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FIELD DOCUMENTS_FILE 2
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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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BOUNTY OF SAN JOAQUITIr <br /> cDEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 E.HAZELTON AVENUE Permit No:PS-1002287 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 10/22/2010 <br /> 0 <br /> k. (209)468-3000 Exp.Date: 11/01/2010 <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Quad: SW <br /> RIDER 4 <br /> rtenA�t� ;[i''91�h2E)Hi'Dl}1�ltr�_ <br /> NCROACHMENT PERMIT <br /> To: APEX ENVIROTECH INC. <br /> 11244 PYRITES WAY <br /> GOLD RIVER,CA 95670 <br /> Encroachment Type: <br /> 3/4" Soil Boring <br /> Location: <br /> E/S OF SIXTH ST. 100'N/O"F" ST. <br /> In compliance with your request of 10/22/2010,permission is hereby granted to do wotk in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written beldw 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 to 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 /> _ - s ,.:Y ,,.w •, <br /> Permittee shall°calI'the'Departmerit of Public''1 orks,Mil Engineering iD' ivision ermit Inspections)at(209)953-7421 at least <br /> forty-eight hours prior to-beginning any work within the County right of way. All work performed under this permit shall conform <br /> to the rules and regulations pertaining to safety 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."'Itd ly`fbllt�wing oomplehon:ofcorlstrupti�opermttfedrein,� �rgxitfee shall fillsout andmail:notice <br /> of Complet on(segwattached post�&d)£prtiyi- e„ by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: I SS/WW <br /> Est.Permit Fee: $415.00 <br /> THOMAS R.FLINN,Director <br /> Dep ent of Public Works <br /> WHrrE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Pe t Section <br />
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