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ARCHIVED REPORTS_XR0011605
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545275
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ARCHIVED REPORTS_XR0011605
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Last modified
2/3/2020 2:33:53 PM
Creation date
2/3/2020 12:50:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011605
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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ENCROACHMENT PERMIT Pennit No. <br /> TR-0120(NEW 9/91) 1098-6SV-0402 <br /> DieuCoMWPM <br /> In compliance with (check one): 10-SJ-5-KP R10.236 <br /> STATE OF CALIFORNIA- DEPARTMENT OF TRANSPORTATION <br /> rfry X Your application of MAY 29, 1998 <br /> Dme <br /> Utility Notice No. of July 14, 1998 <br /> Fee Paid Deposit <br /> Agreement No. of $ 280 $ <br /> Performance Bond Amount(1) Payment Bond Amount(2) <br /> R/W Contract No. of $ 4,000.00 $ <br /> Bond Company <br /> TRAVELERS CASUALTY & SURETY CO. <br /> COMPANY Bond Number(1) Bond Number(2) <br /> TO: ?S I tlmozs3a7a1 <br /> 5A��S—!—O�ENGINEERING GROUP <br /> 1575 TREAT BLVD., #207 <br /> WALNUT CREEK, CA 94596 <br /> ATTN: BRADY NAGLE <br /> PHONE: 9251295-1650 , PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: <br /> Install two groundwater monitoring wells using a truck mounted drilling rig with 0.2032 meter diameter hollow stem auger at the <br /> northbound off-ramp of Interstate 5 at Louise Avenue in the City of Lathrop. The monitoring wells shall be at least THREE <br /> METERS out of the edge of pavement. <br /> Upon completion of the installation of the monitoring wells,permittee shall apply to own, maintain, and properly abandon the wells <br /> in compliance with the standards of the Department of Water Resources Control Board. <br /> A pre-job conference with the permittee, contractor, and State representative is required prior to start of work. Permittee shall <br /> contact the State representative and arrange the meeting. This meeting may be waived at the direction of the State representative. <br /> Notwithstanding General Provision#4, your contractor may be required to apply for and obtain an encroachment permit prior to <br /> start of work. <br /> The following attachments are also included as part of this permit. In addition to fee the permittee will be billed <br /> (Check applicable): actual costs for: <br /> X Yes No General Provisions Yes X No Review <br /> _ Yes X No Utility Maintenance Provisions Yes X No Inspection <br /> X Yes _ No Special Provisions T X Yes Field Work <br /> Yes X No A Cal-OSHA permit required prior to beginning work; <br /> # (If any Caltrans effort expended) <br /> Yes X No The information in the environmental documentation has been reviewed and considered prior to <br /> approval of this permit. <br /> This permit is void unless the work is completed before JANUARY 31 1999 <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No ppoftctwork shall be commenced until all other necessary permits and environmental clearances have been obtained. <br /> Orig- Permittee APPROVED: <br /> 1 - Permit File <br /> 3 -M.HONMA <br /> Marie Le'a, District Director <br /> BY: �Weisha,, <br /> Pete Frankl . Jr., District Permit Engineer <br /> Page I of 3 <br />
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