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COMPLIANCE INFO_2009-2012 DOUBLE CHECK
Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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2300 - Underground Storage Tank Program
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PR0231261
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COMPLIANCE INFO_2009-2012 DOUBLE CHECK
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Last modified
11/29/2023 1:56:44 PM
Creation date
6/23/2020 6:45:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2012 DOUBLE CHECK
RECORD_ID
PR0231261
PE
2361
FACILITY_ID
FA0002890
FACILITY_NAME
QUIK STOP MARKET #2120*
STREET_NUMBER
9321
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
080-180-05
CURRENT_STATUS
01
SITE_LOCATION
9321 N THORNTON RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231261_9321 N THORNTON_2009-2012 DOUBLE CHECK.tif
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EHD - Public
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ACORN CERTIFICATE OF LIABILITY INSURANCE OPID s DATE(MM)D/YYYY) <br /> WALTC 0 9 .7110 <br /> PRODUCER TH15CERTIFICATE 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 /> 3000 Oak Rd., Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 Pax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURER A. SeaBri ht Insurance Co <br /> INSURER B: <br /> . Walton Engineering, Inc. INSURER C: <br /> West Sacramento CA 95691 INSURERO: <br /> INSURER E: <br /> COVERAGES <br /> THE POLICIESOF 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 /> -POICYIFFECTIVE POLICY EXPIRATION <br /> LTR NWM S TYPE OF INSURANCE POLY NUMBER DATE(MM/DD/YY) DATE MM/DD LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $v_ <br /> COMMERCIAL GENERAL LIABILITY PREMISES Ea oacurence $ <br /> CLAIMS MADE rI OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY PEC El LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) _ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULEDAUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per aoaident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LUUsILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR F]CLAIMS MADE AGGREGATE _ $ <br /> DEDUCTIBLE $ ^� <br /> k—B RETENTION $ _ $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER _- <br /> A EMPLOYERS LIABILITY BB1103003 10/01/10 10/01/11 E.L.EACH ACCIDENT $1,000.000 <br /> ANYICERIMEM ER ORIPARLUDED TNERJEXECUTNE E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> ^ <br /> SPEsG11Al PROVISIONS below der <br /> E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only. <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 3 0* 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.. r ��• <br /> AUTHORIZED REPRESENT IV <br /> Dennis Cote <br /> ACORD 25(2001108) V ACORD CORPORATION 1988 <br />
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