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FIELD DOCUMENTS FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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DURHAM FERRY
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1600
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3500 - Local Oversight Program
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PR0544624
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FIELD DOCUMENTS FILE 2
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Last modified
7/3/2019 5:58:21 PM
Creation date
7/3/2019 3:31:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0544624
PE
3526
FACILITY_ID
FA0005206
FACILITY_NAME
GEORGES SERVICE
STREET_NUMBER
1600
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25510004
CURRENT_STATUS
02
SITE_LOCATION
1600 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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• CERTHOLDER CV& NF <br /> STATE P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 RECEIVED NOV3 <br /> COMPENSATION <br /> INSURANCE 0 2007 <br /> FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE <br /> ISSUE DATE: 12-01-2007 GROUP: 000713 <br /> POLICY NUMBER: 0015537-2007 <br /> CERTIFICATE ID: 73 <br /> CERTIFICATE EXPIRES: 12-01-2008 <br /> 12-01-2007/12-01-2008 <br /> GEOLOGICAL TECHNICS INC. NF <br /> 1101 7TH STREET <br /> MODESTO CA 95354 <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 upon 30 days advance written notice to the employer. <br /> We will also give you 30 days 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 /> f'— <br /> THORIZED REPRESENTATI P-R`E ISIDENT <br /> EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. <br /> ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 12-01-2005 IS <br /> ATTACHED TO AND FORMS A PART OF THIS POLICY. <br /> EMPLOYER <br /> RESONANTSONIC INTERNATIONAL DBA: RESONANTSONIC <br /> INTERNATIONAL <br /> 220 N EAST ST <br /> WOODLAND CA 95776 <br /> M0408 <br /> PRINTED : 11-16-2007 <br /> (REV,2-05) <br />
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