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Alice Widmer <br /> 12375 Droge Rd <br /> Escalon,CA 95320 <br /> PERMIT TO ENTER <br /> CONSENT FOR MONITORING WELL(S)ABANDONMENT WORK ON PROPERTY <br /> I, (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 /> overdrliling 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 an 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 /> • Ali 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 />