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COMPLIANCE INFO_2008-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOCKEFORD
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205
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2300 - Underground Storage Tank Program
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PR0232257
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COMPLIANCE INFO_2008-2009
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Last modified
12/13/2023 1:52:27 PM
Creation date
6/23/2020 6:54:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2009
RECORD_ID
PR0232257
PE
2361
FACILITY_ID
FA0000670
FACILITY_NAME
QUIK STOP MARKET #3148*
STREET_NUMBER
205
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04116115
CURRENT_STATUS
01
SITE_LOCATION
205 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232257_205 W LOCKEFORD_2008-2009.tif
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EHD - Public
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OP ID S DATE(MW/DDMTY) <br /> ,4C�►Rt3 CERTIFIC T F LIAB[LI I A WALTO-2 .112 o8 <br /> PRODUCER 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 /> 3000 Oak Rd. , Suite 210 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Walnut Creek CA 94597 <br /> Phone: 925-395-2600 P'ax:925-287-0710 I.INSURERS AFFORDING COVERAGE NAIL# <br /> INSURED INSURER& Hudson Insurance Company <br /> INSURER B: Delos Insurance Co. <br /> Walton Engineering, Inc. INSURER C: Hartford Insurance Co 34690 <br /> P.O. Box 1025 INSURER 0: state comDansatLon znavzaaaa <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 RESPECTTO 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 NS TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDDIYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE ;$ 1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY FEC7001958 03/06/08 03/06/09 PREMISES(Es occurence) $ 50,000 <br /> CLAIMS MADE.®OCCUR MED EXP(Any one person) Is 5,000 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GENERALAGGREGATE $ 2,000,0 00 <br /> GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,0 0 0,0 CI 0 <br /> 17 <br /> POLICY X JECT LOC <br /> PRO- Em Ben. 1,000,000 <br /> AUTOM061LE LIABIUTY COMBINED SINGLE LIMIT $ 1,00o,0.60. <br /> B .X ANY AUTO DPASS01792 03/06/0'8 03%06/09 (Ea accident) <br /> ALL'OWNEO AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS I BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $. <br /> ANY-AUTO OTReIk1HAN EA AGC 5 <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 <br /> A X OCCUR F_�CLAIMS MADE FXS7001959 03/06/08 03/06/09 AGGREGATE $ 4;000j000 <br /> $ <br /> $ <br /> DEDUCTIBLE <br /> "R-RETENTION J <br /> WORKERS COMPENSATION AND X TORY LIMBS 1 ER <br /> D EMPLOYERs.LIABILITY 000713-4927-20-OB. . 10/01/08 10/01/09 E.L.EACH ACCIDENT . $ 1,000,000 <br /> ANY PR&AIETORli)ARTNERIEXECUTNE <br /> OFFICERrMEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If ee;describe under E.L.DISEASE-POLICY LIMIT $ l,0 0 0,0 0 0 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> A Pollution/8&O PEC7001958 03/06/08 03/06/09 Poll/E&O 1,000,000 <br /> C I Installation P'ltr 57MSIZ6050 03/06/08 03/06/09 Inst Fltr 1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS <br /> *1.0 days notice applies if cancelled for non-payment of premium. <br /> CANCELLATION <br /> CERTIFICATE HOLDER <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 LIASIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVES <br /> Dennis Cote" <br /> QAtORD CORPORATION 1982 <br /> AC:ORD 25(2004108) <br />
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