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AUNTY OF SAN JOAQ*N <br /> i <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-04 48 ES <br /> { STOCKTON CALIFORNIA 95201 Date Issued 02/10!2004 <br /> (209)468-3000 <br /> FAX#(209)468-9324 JobNo.Expiration Date:: 03/10/2004 <br /> CtpOR � Job No: 11005 <br /> ENCROACHMENT PERMIT UE CR/PM NO: CR <br /> To: IJAMAR SERVICE Ena hment Type: MONITORING WELLS(8) <br /> PO BOX 326 Location: NIS OF MAIN STREET 5V E/O ORO AVENUE;NIS OF <br /> MAIN STREET @ ADELBERT AVENUE;SOUTH END OF <br /> STOCKTON,CA 95201 ANNABELLE COURT <br /> In compliance with your request of 01/28/2004 mrission is hereby granted to do work in County right of way as <br /> shown on attached application and subJec o a e elms,con ons an re coons written below or printed as general or special provisions on any <br /> part of 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 the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to depth <br /> of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development All underground utility facilities <br /> are to be established and accurately dimensioned on sketches£turn surveyed centerline of road right of way,not from right of way(border)lines. <br /> The Department of Public Works,Field inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this pemnt shall conform to the rules and regulations pertaining to safety established by the California <br /> Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be keptin a safe condition at all times by the daily removal of any excess dint or debris which might be a hazard to either pedestrian or <br /> automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> 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 in a neat <br /> workmanlike manner. immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of completion ,3 <br /> ran <br /> provided by Gtor. <br /> Special Instructions: <br /> THOMAS R. FLINN, Director <br /> Depardn nt of Public Works <br /> 4 <br /> Est. Permit Fee: $715.00 <br /> FORMS: SS/WW,R-29 By <br /> wxiTE Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit Section <br /> AccenTernufforms\Encroachmant Permit Revised 07/1000 <br />