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1810 East Hazelton Avenue | Stockton, California 95205 | T 209 468 3000 | F 209 468 2999 <br />Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />Department of Public Works <br />Fritz Buchman, Director <br />Alex Chetley, Deputy Director – Development <br />Kristi Rhea, Deputy Director - Administration <br />David Tolliver,Deputy Director - Operations <br /> Najee Zarif, Deputy Director - Engineering <br />Acknowledgement of Monument Preservation <br />I, ___________, a duly Licensed Land Surveyor or a Professional Engineer <br /> (Please print) <br />authorized to perform Land Surveying in the State of California, Registration <br />No.____________, hereby acknowledge and accept all responsibility for the monument <br />preservation as required per Section 8771(a-f) of the Business and Professions Code within <br />the bounds of the construction activity permitted by San Joaquin County Permit <br />No._____________. <br />I further acknowledge that I am hereby responsible for the Acknowledgement of Monument <br />Preservation prior to final acceptance of the construction activity. <br />_____________________________ <br />Signature Seal <br />_____________________________ <br />Date <br />PS-MONUMENT PRESERVATION <br /> Survey Monuments Found – Post Acknowledgment/ <br /> Corner Record to follow. <br /> No Survey Monument Found.