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STATE'aP�CA!lFpRNIA• � r. - .tr � t.•.a' �C•��x�
<br /> .fit- �• •e ,• �:� M t. ,y:�r. ,
<br /> a OFPARTMiiiT:•OF''iNDUST AL BATi "' ca
<br /> e r RI R TIONSNQ'
<br /> «_s7'DMSiONtOF 1\I
<br /> _ ATio ' .. r 5 5
<br /> ;. OCCUP NAL SAFETY AND HEALTH, at'r �' t s S �'` a
<br /> -/�,�'•• J ` r �.f +r*''
<br /> •y.•j-�iSw 'i /+ . Af•. ! r i R i <. , f •/'�iTT�=•3 N,•. •r
<br /> thfeSsi�' � -t•.' , ;t„•.(,a a�1'r ' t a, a , a t 4 ., -,f ° .;. 't»1,�x«e•txi:.st.Ks•Ear.
<br /> A �=• Permit.: M (T
<br /> Issued .TO . r• .{i`+ a - , t, ', !•ie s '1�' �' +
<br /> `_zi „'t�(lnsesrt Em er'
<br /> t y s me d i
<br /> i A1O 'No ,.Address:an Telephone No) yt' !. r,r. t °.' ,f
<br /> ' : : ,.:,.,. nerd:”.,..�:_ ;•
<br /> • t .ARONSON ENGf .} s 7' 12/21, 9 SA^`: .r= '
<br /> INEERING INC / 3
<br /> '6809...McComberS
<br /> reet
<br /> t
<br /> Sacramento', CA .9582 t�Re ?2
<br /> (916) :38f1
<br /> "Tel(916) 263 2800.E<..+,;rs;� •
<br /> ,`. '-.` ,: t r .t i r CN vy k / <, t 1_ 7ri•Ci ,,
<br /> t "�`�:.; - , , >', i,.a ^ 5 I� .fir 1 r:i t,•'. ?c..,,`w ?
<br /> of Permit: :ANNUAL;ITRENCH .AND%OR'.EXCAV'' ,'
<br /> r ATION ,. ✓
<br /> r tti+i , f g t
<br /> PUrsuan to: Labor-,Code+Sections 6500' tiu y•.,a�4 s !"a x' t
<br /> T� rand 6502 xix
<br /> employer for;the projects' escr�ibecl'below+ �ry'�thls�Permit lslssvedifto`the above-
<br /> f• tilred: .=.s,•t. , , 1 a y + + ✓"'xr/.. N ):i/+r <Y.j6 0 lY't f*:,e v x .h>�+ ✓4 ;:.nam
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<br /> .i .r 1'd �''1.r.7 a�xrax' at ,••�.< J , Y .w .\J ♦ tLil
<br /> ��`: State Ca++rocforrs[iceroe '"• +•� ,, �6r = 'A.a' � �t J`Y + S '�fY••�� :
<br /> _�' f- o. ,, Number •� ., a - : a .. y '; ..r: i pi..si.�, ,e.
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<br /> HAZw e .> °.+-.G'ra}•t,.°,d�•:' Yf tih�• - '' r �..!•;'r`N � 'pKx rGao-'f'(� '
<br /> •a ri.„^. DesenP+wn of PropA r �f t tr dry �
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<br /> �ea"r of
<br /> ; ;; "Various trench and/or 1`~t lbt fY�M� `lwNrr! tr tFti' z "' `
<br /> : 4 'ex Statewidel�'" />,: *sft; f
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<br /> •,, cavations'' f ., {,tip ,,ria, t, tewide i;2' [ti+�.
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<br /> ar {-K ' wi: 'A ,+rad ;!' �t}:Jj ' ,,,•° i;Y ' ! r r ni r!�i2 iX f;
<br /> 1.-,•a 1. t;e.( -0 :{>+�f 'v;l iA ✓rt at 0. y, ..:�. t Kt• f ke" •�
<br /> ,t�.[ �, t , ..t.: t� w i Hd<!>I- <a�S� jF!•".A .,•.. 4 `' _ i�.}� �.Y � sp<".�'
<br /> MITTED ,�: {�a s r�,t as ta,� t r-� •• ' t �`
<br /> SUB FOR THIS'P� ,x t •i + .
<br /> rxt ) r'ALTHOUG R IT ISj ACCEPTED '� t ....• :f a
<br /> ES :TH <.�•..,: :fEERMI• UPO E
<br /> H ,IT;ADDRESS E °PRIMA Y: P BYE DOSH+F.OR T, PR -
<br /> „w ASSURE;I•TS FF OINTSi,REQUI ED , ,' *•..
<br /> - ECTIVE Icy T r;FAILURE T
<br /> NESS ,,tzN;a TAT
<br /> RE UL y CI• IO :a!�> ti,,� t �� IMPI:EMENT ITt�:OR . '•::
<br /> ?•� i•::,y.}�!4 •y' Y;(
<br /> s;41 .+ a. :��'4�;G't .UP `�'�z•.e W.
<br /> � �`.�'+�,;f!� {tk', ^•yJ.a�i t� 1�y:n. .;r.. .S• _:i;Trr ;i ..a• ,a
<br /> "xX ':f:! ;�,+:'+•r�'r ' \ -7•,;iiSr{riyy: ?if'�Z/i f.. ,t, 4 w��r\ t e.•i 4.. �4.rA .i.1kNSt•y •
<br /> Perrr7-0i is issued'upon "/'t j- f.i .e3:�f�M?y�'t 1�r wn,Z t.. • •e�t1..
