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APPLICATION FOR ENCROACHMENT PERMIT <br /> PLEASE PRINT: <br /> Date March 24, 2010 OFFICE USE ONLY <br /> To- San Joaquin County JOB# !/ -- REF# <br /> Department of Public Works APN _ CR# <br /> EXP.DATE 2oio <br /> Jamar Enterprises VALID 3 2 2.,0 TO T 2a/o DRIVEWAYS: <br /> (Applicant Name) STREET Q,M $t', I ' <br /> AREA cy QUAD ji�5 <br /> 4075 E. Main St TYPE A!2—A& s <br /> (Mailing Address) FORMS --- <br /> NOTES ,ter- '✓ <br /> Stockton, CA 95215-6726 <br /> (City,State,Zip Code) <br /> (209) 464-8707 <br /> (Area Code-Telephone Number) <br /> Sketch(Detailed plans may be submitted) <br /> Location of vena+ <br /> �"" <br /> `O � ''s'' monitoring wells <br /> to be used for <br /> c Mac ozone injection <br /> co <br /> This work is being completed <br /> 7,WW7A <br /> under contract by <br /> � ATC Associates <br /> 1117 Lone Palm Ave Suite 201 <br /> uw�eM` i Modesto, Ca 95351 <br /> 209) 579-2221 <br /> �- VACANT LOT <br /> 1 , <br /> The undersigned hereby applies for permission to excavate, construct and/or otherwise encroach on County Hiahwav Riaht-of-Way on <br /> the south side of E. Main Street(in front of 4100 E. Main)approximately 25 feet east <br /> of the intersection of E. Main with Oro Streets. ,by performing the following work(description of work): <br /> A TC Assnriate.,;z is der contract to rondurt a gmrmdw;#Pr remediation Pffort th rPc alt of an (laderground StnragP <br /> Tank Leak at 4075 E. Main in Stockton Ca. This remediation effort is beina directed by the San Joaquin Countv Environ- <br /> mental Health Department. Part of the current remediation effort involves injecting ozone gas into the ground water via <br /> the previously installed monitoring wells in the sidewalk/roadway in county right-or-way in front of 4100 E. Main Street <br /> oc on, <br /> Work will commence on or about-March 20. 2010 (subject to permitting) for approximately 9-12 days (3-4 per month) days. <br /> over 3 months <br /> I,the undersigned,certify that I am the owner of the respective property, or am qualified to represent the owner and agree to do the <br /> work described above in accordance with the rules and regulations of San Joaquin County and subject to inspection and approval. <br /> Michael D. Sonke Project Manager ATC Assoc March 16, 2010 <br /> Signature of Applicant.. Title Date <br /> _O,,.-.. Yl('hRS:TFN I-N:,'F:Jlti ft.'4'{t 11.7';."P;'.'9 ON DA, :.0:. <br />