PROP1665078 12131120095,000,00 <br /> Claims Made Each Loss Limit <br /> OES�RIPTION OF OPERA-1101iI N 5 <br /> Re:All California operations of the named insured. <br /> CERTIFICATE-:HOLDER CANCELLATION <br /> All California Operations Of nerved Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Wayne Perry, INC. EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> 8281 Commonwealth Avenue 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> Buena Park CA 90621-0000 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br /> OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- <br /> SENTATIVES. '1e Dan for NooY*,mant or Premlum. <br /> AUTHORIZED <br /> REPRESENTATIVE <br /> Beae Prater <br /> ACORD`25-S(7/97) i'p ACORD CORPORATION 1988 <br /> CERT 140- 4241445 Cynthia Leine 12/29/2006 2:15:2] PM Page 1 <br />
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