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1-1/28/95 09:20 FAX 916 ¢72 8781 GROUNDWATER TECH 10002/006 <br /> �bi^jr Or t..iwrt.rr m&P% wrr^^#—, r. .—"4,vim..... <br /> ENCROACHMENT PE6wiT Perim�••• <br /> TR-0120(NEW 9x'91) 1095-6SV-0698 <br /> 10-SJ-4-R16.5.., t <br /> In compliance with (check one): <br /> X Your application of OCTOBER 19, 1995 <br /> Utility Notice No. of November 6, 1995 <br /> —•—^^ q ofDeposit <br /> Agreement No. of $ 280 S <br /> Performance onrt Amount IPayment Bond Amount IT) <br /> RM Contract No. of $ $ <br /> -� Bond Company <br /> Bond Number (1) Bond Number fel <br /> TO: <br /> CHEVRON USA PRODUCTS COMPANY <br /> P.O. BOX 5004 <br /> SAN RAMON, CA 94583-0804 <br /> ATTN: BRETT L. HUNTER <br /> PHONE: (510) 842-8695 , PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: <br /> DRILL AND INSTALL ONE 10-INCH DIAMETER SOIL BORING TO APPROXIMATELY 90 FEET BELOW <br /> GRADE AND INSTALL A 2-INCH DIAMETER SCHEDULE 40 PVC CASING AND SCREEN IN BORING. <br /> WELL SHALL BE SECURED BY A LOCKING EXPANDABLE WELL CAP AND PROTECTED BY A FLUSH- <br /> MOUNTED TRAFFIC RATED WELL BOX SET IN CONCRETE SO THAT IT WILL NOT BE AN <br /> OBSTRUCTION TO PEDESTRIANS. MONITOR WELL SHALL BE LOCATED IN THE SIDEWALK ON THE <br /> SOUTHWEST CORNER OF THE INTERSECTION OF SOUTH CENTER STREET AND WASHINGTON <br /> STREET. <br /> PRIOR TO THE EXPIRATION DATE OF THIS PERMIT, PERMITI•EE SHALL APPLY FOR AND OBTAIN A <br /> MAINTENANCE PERMIT TO MAINTAIN, MONITOR AND ABANDON THE WELL INSTALLED UNDER <br /> THIS PERMIT. <br /> UPON COMPLETION OF WORK, PERM'I'I'EE SHALL PROVIDE CALTRANS WITH A COPY OF THE <br /> RESULTS FROM SAMPLING THIS WELL AND ANY TECHNICAL REPORT THAT IS PRODUCED BY <br /> CHEVRON. <br /> In accordance with General Provision No. 6, TWO WORKING DAYS PRIOR to the start of this work, <br /> The following attachments ore also inciuded as part of this permit. In addition to ice the permittee will be billed <br /> (Check opptcoblel: actual cosh for: <br /> X Yes _ No General Provisions — Yes X No Review <br /> Yes X No Ut7ty Maintenonce Provisions — Yes X No Inspection <br /> X Yes No Special Provision. T X Yes _ ^___ Field Work <br /> Yes X No A Col-OSHA permit required prior to beginning work <br /> i <br /> of any Cohrons effort expended) <br /> Yes X No The iniormation in the environmentol documentation has been reviewed and considered prior to <br /> opprovoi of this permit. <br /> This permit is void unless the work is completed before APRIL 30, 1996 <br /> This permit is to be strictly construed and no other work other than specifuoliy mentioned is hereby authorized. <br /> No proiect work shall be commenced until all other necessary permits and environmenlol clearances have been obtained. <br /> Ong Permittee APPROVED: <br /> 1 Permil File <br /> 3 - BILL LAMASCUS <br /> ] - JASON FADOTA <br /> Goundwater Technology, inc. Gordon A. Marts, District Director <br /> 1401 Halyard Drive, Suite 140 BY: <br /> Wesi Sacramento, Ca. 95691 <br /> e� tL. roc; ...i— t �t. .. <br /> r <br /> YY <br /> Laurie R. Juraens, District Permit Engineer <br /> Poge 1 of 2 <br />