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COMPLIANCE INFO 2012 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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6425
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2300 - Underground Storage Tank Program
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PR0231211
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COMPLIANCE INFO 2012 - 2018
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Entry Properties
Last modified
5/15/2019 5:10:41 PM
Creation date
5/15/2019 2:24:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2018
RECORD_ID
PR0231211
PE
2371
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6425 N PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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ACCII SERVSTA-01 <br />�- CERTIFICATE OF LIABILITY INSURANCE °ATE IMM. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOIDE <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PI <br />BELOW. iHiS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTIR <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: N tM certificate holder Is an ADDITIONAL INSURED, the polky(bs) must be endoreed. If IS WAIVED, sul <br />the terms and conditions Of the Polity, certain policies may require an endorsement. A $tatement on d I SU3ROcertificate TION not WAIVED <br />onfer sg -1 <br />Cortflics holder In lieu o such endorsement(s). <br />PROOUCER License N 0603247 <br />i! Peiereen Insurance Agency, Inc. MAYE: C <br />;onto Ross C PNONE {800) 236-90x6 <br />isnh Rosa, CA 85402 ,..., .� <br />INSURED <br />SINVlce Station Systems, Inc. <br />690 Quinn Ave <br />San Jose, CA 95112 <br />NUMBER - <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 7HEiNSURED <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM <br />CERT( ICA NIAMED A OVE FOR THE POLICY PE <br />OR CONDITION OF ANY CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />TO WHICH <br />AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN <br />BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />REDUCED <br />L <br />LTR TYPE Of INSURANCE <br />By PAID CLAIMS. TE! <br />GENERAL LIABILITY <br />POLJCY NUMBER MIDDM'W TD <br />LIMBS <br />COMMERGAL GENERAL. LIABILITY <br />EACH OCCURRENCE I <br />CIAILIS.MADE ❑ OCCUR <br />PREMISES <br />eaTyrnnw i <br />MED EXP (Any one mown I <br />PERSONAL a ADUINJURY I <br />GENI AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE I <br />POLICY PRO. <br />LOC <br />PRODUCT6-COMPpP AGG S <br />AUTOMOBILE LIABILITY <br />I <br />ANY AUTO <br />tl nl <br />OSCHEDULED <br />ALTOLL S <br />AUTOS <br />BODILY INJURY(PerpnoA) I <br />HIREDAUTOS �DSWNED <br />BODILY INJURY(Per ec.;I $ <br />PRraOP TYOAMA E <br />nt I <br />UMBRELLA LIAR OCCUR <br />I <br />EXCESS LIAR CLAIMI <br />EACH OCCURRENCE I <br />DED RFTEMIONS <br />AGGREGATE I <br />WORICERS COMPENSATION <br />AMDEMPLOYERB'LMOILIrY <br />A ANY YY <br />X WC STATU. OTR- I <br />L5B2TSB7BB <br />E NEIR�EXCLUDER•FJ(ECIRIVE <br />hirlaERM NIA <br />SMIxu12 6/4/2913 EL. EACH ACCIDENT <br />NUr <br />i 1,889, <br />OESCRIPiION OF OPERATIONS bPIpy <br />EL DISEASE. EA EMPLO i 1.00O,I <br />EL. DISEASE - POLICY (IMM N t,"AI <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLEB (Asch ACOA° 101, AdtllUonH Remarks SchRIuj <br />Proof of Coverage N mon <br />, Ppm 4 nRWnAJ <br />CERTIFICATE HOLDER <br />CANCELLATION <br />Proof of Coverage <br />SHOLD OF THE � BE C <br />THE UEXPIRATION <br />OIN <br />DY <br />THEREOVE F, NOTICEIEWILL BES DELIVERED <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORI>fD <br />\(REPREBENTATIVE <br />�• iU ' <br />ACORD 25 (2010I05) The ACORD name and logo 2oflACORD D CORPORATION. All rights reserved. <br />are registered marks <br />
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