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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS <br /> w =� P.O.BOX 1810-1810 HAZELTON AVENUEEP No: EP-01 RO CC <br /> STOCKTON CALIFORNIA 95201 Date Issued: 04!09!2001 <br /> i C�[I.Fid (209)468-3000 <br /> FAX#(209)468-9324 Expiration Date: 0511512001 <br /> Job No: 11005 <br /> ENCROACHMENT PERMIT UR/CR/PM NO: CR 013652 <br /> i To: WESTERN GEO-ENGINEERS ErKmachment Type: INSTALL ONE MONITORING WELL <br /> 1386 EAST BEAMER ST_ Location: W!S MISSION AVE. 61.5'SIO THE SOUTHWEST <br /> CORNER OF MISSION AVE.AND COUNTRY CLUB <br /> WOODLAND,CA. 95776.6003 BLVD. <br /> In compliance with your request of 03/20/2001 ,permission is hereby granted to da work in County right of <br /> way as shown on attached application�u5jecTto s e erms,condtltons 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(bonder)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 <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 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 Pere-kittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein,.all debris,Iumber,barricades,or any excess material shall be removed and the jobsite left in a <br /> neat workmanlike manners tmeediately following completion of construction permitted herein,Lfffi, r y,.� ,. �► y <br /> Special instructions: <br /> MANUEL LOPEZ, Director <br /> Department of Public Works <br /> Est. Permit Fee: 1$113.00 <br /> FORMS: SS/WW By <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> 1 PINK -Permit Section <br /> i <br /> A -cssTennits%FortnsNEneroachment Pernrit Revised 07/2000 <br />