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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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Jti, • • E.P. No. 97-266-NW <br /> p4u_iN <br /> COUNTY OF SAN._JOAQUIN 7-30-97 <br /> I: Z <br /> DEPARTMENT OF PUBLIC WORKS (Date Issued) <br /> P� BOA <br /> ONttD 9�{nvE,uE 10-15-97 <br /> • aq. ;P.. j2091`� (Expiration Date) <br /> �IFOp <br /> ENCROACHMENT PERMIT Moos <br /> HENRY M. HIRATA (Job No.) <br /> DIRECTOR <br /> To: Advanced GeoEnvironmental, Inc. <br /> Encroachment type: Soil Bore <br /> 1803 W. March Ln. , #A Location: n/s Capital Rd. 10' <br /> Stockton, CA 95207 e/o Thornton Rd. <br /> In compliance with your right o of <br /> 7-30 19 97 Permission is her 5y <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 /> e reverse side and attached sheet, if any. <br /> provisions on any part of this form. Se <br /> Trench excavations for service connections will not be permitted within ten feet (10') <br /> trench <br /> Director. surface of <br /> by <br /> he <br /> shallmatch in <br /> of vnkind1andunless <br /> smootheandsevenpwithdthattof abutting surface. Special attention <br /> future drain- <br /> through roadside area in <br /> nticipation <br /> lfacilities,troadoprofilet <br /> and/or sfrontage development. Alla underground utility facili- <br /> ageestablished and accurately dimensioned on sketches from surveyed centerline <br /> ties are to es <br /> of road right of way, not from right of way (border) lines. <br /> The Department of Public Works, Field Inspection zkcwithinion shall <br /> the Countyreceive <br /> right ofnotice <br /> way. <br /> least forty-eight (48) hours prior to beginning any re <br /> All work performed under this <br /> tpermit shania11 cDivision ofonform to hIndustrial e rules dSafety and nCal-OSHA. <br /> ing to safety established by <br /> e condition at all tidaily <br /> The jobsite shall be kept in a safpedestrian or automobile of <br /> any excess dirt or. debris which might be a hazard to either p. <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 /> he jobsite left in a neat excess material shall be removed andof construction permitted herein, manner. <br /> eshall fill <br /> Immediately following camp <br /> letionout and mail notice of completion provided by Grantor. <br /> Est. Permit Fee: $ 6(0, <br /> O <br /> HENRY M. HIRATA, Director <br /> FORMS: SS/WW,R-29 Department of Public Works <br /> By_ 7 <br /> WHITE - PermitteePermit Section <br /> GOLDENROD - PWD Central File <br /> YELLOW - Field Inspection PW 27 <br /> PINK - Permit Section <br />
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