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FIELD DOCUMENTS FILE 2
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0505513
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FIELD DOCUMENTS FILE 2
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Last modified
6/20/2019 3:43:40 PM
Creation date
6/20/2019 2:52:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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S SRVOZ'�DO I <br /> „l COUNTY OF SAN JOAQUIN 9 <br /> V DEPARTMENT OF PUBLIC WORKS <br /> `•`1 (� V P.O.BOX 1810-1810 HAZELTON AVENUE , <br /> N l �C— V El No: EP-O 1 197 CC <br /> STOCKTONCALiFORNIA95201 <br /> Date Issued: 08/02/2001 <br /> (209)468-3000 <br /> �. AUG 2 2001 FAX#(209)468-9324 Expiration Date: 09/01/2001 <br /> • OR `p 0-2001 <br /> Job No: 1.1005 <br /> ENvsROi�t4lEl�, l-l�A 'NCROACHMENT PERMIT UE/CR/PM NO: <br /> •� {T/S�.R�IG� <br /> To: GETTLER-RYAN INC. Encroachment Type: INSTALL ONE'MONITORING WELL <br /> 6747 SIERRA COURT,SUITE J Location: N/S OF ELMWOOD AVE.15 FEET W/O PERSHING AVE. <br /> DUBLIN, CA 94568 <br /> In compliance with your request of ' 7(11/01 ,permission is hereby granted to do work in County right of <br /> way as shown on attached application and sut)jcct to all the cnns,a ns and restrictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet,if any. <br /> Trench excavations for service connections will not be permitted within ten feet(10')of pavement centerline unless otherwise approved by the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All <br /> underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not <br /> from right of way(border)lines. <br /> I <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within <br /> the County right of why. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by <br /> the California Divisiidri oflndustrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which might be a hazard to either <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided,placed and <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTR ANS Manual of Traffic Control <br /> I <br /> After completion of the work permittedherein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Phrmittee shalt fill out and mail'notice of j <br /> :completiomprovided..by Grantorl� j <br /> Special Instructions: <br /> I <br /> , <br /> MANUEL LOPEZ, Director � <br /> I <br /> Department of Public Works <br /> Est.Permit Fee: $128.00 p I <br /> FORMS: SS/WW BY <br /> WHITE ., -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> i <br /> YELLOW -Field Inspection PW 27 <br /> PINK -Pem»t Section <br /> Access\Pcnvits\Fornis\Encroaclmrent Permit Revised 07/2000 <br /> 'I <br />
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