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PQui ��i; �;�;_ COU NTY OF SAN JOAQUIN <br /> nr �J ��'—�`��� 1 <br /> DEPARTMENT OF PUBLIC WORKS <br /> 2 � P O BOX 1810-1810 MAZELTON AVENUE EP No EP-01 196 CC <br /> { G 2 2 0 01 STOCKTON CALIFORNIA 95201 <br /> ,y. Dare Issued 0 810 212 0 0 1 <br /> • .wcv= si A• Ctlliili �1''t _A� ��� I (209)468-3000 <br /> L Expiration Date 09/01/2401 <br /> P�r ], ' t -i }It FAX# (209)468-9324 <br /> C r p a Rei Job No 11005 <br /> ENCROACHMENT PERMIT UE/CR/PM NO <br /> To GETTLFR-RYAN INC Encroachment Type INSTALL ONE MONITORING WELL <br /> 6747 SIERRA COURT,SUITE J Location S/S OF COUNTRY CLUB BLVD 90 FEET W/O PERSHING <br /> AVE <br /> DIJBLFN, CA 94568 <br /> In compliance with vour request of i 7/11/01 permission is hereby granted to do work in County right of <br /> way as shown on attached application ansu pec o a I the terms,con i ions and restnctrons 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 he permitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> Director Surface of trench patches shall match in kind and be smooth and even with that of abutting surface Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development All <br /> underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not <br /> from right of way(border)lines <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within <br /> the County right of way All work performed under this permit shall conform to the rules and regulations pertaining to safety established by <br /> 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 any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the sole expense of the Permittee in accordance 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 excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice oP <br /> completion provided by Grantor <br /> Special Instructions <br /> MANUEL LOPEZ, Director <br /> Department of Public Works <br /> Est Perintt Fee $I28 00 <br /> FORMS SS/WW By - 4_ i <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Centra]File <br /> YELLOW -Field Inspection PW 27 <br /> PINI Permit Section <br /> AccesslPermitslFomislEncroachment Permit Revised 07/2000 <br />