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STATE OF CALIFORNIA• DEPARTMENT OF TRANSPORTATION f <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV 2198) r Permit No <br /> • 1003-65V-0035 <br /> DisVCo1Rte1PM <br /> In compliance with (Check one) <br /> 10-SJ-12-18 13 <br /> ® Your application of JANUARY 13, 2003 <br /> Date <br /> ❑ Utility Notice No of JANUARY 23,2003 <br /> Fee Paid I Deposit <br /> ❑ Agreement No of $ $320 00 <br /> Performance Bond Amount(1) Payment Bond Amount <br /> ❑ RIW Contract No of $ $ <br /> Bond Company <br /> Bond Number(1) Bond Number(2) <br /> TO' <br /> CAMBRIA ENVIRONMENTAL TECHNOLOGY <br /> 114465 1h STREET, SUITE B <br /> OAKLAND, CA 94608 <br /> ATTN AUBREY COOL <br /> TEL (510)420-3336 <br /> I <br /> PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to <br /> Install two monitoring wells Inside the Park and Ride along the southerly side of State <br /> Highway 12 and easterly of State Route 99 in the City of Lodi The monitoring wells will <br /> be completed with a two inch schedule 40 PVC pipe The monitoring wells shall be <br /> done as shown on the attached typical monitoring well construction, and located as <br /> shown on the attached location plan for MW-8 and MW-9 Installation shall be done on <br /> weekend or on holiday Monitoring can be done at any day and time Permittee shall <br /> request for extension of permit when monitoring goes beyond expiration date <br /> In accordance with General Provision No 6, TWO WORKING DAYS PRIOR to the start <br /> of this work, Permittee shall notify the State Representative MARCEL DE LA CRUZ, <br /> The Following attachments are also included as part of this permit In addition to fee,the permittee will be billed <br /> (Check applicable) actual costs for <br /> ® Yes ❑ No General Provisions ® Yes ❑ No Review <br /> ❑ Yes ® No Utility Maintenance Provisions ® Yes ❑ No Inspection <br /> ® Yes ❑ No Special Provisions ® Yes ❑ No Field Work <br /> ❑ Yes ® No A Cal-OSHA permit required prior to beginning work, <br /> # (If any Caltrans effort expended) <br /> Yes ® NO The information in the environmental documentation has been reviewed and is considered prior to approval of this <br /> permit <br /> This permit is void unless the work is completed before JULY 31, 2003. <br /> This permit is to be stnctly construed and no other work other than specifically mentioned is hereby authorized <br /> No project work shall be commenced until all other necessary pe its and environmental clearances have been obtained <br /> 1 -Permittee APPROVED <br /> 1 -File <br /> 3-M DE LA CRUZ <br /> MARK LEJA, District Director <br /> BY <br /> PeteCrct P it En ineer <br /> FM 91 1436 <br />