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Califia LLC <br /> 73 W Stewart Rd <br /> Lathrop, CA 95330 <br /> PERMIT TO ENTER <br /> CONSENT FOR MONITORING WELL(S) ABANDONMENT WORK ON PROPERTY <br /> I, �C1,tJ �A, S �� (please PRINT name), provide permission to the City of Lathrop, <br /> its employees,agents, contractors,and other authorized representatives to enter in,over, and upon my <br /> property for the sole purpose of conducting monitoring well abandonment work consisting of <br /> overdrilling the existing well, removing all material,and sealing the borehole. I tended work is expected <br /> to take 1 day.The City will provide a copy of the well abandonment permit(s) is 5ued by the San Joaquin <br /> County Environmental Health Department, if requested. <br /> The City of Lathrop and its representatives will give reasonable notice before c nducting any activities <br /> on the property as to minimize disruptions or inconvenience to the owner's ope ration. <br /> The rights and privileges hereby granted to the City may, at the option of the Cily, be exercised by any <br /> authorized agent or contractor. It is understood and agreed that the City or its gents will leave the <br /> premises in a clean and orderly condition,and will repair, replace, or compensa a for any existing <br /> improvements that are damaged during the course of work. <br /> Project team members and the project consultant have been thoroughly instructed in proper field <br /> procedures and conduct. The following rules will be followed: <br /> • Property owners will be given at least 48 hours' notice by telephone or mail prior to entry. <br /> Please note that your telephone number is requested on page 2 of this Permit. <br /> • Gates will be left as they were found. <br /> • No pets or firearms will be permitted. <br /> • Smoking will not permitted on the property. <br /> • No trash or other evidence of field visits will be left on the property. <br /> • All field staff will carry identification. <br /> • Vehicle speeds will be kept to five(5)miles per hour on unpaved roads in agricultural properties <br /> to minimize dust. <br /> Owner is welcome to accompany or observe any of the crews working on their droperty at any time. <br /> The City agrees to indemnify, defend, and hold the undersigned parties harmless from and against any <br /> and all loss, liability,expense,claims,costs,suits,damages,and attorneys fees,arising directly out of <br /> the City's negligent operation or performance underthis permit. <br /> City of Lathrop, Permit to Enter Page 1 <br />