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Environmental Health - Public
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3500 - Local Oversight Program
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PR0544801
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Last modified
11/19/2024 10:19:47 AM
Creation date
9/4/2019 10:42:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544801
PE
3528
FACILITY_ID
FA0003210
FACILITY_NAME
TEXACO TRUCK STOP
STREET_NUMBER
7500
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
25015018
CURRENT_STATUS
02
SITE_LOCATION
7500 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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S:IfY.�o <br /> *, C"OUNTY OF SAN JOAQUIl' W <br /> DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 E.HAZELTON AVENUE Permit No: PS-1301154 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 04262013 <br /> �i i;pN`a (209)468-3000 Exp.Date: 06/012013 <br /> FAX#(209)468-9324 Project No: PWPI 10005 <br /> Quad: SW <br /> ENCROACHMENT PERMIT <br /> To: DIETZ ENGINEERING&CONSTRUCTION <br /> 3323 S.KOSTER RD. <br /> TRACY,CA 93304 <br /> Encroachment <br /> Bores <br /> Location: <br /> W/S OF CHRISMAN RD.450'N/0 1 I TH ST. <br /> In compliance with your request of 04/26/2013,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 this <br /> 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 the <br /> Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall be given <br /> to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All <br /> underground utility facilities are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,or <br /> from right of way(border)lines. <br /> Permittee shall call the Department of Public Works,Field Engineering Division(Permit Inspections)at(209)953-7421 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 <br /> the rules and regulations pertaining to safety established by the California Division of Industrial Safety and Cal-OSHA. <br /> Thejobsite shall be kept in a safe condition at all times by the daily removal of any excess dirt or debris which might be a hard 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 in a <br /> neat workmanlike manner. Immediately following completion of construction permitted herein,Permittee shall fill out and mail notice of <br /> completion(see attached post card)provided by Grantor. <br /> Special Comments: <br /> Traffic Control Per MUTCD"'For all lane closures,flaggers shall be used,no"yield"signs allowed+"The flaggers <br /> shall coordinate traffic flow with signal operation***Work Hours are restricted to off-peak hours:9:00 am to 2:30 <br /> m""Do not block driveways*** <br /> FORMS: SS/WW,R-29 <br /> Est Permit Fee: $800.00 <br /> THOMAS M.GAU,Director <br /> De nt of Public Works <br /> WHITE -permit« <br /> GOLDENROD TWO Cmind File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Perm' SeLKion <br />
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