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TATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION ENCROACHMENT PERMIT TR -0120 (REV 2198) Perms 1 �1 laoo-6-suL-o37s In compliance with (Check one) ® Your application of MAY 10, 2000 ❑ Utility Notice No of ❑ Agreement No of ❑ R= Contract No of TO GETLER - RYAN INC 3164 GOLD CAMP DRIVE # 240 RANCHO CORDOVA, CA 95670 ATTN STEPHEN I CARTER TEL (916) 631-1300 l and subject to the following, PERMISSION IS HEREBY GRANTED to , PERMITTEE Trench to Install groundwater extraction line to tie Into the City's Industrial waste line at a manhole at the intersection of State Highway 12 and S Pleasant Avenue in the City of Lodi It was understood that permittee will abandon fine after the water treatment is done Abandonment shall be done In accordance with the Department of Water Resources standards In accordance with General Provision No 6, TWO WORKING DAYS PRIOR to the start of this work, permittee shall notify the State representative MARCEL DE LA CRUZ, P 0 Box 2048 Stockton, CA 95201, (209) 948-3656 All work under this permit must meet with the approval of the State representative Failure on the permittee's part to comply with any provision will be cause for revocation of this permit IMMEDIATELY FOLLOWING COMPLETION OF WORK PERMITTED HEREIN, PERMITTEE SHALL FILL OUT AND MAIL NOTICE OF The following attachments are also included as part of this permit (Check applicable) a -SJ -12-17 03 ® Yes ❑ No Review ® Yes Da le No MAY 19, 2000 ❑ Yes Fee Paid Deposit S $ 350 Performance Bond Amount (1) Payment Bond Amount (2) Special Provisions T, 182 ❑ Yes Bond Company No Bond Number (1) Bond Number (2) , PERMITTEE Trench to Install groundwater extraction line to tie Into the City's Industrial waste line at a manhole at the intersection of State Highway 12 and S Pleasant Avenue in the City of Lodi It was understood that permittee will abandon fine after the water treatment is done Abandonment shall be done In accordance with the Department of Water Resources standards In accordance with General Provision No 6, TWO WORKING DAYS PRIOR to the start of this work, permittee shall notify the State representative MARCEL DE LA CRUZ, P 0 Box 2048 Stockton, CA 95201, (209) 948-3656 All work under this permit must meet with the approval of the State representative Failure on the permittee's part to comply with any provision will be cause for revocation of this permit IMMEDIATELY FOLLOWING COMPLETION OF WORK PERMITTED HEREIN, PERMITTEE SHALL FILL OUT AND MAIL NOTICE OF The following attachments are also included as part of this permit (Check applicable) for ® Yes ❑ No Review ® Yes ❑ No General Provisions ❑ Yes ® No Utility Maintenance Provisions ® Yes ❑ No Special Provisions T, 182 ❑ Yes ® No A Cal OSHA permit required prior to beginning work In addition to tee ine permittee win ue Mumu actual costs for ® Yes ❑ No Review ® Yes ❑ No Inspection ® Yes ❑ No Field Work (If any Caltrans effort expended) ❑ Yes ® No The information in the environmental documentation has been reviewed and is considered prior to approval of this ermit This permit is void unless the work is complete before NOVEMBER 30, 2000 This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized No project work shall be commenced until all other necessary permits and environmental clearances have been obtained 1 Permittee APPROVED 1 -Fite 3 M DE LA CRUZ MARK LEJA, District Director 8Y r Pete � FRANKLIN L WEISHAAR, JR, District Permit Engineer FM 91 1436