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FIELD DOCUMENTS FILE 3
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PR0544591
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FIELD DOCUMENTS FILE 3
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Last modified
6/21/2019 2:57:24 PM
Creation date
6/21/2019 11:54:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 3
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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� <br /> COUNTY OF SAN JOAQUIN <br /> / <br /> S� W W <br /> I DEPARTMENT OF PUBLIC WORKS <br /> - ;f P.O. BOX 1810- 1810 E. HAZELTON AVENUE Permit No: PSA802990 <br /> STOCKTON, CALIFORNIA 95201 Date Issued: 09/16/2008 <br /> (209) 468-3000 Exp. Date: 01/01/2009 <br /> FAX # (209) 468-9324 Project No; PWPI10005 <br /> Quad: CC <br /> ENCROACIMENT PERMIT <br /> To: CHEVRON ENVIRON. MANAGEMENT [i D <br /> 6111 BOLLINGER CANYON RD, RM.3652 I`^^"' <br /> SAN RAMON, CA 94583 NW 12- <br /> EncroachmentT e: <br /> Bores for Water Monitoring <br /> Wells <br /> Location: <br /> E/S FRANKLIN AVE. 50' S/O ELMWOOD AVE. & N/S ELMWOOD AVE. 50' E/O FRANKLIN AVE. <br /> In compliance with your request of 09/16/2008 , permission is hereby granted to do work in County right-of--way as shown on attached <br /> application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part of <br /> 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given t6 depth of utilities through roadside area in anticipation of future drainage facilities, road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way, or 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 <br /> within the County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety <br /> established by the California 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 <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 jobsite left <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail notice <br /> of completion provided by Grantor. <br /> Special Comments: <br /> Traffic Control per MUTCD <br /> FORMS: SS/WW, R-29 <br /> Est. Permit Fee: $440.00 <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> WHrrE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit section P it Section <br />
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