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COMPLIANCE INFO_1995-2006
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231765
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COMPLIANCE INFO_1995-2006
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Last modified
12/20/2023 4:16:06 PM
Creation date
6/3/2020 9:52:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2006
RECORD_ID
PR0231765
PE
2361
FACILITY_ID
FA0003600
FACILITY_NAME
Nella Oil #427
STREET_NUMBER
3300
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
3300 Waterloo Rd
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231765_3300 WATERLOO_1995-2006.tif
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EHD - Public
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RD. CERTIFICATE OF LIABILITY INSURANCE OP ID DDATE <br />S1 <br />-ACO <br />WALTON1 09/22/05 <br />PItOWICER <br />InterWast Insurance Services <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Capitol Division <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Sox 255188 <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Sacramento CA 95865-5188 <br />DATE <br />Phone: 916-488-3100 Fax: 916-488-3492 <br />INSURERS AFFORDING COVERAGE NAIL 8 <br />INSURED <br />INSURERA: State Comp Ins Fund (CA) <br />INSURER W. Evanston Insurance Co. <br />Walton E Ing, Inc. <br />INSURER C-. Allied Pr S Casual 00035 <br />INSURER D: The Hartford <br />P.O. Box 0025er <br />West Sacramento CA 95691 <br />INSURER I« United National Ins. Co. <br />05P2=0139503/06/05 <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. M CLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR <br />IN <br />TYPE OF INSURANCE <br />POLICY NUNIBER <br />DATE (MWDDfM <br />DATE <br />LIMITS <br />_jrEN <br />GENERAL LIABILITY <br />EACH OCCURRENCE s5,000,000 <br />8 <br />X COMMEROALGENERALuABIu1Y <br />CLAIMS MADE ® OCCUR <br />05P2=0139503/06/05 <br />03/06/06 <br />PREM -- $50,000 <br />MED EXP ww are person) $5,000 <br />PERSONAL & ADV INJURY S1,000,000 <br />X Ded $5,000 <br />GENERALAGGREGATE $5,000,000 <br />GENLAGGREGATE LIMITAPPLIES PER <br />PRODUCTS - COMP/OP AGG i 5 , D00,000 <br />POLICY JE� LOC <br />C <br />AUTOMOBRELIABLITY <br />X ANY AUTO <br />ACP7801439068 <br />01/03/05 <br />01/03/06 <br />COMBNED SINGLE LIMIT $1,000,000 <br />(Ea wddem <br />- <br />BODILY ILIURY $ <br />LPOr Imo) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />- <br />X HIRED AUTOS <br />X NON -OWNED AUTOS <br />BOOLY INJURY <br />���� $ <br />D <br />pq Excess Auto <br />F=0002392 <br />03/17/05 <br />01/03/06 <br />PROPERTYDAMAGE $ <br />IPS al) <br />4,000,000 <br />GARAGE LIABILITY <br />AUTO ONLY - EAACCIDENT $ <br />OTHER THAN EA ACC S <br />AUTO ONLY.' AGG $ <br />ANY AUTO <br />E= Lr Y <br />EACH OCCURRENCE S <br />OCCUR D CLAIMS MADE <br />AGGREGATE $ <br />S <br />S <br />DEDUCTIBLE <br />a <br />RETENTION s <br />A <br />WOMU RS COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARNTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />713000492705 <br />10/01/05 <br />10/01/06 <br />X TORY LIMITS ER <br />E.LEACH ACCIDENT $1,000,000 <br />EL DISEASE - EA EMPLO S 3,000,000 <br />I}yesdescfteundw <br />SMIALPROVISIONSWk. <br />EL DISEASE - POLICY LIMIT S1, 000, 000 <br />OTHER <br />B <br />Pollution Liao <br />05P=01395 <br />03/06/05 <br />03/06/06 <br />Pollution $5,000,000 <br />B <br />Professional Liab <br />05P=01395 <br />03/06/05 <br />03/06/06 <br />Prof Liab $5,000,000 <br />DF RiPTm OF OPERATIONS I LOCATIONS T VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Pollution Dela $25,000; Professional Liability Ded $50,000 <br />D)Installation Floater Limit $1,000,000 Any Locatlon;$250,000 In Transt <br />Deductible $2,500 Policy No 57UMMMOS23 Exp 12/15/05 <br />*10 Day notice of cancellation applies for non-payment of premium. <br />TOf CIK <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTME TO THE CERTIFICATE HOLDER NAMED TO THE LI FT, BUT FAILURE TO DO SO SHALL <br />To Whom It Hay Concern <br />UXPOSE NO OBLIGATION OR UASUrY OF ANY KIND UPON TLE INSURER, ITS AOMM OR <br />REPRESENTATIVES. <br />_jrEN <br />ACORD 25 (2001108) W AGORO GORPORATION 1935 <br />
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