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COMPLIANCE INFO 2008 - 2015
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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PR0506724
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COMPLIANCE INFO 2008 - 2015
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Entry Properties
Last modified
11/15/2023 10:12:19 AM
Creation date
11/8/2018 10:22:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 - 2015
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\K\KETTLEMAN\1111\PR0506724\COMPLIANCE INFO 2008 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2008 - 2015
QuestysRecordDate
6/27/2018 4:14:35 PM
QuestysRecordID
3926585
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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ACORD CERTIFICA OF LIABILITY INSURA OP ID S DATE(MM/DDIYYYY) <br /> WALTO-2 09/25/08 <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 /> 3000 Oak Rd. , Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A: Stab ccm ae.atlon zneuranee <br /> INSURER B: <br /> Walton Engineering, Inc. INSURER C: <br /> P.G. Box 1025 INSURER D'. <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 IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTR NSR TYPE OF IN POLICY NUMBER Nb DATE MID DATE MN STI LIMITS <br /> M <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ <br /> CLAIMS MADE r—] OCCUR MED EXP(Any one Pereon) 5 <br /> PERSONAL&ADV INJURY S <br /> GENERAL AGGREGATE $ <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY IJECT F7 PRO LOC <br /> PRO <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea aaidenl) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident $ <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EAACC $ <br /> AUTO ONLY. AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION 3.. _. _. _ $ <br /> WORKERS COMPENSATION AND X TORYLIMITS ER <br /> A EMPLOYERS'LIABILITY 000713-4927-2008 10/01/09 10/01/09 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,00 0,000 <br /> M yes,describe under ECIAL PROVISIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000 <br /> SP <br /> OTHER <br /> DESCRIPRON OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWEOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRDTEN <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 /> REPRESENTATIM. <br /> AUTHORIZED REPRESENTATI <br /> Dennie Cote' <br /> ACORD 26(2001108) ACORD CORPORATION 1988 <br />
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