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WORK PLANS FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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WORK PLANS FILE 2
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Last modified
3/4/2019 6:51:14 PM
Creation date
3/4/2019 2:16:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
FileName_PostFix
FILE 2
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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ADDITIONAL INUSRED - OWNERS, LESSEES OR <br /> CONTRACTORS COMPLETED OPERATIONS <br /> Named Insured Endorsement Number <br /> Gregg Drilling &Testing, Inc. <br /> Pitcher Drilling Co. <br /> Policy Symbol Policy Number Policy Period Effective Date of Endorsement <br /> ECPG24913697002 18/l/2010-8/l/2011 <br /> Issued By(Name of Insurance Company) <br /> Illinois Union Insurance Company <br /> Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> ENVIRONMENTAL COMMERCIAL OPERATIONS POLLUTION AND CASUALTY POLICY <br /> COVERAGE A <br /> SCHEDULE <br /> Name of Additional Insured Person(s) or Organization(s): Blanket as required by written contract <br /> Location and Description of Completed Operations: <br /> Section III —Who is An Insured is amended to include.as an additional insured the person(s) or organization(s) <br /> shown in the Schedule, but only with respect to liability for"bodily injury or"property damage"caused, in whole <br /> or in part, by "your work" at the location designated and described in the schedule of this endorsement <br /> performed for that additional insured and included in the"products-completed operations hazard". <br /> All other terms and conditions of the policy remain unchanged. <br /> EP-26874(04 09) Includes copyrighted material-of Insurance Services Office, Inc.with its permission Page 1 of 1 <br />
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