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Environmental Health - Public
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3500 - Local Oversight Program
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PR0544589
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Last modified
6/21/2019 6:08:48 PM
Creation date
6/21/2019 9:31:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544589
PE
3528
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
02
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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COUNTY OF SAN JOAQUIN _ <br /> tpUtN� <br /> /� r, DEPART MFiNT OF PUBLIC WORKS <br /> P.O.BOY 1810-1870 HAZELTON AVENUE <br /> EP No: E P 05 97CC <br /> — — <br /> �` — <br /> `z` STOCKTON CALIFORNIA 952f}1 Date Issued: 05,113/2005 <br /> - <br /> � ' (209)469-3000 <br /> E nation D e <br /> p' 0615200 <br /> / FAX# 209)468-9324 - ------- _ — <br /> Job No: �I 100 — <br /> ENCROACHMENT PERMIT UE/CR1PM NO: CR <br /> To: ADVANCED GEOENVIRONMENTAL,INC Encroachment Type: SOIL BORING <br /> —.--- <br /> 83"7 SIfAW ROAD Location: iN/S ROSELAWN.1vF.N-LSE 60'E/O MISSION ROAD <br /> STOCKTON,CA. 95215 <br /> In compliance with your request of 04/13/2005 !permission is hereby granted to do work in County right of way as <br /> shown on attached application and subjeef10 al-thee ernes,condi rr�s anc cress rictions written below or printed as general or special provisions on any <br /> 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 to depth <br /> of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground utility facilities <br /> are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California <br /> Division of Industrial 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 pedestrian or <br /> automobile traffic. All necessary traffic convenience and warning devices and personnel shall be provided.placed and maintained by and at the sole <br /> expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> Aifer completion of the work permitted herein,all debris,lumber,barricades,or any excess material shall be removed and the jobsite left in a neat <br /> workmanlike manner. Immediately following completion of constriction pennitted herein,Permittee shall fill out and mail notice of completion <br /> provided by Grantor. <br /> Special Instructions: <br /> �I <br /> THOMAS R. FUNN, Director <br /> _ Department of Public Works <br /> Est. Permit Fee. $160.00 <br /> FORMS: �SS/WW; R-29 By <br /> WHITE -Permittee Permit Section <br /> GOLDENROD PWD Central File <br /> YELLOW Field Inspection PW 27 <br /> PINK Pemnit Section <br /> yccesslPennitsTonns'-Encroactnnent I'm it Revised 07,2000 <br />
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