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COMPLIANCE INFO_2003-2007
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231939
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COMPLIANCE INFO_2003-2007
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Last modified
11/14/2023 10:55:58 AM
Creation date
6/3/2020 9:55:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2007
RECORD_ID
PR0231939
PE
2361
FACILITY_ID
FA0002570
FACILITY_NAME
QUIK STOP MARKET #3144
STREET_NUMBER
7272
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
094-040-13
CURRENT_STATUS
01
SITE_LOCATION
7272 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231939_7272 WEST_2003-2007.tif
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EHD - Public
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ACRD. CERTIFICATOOF LIABILITY IA OP ID s DATE,MANDD/Yl'YY) <br /> WALTO-2 03/06/07 <br /> P DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> TLB Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 1000 Broadway Suite 289 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Oakland CA 94607-4090 <br /> Phone: 510-628-9100 Fax:510-628-9115 INSURERS AFFORDING COVERAGE MAIC# <br /> INSURED INSURER A: Evanston Insurance Co. <br /> INSURER B: Redland insurance Company <br /> Walton Engineering, Inc. INSURER C: state Compensation inaurance <br /> P.O. Box 1025 INSURER D: Hartford Insurance Co 34690 <br /> West Sacramento CA 95691 <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 /> LTRNSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE AAXM/DD/Y1f N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br /> D— $ 50,000 <br /> A X COMMERCIAL GENERAL LIABILITY 07PKGO1395 03/06/07 03/06/08 PREMISES(Ea occurence) <br /> CLAIMS MADE X❑ OCCUR MED EXP(Any one person) $ 5,000 <br /> X $5,000 Ded PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 <br /> POLICY PRO LOC Em Ben' 11000,000 <br /> JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> B X ANY AUTO R001121446 03/06/07 03/06/08 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> X HIREDAUTOS BODILY INJURY $ <br /> (Per accident) <br /> X NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> EA <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLALIABILITY EACH OCCURRENCE s4,000,000 <br /> A OCCUR El CLAIMSMADE 07EFX00007 03/06/07 03/06/08 AGGREGATE s4,000,000 <br /> DEDUCTIBLE <br /> RETENTION $ TH <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> C EMPLOYERS'LIABILITY 713000492706 10/01/06 10/01/07 E.L.EACH ACCIDENT $ 11000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,O O 0,O O O <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> A Pollution/E&O 07PKGO1395 03/06/07 03/06/08 Poll/E&O $1,000,000 <br /> D Installation Fltr 57MSIZ6050 03/06/07 1 03/06/08 Inst Fltr $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING 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 /> To Whom It May Concern IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Dennis Cote- <br /> ©ACORD CORPORATION 1988 <br /> ACORD 26(2001108) <br />
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