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COMPLIANCE INFO_2012-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231310
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COMPLIANCE INFO_2012-2018
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Last modified
8/30/2022 4:33:55 PM
Creation date
6/23/2020 6:46:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2018
RECORD_ID
PR0231310
PE
2361
FACILITY_ID
FA0003773
FACILITY_NAME
VAN DE POL ENT INC/PACIFIC PRIDE
STREET_NUMBER
351
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04903015
CURRENT_STATUS
01
SITE_LOCATION
351 N BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231310_351 N BECKMAN_2012-2018.tif
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EHD - Public
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WALTO-2 OP ID: SY <br />CERTIFICATE OF LIABILITY INSURANCE_ <br />0ti281M014 <br />PRODUCER Phone: 825-385-2600 <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 94597 <br />Dennis COW <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 />INSURERS AFFORDING COVERAGE NAIC # <br />INSURSID Walton Enggineering, Inc. <br />P.O. Box 1025 <br />West Sacramento, CA 85681 <br />cNsuREN k Admiral Insurance CompaTj <br />Isum & Harford Casualty Insurance Co <br />INSURER c: QBE Insurance Corp <br />INSURER D: Wesco Insurance Company <br />INSURER E <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENTOR 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 LOTS MOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />RMISR <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />POLICY NUMeBR <br />POLICY EPFECTNE <br />POLICY EXPIRATION <br />urns <br />LIABILITY <br />EACH OCCURRENCE S 1,000,00 <br />A <br />XcommmciAL GENERAL LIABILITY <br />D CLAW MADE ® OCCUR <br />FEU-EM13587-01 <br />03=x014 <br />03!0612015 <br />i 50100 <br />MED EXP «ro ) i 5,00 <br />PERSONAL a ADV INJURY $ 1,000,00 <br />GENERAL AGGREGATE S 2,000,00 <br />GM AGGREGATE UNIT T APPLIES PER: <br />PRODUCTS - COMPIOP AGG s 2,000,00 <br />POLICY X ZM El LOC <br />Emp Ben. 1,000100 <br />D <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANYMM <br />WPA1030224 03 <br />03106=14 <br />03=12015 <br />COMBINED SINGLE LIMIT s 1,000, <br />(Ea acsNrern) <br />� PERSONN)) <br />S <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(PER ACCIDENT) _ <br />HIED AUTOS <br />NON-OWNEDAUTOS <br />D <br />DX <br />X <br />Comp Ded - $1,000 <br />WPA1030224 03 <br />A1030224 03 <br />03/06/2014 <br />03/06/2014 <br />0=612015 <br />03/06/201 b <br />PROPERTY DAMAGE S <br />$PER ACGDENr) <br />Coo Ded - $1,000 <br />"RAGE LIABILITY <br />AUTO ONLY. EA ACCIDENT S <br />OTHER THAN EA ACC S <br />ANY AUTO <br />AUTO ONLY. AGG S <br />A <br />EMM I UMBRELLA LIABILITY <br />X OCCUR ® CLAIMS MADE <br />-EXE-13586.01 <br />031OW2014 <br />03/06/2015 <br />EACH OCCURRENCE S 101000100 <br />AGGREGATE $ 10,00010 <br />S <br />$ <br />DEDUCTIOLE <br />E <br />oN $ <br />C <br />_ TION <br />EWLOYMW LIABILITY YIN <br />ANYPRS THERVIECUTML_1 <br />EXCLUDED? <br />In NH) <br />yyeess OFFKZRrAEMBEt <br />8PEC1ldbelow <br />4000674 <br />10101/20/3 <br />10-0110014 <br />X WC STATU- OTH- <br />TORY t WITS ER <br />E.L. EACH ACCIDENT $ 1,000,00 <br />E.L DISEASE - EA EMPLOYEE S 1,000A <br />ILL DISEASE - POLICY WIT S 1,000,0041 <br />A <br />OTHER <br />Pollution I= <br />FEI-ECC-13587-01 <br />03/06/2014 <br />03/06/2016 <br />Poll/E80 1,000.000 <br />B <br />rnstalleffon Float <br />57 MS IZBO50 <br />03/06/2014 <br />03/0612015 <br />Int FItr 2,000,00 <br />MCRWWN OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT l SPECIAL PROVISIONS <br />10 days notice applies if cancelled for non-payment of premium. <br />epRmiar-ATF urm nFR I%AMf`M:M M A1"f%M <br />TOWHOMI <br />smmLDANYOFTHBAB011B P rEcAMICE.Lmow=THBEXPIRATION <br />DATE THEREOF, THE mum INSURER RILL ENDEAVOR To MAUL 30* DAYS murTEN <br />To Whom it May Concern <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OINJOATIOi OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />NEPM <br />AuTHOR=RBPRBOOTATPmDennis Cote' <br />ACORD Z5 (Z099101) ®1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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