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0 <br /> STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV.2/98) Permit No. <br /> 1012-65V-0524 <br /> Dist/CO/Rte/PM <br /> in compliance with(Check one): 10-SJ-5-25.203 <br /> Your application of AUGUST 24,2012 <br /> Date <br /> ❑ Utility Notice No. of SEPTEMBER 20, 2012 <br /> Fee Paid Deposit <br /> ❑ Agreement No. of $ $ 656 <br /> Performance Bond Amount(1) Payment Bond Amount(2) <br /> F] R/W Contract No. of $ $ <br /> Bond Company <br /> Bond Number(1) Bond Number(2) <br /> TO: <br /> WILBUR-ELLIS COMPANY <br /> PO BOX 511 <br /> YUBA CITY, CA 95991 <br /> ATTN: ERIC JENKS <br /> TEL : (530) 673-6770 I <br /> I , PERMITTEE <br /> and subject to the following,PERMISSION IS HEREBY GRANTED to: <br /> Conduct the drilling vehicle positioned at the proposed location to perforin the cone <br /> penetrometer (CPT) via direct push technology to an approximate depth of 150' below ground <br /> surface or until refusal. Up to two additional direct push borings will be advanced for collection <br /> to sample the groundwater within Interstate 5 right of way at the landscaped area of West Charter <br /> Way, southbound on-ramp as shown on the attached aerial map in San Joaquin County. A copy <br /> of this permit must be placed in all vehicles involved in doing this work. A copy of this permit <br /> must be placed in all vehicles involved in doing this work. <br /> In accordance with General Provision No. 6, SEVEN WORKING DAYS PRIOR to the start of <br /> this work, Permittee shall notify the State Representative JOSEPH A. VALDEZ,P.O. Box 2048 <br /> The following attachments are also included as part of this permit In addition to fee,the permittee will be billed <br /> (Check applicable): actual costs for: <br /> ® Yes ❑ No General Provisions ® Yes ❑ No Review <br /> ❑ Yes ® No Utility Maintenance Provisions ® Yes ❑ No Inspection <br /> ® Yes ❑ No Special Provisions T ® Yes ❑ No Field Work <br /> ❑ Yes ® No A Cal-OSHA permit required prior to beginning work; <br /> # (If any Caltrans effort expended) <br /> Yes ® No The information in the environmental documentation has been reviewed and is considered prior to approval of this <br /> permit. <br /> This permit expires on or before DECEMBER 31, 2013. <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No project work shall be commenced until all other necessary pe its and environmental clearances have been obtained. <br /> ORIGINAL-Permittee APPROVED- <br /> 1-File <br /> 2—JOSEPH A.VALDEZ <br /> I-MAINTENANCE C his I ctor <br /> I-PIO � 9 <br /> SON MAGSAYO, (strict Permit En ineer - <br /> Betty Tamae 9 <br /> FM 91 1436 <br />