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Internal <br />PERMIT FIELD CHECKLIST <br />PM#:47073638 LOCATION: 6113 MOHICAN DR, MANTECA LAN ID: MRDE Date:6/21/24 <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):4X4X4 <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)