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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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B
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BANNER
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6437
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2300 - Underground Storage Tank Program
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PR0506004
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COMPLIANCE INFO_2008-2009
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Last modified
9/12/2024 4:07:28 PM
Creation date
6/23/2020 6:57:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2009
RECORD_ID
PR0506004
PE
2361
FACILITY_ID
FA0007140
FACILITY_NAME
FLAG CITY SHELL*
STREET_NUMBER
6437
Direction
W
STREET_NAME
BANNER
STREET_TYPE
ST
City
LODI
Zip
95242
APN
05532019
CURRENT_STATUS
01
SITE_LOCATION
6437 W BANNER ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0506004_6437 W BANNER_2008-2009.tif
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EHD - Public
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CRIF IILII <br /> OP ID S DATE(MM1ODfYYYYj <br /> AQ-D, CERTFICATERLABTY NSURANCIP WALTO-2 ov 25 08 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> RODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> rLB 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 /> xalnut Creek CA 94597 <br /> Phone: 925-395-2600 Fax:925-287-0710 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: state compensation insurance <br /> INSURER B: <br /> Walton Engineering, Inc. INSURE.R C: <br /> P.0. Box 1025 INSURER D: <br /> West Sacramento CA 95691 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 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FXPIRATIO <br /> EFFECTIVE N <br /> n9sw POLICY MCEyjMM1DD1YY) DATE(MMIDDfYY)_ LIMITS <br /> LTR NSR E TYPE OF INSURANCE EACH OCCURRENCE $ <br /> GENERAL LIAE11UTY UAMAUh IV KtN I LU — . <br /> COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ <br /> F7CLAIMS MADE F__]OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> PRO- <br /> POLICY JECT El LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO <br /> ALL*OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY-AUTO btHffR THAN EA ACC S <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR a CLAIMS MADE AGGREGATE $ <br /> .R DEDUCTIBLE $ <br /> CSTATUI <br /> WORKERS COMPENSATION AND X ITORY LIMITS <br /> TE <br /> EMPLOYERS'LIABILITY 000713-4927-2008 10/01/08 10/01/09 E.L.EACH ACCIDENT $ 1,000,000 <br /> ANY P:R6 FiRIETORPARTNER]EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> "ff as,describe under. E.L.DISEASE-POLICY LIMIT S 1,000,000 <br /> SPECIAL PROVISIONS below <br /> OTHER <br /> DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> *10 days notice applies if cancelled for non-payment of premium. Evidence of <br /> insurance only. <br /> CERTIFICATE HOLDER CANCELLATION <br /> TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 * 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 LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVEr <br /> Dennis Cote' <br /> ACORD 25(2001/08) (b ACORD CO RPORATION 1988 <br />
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