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PFCElVE, <br /> MAF 16 2014 <br /> MPDEPARTMENT OF PUBLIC WORKS <br /> COUNTY OF SAN JOAQUIN ,rE,� � t��i� �r�, „ALP O SOY 1810-1910 HAZELTON AVENUE £P NOSTOCKTON CALIFORNIA 95201(209)468-3000 Date IssuedFAX#(209)468-9324 Expiration Date 0410112004 <br /> Job No 11005 <br /> ENCROACHMENT PERMIT UFJCRIPM No CR 021937 <br /> To SHELL OIL PRODUCTS LAS Encroachment Type �Oi+71TORING WELL <br /> 20445 S WEIMINGTON AVENUE -LL Location E/S OF MORELAND STREET 90'SIO HAMMER LANE -- <br /> CARSON,CA 90810 <br /> In compliance with your request of 01107/2004 ssion is hereby granted to do work in County right of way as <br /> shown on attached application and suw o e rms,con ons an reJ=b..s written below or printed as general or special provisions on any <br /> part of this form See reverse side and attached sheet,of 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 vAth that of abutting surface Special attention shall be given to depth <br /> of utilities through roadside area in anticipation of future drainage facihbes,road profile and/or frontage development All underground utility facilities <br /> are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of u%Uy(border)Imes <br /> The Department of Public Works,Field hlspachon Section shall receive a notice at least forty-cot hours prior to beginrung any yr ork withm the <br /> County right of way All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California <br /> Division of Industrial Safety and Cal-OSHA <br /> The lobsite 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 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 pcmutted herein,all debris,lumber,barricades,or any excess material shall be remor ed and the jobsite lett in a neat <br /> workmanlike manner Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of completion <br /> provided by Grantor <br /> Special Instructions: <br /> I <br /> I <br /> S t of Public Works R FLMN, Director <br /> Depart erl <br /> P <br /> Est Permit Fee $155 00 <br /> FORMS SS/WW,R-29 By <br /> WIIrrE Pennntee Permit Section <br /> GOLDENROD PWD Cental File <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Permit section <br /> Ac-n%perrrutsT0r=Tjx-rmdwx d Penuri Re%ised 0712000 • <br /> t <br />