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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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420
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2300 - Underground Storage Tank Program
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PR0231458
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COMPLIANCE INFO_2022
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Last modified
10/17/2023 4:14:49 PM
Creation date
2/2/2022 11:07:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231458
PE
2361
FACILITY_ID
FA0001196
FACILITY_NAME
SAVE ON FUEL
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
219-312-06
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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AmTrust North America <br /> An AmTrust Financial Company <br /> Provide 24/7 Toll-Free Claim Reporting <br /> For ALL States <br /> Phone : ( 866 ) 272 -9267 <br /> Fax : ( 775) 908 -3724 or ( 877 ) 669 -9140 <br /> Email : Amtrustclaims@qrm = inc . com <br /> Online : www, amtrustfinancial . com ( Must Register) <br /> Information Required for All Claims reported . <br /> 1 . Name of the insured and policy number <br /> 2 . Date , Time & Place of Accident <br /> 3 . Description of accident or incident <br /> 4 . Name , phone and/or e- mail of person making the report <br /> Additional Information Required for Specific Claim Types <br /> A . For Workers ' Compensation <br /> 1 . MUST have the injured employee 's social security number as it is required by law <br /> 2 . Description of injury <br /> B . For Property Claims <br /> 1 . Physical address of the loss <br /> 2 . If more than one building on property must have specific building (s) involved <br /> 3 . Type of loss , i . e . , Fire , Theft , etc . <br /> 4 . Description of loss or damage <br /> C . For Motor Vehicle (Auto ) Claims <br /> 1 . Name , address and contact information of ALL parties involved . <br /> 2 . Make , model and VIN of the insured vehicle <br /> 3 . Make , model of all other vehicles involved <br /> 4 . Current location of all vehicles <br /> 5 . Name and contact information for each driver and all passengers <br /> 6 . Name and contact information any known witnesses <br /> D . For General Liability Claims <br /> 1 . Physical address of where the loss occurred <br /> 2 . Name , address and contact information for all persons claiming injury or damage <br /> 3 . Name and contact information any known witnesses <br /> I <br />
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