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STATEWIDE SAFETY <br /> 7920 CUCAMONGA AVE. <br /> SACRAMENTO, CA 95826 <br /> PH (916)452-4855 <br /> FAX(916)452-9322 <br /> TRAFFIC CONTROL PLAN QUESTIONNAIRE <br /> 1. COMPANY NAME: PACIFIC GAS& ELECTRIC CO. <br /> NAME: JIM FISICARO <br /> ADDRESS: 4040 WEST LANE, STOCKTON, CA 95204 <br /> PHONE NUMBER: (209)942-1780 <br /> FAX NUMBER: (209)942-1747 <br /> CELL CONTACT NUMBER: (209)323-9091 <br /> PG&E FOREMAN Stephen Lawson (530)575-5880 <br /> 2. DO YOU HAVE A ACCOUNT WITH FSC: XX YES NO <br /> 3.WHO IS THE OWNER OF THE ROADWAY? <br /> (LE CITY, COUNTY,STATE ...) CITY OF TRACY <br /> 4. WHAT IS THE JOB NAME AND PROJECT NUMBER? <br /> TOWER RAISING PROJECT KASSON/LAMMERS&TESLA/SCHULTE 115KV PM 30764695 <br /> 5. WHAT IS THE LOCATION AND NEAREST CROSS STREETS? <br /> TOWER 10/108 W/S STONERIDGE DR.S/0 GRANT LINE RD., BANTA <br /> NEAR ADDRESS 4003 STONERIDGE DR <br /> 6. DO YOU HAVE ANY SITE PLANS? <br /> (PLEASE ATTACH) SEE ATTACHED PRINTS 11" x 17" <br /> 7. WHAT ARE THE PROPOSED WORK HOURS? 7:00 AM -4:00 PM DATE TBD <br /> 8.WHAT IS THE SPEED LIMIT IN THE WORK AREA? 30 MPH <br /> 9. HOW MANY LANES IN EACH DIRECTION? 2 <br /> 10.WHAT ARE THE WIDTH OF THE LANES? 15' <br /> 11. IS THE PROJECT NEAR A SIGNALIZED INTERSECTION? NO <br /> 12. ARE PEDESTRIANS OR BICYCLISTS GOING TO BE EFFECTED? NO <br /> 13. IS THE MEDIAN IN OR NEAR THE WORK AREA? N/A <br /> 14. IS THE MEDIAN RAISED OR PAINTED? N/A <br /> 15. PLEASE GIVE DESCRIPTION OF WORK TO BE PERFORMED: CREWS WILL USE A CRANE <br /> PERFORM WORK ON TOWER 10/108. CRANE WILL BE SET UP ON W/S STONERIDGE DR. <br /> STATEWIDE SAFETY WILL SET UP WORK SITE PROTECTION FOR TRAFFIC CONTROL <br /> 16. IN WHICH LANE IS THE WORK TO BE PERFORMED? CRANE WILL BE SET UP ON <br /> THE WEST SIDE OF STONERIDGE DR.. ONE LANE OF TRAFFIC WILL BE OPEN TO PUBLIC <br /> 17. HOW SOON DO YOU NEED THE TRAFFIC CONTROL PLAN? BY 10/13 <br />