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ARCHIVED REPORTS XR0006092
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1876
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2900 - Site Mitigation Program
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PR0542421
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ARCHIVED REPORTS XR0006092
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Last modified
6/21/2019 1:16:31 PM
Creation date
6/21/2019 10:26:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006092
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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s <br /> �gxirr COUNTY OF SAN JOAQUIN <br /> 4 c <br /> uao"'0�7. <br /> DEPARTMENTOF PUBLIC WORKS <br /> P 0 13OX 1810-1810 HAZELTON AVENUE EP NoSTOCKTON CALIFORNIA 95201 Date Issued 04/0912001 <br /> 01, (209)968-3000 <br /> FAX#(209)468-9324 Expuation Date Os/[5/200] <br /> lob No 11005 <br /> ENCROACHMENT PERMIT UR/CR/PM NO CR 413652 <br /> To WESTERN GEO-ENGINEERS Encroachment Type INSTALL ONE MONITORING WELL <br /> 1386 EAST BEAMER ST Location W/S MISSION AVE. 58 5'S/O THE SOUTHWEST <br /> CORNER OF MISSION AVE AND COUNTRY CLUB <br /> WOODLAND,CA_ 9577"003 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 an-a-su lec o e erms,coni ions and restrictions wntten 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 perrutted 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 Industnal Safety and Cal-OSHA <br /> ® The lobsite 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 Perruttee in accordance with the latest edition of the CALTRANS Manual of Traffic Control <br /> After completion of the%work permitted herein,all debns,lumber,barricades,or any excess material shall be removed and the lobsite left in a <br /> neat workmanlike manner Immediately following completion of construction permitted herein P ttoa St all Maut aiid marl noR�ice of <br /> iCtllli QIp![Yi117 tr _ _ <br /> Special Instructions: <br /> MANUEL LOPEZ, Director <br /> Department of Public Works <br /> Est Permit Fee IS 113 00 <br /> FORMS SS/WW By <br /> WHITE -Permetee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> AceessTerni tslFornisTjKroadi %d Permit Revised 0712400 <br />
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