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COUNTY OF SAN JOAQUIN <br /> �o �o DEPARTMENT OF PUBLIC WORKS <br /> 2 GZ� P.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-07 41 SW <br /> STOCKTON CALIFORNIA 95201 Date Issued: 02/26/2007 <br /> (209)468-3000 -- <br /> FAX#(209)468-9324 Expiration Date 05/01/2007 <br /> Job No: 73052-6 <br /> �dL/FORN`P <br /> ENCROACHMENT PERMIT UE/CR/PM NO 30526579 <br /> To: PG&E - - — Encroachment Type: BORE _ <br /> 4040 WEST LANE Location: W/S CHRISMAN RD.APPROX.200'N/0 CARMELO <br /> AVE. <br /> STOCKTON,CA 95204 <br /> - <br /> In <br /> as shown oncewithattached application ruestand sub ect—to ali0t2/20e/200 conditions an permission is hereby granted to do work in County right of way <br /> P d restrictions written below or printed as general or special provisions <br /> J <br /> on any 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 <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of <br /> 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 <br /> California 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 <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> by and at the sole 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 <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. <br /> Special Instructions: SEE ATTACHED SKETCH"***TRAFFIC CONTROL PLAN PER CURRENT MANUAL OF UNIFORM TRAFFIC <br /> CONTROL DEVICE(MUTCD)CALIFORNIA SUPPLEMENT***** <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: $557.00 <br /> FORMS: SS/WW,R-29 By <br /> WHITE Permittee PeImit Section <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK Permit Section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Encroachment Permit <br />