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Environmental Health - Public
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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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%wool <br /> COUNTY OF SAN JOAQUIN <br /> DEPARTWNT OF PUBLIC WORKS <br /> P.O.BOX 1810.1810 HAZELTON AVENUE gp Ko; HP-01 32 <br /> sTOCKTON CALIFORNIA 95z01 Date Issued: 2149/2001 <br /> (209)46$•3000 <br /> Ezpi <br /> FAX#(209)4613-9324 ntlen Data 06/01/2001 <br /> Sob No: 111005 <br /> ENCROACHMENT PERMIT UWC"M NO: . CR#013236 <br /> TO: VIWnIMNGE0,BNGINEER Fna*aduomr.Typq BELLHo1,8 <br /> 1386 E BL4 ER ST t oa+tion: SIS OF COUNTRY CLUB BLVD 80180 FEET WEST OF <br /> TKE 93776 <br /> WOt7DLAND C,4 003 SW CORNER OF COUNTRY CLUB AVR ANI? <br /> , s�usaloN Rn. <br /> fo <br /> In oompliarim with your requoot of 01-25.2001 ,permission is hereby granted'to do work in County right of <br /> way as shown on attached application and Mjeci to ail Me terms,conam6no 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 cenneetionr will not be perirtitted within ton feet(10)of pavement centerline unless otlietwise apprbvW by the <br /> Director. 8urfaoa•of trench patches shall match in kind and be smooth and even with that of abutting surface. Spoetal attention shall be given <br /> todepth of utiIW,u through roadside area in anticipation of future drainage f&oilities,road profile an4lgr•frontaga developnxnt. All <br /> underground utility facilities are to be established and gIgcurately dimensioned an sketches ftam surveyed centerline of road right of way,not <br /> from right of way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive anotias at least forty-eight hours prior to beginning any work within <br /> thctounty,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 /> Tlie aobsito shall be kept in a condition at all times by the daily removal of any axoess dirt.or debris which might 6e a hazard to either <br /> pedestrian or automobile traffic. Al I neoesaary traffic convenience and warning devices and personnel shall be provided,VI good ind <br /> maintainod by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual ofTraffic c Control. <br /> After completion of the work permitted herein,all debris,lumber,barricades•or any exoeas material shall be mmo..r: .the jobsite left in a <br /> neat workmanlike manner. immediately following completion of construction permitted herein,w;t i fll <br /> Ql'a Wi <br /> Special Instructions: <br /> MANUEL LOPEZ, Director <br /> ' Department of Public Works <br /> Est.Permit Fac: �113.00 <br /> FORMS: SS/WW By <br /> WHM -Permittee Permit Uction- <br /> GOLDENROD -FWD Contra]File <br /> YELLOW -Field tn*ewon PW 27, <br /> FENK •Pamir Saaian <br /> AeoenUW mhsTcnnslEnaoadwwA Perno i Revised 0712DD0 <br /> Tii2 d ELZO-299—BES-303M—'9N3-039`1S3M 9E:SZ TO; ET E3A <br />
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