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STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV.6/2012) Permit No. <br /> 1019-NTK-0429 <br /> DistICo/Rte/PM <br /> In compliance with(Check one): <br /> 10-SJ-99-31.0 <br /> ® Your application of June 19, 2019 <br /> Date <br /> El Utility Notice No. of June 19, 2019 <br /> Fee Paid Deposit <br /> ❑ Agreement No of $ $ Exempt <br /> Performance Bond Amount(1) Payment Bond Amount(2) <br /> RM Contract No. of $ $ <br /> Bond Company <br /> Bond Number(1) Bond Number(2) <br /> TO: <br /> Pacific Gas and Electric Company <br /> 4040 West lane, Building 9 <br /> Stockton, CA 95204 <br /> ATTN: Mark Lujan Jr. <br /> TEL : (916) 292-2364 PERMITTEE <br /> I I <br /> And subject to the following,PERMISSION IS HEREBY GRANTED to: <br /> Conduct traffic control at E. Lockeford Street Bridge above State Route 99 at Post Mile 31.0 in Lodi, San <br /> Joaquin County for geotech boring outside Caltrans right of way. Traffic control shall conform to approved <br /> plans, Caltrans Standard Specifications dated 2018 and the California MUTCD dated 2014. <br /> This permit is not valid until Permittee has obtained permission from adjacent property owners, <br /> Irrigation Districts, Cities, Counties or other interested parties to perform the proposed work. <br /> THIS PERMIT IS NOT A PROPERTY RIGHT AND DOES NOT TRANFER WITH THE PROPERTY TO A NEW OWNER <br /> The following attachments are also included as part of this permit(Check applicable): In addition to fee.the permittee will be billedactual costs for: <br /> ® Yes ❑ No General Provisions ❑ Yes N No Review <br /> ❑ Yes N No Utility Maintenance Provisions ❑ Yes N No Inspection <br /> N Yes ❑ No Special Provisions T ❑ Yes N No Field Work <br /> ❑ Yes N No A Cal-OSHA permit.if required:Permit No. <br /> ❑ Yes N No As-Built Plans Submittal Route Slip for Locally Advertised Projects (If any Caltrans effort expended) <br /> ❑ Yes N No Storm Water Pollution Protection Plan <br /> Cl Yes N No The information in the environmental documentation has been reviewed and considered prior to approval of this permit. <br /> This permit is void unless the work is complete before November 30, 2019. <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized <br /> No project work shall be commenced until all other necessary permits and environmental clearances have been obtained. <br /> 1-Permittee APPROVED. <br /> 2-Joe Valdez <br /> 1-Maintenance <br /> 1-File DAN McELHINNEY, District Director <br /> George NELSON MAGSAYO, District Permit Engineer <br /> ADA NOTICE:For individuals with sensory disabilities.this document is available in alternate formats For information.call(916)445-1233.TTY 711,or <br /> write to Records and Forms Management. 1120 N Street.MS-89.Sacramento,CA 95814 <br /> 1 of 3 <br />