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FIELD DOCUMENTS FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2151
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3500 - Local Oversight Program
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PR0544592
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FIELD DOCUMENTS FILE 1
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Last modified
6/21/2019 3:34:30 PM
Creation date
6/21/2019 1:01:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544592
PE
3526
FACILITY_ID
FA0009449
FACILITY_NAME
COUNTRY CLUB TIRES AND MUFFLER
STREET_NUMBER
2151
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308030
CURRENT_STATUS
02
SITE_LOCATION
2151 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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k COUNTY OF SAN JOAQUIN ErDr 5^6113za(o <br /> DEPARTMENT OF PUBLIC WORKS <br /> y P.O.BOX 1810-1810 HAZELTON AVENUE EP No: P-05 l6 C <br /> < STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: /14/2003 <br /> FAX#(209)468-9324 Expiration Date: of 2005 <br /> tp Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CR/PMNO: R D2b 0 67 <br /> To: VANCED DEG ENVIROMENTAL Encroachment Type: OB.BORWGS(3) <br /> 37 SHAW ROAD Location: /S OF ELMWOOD AVENUE 50',150',AND 25V W/O <br /> STOCKTON,CA 95215 FRANKLIN AVENUE <br /> In compliance with your request of 05/31/2005mission is hereby granted to do work in County right of <br /> way as shown on attached application ani su ec�Qt a erns,con n ons 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 conforn to the rules and regulations pertaining to safety established by <br /> the California Division of Industrial Safety and Cal-OSHA. <br /> Thejobsite 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 in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: <br /> THOMAS R FLINN, Director <br /> Department of Public Works <br /> Est.Permit Fee: 320,00 <br /> FORMS: S/W W,R-29 By <br /> WHITE;,;,.,,. -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> Access\Peamits\FormslEncroachmenr Permit Revi ed 07/2000 <br />
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