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COUNTY OF SAN JOAQUIN <br /> DEPARTMENT OF PUBLIC WORKS APR 2 4 2004 <br /> y P.O.BOX 18104810 HAZELTON AVENUE EP *051W <br /> 112 SW <br /> .i <br /> STOCKTON CALIFORNIA 95201 ' Vl�a� <br /> (209)468-3000 11"C rS M I <br /> Expiration Date: <br /> FAX#(209)468-9324 <br /> C 1 p pRt'�P Job No: 111665 <br /> ENCROACHMENT PERMIT MCR/PM NO: CR <br /> To: THE SAN JOAQUIN COMPANY,INC. Encroachment Type: MONITORING WELLS(1) <br /> 1120 HOLLYWOOD AVE.,SUITE 3 Location: MEDIAN OF WEST ELEVENTH S'T'REET 100'W/0 <br /> CMUSMAN ROAD(MW-13) <br /> OAKLAND,CA- 94602 <br /> In compliance with your request of 03/19/2004 ermission is hereby granted to do work in County right of way as <br /> shown on attached application and subJecr-"- to6a the er�condtons ononnctions written below or printed as general or special provisions on any <br /> 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')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 to depth <br /> of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. All underground utility facilities <br /> are to be established and accurately dimensioned on sketches from surveyed centerline of road right of way,not from right of way(border)lines. <br /> The Department of Public Works,Field Inspection Section shall receive a notice at least forty-eight hours prior to beginning any work within the <br /> County right of way. All work performed under this permit shall conform to the rules and regulations pertaining to safety established by the California <br /> 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 pedestrian or <br /> automobile traffic" All necessary trate convenience and warning devices and personnel shall be provided,placed and maintained by and at the sole <br /> 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 neat <br /> workmanlike manner. Immediately following completion of oonstruction permitted heof:co npletton <br /> rovided bye ntar <br /> Special Instructions: BOND#WL11211956 <br /> 4 , <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permit Fee: $155.00 <br /> FORMS: SS/WW,R-29 By <br /> WHITE -Permittee Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Iq--.tion PW 27 <br /> PINK =Permit Section <br /> i <br /> Access\PesmitslFomaslEncroacinnerrt Pemut Revised 0712000 <br />