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RQuiN COUNTY OF SAN JOAQUIN <br /> ? , DEPARTMENT OF PUBLIC WORKS <br /> m P O BOX 1810-1810 HAZELTON AVENUE £P No EP-01 g0 <br /> STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued 04/09/2001 <br /> • FAX4(209)468-9324 Expiration Dale 0511512ool <br /> Job No 11005 <br /> ENCROACHMENT PER-MIT UR/CR/PM NO CR 013652 <br /> To IWESTERN GEO-ENGINEERS Enc7narlinmu Type INSTALL ONE MONITORING WELL <br /> 1386 EAST SEAMER ST 1 oma + W/S MISSION AVE. 61 5`VO THE SOUT NIMST <br /> CORNER OF MISSION AVE.AND COUNTRY CLUB <br /> WOODLAND,CA 95775 6003 BLVD <br /> In compliance with your request of 03/20/2001 ,permission is hereby granted to do work in County right of <br /> way as shown on attached application-and subject o all the terms corse ons and resinctions 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 well not be permitted votlun 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,mad 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 ofvaay,not <br /> from right of way(border)lines <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-cight 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 Cali forma Invision 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 debits,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,Petzriitfee sha1IT filf6i and snarl notice of <br /> oomptets�vtded by 0ra4or, <br /> - - —� L. <br /> Special Instructions: <br /> MANUEL LOPEZ, Director <br /> Department of Public Works <br /> Est Perintt Fee $I 33 00 <br /> FORMS 1SSfWW By <br /> WHITE -Perienttee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field InspecLon PW 27 <br /> PINK -Permit Section <br /> AccesslPenmtslFonmMxroachmciA Pem* Revised 0712000 <br />