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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2905
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2300 - Underground Storage Tank Program
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PR0231952
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COMPLIANCE INFO_2023
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Last modified
1/17/2024 3:48:30 PM
Creation date
1/18/2023 8:58:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231952
PE
2351
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
01
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Contractor's Bond <br />This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY, <br />Bond Number: 100366874 <br />Bond Amount: $25,000 <br />Effective Date: 01/01/2023 <br />Contractor's Bond History <br />Bond of Qualifying Individual <br />The qualifying individual MILTON DANIEL MC GILL certified that he/she owns 10 percent or more ofthe vottngstock/membership <br />interest of this company; therefore, the Bond of Qualifying Individual is not required. <br />Effective Date: 09/04/2015 <br />BQI's Bond History <br />� The qualifying individual RONALDWAYNEPERRYcertifiedthathe/she ownslOpertentormoreofthievotingstockJmembership <br />interest of this company; therefore, the Bond of Qualifying Individual is not required. <br />Effective Date: 10/31/2000 <br />� This licenseFlledBondofQualifyinglndividualnumber100465205forBRANDONJAMESSMITHintheamountof$25,000with <br />AMERICAN CONTRACTORS INDEMNITY COMPANY. <br />Effective Date: 01/01/2023 <br />BQI's Bond History <br />This license has workers compensation insurance with [he EVEREST NATIONAL INSURANCE COMPANY <br />Policy Number:CA10003737221 <br />Effective Date: 01/01/2023 <br />Expire Date: 01/01/2024 <br />Workers' Compensation History <br />� Personnel listed on this license (current or disassociated) are listed on other licenses. <br />Copyright ©2023 State of California <br />
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