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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> ENCROACHMENT PERMIT Permit No. <br /> TR-0120(REV.alga) 1005-STK-0849 <br /> blsuColRtVPM <br /> In compliance with (Check one): to-SJ-580.13.539 <br /> ® Your application of OCTOBER 24,2005 <br /> Date <br /> ❑ utility Notice No. of NOVEMBER 2,2005 <br /> Fee Paid O posh <br /> ❑ Agreement No. of $ $246 <br /> Per(a nPnoe Bond Amount(1) PaymoMEond Amount <br /> R1w Contract No. of $ $ <br /> eond Company <br /> Bend Number(i) Bontl Nrmlbef(2j <br /> TO: F_ —� <br /> ATLANTIC RICHFIELD COMPANY <br /> C/O STRATUS ENVIRONMENTAL, INC. <br /> 3330 CAMERON PARK DRIVE,SUITE 550 <br /> CAMERON PARK, CA 95682 <br /> ATTN: SCOTT BITTINGER <br /> TEL : (530) 676-2062 1 <br /> , PERMITTEE <br /> and subject to the following,PERMISSION IS HEREBY GRANTED to: <br /> Conduct traffic control, place, maintain, and remove temporary construction warning signs for <br /> work to be done along Interstate 580 eastbound and westbound off ramp to Patterson Pass Road <br /> in the Town Tracy in San Joaquin County. Traffic control shall be done in conformance with <br /> Caltrans Standard and approved by the Caltrans Permit Field Engineer. A copy of this <br /> permit shall be placed in vehicles involved in doing this work. Permittee shall notify the permit <br /> field engineer in the area before doing any work. <br /> In accordance with General Provision No. 6, SEVEN WORKING DAYS PRIOR to the start of <br /> this work, Permittee shall notify the State Representative MARCEL DE LA CRUZ, P.O. Box <br /> In addition to fee,the pelrnittee will be billed <br /> The following attachments are also induded as part of this permit actual costs for. <br /> (Check applicable): <br /> ® Yes No General Provisions ® Yes El No Review <br /> ❑ Yes ® No utility Maintenance Provisions ® Yes ❑ No Inspection® Yes No Special Provisions T ® Yes � No Field Work <br /> ❑ Yes ® No A Cal-OSHA permit required prior to beginning works <br /> # (If any Caltrans effort expended) <br /> YeS ® No The information in the environmental documentation has been reviewed and i5 Considered prior to approval of this <br /> ermlt. <br /> This permit is void unless the work is complete before MAY 31, 2006. <br /> This permit Is to be striody construed and no other work other than specifically mentioned is hereby authorized. <br /> No ro ecty ork shall be commenced until all other necessa ennAPFROVEDironmental clearances have been obtained. <br /> 1 -Permittee <br /> 1•File <br /> 3—Marcel Oe La Cruz KOME AJISE, District Director <br /> BY: <br /> Tamae <br /> ALEX M>�OR, Di trict Pei- <br /> Betty E eer <br /> FM 91 1436 <br /> b0/Z0 39vd dI3C0 ON 9(lltlb1S 90099L90E9 49:80 9002/L0/TT <br />