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COMPLIANCE INFO_2005-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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2300 - Underground Storage Tank Program
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PR0232355
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COMPLIANCE INFO_2005-2009
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Last modified
2/7/2024 4:16:46 PM
Creation date
6/23/2020 6:55:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2009
RECORD_ID
PR0232355
PE
2361
FACILITY_ID
FA0000591
FACILITY_NAME
QUIK STOP MARKET #2152
STREET_NUMBER
1721
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
062-060-48
CURRENT_STATUS
01
SITE_LOCATION
1721 S CHEROKEE LN # 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232355_1721 S CHEROKEE_2005-2009.tif
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EHD - Public
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! c �+ OP ID DATE(MMf DDmm) <br /> �� CERTIFIC F Li 1L1 ' S �+ WAVTO-2 09 26 07 <br /> PRODUCER <br /> ONLY D CONFERS NO RIGHTS UPON THE CFERT)FI710N <br /> HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND O <br /> TLB Insurance Services ALTER T14E COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 3000 Oak Rd., Suite 210 NAIL# <br /> Walnut Creek CA 94597 INSURERS AFFORDING COVERAGE <br /> Phone: 925-395-2600 E�ax:925-287-0710 INsu.=A. staaa ceasation xnsurance <br /> INSURED <br /> INSURER B: <br /> I' <br /> INSURER C: <br /> Walton Engineering, lac• INSURER D: <br /> P.O. Box 1025 <br /> West Sacramento CA 95691 INSURER E: <br /> COVERAGES ABOVE THE <br /> THE ANY REQUIREMENT,OF IN.TERM CE LISTED BELOW CONDITION OF pNyECO RACT OR OTHER BEEN ISSUED To DOCUMENT wlED TH RESPECT TO WHICH PERIOD <br /> CERT CATS MAY BE ISSUED OR NOTWITHSTANDING <br /> MAY PERTAIN, <br /> URANCE AFFORDED BY THE LIMITS SHOWN MAY HAVE BEEINCRES DES RIBEDBY SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POUCIES.AG LIMITS <br /> POLICY NUMBER DATE MMID DATE MMID <br /> LTR NS TYPE OF INSURANCE . EACH OCCURRENCE $ <br /> GENERAL LIABILITY PREMISES(Ea occurenoe) $ <br /> COMMERCIAL GENERAL LIABILITY MED EXP(Any one parson) $ <br /> CLAIMS MADE F7 OCCUR PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> PRODUCTS-COMPIOP AGG $ <br /> GEN•L AGGREGATE LIMIT APPLIES PER <br /> POLICY PE�;T LOC <br /> COMBINED SINGLE LIMIT $ <br /> AUTOMOBILE LIABILITY (Ea asci w) <br /> ANY AUTO <br /> BODILY INJURY $ <br /> ALL OWNED AUTOS (Per Parson) <br /> SCHEDULED AUTOS <br /> BODILY INJURY $ <br /> HIRED AUTOS (Par amident) <br /> NON-OWNED AUTOS PROPERTY DAMAGE <br /> {Per accident) <br /> AUTO ONLY-EA ACCIDENT $ <br /> GARAGE UABILITY OTHER THAN EA ACC S <br /> ANY AUTO AUTO ONLY: AGG $ <br /> EACH OCCURRENCE $ <br /> EXCESMIUMBRELLALIABILITY AGGREGATE $, <br /> OCCUR CLAIMS MADE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ X TORY LIMITS ER <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS'LIABILTTY 7130004927-07 10�01�07 10/01/08 EL,EACH ACCIDENT $1000000_ <br /> A ANY PROPRIETORIPARTNEWEXECUTIVE EL DISEASE-F1+EMPLOY $100000® <br /> OFFICERMIEMBER EXCLUDED? EL DISEASE-POLICY LIMIT $1000 0 00 <br /> Iyes,deserbe under <br /> SI�CUIL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only- <br /> CERTIFICATE HOLDER CANCELLATION <br /> , OKI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0* DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LET,BUT FAILURE TO DO So SHALL <br /> To Whom It May Concern IMPOSE NO OBLIGATION OR LIABILITY OF AFI'KIND UPON THE INSURER <br /> ITS AGENTS OR <br /> REPPMEN'TATIVES. <br /> AUTHORIZED REPRESENTATNE <br /> Dennis Cote' <br /> © RDCORPORATION'1988 <br /> ACO RD 25(2001108) <br />
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