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` <br /> u( ~COUNTY OF SAN JOAQUIN <br /> )aPqC <br /> DEPARTMENT OF PUBLIC WORKS <br /> U r 2 U 1 P O BOX 1810-1910 HAZELTON AVENUE EP No EP-01 198 CC <br /> tq STOCKTON CAI.IFORNIA95201 <br /> Date Issued. 10810212001 <br /> . 1"" d ��3 (209)468-3000 <br /> r, yr{ tr PF l 1' FAX#(209)468-9324 Expiration Date F09/0127001 <br /> 9C f OR�� Job No 11005 <br /> ENCROACHMENT PERMIT UEJCR/PM NO <br /> To GETTLER-RYAN INC Encroachment Type INSTALL ONE MONITORING WELL <br /> 6747 SIERRA COURT,SUITE J Location N/S OF ELMWOOD AVE 210 FEET W/O PERSHING AVE <br /> DUBLIN, CA 94568 <br /> In compliance with your request of 7/11/01 ,permission is hereby granted to do work in County right of <br /> way as shown on attached application and subject o a e erms,con i ions and restrictions 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 be 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)obsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debns 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 Iobsite left in a <br /> neat workmanlike manner Immediately following completion of construction permitted herein,Permittee shall,fill out and mail,notimof, 0 <br /> completion provided'by Grantor <br /> Special Instructions: <br /> MAN UEL LOPEZ, Director <br /> Department of Public Works <br /> Est Pernut Fee 1$12800 B 1 <br /> FORMS SSIWW y <br /> WHITE -Pernnttee Perwit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Pcnmt Section <br /> Revised 0712000 <br /> AccesslPenmtslFomisTncroachment Permit <br />