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/ .► . �i/ <br /> *.gb <br /> E.P. No. 92-368-CC <br /> COUNTY OF SAN JOAQUIN 9-16-92 <br /> DEPARTMENT OF PUBLIC WORKS (Date Issued) <br /> P oBO% 1810- 1810 E. HAZELTON AVENUE <br /> BTOCKION.CAlIFORMA 952011D-1-92 <br /> X209)468-3000 ( <br /> ENCROACHMENT PERMIT (Expiration Date) <br /> HENRY M. HIRATA 11OO5 <br /> ...IIT.. (Job No.) <br /> To: Chevron U.S.A. Products Co. Encroachment type: Monitor Well <br /> P. 0. Box 5004 <br /> San Ramon, CA 94583-0804 Location: e/s Franklin Ave. 0' & 90' <br /> n/o Country Club Blvd. <br /> In compliance with your request of 8-28 , 19 92 , permission is hereby <br /> granted to do work in County right of way as shown on attached application and subject to <br /> all the terms, conditions 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') <br /> of pavement centerline unless otherwise approved by the Director. Surface of trench patches <br /> shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of 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, not from right of way (border) lines. <br /> oa;srt. Wacj .4gaection.sevtivn�shall�.r�eeive a„notice at <br /> ex” �8s ?� `� �)?'�s��w,ork w4thinrh�i �c��k1�:F�4h�'ef way, <br /> � q ��►4 a iWi�ii ZsiFW�3 G �Rtxm� Pini i na'rp-OSH . <br /> lisped by,the„�d11tCrC�#l1� �rijihli9pk ca! !t5r}dl,SSBty fxitd. 4aB}-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 maintained by and at the sole expense of the Permittee in accordance <br /> with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted herein, all debris, lumber, barricades, or any <br /> excess material shall be removed and the jobsite left in a neat workmanlike manner. <br /> Immediately following completion of construction permitted herein, Permittee shall fill <br /> out and mail notice of completion provided by Grantor. <br /> Est. Permit Fee: $ 136 d_O <br /> HENRY M. HIRATA, Director <br /> FORMS: SS/WW Department of Public Works 0[py <br /> WHITE - Permittee By�GOLDENROD - PWD Central File P rmi a ion <br /> YELLOW - Field Inspection <br /> PINK - Permit Section PW 27 <br />