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FIELD DOCUMENTS FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2103
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3500 - Local Oversight Program
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PR0544591
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FIELD DOCUMENTS FILE 1
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Last modified
6/21/2019 2:26:57 PM
Creation date
6/21/2019 11:30:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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MAR-15-1995 13:27 S.J. COUNTY PUBLIC WORKS 209 460 2999 P.01 <br /> TO <br /> From <br /> CWPM ;1 elr <br /> LoraonFax <br /> Der-Cha n' <br /> p <br /> (l /� O?'/Tl'PhFax 9 TelaPhwe 9 <br /> commmts <br /> pgmI 1El Destroy Rsnm F-1 Car tar DSP <br /> t D�Ecn: <br /> RECEIVED <br /> MAR 16 1995 <br /> �3 ENVIRONMOTAL HEALTH <br /> P RWIT/SERVICES <br /> PQu,M <br /> COPY E.Y. No. 95-050—CC <br /> r' COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS 3-15-95 <br /> R.O.fox roto - tato F.WELTON AVEWE (Date Issued) <br /> STOO(TON,CAUFORNA SWO i <br /> rt 6,1k <br /> coal.69.3= 5-1-95 <br /> HENRY M, NIRATA NCROACFIMENT PERMIT (Expiration Date) <br /> OUEC rOe <br /> 11005 <br /> (Job No. ) - <br /> I <br /> To: Terra Vac I Encroachment t <br /> 14798 Wicks Blvd. ype: Monitoring Well <br /> San Leandro, CA 94$77 Location: w/s Franklin Ave. 20' <br /> 1 s/o E1Tawood Ave. <br /> In compliance with yQQIur request of 3-14 19 95 permission is hereby <br /> granted to do work in Cou;ty right of way as shown on attached application and subject to <br /> all the terms, conditions 11 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 f r service connections will not be permitted within ten feet (101 ) <br /> of pavement centerline unless otherwise approved by the Director. Surface of trench patches <br /> shall match in kind and b . smooth and even with that of abutting surface. Special attention <br /> shall be given to depth o8 utilities through roadside area in anticipation of future drain- <br /> age facilities, road profile and/or frontage development. All underground utility facili- <br /> ties are to be established and accurately dimensioned on sketches from surveyed centerline <br /> of road right of way, notifrom right of way (border) lines. <br /> The Department of Public works, field Inspection Section shall receive a notice at <br /> least forty-eight (48) hours prior to beginning any work within the County right of way. <br /> All work performed under this permit shall conform to the rules and regulations pertain- <br /> ing to safety established by 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 <br /> any excess dirt or debris which might be a hazard to either pedestrian or automobile <br /> traffic. All necessary traffic convenience and warning devices and personnel shall be <br /> provided, placed and main ained by and at the sole expense of the Permittee in accordance <br /> with the latest edition of the CALTRALiS Manual of Traffic Control. <br /> After completion of Y.he work permitted herein, all debris, lumber, barricades, or any <br /> excess material shall be �emoved and the jobsite left in a neat workmanlike manner. <br />
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