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STATE OF CALIFORNIA <br /> DEPARTMENT OF INDUSTRIAL RELATIONS <br /> DIVISION OF OCCUPATIONAL SAFETY AND HEALTH <br /> No: 2004-900227 <br /> PERMIT <br /> Permit Issued To <br /> (insert Employer's Name, Address and Telephone No.) <br /> No. <br /> G ettl e r Ryan I rl c I Date 12/8/2003 <br /> 6747 Sierra Ct Ste J Region 1 <br /> Dublin CA 94568-2611 District 4 <br /> (925)551-7555 Tel. (5113) 622-2916 <br /> Type of Permit T1-ANNUAL TRENCH/EXCAVATION <br /> Pursuant to Labor Code Sections 6500 and 6502,this Permit is issued to the above-named employer for the projects described below. <br /> State Contractor's License Number 220793 Permit Valid through December 31, 2404 <br /> Description of Project -� Location Address City and County Antici ated Dates <br /> Startina completion <br /> Various Statewide 1/1/2004 12/31/2004 <br /> or issue date f <br /> iwhichever is <br /> later. <br /> f <br /> I <br /> This Permit is issued upon the following conditions: <br /> 1. That the work Is performed by the same employer. If this is an annual permit the appropriate District Office shall <br /> be notified, in writing, of dates and location of job site prior to commencement. <br /> 2. The employer will comply with all occupational safety and health standards or orders applicable to the above <br /> projects, and any other lawful orders of the Division. <br /> 3. That if any unforeseen condition causes deviation from the plans or statements contained in the Permit Application <br /> Form the employer will notify the Division immediately. <br /> 4. Any variation from the specification and assertions of the Permit Application Form or violation of safety orders may <br /> be cause to revoke the permit. <br /> 5. This permit shall be posted at or near each place of employment as provided in 8 CCR 341.4 <br /> Received From Received By Investigated by <br /> Barry E McCoy Permit Unit Date <br /> [ICash Amount Date <br /> I&ZqTZ�r_ <br /> Approved by _ 12/15/2003 <br /> Cheek 20378 <br /> - $1(}0.00 1218/03 District Manager/Permit Unit Data <br />