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COUNTY OF SAN JOAQUIN <br /> A�U f ly <br /> �Q G DEPARTMENT OF PUBLIC WORKS EP-04 182 CC <br /> P O BOX 1810-1814 HAZELTON AVENUE EP No <br /> STOCKTON CALIFORNIA 95201 Date Issued 06/14/2004 <br /> o � (209)469-3000 Expiation Date 07/15/2004 <br /> FAX#(209)468-9324 <br /> �!f omaJob No 11005 <br /> ENCROACHMENT PERMIT UEICR/PM No CR b 7 <br /> To WESTERN GEO-ENGINEERS Encroaclunent Type MONI'T'ORING WELLS(2) <br /> 1386E BEAMER STREET Location SIS COUNTRY CLUB BLVD 133'AND 136'W/O MISSON <br /> RD <br /> WOOBLAND,CA. 95766-6003 <br /> In compliance with your request of 05/27/2004 emission is hereby granted to do work in County right of way as <br /> shown on attached application and su 3ject to ail Me ternis,con i ons an res actions wntten below or printed as general or special provisions on any <br /> 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 centertme unless otherwise approved by the <br /> Director Surface of trench patches shall match in Lind and be smooth and even with that of abutting surface Special attention shall be given to depth <br /> of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development All underground utility facilities <br /> are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not 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 the <br /> County right of-%-ay All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California <br /> 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 pedestrian or <br /> automobile traffic All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control <br /> After completion of the work pennrtted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a neat <br /> workmanlike manner Immediately following completion of construction permitted herein,Pennittee shall fill out and mail notice of completion <br /> provided by Grantor <br /> Special Instructions: <br /> THOMAS R FUNK, Director <br /> Department of Public Works <br /> Est Permit Fee $235 00 <br /> FORMS ISSfWW,R-29 By <br /> W13ITE Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> AccesslPermits\FormslEneroachrnent Permit Revised 07/2000 <br />