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Dos Reis Ranch Inc <br /> 7000 S Inland Dr <br /> Stockton, CA 95206 <br /> PERMIT TO ENTER <br /> CONSET FOR MONI ORING WELL(S) ABANDONMENT WORK ON PROPERTY <br /> I, r QI A196k1ease 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. Intended work is expected <br /> to take 1 day.The City will provide a copy of the well abandonment permit(s) issued by the San Joaquin <br /> County Environmental Health Department, if requested. <br /> The City of Lathrop and its representatives will give reasonable notice before conducting any activities <br /> on the property as to minimize disruptions or inconvenience to the owner's operation. <br /> The rights and privileges hereby granted to the City may,at the option of the City, be exercised by any <br /> authorized agent or contractor. It is understood and agreed that the City or its agents will leave the <br /> premises in a clean and orderly condition, and will repair, replace, or compensate 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 property 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 attorney's fees, arising directly out of <br /> the City's negligent operation or performance under this permit. <br /> City of Lathrop, Permit to Enter Page 1 <br />