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STATE OF CALIFORNIA•DEPART OF TRANSPORTATION & n oO 5S <br /> ENCROACHMENT PER F �l P <br /> Permit No. <br /> TR-0120(REV.2/98) <br /> 1003-6SV-0235 <br /> DisVCo/Rte/PM <br /> In compliance with (Check one): <br /> 10-SJ-5-26.46 <br /> ® Your application of March 25,2003 <br /> Date <br /> ❑ Utility Notice No. of July 31, 2003 <br /> Fee Paid Deposit <br /> ❑ Agreement No. Of $ $ 320.00 <br /> Performance Bond Amount(1) Payment Bond Amount(2 <br /> ❑ R/W Contract No. of $7,500.00 $ <br /> Bond Company <br /> Liberty Mutual Insurance Company <br /> Bond Number(1) Bond Number(2) <br /> TO: <br /> F_ <br /> CAMBRIA ENVIRONMENTAL TECHNOLOGY, INC. <br /> 270 Perkins Street <br /> Sonoma, CA 95476 AUG 6 2003 <br /> ATTN: Scott Lewis <br /> TEL : (707) 933-2360 l <br /> I , PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: <br /> Install three groundwater monitoring wells in the west side of the planter area along the <br /> southbound off-ramp of Interstate Highway 5 at West Benjamin Holt Drive in the City of <br /> Stockton. <br /> In accordance with General Provision No. 6, TWO WORKING DAYS PRIOR to the start <br /> of this work, Permittee shall notify the State Representative MARCEL DE LA CRUZ, <br /> P.O. Box 2048 Stockton, CA 95201, (209) 948-3656. All work under this permit must <br /> meet with the approval of the State Representative. <br /> Failure on the Permittee's part to comply with any provision will be cause for revocation <br /> of this permit. <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 /> "f. <br /> This permit is void unless the work is completed before December 31, 2004. <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No pro act work shall be commenced until all other necessary pe its and environmental clearances have been obtained. <br /> 1 -Permittee APPROVED: <br /> 1 -File <br /> 3—M.De la Cruz <br /> MARK LEJA, District Director <br /> BY: <br /> 0 <br /> Eddie LE MEN R, Dis ict Perml ineer <br /> FM 91 1436 <br />