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9255517899 Line 1 0" 11:37 p.m. 11-04-2010 13113 <br /> / -- �--"1 <br /> STATE OF CALIFORNIA <br /> DEP�Ri'Ul:tJ�OF INDUSTRIAL FiBLATIQN,S '"`" .-r1 '�, -+r x� <br /> DIVISION QP OCCUPATIONAL SAFE'TY.AND:HEALTH <br /> JU <br /> !_ 2 2 Zufu <br /> a► a y <br /> No: 2010 X00227 >r: <br /> Y ? +y r <br /> C;F N�E <br /> Parmit1ssued To - a <br /> - - <br /> (Insert Cont`ractorProject Admin strator's Narne,Address 44 <br /> and'Teloohone,hc.) No. <br /> G'ettler Ryan Inc Date 8112010 <br /> Atfn : •Saf,ety Mgr or Barry E_ McC'c)y <br /> 6747 Sierra C.t .,ate.J Region 1 <br /> D,ubIin' CA 94568-261 1 btstrict 4 ' <br /> Tel. (510) 622-2'9,16 <br /> i <br /> (q25).58 1,71555 - - - <br /> Type-of permit T-11 7ANNUAL TRENCWEXCAVATIQN <br /> Pursuant to Labor Code Sect ons 6S�,10 and f 5i)2,'this porrnrt is Issued to the above named employe for Eno pr <br /> ojacfs dosct bdd below. <br /> State Coi;fr ctor' ` �; --- -- - --- �_.+_- - - - - - -- —� <br /> a s U censu(J�mbor, <br /> Per nit Valid through August 01, 2011 <br /> j <br /> 22079'3 <br /> Description of ProjectI_ocahon Address G and County Anttcpated Dates <br /> _St <br /> qrVnq, Ccm�let�cn <br /> i Various . <br /> Condifions of Issuance: Statewide <br /> i Aug .1,:2010 Aug 01, 2011 ti <br /> i - <br /> i <br /> i <br /> Thls,Permit Is Issuod upon the following co 1ditlana: - <br /> 1 That the;,;worK i§ performed:by tha same empl0y'or; If this-is an annual pormit the approp'Elate District office ;,hat( i <br /> be nbfIfI' c1l"in wriflnq, cf dates and location of Job site.prior to cornrnenc'ement. <br /> 2 Th-e empI feryrill cornpiy.witn all occupational safa�ty and hoalth_standards or`ordors applicable to the ab"eve a <br /> projects,..arid-any other lawful ordors of the �ivrsion: <br /> 3. That if a'n'y',unforeseen condition causes do,viation,fiom the dans or statements contained,irrthe Permit Application <br /> Form fhe employer will notify the Division immediately ¢ <br /> 4. Any variation from the specification and assertions of.the Pormit,Appiication Form or <br /> _vlolati'on of safoh/orders may <br /> be cause to revoke the permit. _ <br /> 5 This.pormit shall be, postec at or near each`place <br /> c%f,employment'as provided in"3 CCR 3414 <br /> Received From 'Rkwvod By -- - E <br /> InvesvQated by <br /> r- Ppftit Unit _ <br /> y - - - - <br /> - SAf � 'in Dete <br /> gg ' Amount Date _ _ ' __�?� <br /> Approved by 8/1,�2ol0 <br /> ® CFfieck 38330 x$100 C}0 { 8/.110 Dcstnet Manager Porrriit Unrt Date -� <br />