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COMPLIANCE INFO_2010-2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOCKEFORD
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2300 - Underground Storage Tank Program
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PR0232257
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COMPLIANCE INFO_2010-2015
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Last modified
3/23/2022 8:15:16 AM
Creation date
6/23/2020 6:54:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
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_2010-2015.tif
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EHD - Public
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WALTO-2 OP ID: BY <br />'4`„� iO'0 CERTIFICATE OF LIABILITY INSURANCE <br />02/28/2014 <br />PRMCER Phone: 925-395-2600 <br />TLB insurance Services <br />3000 Oak Rd., Suite 210 <br />Inis,k, CA 84597 <br />Walnut <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 B THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIL # <br />"Gum Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento, CA 95681 <br />INSURER A. Admiral Insurance Company <br />INSURER B: Harford Casuafty Insurance Co <br />INSURER c: QBE Insurance Corp <br />INSURER D: Wesco Insurance Company <br />INSURER E: <br />[�ilrl�;7Te��.9 <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 LOGITS MOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />MR <br />ADM <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />POLK:Y NUMBER <br />POLICY EFFECTIVE RAU <br />POLICY EXPIRATION <br />LBlrfs <br />AuTHORIZEDREPRESENTATIVEDennle Cote' <br />GENERAL LIMUTY <br />EACH OCCURRENCE S 11400,00 <br />A <br />X COMMERCIAL GES LIABILITY <br />CLAIMS AAADE ®CUR <br />FEI-ECC-13687-01 <br />03/06/2014 <br />03/06/2015 <br />WWMETO <br />PREMISES Me acagenad $ 60,00 <br />AMID EXP aro ) S 5,00 <br />PERSONAL a ADV INJURY : 1,�9,Oo <br />GENERAL AGGREGATE S 2'000,00 <br />GEM AGGREGATE LIMIT APPLIES PER: <br />POLICY X Loc <br />PRODUCTS - COMPIOP AGG S 2,000,00 <br />Emp Ben. 11000100 <br />D <br />AUTOMOBILE LIA®IJTY <br />X ggy�p <br />A1030224 03 <br />03/0612014 <br />03!0612018 <br />COMBINED SINGLE LIMIT $ 1,000, <br />(Es ea dent) <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY S <br />MW PERSON) <br />ICED AUTOS <br />NON -OWNED AUTOS <br />BODILY BLRIRY <br />(PER ACCIDENT)S <br />D <br />X Comp Ded - $1,000 <br />WPA1030224 03 <br />03f0612014 <br />OW06=15 <br />D <br />X lColl Ded -$1,000 <br />WPA1030224 03 <br />03/0612014 <br />03M=015 <br />PROPERTY DAMAGE <br />(PER AccwENT) s <br />LIABILITY <br />AUTO ONLY • EA ACCIDENT S <br />OTHER THAN EA ACC S <br />7ON'AUTO <br />AUTO ONLY: AGG III <br />A <br />EXCESS I UMBRELLA LIABILITY <br />X OCCUR ❑ CLAIMS MADE <br />EI-EXS-13588-01 <br />031OW2014 <br />03/06/2015 <br />EACH OCCURRENCE S 10,000,00 <br />AGGREGATE $ 10100010 <br />s <br />s <br />DEDUCTIBLE <br />_ <br />RETENTION E <br />C <br />WORKERS OOMPBNBATTON <br />AND EMPLOYERS' LIABILITY <br />ANY ILmwARTNER cum Y® <br />EXCLUDED? <br />"Madan In N") <br />t <br />S�etdAL OS ter <br />WC4000674 <br />10/0112013 <br />10101/2014 <br />X I WG STATU• 0TH• <br />E.L. EACH ACCIDENT s 1,000,000 <br />E.L. DISEASE - EA EMPLOYE S 1'000,0 <br />E.L. DISEASE - POLICY LIMIT 13 1,000,00 <br />OTHER <br />A <br />Pollution /EEO <br />FEI-ECC-13567.01 <br />03111=014 <br />03!0612018 <br />Pol <br />B <br />nsuftdon Float <br />MS IZBOSO <br />03/0612014 <br />03/06/2016 <br />Int F A4 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIOLES I EXCLUSIONS ADM BY ENDORSEMENT I SPECIAL PROYEIOus <br />10 days notice applies if cancelled for non-payment of premium. <br />NOV 2 0 2014 <br />ENVIRONMENTAL <br />CPRTIFICATF MOL OFR d%AMBGI 1 ATW%U <br />TOWHOMI <br />SHOULDANYOFTHEABOVE DESCRIBED POLK=BECANCELLEDBEFORETHgaXPIRATION <br />DATE THEREOF, THE MMNG INSURER WILL ENDEAVOR TO MAIL W— BAYS WRITTEN <br />To Whom It May Concern <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES, <br />AuTHORIZEDREPRESENTATIVEDennle Cote' <br />AUORD zs (zuoiioi) ®1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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