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PR0522496
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Last modified
2/15/2019 5:20:34 PM
Creation date
2/15/2019 2:42:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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, � �fD•.S�ppZZ�53 <br /> E.P. No. 00-149-NW <br /> 2, z COUNTY OF SAN JOAQUIN <br /> a - 4-17-00 <br /> DEPARTMENT OF PUBLIC WORKS <br /> RO.BOK 1810- 1810 ZELTON AVENUE (Date Issued) <br /> E 1U <br /> STOCKTON•CALiOPNIA 85201 <br /> 12091468-3000 6-1-00 <br /> HENRY M. HIRATA ENCROACHMENT PERMIT (Expiration Date) <br /> w�ecron 11005 <br /> (Job No.) <br /> To: Advanced Geo Environmental Encroachment type: Sore <br /> 4005 N. Wilson Way <br /> Stockton, CA 95205 Location: w/s Star St, 20' <br /> s/o Capitol Ave. <br /> In compliance with your request of 4-14 XX 2000, permission is hereby <br /> granted to do work in County right of way as shown on attached application and subject to <br /> all the terms, conditions and restrictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet, if any. <br /> Trench excavations for service connections will not be permitted within ten feet (10') <br /> of pavement centerline unless otherwise approved by the Director. Surface of trench patches <br /> shall. match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drain- <br /> age facilities, road profile and/or frontage development. All underground utility facili- <br /> ties are to be established and accurately dimensioned on sketches from surveyed centerline <br /> of road right of way, not from right of way (border) lines. <br /> The Department of Public Works, Field Inspection Section shall receive a notice at <br /> least forty-eight (48) hours prior to beginning any work within the County right of way. <br /> All work performed under this permit shall conform to the rules and regulations pertain- <br /> ing to safety established by the California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of <br /> any excess dirt or debris which might be a hazard to either pedestrian or automobile <br /> traffic. All necessary traffic convenience and warning devices and personnel shall be <br /> provided, placed and maintained by and at the sole expense of the Permittee in accordance <br /> with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein, all debris, lumber, barricades, or any <br /> excess material shall be removed and the jobsite left in a neat workmanlike manner. <br /> Immediately following completion of construction permitted herein, Permittee shall fill <br /> out and mail notice of completion provided by Grantor. <br /> NOTE: A $2,000 check to act as a bond is required and will be returned upon completion <br /> of work. <br /> c„ <br /> Est. Permit Fee: $ )o . 00 <br /> FORMS: SS/WW,R-29 HENRY M. HIRATA, Director <br /> Department of,..Public <br /> k` Works <br /> WHITE - Permittee By L�-fain --I/i�u-r t, <br /> GOLDENROD - PWD Central File - Permit Section <br /> YELLOW - Field Inspection <br /> PINK - Permit Section <br /> PW 27 <br />
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