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COMPLIANCE INFO_2006-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2575
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2006-2011
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Last modified
2/22/2023 1:52:51 PM
Creation date
6/3/2020 9:43:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2011
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2006-2011.tif
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EHD - Public
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Pronucer Arica Serpa <br />Owen -Dunn Insurance Services <br />2831 IS Street <br />Sacramento CA 95816 <br />916.443.0200 <br />www.owendunn.com <br />0670167 <br />BZ Service Station Maintenance, Inc. <br />P.O. Box 933 <br />West Sacramento CA 95691 <br />.NSURANt✓..�Date tmmlddlYY) <br />�'^ 10130/2007 <br />THIS CFRTIFICATF IS I.SSIJFD AS A MATTFR OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERIIFICAIL DOLS NOI AMEND, LXIENUORALIER IHE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />INSURER Peerless Inc. Co <br />A NAIC# 24198 A.M. Best: A XV <br />INSURER Oak diver Ins. Co. <br />g NAIC# 34630 A.M. Best: A++ XI1I <br />INSURER <br />C <br />INSURER <br />INSURER <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />POLICY POLICY <br />FLTRAA <br />EFFECTIVE EXPIRATION <br />TYPE OF INSURANCE POLICY NUMBER MMATE M DATE Y LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE 5 COMMhRCIAL GENtRAL LJAH CBP9555195 2/15/2007 2/15/2008 HRI, UAMAGt (Anyone tire) 5 1 DZoo <br />CLAIMS MADE OCCUR MED EXP (Any oneperson) 5 5,0001 <br />ILicense #433159 <br />ILicense F4:S3lD`J <br />Contractors State License Board <br />P.O. Box 26000 <br />Sacramento <br />CA 95826 <br />ULD ANY OF THE ABOVE DESCRIBED POLICItS BE GANGtL.I LIJ UtPUKt Int <br />ORATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRE- <br />TATIVES. ' 10 Days for Non -Payment of Premium <br />10RIZED <br />ESENTATIVE { <br />dace Alicea <br />PERSONAL & ADV INJURY 5 <br />GENERAL AGGREGATE S 2,000,000 <br />EN'L A LIMrr APPLIES PER <br />POLICY PROJECT LOC <br />PRODUCTS-COMP/0P AGG S 2.000,000 <br />5 <br />A <br />UTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AU I US <br />SCHEDULED AUTOS <br />7. HIRED AUTOS <br />NON OWNED AUTOS <br />CBP955195 <br />2/15/2007 <br />2/15/2008 <br />COMBINED SINGLE LIMIT <br />S 1,000,000 <br />BODILY INJURY <br />(Per person. g <br />BODILY INJURY <br />(Per accident) S <br />PROPERTY DAMAGE <br />(Per accident) S <br />GARAGE LIABILITY <br />ANY AUTOOTHER <br />AUTO ONLY - EA ACCIDENT 5 <br />THAN EA ACC 5 <br />AUTO ONLY: AGG S <br />EXCESS LIABILI I Y <br />OCCUR M CLAIMS MADE <br />DEDUCTIBLE <br />RFTFNTION S <br />EACH OCCURRENCE S <br />AGGREGATE S <br />S <br />S <br />S <br />B <br />WORKERS' COMPENSATION & <br />EMPLOYERS' LIABILI I Y <br />2210000180071 <br />10/27/2007 <br />10/27/2008EL <br />STATUTORY LIMIT <br />EACH ACCIDENT s ODD 0 <br />EL DISEASE - EA EPAPLOYEE 5 - <br />ILicense #433159 <br />ILicense F4:S3lD`J <br />Contractors State License Board <br />P.O. Box 26000 <br />Sacramento <br />CA 95826 <br />ULD ANY OF THE ABOVE DESCRIBED POLICItS BE GANGtL.I LIJ UtPUKt Int <br />ORATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRE- <br />TATIVES. ' 10 Days for Non -Payment of Premium <br />10RIZED <br />ESENTATIVE { <br />dace Alicea <br />
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