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COUNTY OF SAN JOAQUIN DEPARTMENT OF PUBLIC WORKS • "y �s - � P O BOX 18 10-18 10 HAZELTON AVENUE EP No EP-01 I 197 CC tnA _ (209)468-3000 Date issued 08/02/2001 • o FAX# (209)468-9324 Expiration Date 109/01/2 F1 Job No 11005 ENCROACHMENT PERMIT LTE/CR/PM NO To GETTLER-RYAN INC Encroachment Type INSTALL ONE 1v1ONITORING WELL 6747 SIERRA COURT,SUITE J Location N/S OF ELMWOOD AVE 15 FEET W/O PERSHING AVE DUBI dN CA 94568 In compliance with your request of 7111101 permission is hereby granted to do work to County right of way as shown on attached application and subject o all the terms wn i ions and restrictions wntten below or printed as general or special provisions on any part of this form See reverse side and attached sheet,if any Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the Director Surface of trench patches shall match in kind and be smooth and even with that of abutting surface Special attention shall be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way(border)lines The Department of Public Works Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the County right of way All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California Division of Industrial Safety and Cal-OSHA 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 pedestrian or automobile traffic Al I necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole expense of the Permittee in accordance with the latest edition of The CALTRANS Manual of Traffic Control After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the Jobsite left in a neat workmanlike manner Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of-, completion provided by Grantor Special Instructions• MANUEL LOPEZ, Director Department of Public Works Est Pernut Fee $128 00 FORMS iSSIWW By J �a4, WHITE -Permittee Permit Section GOLDENROD PWD Central File YELLOW Field Inspection PW 27 PINI+ -Pemut Section AccesslPmuitslFormslEncroachinent Permit Revised 0712000