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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0543389
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/1/2018 8:34:38 PM
Creation date
11/1/2018 10:32:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543389
PE
3528
FACILITY_ID
FA0004512
FACILITY_NAME
MAJOR STATIONS
STREET_NUMBER
1235
Direction
E
STREET_NAME
ALPINE
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11533055
CURRENT_STATUS
02
SITE_LOCATION
1235 E ALPINE AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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l_K(. r-f[vif umiienLdi IV - f IL4 -4+tU C>LII <br /> f <br /> f `01 <br /> E.P. No. 95-139-NS <br /> COU 'TY OF SAN JOAQUIN <br /> w :< 5--23-95 <br /> ' n <br /> IOWNARTMENT OF PUBLIC WORKS <br /> M.t=1910.1410 E.Nota AVEMN f Date Issued) <br /> s'> * +�++�fe9 FORM oszu,"Ejqv MM 5-24-95 <br /> nn# (Expiration Date) <br /> °'" <br /> H�1fi9Y M. reireaTA �Nvp ��+��+��EN� �������e;°'°" 11045 <br /> (Job No.) <br /> *roe Trevor Santochi Encroachment type: Monitoring Well <br /> 17875 Von Karmen, Sts. 200 <br /> Irvine, CA 92714 Location; w/o West Lane 200' n/o Alpine Ave. <br /> and nw/Corner Alpine Avenue bC <br /> Weat Lane <br /> in compliance with your request of 5-22 , 19 45_ . permission is hereby <br /> granted to do work in County right of way as shun on attacked application and subject to <br /> all the terms, ognditions and rest;xictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet, if any_ <br /> Trench excavations for service connections will nat be permittad within ten feet (101) <br /> of pavement centerline unless otherwise approved by the Mract:or. Surface of trench patches <br /> shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drain- <br /> age facilities, road profile rind/or frontage developpvtnt. All underground utility facili- <br /> ties are to bre established and accurately dimensioned on sketches from surveyed, centerline <br /> of road right: Of way, not from right of way Rborder) litres. <br /> The Department of Public Works, Field inspection Section shall receives a notice at <br /> .east forty-eight (98) hours {prior to beginning any work within the county right of way. <br /> hll work performed under this permit shall conform two the rules and regulations pertain- <br /> ing to safety established by the 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 <br /> any excess dirty or, debris which might be a hazard to either pedestrian or automobile <br /> traffic. All necessary traffic convenience and warning devices and parKonnel shall be <br /> provided. placed and maintained by and at the sole expense of the Permittee in accordance <br /> with the latest edition of the CALTR MS Manual of Traffic Control. <br /> After Qvapletion of the work permitted herein, all debris, luttiber, barricades, or any <br /> excess material shall be removed and the jobsite ,left in a neat workmanlike manner. <br /> Immediately following 4o=pletlon of construction permitted herein. Permittee shall fill <br /> out and mail notice of completion provided by Grantor. <br /> Est. Permit Pee: <br /> FORMS- SS1W l,R-29,Trsffic Coat:rvl HENRY M. WkATA, Director <br /> ""~-- Department of Pu I forks <br /> WHITE •- Permittee gy <br /> GOLDEnRm - ?WD Central File permit Section <br /> YELTDW - Fiald Inspection <br /> PINK - Permit Section <br /> VW '77 <br />
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