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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACKSON
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2501
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
12/28/2021 5:31:32 PM
Creation date
9/8/2020 11:58:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ABLEMA!-CL LI` Lt 1 <br /> CERTIFICATE OF LIABILITY INSURANCE �T41112019 <br /> C�THis CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC[EB <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER., AND THE CERTIFICATE HOLDER, <br /> IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the poiley(ies) must have ADDITIONAL INSURED provisions or be endorsed <br /> if SUBROGATION IS WAIVED, subject to the terms and condftlons of the policy, certaln policies may require an endomement. A statement on <br /> this certificate does not confer rights to the certificate holder in hou of Such endamernent(s). <br /> PRODUCER cense 9 0603247WeCT <br /> George Petersen Insurance Agency, Inc. PHONE <br /> P.O. Box 3630 No > 707 525 4160 _ ► ; 707 625.4176 <br /> Santa Roca, CA $6402 ME,,,c. I o gpins.com <br /> INSURERS AFFORDAIGCOVERACE NALCO <br /> WMREAAMomeland Insurance Company Of NOW York — 34462 <br /> nasuREo n1auREg® Melt American insurance Gummy 44393 <br /> Able Maintenance Inc, immERce tate Compensation Insurance Fund 36076 <br /> 8224 Regional Parkway )NSIrReRD : American Fire ti, Casualty Compal 24086 <br /> Santa Rosa, CA 65408 <br /> INSURER E t <br /> INaURER F <br /> COVERAGES <br /> ggHlIFICATEB ' NUMBER, <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDINe ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INBR TYPE OFInswanCe _ . . L AA POLICY NUMBER POLtCYEFFAUMDnm. NOLIt'Y llLtia '... <br /> A X COMMIIRCK1. 6 NPRALUA91lrrY 0,008 0ra <br /> MM164o-OS ® oomm 763.00-26.72-0004 101112018 10N112816 Mai <br /> X PailiMon4mialence <br /> MRQ P e <br /> )( P es-Cams e IA <br /> aAnv J Yr , <br /> aEWL ACGREAM LW APPLIES PER DOIffiaATE <br /> POUCY UX LACPR S _ COMPIOP AG0 f 1 , ,8 <br /> _ oTH {, , <br /> B AUTOMODILBLUSaILITY fiINaLELIWITloom <br /> X ANY AUTO AW (20) 68661865 41112016 4/1 /2020 aDDiLY INJURY Per vammai <br /> MOMS <br /> �,,r�yy��,�,�rr� '— SCHEDULED gUIC,R3DNLY _ NA�UOTHO�.pOSWy�Nr�E�Oo NDMYYINJ a <br /> AUTOS ONLY AUTOI3ONI.Y ET: <br /> UMBRELLA LIA9 OCCUR EACH OCGURRENCE <br /> RKCES6 LtA6 CLAIMS-MADE AGGREGATE g <br /> DED RETENnOHS <br /> C Z91"EMt1�AS�CtYrAP UMARM j( PER OTHO <br /> MIFF, aPRIEr E�MV' D N ) A 73219-i8 1a/t12018 1011 /Z0i6 Ey. EACH ACCIDENT : g, <br /> �yy m NNJ E.L. DISEASE - EA EMtPLOYE — _ 1 , <br /> DE8CRIPnONWRFTIDNS below E . PDLICY <br /> D ossa u Only ESA {20) 81085 411120i6 4M/2020 Aggregatel0cm p <br /> I RIPTION OF OPERATIONS I LOCATIONS ) VEHICLES (ACORD 181. AMflaaal RamuM aeheduie, mey ba etWded H more arm Is mwhuo <br /> It Proof of Coverage <br /> C C O1wDER CANCELLATION <br /> SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Able Maintenance, Inc, ACCORDANCE WITH THE EXPIRATION POI C8Y PROVISIONS. <br /> WILL <br /> 8E DELNRRED IN <br /> 9224 Regional Parkway <br /> Salta Rosa, CA 98403 <br /> AUTHOMM RE MENTATAM <br /> ACORD 25 (2016103) ® 1861 4015 ACORD CORPORATION. All rights reserved. <br /> The ACORD name and logo are registered marks of ACORD <br />
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