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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2908
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3500 - Local Oversight Program
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PR0544111
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SITE HISTORY
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Entry Properties
Last modified
2/7/2019 11:13:05 AM
Creation date
2/7/2019 10:30:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0544111
PE
3528
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
02
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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i i IJ LOT �, e k v �+� E(MM/DD/ <br /> ISSUE DATY'Y) <br /> 06%01/87 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> UPONDOES <br /> WISE INSURANCE AGENTS/BROKERS I EXOTENDHTS OR ALTTERTHE T E COVERAGE AFFORDED BY THECERTIFICATE HOLDER.THISRTIFICATE POLICIIES BELOW.NOT AMEND, <br /> 209 HARDING BOULEVARD _.. . --- — - -- --- ------ -- - - -- <br /> P.O. BOX 1268 COMPANIES AFFORDING COVERAGE <br /> ROSEVILLE, CA 95661-1268 �or•:rFAN- <br /> A INDUSTRIAL INDEMNITY <br /> (91C) 73-5-0500 --— — <br /> : TI <br /> P.C. EXPLORATION, INC. C <br /> P.O. BOX 1109 ANY, — <br /> ROSEVILLE, CA 95661 <br /> AS <br /> r,^ ANY E <br /> THIS IS i0 CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEIJ ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDI- <br /> 1-ATED.NOTWITHSTANDING ANN'REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIF- F. <br /> ICAT}_t.,,Y BI- 1SSfUF:.D MAY PERTAIN,THE INS-URANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB,;ECT TO ALL THE TERMS.EXCLUSIONS, <br /> f;> <br /> AND CONDITIONS OF SUCH POLICIES. <br /> i <br /> POLICY EFFECTI!E POLICY FPIRATION <br /> 'L T fPE OF II+SUP=,% - , %Ur:1PFR ALL LIMITS IN THOUSANDS <br /> .a :,..TF'MM DQ'f;'• DATE{44M OD <br /> GENERAL LIABILITY =ALA yFGATE Cj �2-00 UO <br /> ..X -- .:Rr'InL ri E`JER:.. - - ,., (`^ ..i;39EGA.� i C� 2,00 <br /> A „._AfAbMADE X SP899-0755 06/01/87 I 06/01/88 a ,r _n AD�aTWitiG - 5 ,000 <br /> .( �( -.. .,R'S 6 CONTRACT - r occu sRENce 1 000 <br /> ---- — e <br /> 7A::AGE iANY Gr.E'r!REI bu <br /> CA:EXPENSE-(ANY ONE PER�J"1 `J <br /> AUTOMOBILE LIABILITY <br /> X 1,000 � <br /> !AL_J'vNNED AUTOS <br /> A sct EDJLEG AU?OS SP899-0755 06/01/87 06/01/88 <br /> X I HIRED AUTOS <br /> -X---I i oc <br /> $ <br /> JON-OWNED AUTOS I -_ENTIv —{ <br /> LIABILITY <br /> AGGREGATE <br /> EXCESS LIABILITY O• C �P_',CL <br /> --S'A i'U'O R Y <br /> WORKER'S COMPENSATION I S--1EOO ;EACH ACCIDENT) <br /> AND I KM878-9689 04/01/87 04/01/88 J©0----ID!SFASE-POLICY!lMIT, <br /> EMPLOYER'S LIABILITY - -- — - --i— <br /> rJ 1 OO GS`cASE-EACH E`J%.pYEE: <br /> OTHER <br /> S DESCRIP-Oi!Ot OPERAT'O''` )C.ATIONS!!/EHICLES:P^STRICTiOtAS/SPECIAQ ITEMS <br /> ALL OPERATIONS AND VtHICLES PERTAINING;T4ktMONITORING WELL INSTALLATIONS-BENJAMIN HOLT DRIVE <br /> PLYMOUTH RD AS PER ADDITIONAL INSURED ENDOA$' GENT <br /> HOLDER • <br /> CITY OF STOCKTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> RISK MANAGEMENT DIVISION EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL X X0XXXX <br /> _@ MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO <br /> CITY HALL <br /> THE LEFT.X--- - xk�Xa%)(0( —X+XIX tJKXX*XKK*K'u�X��(*MOOA)OAX <br /> STOCKTON, CA. 95202X�( v X �(X eXrXXD( DWfTXX►Ik . <br />
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