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STATE OF CALIFORNIA• DEPARTMENT' -RANSPORTATION <br /> ENCROACHMENT PERM. . Permit Nc <br /> TR-0120(NEW 9/91) 1094-NMC;-0411 <br /> Dist/Co/Rte/PM <br /> In compliance with (check one): 10-SJ-5-26.5 <br /> X Your application of MAY 6, 1994 <br /> Date <br /> Utility Notice No. of May 31, 1994 <br /> Fee Paid Deposit <br /> Agreement No. of $ EXEMPT $ <br /> Te-o-mance Bond Amount ( ) Payment Bond Amount (2) <br /> RM Contract No. of $ $ <br /> Bond Company <br /> NTBond Number (1) Bond Number (2) <br /> F <br /> TO: <br /> COUY OF SAN JOAQUIN -� <br /> 445 N. SAN JOAQUIN ST. <br /> STOCKTON, CA 95202 <br /> ATTN: DIANE M. HINSON JUN 13 1994 <br /> PHONE: (209) 468-3452 PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> INSTALL HEALTH WARNING SIGNS ON LINCOLN ST. AT MORMON SLOUGH. <br /> In accordance with General Provision No. 6, TWO WORKING DAYS PRIOR to the start of this work, <br /> permittee shall notify the state representative BILL LaMASCUS, 142 N 9th Street, Suite 8, Modesto, CA <br /> 95350, (209) 576-6168. All work under this permit must meet with the approval of the state representative. <br /> Failure on the permittee's part to comply with any provision will be cause for revocation of this permit. <br /> IMMEDIATELY FOLLOWING COMPLETION OF WORK PERMITTED HEREIN, PERMITTEE SHALL FILL <br /> OUT AND MAIL NOTICE OF COMPLETION PROVIDED BY GRANTOR. <br /> Permittee's attention is directed to Section 6, "CONTROL OF MATERIALS", of the State Standard <br /> Specifications. Reference to Engineer in the State Standard Specifications shall include State Representative. <br /> Except when necessary, as determined by the state representative, no installation, construction equipment <br /> The following attachments are also included as part of this permit. In addition to fee the permittee will be billed <br /> (Check applicable): actual costs for: <br /> X Yes _ No General Provisions _ Yes X No Review <br /> Yes X No Utility Maintenance Provisions _ Yes X No Inspection <br /> X Yes _ No Special Provisions T_ X Yes ____ Field Work <br /> Yes _X No A Cal-OSHA permit required prior to beginning work, <br /> # (If any Caltrans effort expended) <br /> _ Yes X No The information in the environmental documentation has been reviewed and considered prior to <br /> approval of this permit. <br /> This permit is void unless the work is completed before NOVEMBER 30, 1994. <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No project work shall be commenced until all other necessary permits and environmental clearances have been obtained. <br /> Orig - Permittee APPROVED: <br /> 1 - Permit File <br /> 3 - B. LAMASCUS <br /> Gordon A. Marts District Director <br /> BY: <br /> DD JO , <br /> hn Ga liana District Permit Engineer <br /> Page 1 of 2 <br />