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1 <br /> Qu„� COUNTY OF SAN JOAQUIN <br /> q DEPARTMENT OF PUBLIC WORKS <br /> y P.O.SOX 1810-1810 HAZELTON AVENUE EP No: EP 04 111 SW <br /> A STOCKTON CALIFORNIA 95201 <br /> Date Issued: 04!20!2004 <br /> (209)468-3000 - <br /> .FAX#(209)458-9324 Expiration Date: 0510112004 <br /> i 6 Job No: 111005 <br /> ENCROACHMENT PERMIT UE/CR/PM No: cIi <br /> To: THE SAN JOAQUIN COMPANY,INC. Encroachment Type: MONITORING WELLS(1) <br /> 1120 HOLLYWOOD AVE.,SUIIE 3 Location_ EIS CHRISMAN RD.@ CARMELO AVE.(MW-19) <br /> OAKLAND,CA- 94602 <br /> In compliance with your request of 03/19/2004 ssion is hereby granted to do work in County right of way as <br /> shown on attached application and subjectro an me ternis,conditions anti resEncuons 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(10D 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-fight 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 jobsitc 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 traffic 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 construction permitted herein permrtteeGghall fill out and'mad notice of completion 'if <br /> aM. rv. 4 ' �s ➢ �`- '. .. .,,t'a ,�, ;,-.�.#s..�:�`.`�'.,t,..3 `.s„v,.✓'z�;ss. 'r-s:z,,.a <br /> t- by(r 4!-"r <br /> Special Instructions: BOND NO.WL11211957 <br /> THOMAS R. FLINN, Director <br /> Est.Permit Few: $155.00 <br /> Department of Public Works <br /> FORMS: SS)WW,R-29 BY <br /> WHTIE -Permittee Permit Section <br /> GOLDENROD' -PWD Central File <br /> YELLOW Field[nWcction PW 27 <br /> PINK -Pernut-Section <br /> Acce TennitsTomislEnc oachmad I mnit Revised 0712000 <br />