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COMPLIANCE INFO_2007-2012
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231873
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COMPLIANCE INFO_2007-2012
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Last modified
2/21/2024 1:30:35 PM
Creation date
6/3/2020 9:53:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2012
RECORD_ID
PR0231873
PE
2361
FACILITY_ID
FA0003956
FACILITY_NAME
PACIFIC BELL - UE058 (TRACY)
STREET_NUMBER
10
Direction
E
STREET_NAME
12TH
STREET_TYPE
St
City
TRACY
Zip
95376
APN
23336922
CURRENT_STATUS
01
SITE_LOCATION
10 E 12TH St
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231873_10 E 12TH_2007-2012.tif
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EHD - Public
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Client#: 641ft <br />ACORD. I I F LI ILI I E <br />O�"'/s6/23/02310'D°""�"' <br />06 <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Dealey, Renton & Associates <br />P. O. Box 10550 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Santa Ana, CA 92711-0550 <br />POLICY NUMBER <br />714 427-6810 <br />INSURERS AFFORDING COVERAGE NAIC 0 <br />INSURED <br />INSURERA: Travelers Casualty & Surety <br />Tait & Associates Inc <br />Tait Environmental Management <br />P.O. Box 11118 <br />Santa Ana, CA 92711-1118 <br />INSURER S: <br />INSURER C: <br />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 />LTR <br />TYPE INSURANCE <br />POLICY NUMBER <br />�jCYMEFFECTIVE <br />ICY EXPIRATI°N TE (MMIDINM <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED $ <br />CLAIMS MADE FDOCCUR <br />MED EXP (Any are permn) $ <br />PERSONAL & ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEWL AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPS AGG $ <br />POLICY j� LOC <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />(C O SINGLE LIMIT <br />Ea accdmt) <br />_ <br />BODILY INJURY <br />(Pa pe—) $ <br />ALLOWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per M) $ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />( DAMAGE $ <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />ANY AUTO <br />AUTO ONLY: ACG $ <br />A <br />EXCESSIUMBRELLA LIABILITY <br />PACRUB950SB99806 <br />07/01/06 <br />07/01/07 <br />EACH OCCURRENCE $ <br />OCCUR ® CLAIMS MADE <br />AGGREGATE $ <br />$ <br />PROFESSIONAL <br />$ <br />DEDUCTIBLE <br />LIABILITY IS <br />$ <br />RETENTION $ <br />EXCLUDED. <br />A <br />WORNM COMPENSATION AND <br />PACRUB9505B99806 <br />07/01/06 <br />07/01/07 <br />X&FAQ °TH- <br />E.L EACH ACODENT $1,000,000 <br />EMPLOVERS' LIABILITY <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />E.L DISEASE - EA EMPLO $1,000,000 <br />OFFICERIMEMBER EXCLUDED? <br />3PECIP O SCIONS lbw <br />E.L. DISEASE - POLICY HAAT 1$1,000,000 <br />OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Roebbelen Contracting, Inc. <br />Att: Debbie DeVries <br />1241 Hawks Flight Court <br />EI Dorado Hills, CA 95762 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING IN1SURERWLLj=8ffffd=K4uL AD DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />ACORD 25 (2001108) 1 of 1 #M163731 LSF 0 ACORD CORPORATION 1988 <br />
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