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2900 - Site Mitigation Program
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PR0542421
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Last modified
6/21/2019 12:16:08 PM
Creation date
6/21/2019 10:01:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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COUNTY OF SAN JOAQUIN <br /> .•�� DEPARTMENT OF PUBLIC WORKS <br /> P-O-BOX 1610-1210 HAZELTON AVENUE gp No EP OI 33 <br /> ■ ST'OCKTON CALIFORNIA 93201 <br /> (249)469-3000 bate Lme& 2;09;2001 <br /> FAX*(209)468-9324 Expi,atian Date 101/2001 � <br /> Job No: 11200s — <br /> ENCROACHMENT PERMIT WC"M NO: 1#013M <br /> To: WESTERN olio,ENOINUAS EnlxeattsA►a�n Typ<: BELL xo1.e <br /> 11396F.IBEAMERST laation WI5 OF MISSION RD.20.100 FEET SOUTH OF THE SW <br /> WOODLAND CA 9377&6003 CORNER OF COUNMY CLUB BLVD AND MISSION RD. <br /> �- <br /> _ DDz g I <br /> In.00mplianoe with your request of 01-25-2001 ,permission is hereby granted to do work in County right of <br /> wayde ehown-on attpched application am SUDjact to ail tfic terms,con r ons 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 tat be permitted within ten feet(I(y)of pavement centerline unless otherwise approved by the <br /> 70reetat. Surface of trenoh patches shall•match in kind and be smooth and even with that of abutting surbac. Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage devc1oprnent, All <br /> undcrgrour4utility'Atcilides are to be established and accurately dimensioned on sketehcs from surv6ea centerline of road right of way,not <br /> from light-of v6sy(border)lines. <br /> The Vapartrrmnf of Public Works,Field Inspection Section&hall receive a notice at laser forty6eight hours prior to beginning any work within <br /> the County doth of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by <br /> the.Califxnia Division ofIndustriai Safbty and Cal-OSHA. <br /> The jobsiie shall be kept in a safe condition at alk times-by the daily removal of any excess dirt or debris which might be a hatard to either• <br /> pedeitriae or automobile traffic. All newmary o ffae convenience and warning devices and parsorutel'shall be provided,piaoad'and <br /> maintained by and at the sole expanse-of the Perntittee tri Sboorddnoe with the Iatest edition of the CALTRANS Manual of Trafflo Control. <br /> After completion of the vmrk pertnittad herein,all debris,lumber,barrioedes,or any excess tJ r ire le in a <br /> 1*10 <br /> MIMI <br /> fbllowing completion of construction pe miffed herei <br /> Y 'py ,tor. �4 <br /> Special Instructions: <br /> K NUEL LOPEZ, Director <br /> Department of Public'Works <br /> Est Permit Fee: IS 113.00 <br /> FORMS: SSIwW By A�i <br /> wam -I'mnittee Permit section <br /> GOLD OD -PWD Central File. <br /> YELLOW -Feld hmpwiion <br /> PW 27 <br /> PINK -Permit section <br /> AnarlPrrmirslForrualEnaroaclresson ftmdt Revind 07/2440 <br /> TTi9'd E2-20-299–OSS-393M–'91J3-039`1S3M BEST To, ET E33 <br />
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