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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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Apr 17 01 12: 52p V; aed Customer- „ .. -. 20 -`168-9324 p. 1 <br /> ISI <br /> ."fly COUNTY OF SAN JOAQU IN p X025 gl <br /> 14'�F3-Foc, <br /> DEPARTMEN'r OF PUBLIC WORKS <br /> P.A.BOX 1810-1810IIAl.l'st.'1"t)N AVENUE VP No: F.P-01 84 CC <br /> I <br /> STOC KTON CALIFORNIA 95201 -- <br /> a <br /> Date I.eaucYl:. 04l18/2U01 <br /> cit "rim (209)468-3000 <br /> Expirationllatc: )x/UI/2001 <br /> FAXff(209)468-932 <br /> Job No: <br /> ENCROACHMENT PERMIT urtrc;RIKININL1: fzW;'-( 3790 — 1 <br /> To: GE'1"fLlik RYAN ENC Kneniachnnco Type: I3 SO NGS <br /> 1. <br /> [(747 Si6RRA CT.SLTITIL) I L.ur.uliun: JS Fl MW00 AVG.3 SAIL BORINGS 20,1 10;200 <br /> ....--- - .. _ I• .. . PERSHM AVE. <br /> DUBLIN CA 94569 <br /> In compliances;wit),your request of - 04-16-2()01 permission is hereby ksranlcd to du wink ill County rigltl of <br /> way as shown on attached application anT-Hibjcct to all'"the terms,wn 1 tolls and restrictiolis written below or printed as general or special <br /> provisions on any part ol'this form. See reverse side and attached sheet,i f any. <br /> Trench excavations for service connections will not be permitted within tcti feet(10D of pavement eenterlinc unless otherwise approvedby the <br /> Director. Surliue:of trench patches shall match in kind and be smooth and even with that of abutting surfacc. Spccial attention shall be given <br /> to depth of utilities through roadside arca in anticipation of future drainage facilities,road profile and/or ti•onlagc development. All <br /> underground ulili(y facilities arc to be established and accurately dimensioned on sketches from surveyG(t centcrlinc of road right of way,not <br /> from right of way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall'reo4iv4 n notiw at Icast forty*cight hours prior to ticginnipg any work wilhiu <br /> the County right of way. All work performed under this permit shall conforrtt to the rules and regulations pertaining to safety establisheId by <br /> the California Division of Industrial Safety and Cal-OSHA. <br /> The jobsite shall be kept in a safe condition at all titnes by the daily removal of any excess dirt or debris which might be a hazard to cithcr <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 CALTRANS Manual of"frafTc Control. <br /> A11cr completion of the work permitted herein,pll debris,lumber,barricades,or any excess material shall be removed and the jubsitc lull in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of' <br /> completion provided by Grantor- <br /> Special Inst ructions: <br /> MANUEL LOPEZ, Director <br /> ._._..� Departmenf of Public Work's <br /> Est.Permit Fee: $I13.UU <br /> FORMS: SS/WW _.__...... I By <br /> WHITE -Permittee Permit Scc.lion <br /> GOLDENROD -PWD Central File <br /> YF.I.I )w -Field Inspection <br /> PiNK' .Permit Section PW 27 <br /> AccrsxlPcrmitalFonnelEm-toachment Permit <br /> Revised 0712000 <br />
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