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FIELD DOCUMENTS_FILE 2
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545028
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FIELD DOCUMENTS_FILE 2
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Last modified
12/6/2019 5:08:09 PM
Creation date
12/6/2019 2:54:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 2
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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gq�lN fr.►' <br /> COUNTY OF SAN JOAQUIN <br /> 1 t a' .DEPARTMENT OF PUBLIC WORKS <br /> P.O.BOX 1810-1810 E.HAZELTON AVENUE Permit No:PS-1.300308 <br /> STOCKTON,CALIFORNIA 95201 Date Issued: 01/31/2013 <br /> (209)468-3000 Exp.Date: 05/01/2013 <br /> FAX#(209)468-9324 Project No: PWP110005 <br /> Quad: SW <br /> ENCROACHMENT PERMIT <br /> To: APEX ENVIRONMENTAL,INC. <br /> 11244 PYRITES WAY <br /> GOLD RIVER,CA 95670 <br /> Encroachment Type. <br /> ff(up to 6 inch.Dia) <br /> Location: <br /> E/S OF 6TH STREET N/O"F" STREET <br /> In compliance with your request of 01/31/2013,permission is hereby granted to do work in County right-of-way as shown on attached <br /> application and subject to all the terms,conditions and restrictions written below or printed as general or special provisions on any part of <br /> 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 <br /> the Director. Surface of trench patches shall match in kind and be smooth and even with that of abutting surface. Special attention shall <br /> be given to depth of utilities through roadside area in anticipation of future drainage facilities,road profile and/or frontage development. <br /> All underground utility facilities are to be established and accurately dimensioned.on sketches from surveyed centerline of road right of <br /> way,or from right of way(border)lines. <br /> e i e s all call the De artment of Public W rks Field ngineering Division ermit Ins ections at 209)953-7421 at tease <br /> ori-�e ght hours prior o beginning any work within the Gounty right of way. [a work performed under this permit shall confo m <br /> to the rules and regulations pertaining to safety established by the California avtston 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 <br /> pedestrian or automobile traffic. All necessary traffic convenience and warning devices and.personnel shall be provided,placed and <br /> maintained by and at the sole expense of the Permittee in accordance with the latest edition of the CALTRANS Manual of Traffic Control. <br /> After completion of the work permitted d� ' e cades or any excess material shall be removed and the jobsite'uleft <br /> in a neat workmanlike manner. Immediate) o low'ng co letion o construction permitte :eretn, ermittee sh till out and mail notice <br /> o comp etton(see attached os card rov'ded b_y G tor. <br /> Special Comments: <br /> Traffic Control Per MUTCD****Destruction of water monitoring wells**** <br /> FORMS: SS/WW,R-29 <br /> Est.Permit Fee: $800.00 <br /> THOMAS M.GAU,Director <br /> De rttnent of Public Works <br /> WHITE -Permitee <br /> GOLDENROD -PWD Central File <br /> YELLOW -Field Inspection By: <br /> PINK -Permit Section Pe2& Section <br /> r <br />
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