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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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P
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PACIFIC
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4707
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3500 - Local Oversight Program
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PR0545229
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FIELD DOCUMENTS_FILE 2
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Last modified
1/24/2020 11:26:48 AM
Creation date
1/24/2020 11:01:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545229
PE
3526
FACILITY_ID
FA0003903
FACILITY_NAME
TOSCO CORPORATION #31258
STREET_NUMBER
4707
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816004
CURRENT_STATUS
02
SITE_LOCATION
4707 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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1 <br /> Client#: - DCEXPLO <br /> ACORDT. CERTIFICATE OF LIABILITY IN, \NCE 031311100] <br /> PR04UCER THIS CERTIFIC CUED AS A MATTER OF INFORMATION <br /> Parker Smith 8 Feek, Inc. ONLY AND COI. RIGHTS UPON THE CERTIFICATE <br /> HOLDER.THIS I ATE DOES NOT AMEND,EXTEND OR <br /> Bellevue(425-709-3600) ALTER THE CO`, AFFORDED BY THE POLICIES BELOW. <br /> 2233 112th Avenue NE <br /> Bellevue,WA 98004 INSURERS AFFORD. VERAGE NAIC# <br /> INSURED INSURERA. Zurich AM 1 Insurance Co. <br /> WDC Exploration &Wells INSURER B: Steadfast In.. Lnce Company <br /> 500 Main Street INSURER C: <br /> Woodland,CA 95695 INSURER D: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POUCYEFFECTWE RK YEXPIRATION DMrt3 <br /> LT0. NSR TYPE OF INSURANCE POLICY NUMBER D/YY <br /> A GENERAL LIABILITY GL0904744604 04/01110 04/01/11 EACH OCCURRENCE $1006000 <br /> DAMAGE TO RENTED SIOO DDD <br /> X COMMERCIAL GENERAL LIABILITYPREMISES IFR ogouffence) <br /> CLAIMS MADE 51 OCCUR MED EXP we person) $5,000 <br /> PERSONAL S ADV INJURY $1.000,000 <br /> GENERAL AGGREGATE 52 090:2 <br /> OO DDD <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $26.5 DDD <br /> POLICY X J CT X LOC <br /> A AUTOMOBILE LIABILITY BAP904755004 04/01110 04/01/11 COMBINED SINGLE LIMIT 51,000,000 <br /> IEa acdMnq <br /> X ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY 5 <br /> (Per"rim) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY 5 <br /> (Per acdEsnp <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE 5 <br /> (Per antl enl) <br /> AUTO ONLY-EA ACCIDENT 5 <br /> GARAGE LIABILITY <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG S <br /> B EXCESWUMBRELLALIABILITY SE0904745304 84/01/10 04/01/11 EACH OCCURRENCE sSee Below <br /> X OCCUR EICLAIMS MADE AGGREGATE $See Below <br /> f <br /> DEDUCTIBLE <br /> X RETENTION $10-000 $ <br /> A WORKERS COMPENSATION AND WC904756804 04/61/10 04/01/II X <br /> WC STATU- OTH- <br /> EMPLOYERS E.L.EACH ACCIDENT $1000,000 <br /> OMY FFICERPRIETORRMEMBER EXCLUDED]ECUTIVE E.L.DISEASE-EA EMPLOYEE $1,000000 <br /> Il yes,Easa unEer EL.DISEASE•POLICY LIMIT $1,000,000 <br /> SPECIAL PROVISIONS WI. <br /> B OTHER Pollution CPL904745204 04/01/10 04/01/11 $1,000,000 Each Claim <br /> Liability $1,D00,000 Aggregate <br /> $25,000 Retention <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br /> EXHIBIT OF INSURANCE.Umbrella limits are as follows: <br /> $9,000,000(occ)/$9,000,000(agg). <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> FOR BIDIPREQUALIFICATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MNL nDAYS WRITTEN <br /> PURPOSES ONLY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> RE�PRESENTATIVE <br /> T <br /> ACORD 25(2001108)1 of 2 NM96554 TDFOO © ACORD CORPORATION 1988 <br />
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