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COMPLIANCE INFO 2000 - 2006
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3212
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2300 - Underground Storage Tank Program
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PR0231035
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COMPLIANCE INFO 2000 - 2006
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Last modified
2/7/2024 2:39:12 PM
Creation date
3/26/2019 2:45:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000 - 2006
RECORD_ID
PR0231035
PE
2361
FACILITY_ID
FA0006773
FACILITY_NAME
ARCO 02186
STREET_NUMBER
3212
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12532001
CURRENT_STATUS
01
SITE_LOCATION
3212 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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A <br /> CERTHOLDER COPY NB <br /> STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 <br /> COMPENSATION <br /> INSURANCE <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> ISSUE DATE: 04-01-2006 GROUP: 000092 <br /> POLICY NUTOBER: 0000428-2005 <br /> CERTIFICATE ID: 283 <br /> CERTIFICATE EXPIRES:04-01-2007 <br /> 04-01-2006/04-01-2007 <br /> EVIDENCE OF COVERAGE NO <br /> GETTLER RYAN, INC. <br /> 6747 SIERRA CT STE J <br /> DUBLIN CA 94568-2651 <br /> This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the <br /> California Insurance Commissioner to the employer named below for the policy period indicated. <br /> This policy is not subject to cancellation by the Fund except upon30 days advance written notice to the employer. <br /> We will also give you 30days advance notice should this policy be cancelled prior to its normal expiration. <br /> This certificate of insurance is not an, insurance policy and does not amend, extend or alter the coverage afforded <br /> by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document <br /> with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance <br /> afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. <br /> �THORIZEDREPRESENTATI PRESIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> ENDORSEMENT #1600 - JEFF RYAN PRESIDENT - EXCLUDED. <br /> ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 04-01-2004 IS <br /> ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> EMPLOYEn <br /> GETTLER-RYAN, INC AND/OR GEOSTRATEGIES, INC <br /> AND/OR GR PETROLEUM SERVICES, INC AND/OR MPDS <br /> SERVICES, INC ET AL <br /> 6747 SIERRA CT STE J <br /> DUBLIN CA 94568 <br /> IB14,NB] <br /> PRINTED 04-01-2006 <br /> (REV.2-05) <br />
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