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U _vim COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-04 99�,SE <br /> STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: 013 L 2004 <br /> c<.: FAX#(209)468-9324 Expiration Date: 04152004 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UE/CRPM NO: CR 022216 i <br /> To: (GROUND ZERO ANALYSIS,INC. Encroachment Type: IBELL HOLES(4) <br /> 1714 MAIN STREET Location: E/S OF HWY 99 FRONTAGE ROAD 2.400'-3,600•NiO <br /> OLIVE AVENUE <br /> IESCALON,CA 95320 <br /> In compliance with your request of 03/02/2004 mussion is hereby granted to do work in Countv right of way as <br /> shown on attached application and subject o all tne ternis,conditions ana restrictions 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 from 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 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 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 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 <br /> provided by Grantor. <br /> Special Instructions: <br /> THOMAS R. FLINN, Director <br /> p ment of Public Works <br /> Est. Permit Fee: $395.00 <br /> FORMS: SS/WW,R-29 By <br /> WHITE Permittee Permit Ition <br /> GOLDENROD -PWD Central File <br /> YELLOW Field Inspection <br /> PW_7 <br /> PINK Pennit Section <br /> .access\Permits,Forms�Encroachment Pennit Revised 07/2000 <br />