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PERMIT FIELD CHECKLIST <br /> <br />PM#: 45499112 <br /> <br />LOCATION: River rd E of Santa fe Escalon LAN ID: mlz4 Date: 6/21/23 <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? Shoulder closure/lane shift <br />• Other Comments? Dig to install read point on gas transmission casing north side of River rd. 5’ out 100’E of <br />Santa Fe GPS 37.762111 -120.949908 <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, NEAREST CROSS STREET, CURB OR LANDMARKS) <br /> <br />85' <br />8' <br />2' <br />30' <br />ROW <br />ROW <br />EP <br />EP <br />CL