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STATE OF CALIFORNIA•DEPARTMF" OF TRANSPORTATION - <br /> ENCROACHMENT PERN*.r, �• <br /> TR-0120(REV.2198) Permit No. <br /> 1002-6SV-0349 <br /> DisVCo/Rte/PM <br /> In compliance with (Check one): <br /> 10-SJ-4-16.51 <br /> ® Your application of APRIL 8,2002 <br /> Date <br /> ❑ Utility Notice No. of MAY 13,2002 <br /> Fee Paid Deposit <br /> ❑ Agreement No. of $ $240 <br /> Performance Bond Amount(1) Payment Bond Amount(2 <br /> ❑ RNV Contract No. of $2,000.00 $ <br /> Bond Company <br /> TRAVELERS CASUALTY 8r SURETY <br /> COMPANY OF AMERICA <br /> Bond Number(1) Bond Number(2) <br /> TO: 103312819-0238 <br /> CHEVRON PRODUCTS COMPANY <br /> C/O SECOR INTERNATIONAL <br /> 397 KILGORE ROAD#100 <br /> RANCHO CORDOVA, CA 95670 <br /> ATTN: GARY McIVER <br /> I TEL : (916) 861-0400 I <br /> PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: <br /> Install ground monitoring wells in three locations within State Highway 4 right of way in <br /> the City of Stockton. One at the southwest corner of Lafayette Street/South Center <br /> Street, northwest corner of South Center Street NVashington Street, and northeast <br /> corner of South Center StreetNVashington Street. Permittee shall put back the highway <br /> to its original condition or better when done. <br /> Permittee shall be responsible to secure permission from the city for the traffic control <br /> within the city streets during installation and monitoring of wells. <br /> In accordance with General Provision No. 6, TWO WORKING DAYS PRIOR to the start <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 /> permit. <br /> This permit is void unless the work is completed before NOVEMBER 30,2002. <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No project work shall be commenced until all other necessary permits 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 /> Y: <br /> pate FRANKLIN L. WEISHAAR JR., District Permit Engineer <br /> FM 91 1436 <br />