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COMPLIANCE INFO_2002 - 2010
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6131
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2300 - Underground Storage Tank Program
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PR0231223
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COMPLIANCE INFO_2002 - 2010
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Last modified
12/16/2019 3:26:44 PM
Creation date
12/16/2019 1:48:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2010
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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IMPORTANT <br /> If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. A statement <br /> on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may <br /> require an endorsement. A statement on this certificate does not confer rights to the certificate <br /> holder in lieu of such endorsement(s). <br /> DISCLAIMER <br /> The Certificate of Insurance on the reverse side of this form does not constitute a contract between <br /> the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it <br /> affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. <br /> ACORD 25(2001/08) <br />
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