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COUNTY OF SAN JOAQUIN <br /> N wo , <br /> DEPARTMENT OF PUBLIC WORKSP.O.BOX 1810-1810 HAZELTON AVENUE EP No: EP-06 313 SWSTOCKTON CALIFORNIA 95201 <br /> Date Issued: 09/14/2006(209)468-3000 <br /> Expiration Date: '09/30/2006 <br /> FAX#(209)468-9324Job No: 11005� <br /> ENCROACHMENT PERMIT UE/CR/PM E M NO: '*NO FEE_ <br /> To: SUI TIER TRACY HOSPITAL <br /> Encroachment Type: TEMPORARY ROAD CLOSURE <br /> 11420 N.TRACY BLVD. —I Location: INAGLEE ROAD,CORRAL HOLLOW ROAD,LAMMERS <br /> I D.,REEVES RD.,MIDDLE RD. AND BETHANY ROAD <br /> TRACY,CA.=95376=___ ON 09/30/2006 FROM 6:00 a.m. TO 12:00 p.m. (SEE <br /> ---- — ATTACHED MAP) <br /> J <br /> In compliance with your request of 06/25/2006 I ,permission is hereby granted to do work in County right of way <br /> as shown on attached application and ssuec o chedsheet,s—,if any.tons and restrictions written below or printed as general or special provisions <br /> on any part of this form. See reverse side and alta <br /> Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given to <br /> depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground <br /> utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of <br /> way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the <br /> California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and maintained <br /> by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion provided by Grantor. — <br /> Special Instructions: * NO FEE ENCROACHMENT PERMIT FOR A NON-PROFIT ORGANIZATION. <br /> i II <br /> li <br /> THOMAS R. FLINN,Director <br /> Department of Public Works <br /> Est.Permit Fee: $0.00 ---- <br /> FORMS: /WW —� By <br /> WHITE Permittee Permi ection <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK Permit Section <br /> Revised 07/2000 <br /> Access\Permits\Forms\Encroachment Permit ----- <br />