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PERMIT FIELD CHECKLIST <br />PM#: 47180104 LOCATION: 3322 MICHIGAN AVE, STOCKTON LAN ID: MRDE <br />PROJECT TYPE: New Business El Leak© Corrosion❑ <br />G4E❑ Emergency❑ Other❑: <br />• If emergency, is work completed already? Yes❑ <br />No❑X (Date)? <br />AGENCY: City❑X 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 El <br />No© <br />• Bike Lane Closure Required? Yes El <br />No© <br />• Street Closure Required? Yes El <br />No❑X <br />• Lane Closure Required? Yes <br />No❑ <br />• Parking Closure Required? Yes El <br />No❑X <br />• Any Restriping Required? Yes El <br />No© <br />• Traffic Signal Loop Involved? Yes El <br />No© <br />• No Parking Signs Needed? Yes© <br />No❑ <br />• Other Traffic Impacts? <br />• Other Comments? <br />Date:6/10/25 <br />LOCATION (INCLUDE DIMENSIONS FROM PROPERTY LINE, NEAREST CROSS STREET, CURB OR LANDMARKS) <br />40 <br />