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FIELD DOCUMENTS
Environmental Health - Public
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2420
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3500 - Local Oversight Program
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PR0545209
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Last modified
1/27/2020 5:07:37 PM
Creation date
1/27/2020 4:24:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545209
PE
3528
FACILITY_ID
FA0003963
FACILITY_NAME
TRACY76
STREET_NUMBER
2420
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
Tracy
Zip
95377
APN
23802006
CURRENT_STATUS
02
SITE_LOCATION
2420 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ENCAOACHHEh. _oAMIT <br /> Page Z of Z ` <br /> M., Monday to Priday. Any request for <br /> 13. The time of construction will be limited between n t hours of 7:30 A.M. and 4:30 P. <br /> work beyond the hours noted herein And any work on the <br /> beyonddthelnormal working hours,idays -will require agprovsl from the City. <br /> The Permittee shall pay for all additional City in p Y performed beyond <br /> 14. City lnoura, In <br /> shallccord bcePwithrcondLtionMonday <br /> 13 ofFriday <br /> thLsbpermit,BwL11 beA.M•cona.lderedand 5:00 P overtime andpwillobepaid by the <br /> these houre, in acaordnn <br /> Permittee in advance to the Public Works Department, <br /> l5, Non-compliance of CLby�Codea, Plane, 5peaiEicatione and conditlOne of this permit may result in Fines and ponaltien as <br /> eatabliched by the City Council. ^ <br /> 16. Permlttee shall Omply with the following special conditions:� <br /> _. 4 st!& <br /> a, PRIOR TO EXCAVATIOXf CONTMCTOR MUST CONTACT <br /> THIS PERMIT ISSUED PURSUANT TO ALL PROvrszou OF CITY OF TRACY THE FOLLOWING TO HAVE`BELoW-CROVND FACILITIES <br /> .a MUNICIPAL CODE. THIS PERMIT I5 GRANTED UPON THE EXPRESS <br /> E-- CONDITION TI{AT THE PERMITTSEOFH RK PB FOPRMEDZUNDBR THE PERMIT CLAIMS LOCATED (40 HOURS PRION TO WORK): <br /> AND LIABILITIES ,ARISIHG OUT VNDgRGROUttD. SBRVICE ALERT <br /> OR ARISING OUT OF PERMITTEEIS FAILURE TO PERFORM TRE OBLIGATIONS 900 22?-2fiO0 Toll Free) <br /> WITH RESPECT To STPEET MAINTENANCE. THE PERMITTEE SHALL, AND SY (800) ER YCE CENTER <br /> ACCEPTANCE OF-THE <br /> PERMIT` AGREES TO, DEPEND, INDEMNIFY, SAVE AND yD pERyI CE.0 ` <br /> BOLD HARMLESS THB CITY, ITS OTrIC£RS AND'EMPLOYEES,=FROM-AND ( f. <br /> AGAINST ANY AND ALL SUITS, CLAIMS OR ACTIONS SROUGHT BY ANY PERSON NOTL": XOU ARE NOTIFIED THAT SECTION 6500 OF <br /> FOR OR ON ACCOUNT OF ANY BODILY INJURIES, DISEASE OR ILLNESS <br /> on DAMAGE TO PERSONS hND/OR PROPERTY SUSTAINED OR ARISING XV THE PE MITDBY T1OiEEDIVISIONSor XNDUSTRIAL SAFETY <br /> CONSTRUCTION OF THE WORK PERFORMED UNDER THE PERMIT OR IN of THE STATE OC CALIFORNIA PRIOR To THE <br /> T11c COHSTAVCTION OF THE WORK PERL701WD UNDER THC PERMIT On INTPLENCH <br /> CONSEQUENCE OR PERMITTER'S FAILURE TO PERFORM THE o@LICATIONS WITH WMICHRYSTi'xVEOFBETYOR DEBpERRAND CINTOIRHICH A <br /> T- Q <br /> RBSPBCT TO STREET MAINTENANCE. PERSON IS REQUIRED TO DESCENT. <br /> ae - <br /> �- <br /> u • PERMITT E AGREES A E RY THE PROVISIONS 'OP THIS PERMITS , , EXCAVATION IN CITY STREId'f AREAS 471THOUT AN <br /> �Z,. �y� <br /> �-• EXCAVATION PERMIT MAY 8E PVt{ISFjABL'E BY A <br /> �- FINE. <br /> PERMITTEE'S SIGNATURE DATE <br /> b a bees that they hereby accept complete reaponaibillty for coordination with, keparting to,rand complying wJ, h the <br /> gcrmitte $ <br /> "direction of, any and all and <br /> boardo or diBtrLcts, including but <br /> not limited to, can havinJoaqug <br /> jurisdictionaorHauthority ealth tOVer' 0011 or <br /> California Reglonal Water Quallty Control Board, or any <br /> sththeer reiteaofrthlneworkncy ,�aincluding the pxeoervation of the health and <br /> ground water contamination ouch an that currently <br /> L ground wa per <br /> working near or in any trench or excavation or on the aurface of the oanstfor any project, or any gethat! <br /> paoeLng by or observing, or any pernone living in the vicinity of thconutruction proj6ct, for any re'aaon whatsoever that may <br /> rn <br /> adversely, or observing atEect the health or nafety, now and in the future, of these pernonn or group of persona. <br /> rn <br /> Purthnrmore, permLtlec :heceby aceeptn complete xenpanalbSllty for dor alll of any petrootatedflunt affected r,voila, or groan wn eC, <br /> lnaLuding reporting to and complying with'tha `requlrementu oP any, or all,. of tho ntated, yr any other, cegulahory nganclap a8 <br /> dincuseed above. <br />
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