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ARCHIVED REPORTS XR0006589
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1403
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2900 - Site Mitigation Program
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PR0505513
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ARCHIVED REPORTS XR0006589
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Last modified
6/21/2019 4:13:52 PM
Creation date
6/21/2019 9:04:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006589
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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� f <br /> � 4 <br /> gnU COUNTY OF SAN JOAQUIN <br /> ue' � <br /> DEPARTMENT OF PUBLIC WORKS <br /> P O BOX 1810-1810 HAZELTON AVENUE EP No EP-01 $4 CC STOCKTON CALIFORNIA 95201Dateissued 04/18/2001 <br /> (209)468-3000 <br /> FAX#(209)468-9324 Expiration Dare 08/01/2001 <br /> Job No 110p5 <br /> ENCROACHMENT PERMIT UWCR/PM NO CR#013790 <br /> To GETTLERRYAN INC I Encroachment Type 13 SOIL BORINGS <br /> 6747 SIERRA CT SUITE J Location S/S ELMWOOD AVE 3 SOIL BORINGS Q 20,110,200 <br /> FEET WEST OF PERSHING AVE <br /> DUBLIN CA 94568 <br /> In compliance with your request of 04-16-2401 ,permission is hereby granted to do work in County right of <br /> way as shown on attached application and subject o a e erms,conditions 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)Innes <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 way All work performed under this permit shall conform to the rules and regulations pertaining to safety established by <br /> the California Division of Industrial Safety and Cal-OSHA <br /> The lobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which rrught 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 CALTRANS Manual of Traffic Control <br />---- After completion-of the work permitted herein,,-oil debns,Lumber,barricades,-or any excess material shalt be removed and the;obsite left 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!Instructions- <br /> MAN UEL LOPEZ, Director <br /> Department of Public Warks <br /> Est Pernut Fee IS 113 00 <br /> FORMS jSSfWW By e4��Z Z� <br /> WHITE -Pemnttee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> • PINK -Permit Section <br /> AccesslPemutslFormslEncroachmerit Permit Revised 0712000 <br />
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