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PERMIT FIELD CHECKLIST <br /> <br />PM#: 45594289 <br /> <br />LOCATION: 2428 LUCILE AVE, STOCKTON LAN ID: NRD2 Date: 1/13/23 <br />PROJECT TYPE: New Business☐ Leak☐ Corrosion☒ G4E☐ Emergency☐ Other☐: ____________ <br />· If emergency, is work completed already? Yes☐ No☐ (Date)? ____________ <br />AGENCY: City☐ County☒ CalTrans☐ Other☐: ____________ <br />EXCAVATION DIMENSIONS (W x L x D): 4’x4’x4’ <br />PAVEMENT REMEDIATION: Asphalt☒ Concrete☐ Both☐ No Paving☐ <br />· Sidewalk Closure Required? Yes☐ No☒ <br />· Bike Lane Closure Required? Yes☐ No☒ <br />· Street Closure Required? Yes☐ No☒ <br />· Lane Closure Required? Yes☒ No☐ <br />· Parking Closure Required? Yes☐ No☒ <br />· Any Restriping Required? Yes☐ No☒ <br />· Traffic Signal Loop Involved? Yes☐ No☒ <br />· No Parking Signs Needed? Yes☐ No☒ <br />· Other Traffic Impacts? ____________________________________________________________________ <br />· Other Comments? _______________________________________________________________________ <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, NEAREST CROSS STREET, CURB OR LANDMARKS) <br /> <br /> <br />EP <br />EP <br />CL <br />CL <br />ROW <br />ROW <br />12' <br />13' <br />260' to Don Ave <br />4' x 4' bell hole <br />Lucile Ave