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TIME OIL- LOCKEFORD, CA, SECOR Project No. 70{195-091-02 <br /> (ATTACHMENT 3) <br /> . S <br /> UTILITY CLEARANCE LOG <br /> Date: <br /> "One-call" confirmation`number and date contacted: <br /> "One-call" expiration date: <br /> Subcontractor locating firm and invoice number: <br /> Facility contact person &telephone number:- <br /> Facility,drawings reviewed:: s <br /> a <br /> Verbai/written sign-off of clearance by facility contact: <br /> Pressurized lines/shut-off valves identified:* <br /> Underground utilities/lines identified:* <br /> Underground utilities/lines marked on-site by: <br /> Overhead utilities/lines identified:* <br /> Overhead utilities/marked on-site by: Y <br /> *Mark on copy of facility drawing or include in site sketch,(Attachment 5). <br /> Clearance contact: <br /> Name (SECOR employee only) Signature Date <br /> Clearance Reviewed by: <br /> Name (SECOR Project Manager) Signature Date <br />