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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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'A <br /> COUNTY OF SAN JOAQUIN <br /> PQv 17. DEPARTMENT OF PUBLIC WORKS <br /> 2- y P.O_BOX 1810-1810 HAZEIsTON AVENUE EP No: EP-04 I 113 SW <br /> STOCKTON CALIFORNIA 95201 <br /> (209)468-3000 Date Issued: 04/20/2004 <br /> FAX#(209)468-9324 Expiration Date: 5/01/2004 <br /> -•' �P <br /> f{► pRN Job No: 11005 <br /> ENCROACHMENT PERMIT UEICR/PM NO: CR <br /> To: THE SAN JOAQUIN COMPANY,INC. Encroachment Type: MONITORING WELTS(1) <br /> 1120 HOLLYWOOD AVE.,SUITE 3 Location_ E/S OF CMUSMAN ROAD IW NIO ELEVENTH STREET <br /> OAKLAND,GA. 94602 (MW-FP-5) <br /> In compliance with your request of 03/19/2004ertnission is hereby granted to do work in County right of way as <br /> shown on attached application and sublet a e erms,con r ons an :tions 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 centerlinc of road right of way,not from right of way(border)lines. <br /> The Department of Public Works,i 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-OS13A. <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 traffic convenience and warming devices and personnel shall be provided,placed and maintained by and at the sale <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,VP`ermt 'sha11 fill but and mail notice of eompletroit <br /> a tot+idbd by <br /> Special Instructions: BOND#WL[1211955 <br /> THOMAS R. FLINN, Director <br /> Department of Public Works <br /> Est. Permif Fee: $155.00 <br /> FORMS: SS/WW,R-29 By <br /> WIIM -Pernriucc Permit Section <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection PW 27 <br /> PINI{ -Permit Section <br /> AccesslPermitslFormslEncroaclmnent Permit Revised 07/2000 <br />
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