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ARCHIVED REPORTS XR0012563
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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ARCHIVED REPORTS XR0012563
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Entry Properties
Last modified
3/5/2019 1:33:30 AM
Creation date
3/4/2019 2:42:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012563
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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l ' <br /> ISSUE DATE(MMIDDIYY) -. <br /> i ��6���° ° CERTIFICATE OF <br /> 1NS��)�N)��E lS"ISSUED�E C RTiFIER FHWOR <br /> OLD ATIO CERTIFICATE <br /> ONLY <br /> AN <br /> CATS <br /> PRODUCER CONFERS NO RIGHTS UPON <br /> DOES NOT AM(EIJD,EXTEND OR ALTER THE COVERAGE AFFORDED 6Y THE <br /> i � 4ORIzON AGENCY, IMC. <br /> 1 2095 VIKING DRZVEY 1150 COMPANIES AFFaFtC1ING CGyV1=RAGE <br /> EDEN PRAIRIE r MN 55394 COMPANY A <br /> COMFA CONTINENTAL TNS CO <br /> LETTERa <br /> LETTER COMPANY HARTFORD INS CO ' <br /> 'INSURED COMPANY La <br /> CONTINENTAL INS CO t <br /> DELTA ENVIRONMENTAL CONSULTANTS I'!�[`ER GONTTIdENTAL INS � _. g <br /> 944 LONG LAKE ROAD, SUITE 300 ETMTERY n <br /> ST PAUL, MN 55112 COMPANY E <br /> LETTER ... <br /> COVERAGES <br /> IES DESCRIBED HEREIN IS SUBIE.T TO ALL THE TERMS, s <br /> MENT,TERM OR CONDITION C ANY CONTRACCT OR OTHER DOCUMENT Y11TH RESPECT TO WHICH THIS <br /> THIS I5 TO CERTIFY THAT THE POLICIES IRE INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED APOVE FOR THE POLICY PERIOD <br /> INDICATED,NOTWITHSTANDIN{3 ANY REQU <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORHAVE BEEN DED EY THE BY ' <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOyiN MA FDL cvEFFECTIVE D�L cOr EXPIRATION <br /> AIMS. LIMITS <br /> POLICY NUTABL'R OATS(MMIDDfYY) DATE(MMIDWY) <br /> co YYr.OFINSURANCE GENERAL AGGREGATE S 2000044 <br /> A GENERAL LIABILITY 12/1/90 i,'�/1�91PRODUCISCOMPIOP AGD. S 100000 <br /> COMMERCIAL GENERAL LIAS!LITY CPP6006760 PERSONAL A ADV.INJURY <br /> $ 1000440 <br /> CLAIMS ELIDE V^ OCCUR. EACH OCCURRENCE <br /> OWNER'S S CONTRACTOR'S PROT. <br /> FIRE SIAMAGE(Any one h,eI S 500000 + <br /> ' MED.E%?EN5E(Any one Pe°Sa^I S.- <br /> COMBINED <br /> COMBINED SINGLE r 404 r 444 I ' <br /> 9/10/90 Rl10!91 LIMIT SS <br /> F—yTOMOBiLE LIABILITY A LUENZV4871 1 I <br /> ANY AUTO 1 4/14/92 BODILY INJURY S <br /> ALL OWNED AUT03 <br /> 42 UENZV487 2 IPer Parson)4-10-9 <br /> SCHEDULED AUTOS (per ac INJURY S = e - <br /> (Ver accident) I <br /> X HIRED AUTOS <br /> X NON.OWNEDAUTOSa z <br /> PROPERTY DAMAGE <br /> GARACE LIABILITYI y - <br /> EACH OCCURRENCE 5000040 4 <br /> 2/1/90 S 3000000 <br /> EXCESS LIABILITY CLXC8P6006760x22/1/91 <br /> AGGREGATE <br /> cx <br /> UMBRELLYFORM j - <br /> STATUTORY LIMITS <br /> OTHER THAN UMBRELLA FORM <br /> S 9682790C <br /> b91�8603/05/91 03/09/92EACNAC07ENT s504r000 . <br /> WORKER' COMPENSATION DISEASE—FOLICY LIMIT S 500 r 040 <br /> D AND OISEASE—EACH EMPLOYEE s I q <br /> EMPLOYERS'LIABILITY ) <br /> OTHER <br /> 1 <br /> OCATIOHSIYENICLESISVECIAL ITEMS <br /> DESCRIPTION OF OP£RATIONSfL <br /> - PROJECT '14-88•-586 �g <br /> CANCELLATION s <br /> CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRI ISS POLICIES BE CANCELLED F D F VOF THE i <br /> I <br /> %PIR,RTION DATE THEREOF. THE• ISSUING COMPANY WILL ENDEAVOR TO ! <br /> MAIL i 4DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> CITY OF STOCKTON LEFT, OUT FAILURE TO I.IAIL SUCH NOTICE SHALT.IMPOSERNOPRE ENTOIVES. <br /> CITY FALL LW ILITY OF ANY KIND UI'CN THE COMPANY,ITS AG_ N OR <br /> .' <br /> sTOCKTON, CA 95202 <br /> AVTHORl2E0 fifVRESEN7 ATIVE EFORD <br /> RICHARD J ROCHR , <br /> e ACID D CORP TION B <br /> ACORD 25-5 �— <br />
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