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FIELD DOCUMENTS FILE 3
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544591
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FIELD DOCUMENTS FILE 3
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Last modified
6/21/2019 2:57:24 PM
Creation date
6/21/2019 11:54:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 3
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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oe " " <br /> o COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS 6 b <br /> + P.O. BOX 1810- 1810 E. HAZELTON AVENUE Permit No: PS-1000720 <br /> !� LL' `p I STOCKTON, CALIFORNIA 95201 Date Issued: 04/16/2010 <br /> fk off- (209) 468-3000 Exp. Date; 05/15/2010 <br /> FAX # (209) 4684324 Project No: PWP110005 <br /> Quad: CC <br /> ENCROACHMENT PERMIT <br /> To: CHEVRON ENVIRONMENTAL <br /> 6111 BOLLINGER CANYON RD., RM3652 <br /> SAN RAMON, CA 94583 <br /> Encroachment e° <br /> (2)-Monitoring Wells <br /> Location: <br /> N/S OF ELMWOOD AVER 0' W/O & 160 E/O FRANKLIN AVE. <br /> In compliance with your request of 04/16t2010 , permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms, conditions and restrictions written below or printed as general or special provisions on any part of <br /> 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities, road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of <br /> way, or from right of way (border) lines. <br /> Permittee shall call the Department of Public Works, Field Engineering Division at (209)953-7421 (Permits Inspections) at least <br /> forty-eight hours prior to beginning any work within the County right of way. All work performed under this permit shall conform to the <br /> rules and regulations pertaining 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 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 Permittee in accordance 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 excess material shall be removed and the jobsite left <br /> in a neat workmanlike manner. Immediately following completion of construction permitted herein, Permittee shall fill out and mail_ notice <br /> of completion (see attached post card) provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD <br /> FORMS: SS/WW, R-29 <br /> Est. Permit Fee: $370.00 <br /> THOMAS R. FLINN, Director <br /> De ent of Public Works <br /> WHITE -Pennitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Pe t Section <br />
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