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COMPLIANCE INFO_2008 - 2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOUISE
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85
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2300 - Underground Storage Tank Program
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PR0231656
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COMPLIANCE INFO_2008 - 2011
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Last modified
4/26/2022 1:11:57 PM
Creation date
5/8/2020 3:44:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008 - 2011
RECORD_ID
PR0231656
PE
2351
FACILITY_ID
FA0003635
FACILITY_NAME
ARCO 06080
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
01
SITE_LOCATION
85 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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To: Wayne Perry, Inc. From: Joanna Mendoza 12-31-07 11:29am p. 3 of 3 <br /> 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 atter the coverage afforded by the policies listed thereon. <br /> ACORD 25•S(7/97) created at www.e CertsONLINE.com <br />
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