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2900 - Site Mitigation Program
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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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�d9�y <br /> guy... E.P. No. 00-103-NW <br /> COUNTY OF SAN JOAQUIN <br /> = 3-24-00 <br /> DEPARTMENT OF PUBLIC WORKS <br /> (Date Issued) <br /> P.O.BOX Ilia. 1910 E KAMTON AVENUE <br /> •:'o ;�:• STOCKrON.CAUFOBNIA 96201 6-1-00 <br /> 12091.903000 <br /> ENCROACHMENT PERMIT (Expiration Date) <br /> HENRY NIRATA 11005 <br /> msEc[clo. <br /> (Job No. ) <br /> To: <br /> Advanced Geo Environmental Encroachment type: Bore S <br /> N. Wilson Way <br /> Stockton, <br /> 0/V z �� <br /> Stockton, CA 95205 Location: w/s Star St. 20' <br /> s/o Capital Ave. <br /> In compliance with your request of 3-24 , 19 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 /> /Jair-{ <br /> ` <br /> Est. Permit Fee: $ �C <br /> HENRY M. NIRATA, Director <br /> FORMS: SS/WW,R-29 Department of Public Works <br /> WHITE - Permittee By n <br /> GOLDENROD - PWD Central File Permit Section <br /> YELLOW - Field Inspection <br /> PINK - Permit Section . PW 27 <br />
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