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COMPLIANCE INFO 2002 - 2003
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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1987
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2300 - Underground Storage Tank Program
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PR0517565
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COMPLIANCE INFO 2002 - 2003
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Last modified
11/19/2024 10:19:31 AM
Creation date
2/28/2019 4:14:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2003
RECORD_ID
PR0517565
PE
2361
FACILITY_ID
FA0013503
FACILITY_NAME
SAFEWAY FUEL CENTER #2600
STREET_NUMBER
1987
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1987 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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License Detail <br />HIC 11HOME IMPROVEMENT CERTIFICATION <br />ASB ASBESTOS - Check DOSH Registration <br />* * * Bonding Information * * * <br />Page 2 of') <br />CONTRACTOR'S BOND: This license filed Contractor's Bond number 72BSBAB7986 in the <br />amount of $7,500 with the bonding company <br />HARTFORD FIRE INSURANCE COMPANY. <br />Effective Date: 02/24/2002 <br />Contractor's_Bondng_ History <br />BOND OF QUALIFYING INDIVIDUAL(1): The Responsible Managing Officer (RMO) <br />RONALD JAY FLURY certified that he/she owns 10 percent or more of the voting stock/equity <br />of the corporation. A bond of qualifying individual is not required. <br />Effective Date: 10/02/2001 <br />BOND OF QUALIFYING INDIVIDUAL(2): This license filed Bond of Qualifying Individual <br />number 72BSBAB7991 for MICHAEL RAY BRIGGS in the amount of $7,500 with the bonding <br />company <br />HARTFORD FIRE INSURANCE COMPANY. <br />Effective Date: 11/22/2002 <br />* * * Workers Compensation Information * * * <br />This license has workers compensation insurance with the <br />STATE COMPENSATION INSURANCE FUND <br />Policy Number: 1614227-02 Effective Date: 12/09/2002 Expire Date: 12/09/2003 <br />Workers Compensation History <br />* * * Miscellaneous Information * * * <br />Date Description <br />11/09/2000 CLASS B, C36, HAZ, C21 REMOVED <br />10/31/2001 CLASS ASB, HAZ, HIC REMOVED <br />Personnel listed on this license (current or disassociated) are listed on other licenses. <br />Personnel List Other Licenses <br />http://www2.csib.ca.gov/CSLB_LIBRARY/License+Detai1.asp?LicNum=74161 1 9/17/2003 <br />
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