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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545028
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
12/6/2019 5:05:08 PM
Creation date
12/6/2019 2:55:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
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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RECEIVED OCT 18 1007 <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZVLTON AVENUV3 Sp No: 0-07=_26319W <br /> p t STOCKTON CALWORNIA 95201 Datc issued: 08!30/2007 <br /> (209)4Gg-3000 �.--- - <br /> • 1 AX( (9)46 -3000 24 Expiration Date: Fit/ /2007- <br /> � Job No: 1I11003 <br /> ENCROACHMENT PERMIT uE/CR/PM NO: LCR 033352 — 1 <br /> 7a: PEx EDNIROTECI3>INC, 1 Encroachment Type: (3)SOIL BORIN09 <br /> 11277 PYRITES WAY _ Location: E/S OF 6th STREET N/O"F"STREET rN BANTA <br /> (GOLD RIVER,CA.95670 <br /> In compliance with your request of C 08/23/2007 ,permission is hereby granted to do work in County right of way <br /> as shown on attach application and§u-ffj T iUI-tli©toriiis;cond> ons atad restrictions written below or printed as general or special provisions <br /> on any part of this rTIrL <br /> See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10)of pavement centorline unless otherwise approved by the <br /> Direetok. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profilb and/or$outage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed ejt:ttterline of road right of way,not from right of <br /> way(border)lines. <br /> The Department of Public Works,'Field Inspection.Sdctiotl shall receive a notice at least fbrty-eight hours prior to beginning any work within the <br /> County riglit of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> 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 ncccssary traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> by and at the sole exponsc ofthe Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control, <br /> I <br /> Alter 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,Pennittce shall till out and mail notice of <br /> completion provided by Orantor. <br /> Special Instructions: 'I'IiAFhC CONTROL PLAN PER CU;kRZNT MANUAL OF UNIFORM TRAFFIC CONTROL DEVICE(MTITCO) <br /> CALIFORNIA SUPPLE gNT—'** <br /> THOMAS R.FLINN, Director <br /> ID artment of Public Works <br /> Est.Pertxiit Fcc: L$415.00 _ <br /> FORMS: F�S ,R 29 _ -_� By <br /> /WVN <br /> WHITE -Permittm Porinrrit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field lhspcction PW 27 <br /> PINK -Permit Section <br /> 'AccesslPcrmitslFotmslEncroachinent Permit Revisod 07/2000 <br /> 9Eib'd LS0'ON '0NI`H0310aIAN3 X3dd Wd02:2 L002'61;'100 <br />
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