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FIELD DOCUMENTS_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545028
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FIELD DOCUMENTS_FILE 2
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Last modified
12/6/2019 5:08:09 PM
Creation date
12/6/2019 2:54:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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OCT.18.2005 9.48AM APEX ENVIROTECH,INC. NO.819 P.2 <br /> NftV N*111 PECENED <br /> COUNTY OF SAN JOAQUIN MAY 2 0 2065 <br /> DC-PARTM=- OF PUBLIC WORKS <br /> 7 P.O.Box 1840-4810 IiA7.F,LTON AVENUE EP No; P-05 98 <br /> STOCKTON CALIFORNIA 95201 �--.... <br /> (209)4b8�000 �m�� S/16/2005 rr <br /> • FAX4(209)46$-9324 Faplratlnn Dare 7/15 <br /> 124o <br /> Ra ` Job No; 11005 <br /> ENCROACHMENT PERMIT uElcR/PMNO: ••R6 a. 4 <br /> �...� <br /> To: EX ENviiZDTECK INC. ........ ErrcraaaYutiont'typc: ONITORING WFd I-.S(2)AND SOIL BORING <br /> 11244 YYRITF°K WAY Wril SIDESOF S=ST.FROM F Fr.FOR.350' 7 <br /> -- -.-. ORTB. SfM AITACIIED MAP FOR IMATIONS OF <br /> GOLD RIVER,CA. 95670 MONffORING WELLS MW-14,MW-IG,AND SOIL <br /> ORING Ctrl-I. <br /> In compliance with your request of 0311()/20o�pct�tission is hereby grgnted to do work in County right of way as <br /> shown on attached application and subject a written below or printed as genernl or special provisions on any <br /> part of this form. See reverse side and attached sheet,ifany. <br /> Trench exeavations for services connections will not be perud1ted within ten feel(101 of pavement centerline unless otherwise approved by the <br /> Director. Surface oftreneh patches 9hai3 match in kind and be smooth and even with that of4tbutting surfer e. Special attention shall be given to depth <br /> of utilities through roadside area in anticipation of futuN drainage facilities,road profile and/or frontage development. All underground utility facilities <br /> arc to be established and accurately dimensioned on sketches from surveyed centerline of road Light of way,not from right of tray(border)linea. <br /> The Deparhnent of Public Works,Field Inspection Section shall t ecmivc a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way, All work performed under this Permit shall conform to the r files and regulations pertaining to safety established by the California <br /> Division of Industrial Safety and Cal-OSM. <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 ba7xd to either pedestrian or <br /> automobile traffic. All necessary tmffie convenionce and warning devices and personnel gall be provided,placed and maintained by and at the sole <br /> c+-ponne of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> Atter complction ofthe work permitted herein,all debris,lumber,barricades,or any 4.Xcws material shall be removed and the jobsitc lcfi in a neat <br /> workmanlike manner. Immediately following cornpletion of construction permitted herein.Pcrmittec"1 01 out and mad notice of completion <br /> provided by Graator. <br /> Special Imtructions: --- - _ <br /> THOMAS R. FLINN, Director <br /> Est, Permit FDepartment of Public Works <br /> cx;: 320_00 -• _ <br /> FORMS: SIWW,R-29 .� By <br /> WFI= -Pttmittea Permit Section <br /> CK)MFNRO13 -PWDCentm >to <br /> YELLOW -FialdIaspwtion <br /> PW 2'7 <br /> PINK -permit Sec ion <br /> Acc:m\Pennits\FoenslEncroac6nwt Permit Rcviwa 07/2000 <br />
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