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COMPLIANCE INFO_2009-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231416
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COMPLIANCE INFO_2009-2011
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Last modified
2/21/2024 3:53:46 PM
Creation date
6/3/2020 9:48:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2011
RECORD_ID
PR0231416
PE
2361
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
01
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231416_3425 TRACY_2009-2011.tif
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EHD - Public
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ACORD. CERTIFICATE LIABILITY INSURANCE DATE(MMIbbIYYYY) <br /> 03/23/10 <br /> PRODUCER LIC #OB29370 1-925-244-7700 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Edgewood Partnere Insurance Centers (EP{C) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> ISaa Ramon Branch] HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P. O. Box 5003 ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. <br /> San Ramoa, CA 94583 <br /> EPICcerte®edgewoodine.con INSURERS AFFORDING COVERAGE NAIC# <br /> b <br /> Oettlttler-Ryan, INSURER A:NESTCHESTER SURPLUS LINES INS CO 10172 <br /> Inc. <br /> INSURERS:PEERLESS INS 00 24198 <br /> 6747 Sierra Court, Suite J INSURER C:TRAVELERS PROPERTY CAS CO OF AMER 25674 <br /> Dublin, CA 94568 INSURERD: <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 /> RADD'L POLICYNUMBER POLICYEFFECTiVEPOLICYEXPI TON <br /> LIMITS <br /> A GENERAL LIABILITY 624014484003 04/01/10 04/01/11 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITYPAGETOREf11'E <br /> - - REMISES Eaoocurencre $50,000 <br /> CLAIMSMADE X OCCUR MED EXP(Any one <br /> pennon) $5,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> I <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 <br /> POLICY X PRO- __.. LOC <br /> B AUTOMOBILE LIABILITY BA8404396 I 04/01/101 04/01/12 COMBINEDSINGLE LIMIT $2,000,000 <br /> X gNYAUTp (Eeei�dent)accident) <br /> X ALLOWNEDAUTOS BODILY INJURY <br /> X SCHEDULED AUTOS <br /> (Porp—n) $ <br /> X HIREDAUTOS <br /> BODILY INJURY <br /> X 14ON-OWNEDAUTOS (Pereccident) $ <br /> PROPERTYDAMAGE $ <br /> (Peraoddent) <br /> C"ARAGEUA81LRY AUTO ONLY-EAACCIDENT $ <br /> ANYAUTO EAACC $ <br /> OTHER THAN <br /> AUTOONLY: AGG $ <br /> A EXCESSASNBRELLALIABILITY G24024502003 04/01/10 04/02/11 <br /> EACH OCCURRENCE $4,000,000 <br /> X OCCUR ,CLAIMS MADE AGGREGATE $4,000,000 <br /> $ <br /> DEDUCTIBLE <br /> $ <br /> RETENTION $ S <br /> C WORKERS COMPENSATIONAND DTJDH7827P41510 04/01/10 04/01/11X OCTWRSTAM OTH- <br /> EMPLOYERS'LIABILITY <br /> ANY PROPRIETORIPARTNERIFXECUTIVE E.L.EACHACCIDENT $1,000,000 <br /> OFFICERIMEMBEREXCLUDED? E.L.DISEASE•EA EMPLOYEE $1,000,000 <br /> B descr6e <br /> SPECIAL PROVISIONS bobw . . A •POLICY LIMIT I$1,000,000 <br /> OTHER <br /> A Pollution G24024484003 04/01/10 04/01/11 er Occurrence 1,000,000 <br /> A Professional Liability 024014484003 04/01/10 04/01/11 (Per Claim 1,000,000 <br /> e Rented/Leased Equipment CEP8404796 04/01/10 04/01/11 der Item 100,000 <br /> DESCRSRIONOFOPERATIONS ILOCATIONS IVEHICLES IEXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION Ten Day Notice for Non-p!ZMt of Premium <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> *EVIDENCE OF COVERAGE DATE THEREOF,THE ISSUMG INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2001108)atalebaadeb 0 ACORD CORPORATION 1988 <br /> 14876120 <br />
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