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ARCHIVED REPORTS XR0003311
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DA VINCI
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4627
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2900 - Site Mitigation Program
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PR0543804
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ARCHIVED REPORTS XR0003311
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Entry Properties
Last modified
6/28/2019 4:19:54 PM
Creation date
6/28/2019 1:55:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003311
RECORD_ID
PR0543804
PE
2950
FACILITY_ID
FA0024907
FACILITY_NAME
7-ELEVEN STORE #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Temporary Entry Permit <br /> ' Page 2 <br /> 4. EBMUD reserves the right to cancel its permission at any time if, in its opinion, <br /> EBMUD's property is being damaged or the security of any of its structures or premises <br /> are in danger. <br /> 5. The type and weight of equipment to be used by Permittee on EBMUD's property must <br /> be approved in advance by EBMUD. <br /> 6. Vehicular parking and storage of equipment or materials on EBMUD's property is <br /> prohibited. No truck traffic permitted on Aqueduct right of way. <br /> 7. Permittee agrees to reimburse EBMUD for costs for inspection, review, permit <br /> fees/licenses and related expenses incurred by EBMUD in relation to this project. <br /> 11. At least 48 hours prior to start of work, Permittee shall contact Mike Young at 209-946- <br /> 8009 to coordinate access and locate aqueduct center lines. <br /> 12. Permittee shall provide evidence of liability insurance and workers' compensation <br /> coverage by returning the attached certificates with this signed permit. Permittee agrees <br /> and understands that no work may commence on EBMUD's property until this permit is <br /> a executed and all certificates are properly filled out and returned to EBMUD. <br /> 13. Test wells will be located at least 10 feet from any aqueduct. <br /> 14. Permittee understands and agrees that all work and use of EBMUD's property shall cease <br /> and terminate by the date shown above. <br /> PIease sign and return the enclosed copy of this Temporary Entry Permit and completed <br /> insurance certificates. <br /> SIGNATURES: <br /> Permittee: t 7 <br /> Ba Municipal Utility District <br /> -DcLo-to" 13ro w L-. <br /> ` (Name) (Name) <br /> (Title) (Ti ) <br /> r b o s dto/01:1- <br /> (Date) (Date) <br /> MLY of <br /> cc V Dooley <br /> File <br /> Ch <br /> Chron File <br /> P 1DATAlmsofficelword\Encroach1041205 hc_secor a=ss tep doc <br />
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