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STATE OF CALIFORNIA <br /> DEPARTMENT OF INDUSTRIAL RELATION <br /> DIVISION OF OCCUPATIONAL SAFETY AND HEALTH <br /> PERMIT No: 2007- 904780 <br /> orMit Issued To <br /> (Insert Contractor/Project Administrator's Name, Address <br /> and Telephone No.) No. <br /> Tafoya & Associates Inc Date 11116/2006 <br /> - <br /> 15471 Central Ave Legion 3 <br /> Chino Hills CA 91710-9107 District 3 <br /> (909)606-6322 Tel. (909) 383-4321 <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 -' -- - --- Permit Valid through <br /> --- — — — — 639 4l9 January 31 , 2008 <br /> Description of Project A — AnticQated Dates <br /> Location — City and County --- -- <br /> - - --- - - -- -.----- g - --Completion <br /> Various Statewide <br /> Nov 16, 2006 Jan 31, 2008 <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 ail 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 empioyer 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 - - By-.. - — -- <br /> Received <br /> Adie R Tafoya Permit Unit investigated by - 5af <br /> - - -.__ __----- - - . nem Date <br /> �] Cash Amount Late- . !'/"Xj'��'"__Y� <br /> Check 13620 $100.00 11/16/06 Approved by _ ,_---_^-_--`- _ - 11/17/2006 <br /> - -- ------.---- _.--- District Manager/Permit Unit Date <br />