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PERMIT FIELD CHECKLIST <br />PM#: 46171326 LOCATION: 5144 CARMELLIA ST, STOCKTON LAN ID: MRDE Date: 4/5/24 <br />PROJECT TYPE: New Business El Leak® Corrosion❑ <br />G4E❑ Emergency❑ Other[]: <br />• If emergency, is work completed already? Yes❑ <br />No® (Date)? <br />AGENCY: City❑ County® CalTrans❑ Other❑: <br />EXCAVATION DIMENSIONS (W x L x D): 4X4X4 <br />PAVEMENT REMEDIATION: Asphalt® Concrete❑ Both❑ No Paving❑ <br />• Sidewalk Closure Required? Yes <br />No® <br />• Bike Lane Closure Required? Yes El <br />No® <br />• Street Closure Required? Yes El <br />No® <br />• Lane Closure Required? Yes® <br />No❑ <br />• Parking Closure Required? Yes El <br />No® <br />• Any Restriping Required? Yes <br />No® <br />• Traffic Signal Loop Involved? Yes <br />No® <br />• No Parking Signs Needed? Yes <br />No® <br />• Other Traffic Impacts? <br />• Other Comments? <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, <br />NEAREST CROSS STREET, CURB OR LANDMARKS) <br />do <br />5 <br />searched for �. to • • <br />T? nothing found \ r <br />4X4 BELL HOLE �. <br />wa AT EOO P <br />r <br />Internal <br />