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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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0 <br />WALTO-2 OP ID: SY <br />CERTIFICATE OF LIABILITY INSURANCE <br />100102121021201/33 <br />PRODUCER Phone: 925-395-2600 <br />TLB Insurance Services <br />3000 Oak Rd., Suite 210 <br />Walnut Creek, CA 84197 <br />Dennis Cate' <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 MAIC # <br />INSURED Walton Engineering, Inc. <br />P.O. Box 1025 <br />West Sacramento, CA 95691 <br />wanmA:Admiral Insurance Company <br />=uRw a Wesco Insurance Company <br />INsuRER o QBE Insurance Corporation <br />nasuRER a Harford Casualty Insurance Co <br />INstt E: <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 MOWN MAY HAVE BEEN REDUCED BY PAID CLAWINSR <br />==myoFTmmmmDascmmpoLu=SECANCBMMemqmTmmmAym <br />ADM. <br />DATE THEREOFM, THE SWIG INSURER WU ENDEAVOR TO NAI. 3X__ DAYS WRITTEN <br />POLICY NUNISER <br />Q�PECTRIe <br />FaIP <br />LTB <br />A <br />RMIISIINTA <br />o11111111RAL UAaumr <br />X RC <br />c AL GENERAL uAmm <br />7 CLAM ® <br />FEI-ECC-13587-00 <br />03/06/2013 <br />03/06/2014 <br />..MH OCCURRENCE $ 1,000,00 <br />$ 50,00 <br />MED E7W ons $ 5,0001 <br />PERSONAL & AM INJURY $ 1,000,00 <br />GENERAL AGGREGATE $ 2,000,00 <br />GM AGGREGATE UW r APPLIES PER: <br />POLICY X Loc <br />PRODUCTS - COMPIOP AGG 3 2,000,OOM <br />top Ben. 1,000,00 <br />B <br />AUTOMOBRE <br />X <br />1Ju811UTY <br />ANY euro <br />WPA1030224 02 <br />03/0612013 <br />03/06/2014 <br />t=i s 11000100 <br />&L OWNED AU708 <br />sCNEDULEDAUTOS <br />SLY <br />t � _ <br />FIRED AUTO <br />oMTOS <br />NJURY <br />c ACs = <br />A <br />A <br />XCamp <br />Dad - $1,000 <br />WPA1030224 02 <br />WPA1030224 02 <br />0310612013 <br />0310612013 <br />03/06/2014 <br />03/06/2014 <br />PROPERTY DAMAGE <br />wet AcCIoENTI $ <br />X <br />Coq Ded - $1,000 <br />GARAGE UAFMJTY <br />AUTO ONLY- EA ACCIDENT $ <br />OTHER THAN EA ACC $ <br />AUTO ONLY: Iii 3 <br />ANYAUTO <br />A <br />EXCESS / UMMLA LIAIK ITY <br />X oc cuR ® cleats mAoE <br />EI-EXS-13588-00 <br />03/06/2013 <br />03/06/2014 <br />EACH OCCURRENCE 3 10,000,00 <br />AGGREGATE 3 10,000,00 <br />s <br />$ <br />DEDUCTIBLE <br />a <br />RETENTION $ <br />C <br />WORNIMISC0040111ATION <br />AND ANY ��ARTNERiEncumre BLITY Y� <br />ER EXCLUDED?PlaroddMCJ <br />QWC4000674 <br />10/01/2013 <br />10/01/2014 <br />X Wcsranl- oTH- <br />E.L. EACH 8S2! $ 1,000,0001 <br />E.L. DISEASE - EA $ 1,000,00 <br />IMn <br />B <br />EL DISEASE - POUCY LWT 3 1,000,00 <br />OTHER <br />A <br />D <br />POOudONE&O <br />nstalMtion Fltr 157MSIZSOSD <br />FEI-ECC-13687-00 <br />1 <br />03/06/2013 <br />03/06/2013 1 <br />03/06/2014 <br />3/1612014 <br />POO/E80 11000,00 <br />Inst Fltr 2,000,00 <br />NBORIPTION OF OPERAMM I LOCATKM I VEHICLES / AMM aY aN I SPECIAL PROYI ma <br />'10 days notice applies If cancelled for non-payment of premium. <br />ca wre u.,r_mxw rain nrwr ^Aunt.. -�. <br />TOWHOMI <br />==myoFTmmmmDascmmpoLu=SECANCBMMemqmTmmmAym <br />To Whom K May Comm <br />DATE THEREOFM, THE SWIG INSURER WU ENDEAVOR TO NAI. 3X__ DAYS WRITTEN <br />NOTICE TO THE CERTGRCATE HOLDER NAMM TO THE LEFT, BUT FAIUIRE TO DO SO SHALL <br />aRIPeeE NO OBUGATION OR LMUTY OF ANY IUND UPON THE MSUROK ITS AGEdTS OR <br />RMIISIINTA <br />ATmDennls Cote' <br />„vvRv w tsvva.v 11 ® Tars -zoos ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo aro registered marks of ACORD <br />
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