<br /> �•,,.x, ..j'•"a"'+lx-... .,�. the followln )��o+ie�l 't•.'S�t;4.a' r•. � ,r..,;•..,,•.•,r• `:
<br /> y.�';17' a hrx+,t�^�:.hL t '��-'?.a�'^'�}, ~t4i r.. t n}Ly.}.��•''' ,r 'vf
<br /> a , That the'Wark'I i•, /.rt .rte) rt r > NK t{ rY�le.:*;?•: t ;:t•.:::�.
<br /> , S-performed by,the ;em a}.
<br /> y. to er
<br /> Distract::>'.Offlch same y . If.;thls Is aniannual:
<br /> :Shall r+;• r n i
<br /> -".commencement.-
<br /> 10be; n'otlfied, In writing w'of%;dates%a '. w,. ,permlt,the,appropriate
<br /> ,Y >;rt•-f ,�� • �r,r,'> r d location ofb ,site';
<br /> •.T'h .rtf f far' ir'i=+vLL,.,�ft:i,,t�F;.t .,pnorf to-
<br /> �, w"'Ne,gti�l
<br /> 'i•%:�•:`t Qt,:employer':wlllcom I + �iN{/ir: \ x`�rt� -
<br /> f , p y with alit occupational lsafefy
<br /> ,r, plicable.to the above`' k..f,'.,',1� r.and:�health'.standards or orders ap- .
<br /> protects, and any'Ot}1'er<laWf `re•trw +:a;xr,:i••• • .;
<br /> s 3 ` ul;orders of tfie,. ,
<br /> That if Division:_
<br /> r� r.. .any unforeseen lconditlo 'caus ri=tdl,' u ;3•y.;;.,.. ."r^tu;r
<br /> n ,.:...
<br /> evlatlonj..fr the ( n orY
<br /> Application:Form!theierri l"%h'�'' 'y"'"`` '"-,7 ivi11:.s o a s` rsfcifements contained in
<br /> f p yerf`wlll notify the�'D
<br /> a4§ r•...•' :+3.•+ i r r Ya's w l + n.,.immediat ::- ,•,Z•4S ' '1:
<br /> r i / Any'variotion from {j, '.,' '.: 1 r ?rw'7S„fyrta” ." + 'a'4" '?'t.t7\.,;.
<br /> i e:S e-dfk i6'n
<br /> P and serot
<br /> ofisafe :orders'ma be °4K °n of+'thei rmlty. pllc ` ;Fo i ,: ,
<br /> Y,, cause to revoke?,tfi 5 rm or;vio(at�o
<br /> : r -w �. e•tperm►t.,, `t N, ,'rN J �y,fv,,,/ Y , r•r:;:,:•.s<d ,^� n
<br /> This p t shall be ed :.•t ,,,a -.. �r :n sr#�c ,* t ,,x.« J, ;, a
<br /> ti ermi post aflar ne `
<br /> �xf i arr�eae htplaee,,6 employ is as` rove f ;
<br /> RK*r»d.Fromra 3:rz�rkr,fK+eFa, .�, ,.«• ►• N ment p de .m CAC
<br /> :a^�•tr,� p t t ' Received syr� 5t i {Iiy,`f7+ f i. �r +4 n if a 341 4:
<br /> �� 1.1••�i.~A ` ° 7t �•ro t �}.t i>.11k +� 'Yn. n jk oti,)'/,{ t {^..:•t•'Ifr.�..,•.a;� �' R% 4
<br /> V� _ ronsan; C.D.
<br /> ;Ni esen , +/". r..:E r;;x rffrkL..t!y,a�ht'f-t•�t t>.o.r 1 i c t, c r J `�;f,+,19Y';_<,
<br /> •cr.�..:, s zy.S ( w1 ri•xr t;K,<, r :, �, ku,s s
<br /> AmGVM• �Ci! , ilnvestigated b Ae��'\r.rY"S�' ) � w?... wr i f .r i:a. a •��``�� .
<br /> 100.0i %i�4•�i�t ry.,•'7jln:lSt`'.r,{�' t y.M .rdi!Yw.fl `.i.i•' A SM'rr\ .+y�}� t
<br /> 34 t 3 %erY s1S
<br /> e •. :`.r' 0� .1 < f t,.tjt'V rr�'i�•elit'',y ph y:�.6 S�tf a; �t a $G¢ r °irlt ♦ �i
<br /> •�:4t� /•.. :.' 12 ` 9 .'t fery-tM1 ii��' N` r#'jdVtiff•,.�III '}-�.Fi.•t`'�.L ` •l _ + tP' ttv� tltq. !�' �.
<br /> ��• s + f .,.�•..,• :'a57'R1CTt�PY r •+r r }F/ ' ,}i�-r;n.J (:I,�N��a.3i +!.i!V, �1. � ,•./4✓ ; ,`e>L i'frf,{ ~
<br /> '.`+: ++i?It;�Y'»'u+tAftY ' •RLGIpy OOfY r ' Approved�,b Y .< t:t .'' : ^r ,'. r ri!S.1' 1221' 9 f iL �'•
<br /> CT^.D-.s% �n
<br /> Niesen :^{°^
<br /> .:fa !x'86579' .tw•:-,'4w:, :�a
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