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x STATE OF CALIFORNIA•DEPARf*L-IVT OF TRANSPORTATION <br /> k ENCROACHMENT PERMIT <br /> TR-0120(REV.2198) Permit No, <br /> 1006-6SV-0185 <br /> Dist/Co/Rte/PM <br /> In compliance with (Check one): <br /> ® <br /> Your application of MARCH 29,2006 10-SJ-88-14.4 <br /> Date <br /> ❑ Utility Notice No. Of APRIL 7,2006 <br /> Fee Paid Deposit <br /> ❑ Agreement No. of $246 <br /> Performance Bond Amount(1) Payment Bond Amount <br /> ❑ RMI Contract No. Of $ <br /> Bond Company <br /> TO: Bond Number(1) Bond Number(2) <br /> LANDAU ASSOCIATES INC. <br /> (for TIME OIL COMPANY) <br /> 1302 NI AVENUE SOUTH <br /> EDMONDS,WA 98020 <br /> ATTN: JOSEPH KALMAR <br /> TEL.: 778-0907 <br /> and subject to the following,PERMISSION IS HEREBY GRANTED to: PERMITTEE <br /> Abandon two (2) groundwater monitoring wells, MW-6 and MW-7, located approximately 140 <br /> feet southwest of Cherry Street in the Town of Lockeford in San Joaquin County. Originally the <br /> monitoring wells were installed under Permits 1096-6SV-0348 and 1097-6SV-0687. <br /> Two wells will be completely filled and abandoned in place in accordance with San Joaquin <br /> County Environmental Health Department Requirements. These two wells will be abandoned in <br /> place by a State of California licensed driller by pressure grouting each well, The surfaces of <br /> The following attachments are also included as part of this permit In addition to fee,the permittee will be billed <br /> (Check applicable): actual costs for. <br /> ® Yes ❑ NO General Provisions ® Yes ❑ No Review <br /> ❑ Yes Z No Utility Maintenance Provisions ® Yes ❑ No Inspection <br /> ® Yes ❑ NO Special Provisions T,18 2 ® Yes ❑ No Field Work <br /> ❑ Yes ® No A Cal'-OSHA permit required prior to beginning work; <br /> # (if any Caltrans effort expended) <br /> ❑ Yes Z No The information in the environmental documentation has been reviewed and is considered prior to approval of this <br /> permit. <br /> This permit is void unless the work is complete before OCTOBER 31, 2006. <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No project work shall be commenced until all other necessary permits and environmental clearances have been obtained. <br /> 1 -Permittee APPROVED: <br /> 1 -File <br /> 3—JOSEPH A VALDEZ <br /> KOME AJISE, District Director <br /> By: - 4 1//.06 <br /> BettyTamae J FRANCISCO ROD IGUE District Permit Engineer Actin <br /> FM 91 1436 <br />