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FIELD DOCUMENTS_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HARLAN
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16500
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3500 - Local Oversight Program
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PR0545275
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FIELD DOCUMENTS_FILE 1
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Last modified
2/3/2020 1:41:48 PM
Creation date
2/3/2020 12:14:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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AUG. -11' 98(TUE) 09:25 ALISTO 'r IT(;I NEERING TEL:510 295-1823 P. 003 <br /> s <br /> ENCROACHMENT PERMIT 1098-69V-0402 <br /> TR-0020(NEW 9191) <br /> 10-0-5-EP 810.236 <br /> In compliance with(chock one): <br /> STATE OF CAUPORNIA'DEPARTMENT OF TRANSPORTATION <br /> X Your application of MAY 29, 1998 <br /> Utility Notice No_ of 14, 1998 <br /> Agreement No of 280 $ <br /> p ari <br /> erEorm ��riaoa Rmeuo[0 $ mrnr riaod Aamum[13 <br /> RIW Contract No. of S4,000.00 is <br /> DWA Can~ <br /> TRAV£LEF-5 CASUALTY & SURETY CO. <br /> COMPANY Bond Number(r) Hoed Number R) <br /> TO: <br /> 2sttgso�ssa9ar <br /> aL.rsro ENGINEERINGGROUP <br /> 1575 TREAT]BLVD., #207 <br /> WAL N TP CREEK, CA.945% <br /> ATTN: WtADY NAGLE <br /> PHONE: 9251295-1650 I , PERMiT17-E <br /> and subject to the following,PERMISSION IS HEREt3y GRANTHD to: <br /> Instal two monitoring itoring wells using a truck mountad drilling rig with 0.2032 meter diameter hollow stem auger at the <br /> no off-ramp of Interstate 5 at Louise Avenue in the City of Ladirop. The monitoring wells shall be at least TE REE <br /> METERS out of the edge of pavement. <br /> Upon completion of the installation of the monitoring wells,permittee shall apply to own,maintain,and properly abandon the wells <br /> in compliance with the standards of the Department of Water Resources Control Board. <br /> A pre-,job eonfcmXe with the permittee, contractor, and State representative is required prior to start of work. Permittee shall <br /> contact the State representative and arrange the meeting. This meeting may be waived at the direction of the State representative. <br /> Notwithstanding General Provision#4, your contractor may be required to apply for and obtain stn encroachment permit prior to <br /> start of work. <br /> The fonowmg anachmem are also indpded as part of this P"t. in addition to fee she penn9nee will be bMad <br /> OChack applkabk): acural costs for. <br /> X Yes No Caem1a1 Pravisions Yer X No Review <br /> _ Yes X No Utility Mairaepaaee Ptdvisioos Yes X No Inspection <br /> X Yes No spacial Provisions T X Yes Field wart; <br /> Yes X No A tial-OSHA parrak rrquired prior to beginning wprl, <br /> C f any Gtttraps effbit expended) <br /> _ Yes X No The brfarmadon in the ewirontnemal documentation has been revkwed and tonbdered prior to <br /> approval of this permit.. <br /> 'This permit is mid udess the work is complamd before JANUARY 31 19q9 _ <br /> Thbi permh Is to be strictly eopstmed and no cher work other Oran spxcifimfly mentioned is hareby euBmrizrd. <br /> No projwa woalc shall be commenced tart((nU other oeeesffi ermits and environmental elearanera hm been nboii>xd. <br /> Orifi-penvium APFROV=: <br /> 1-Fmmit File <br /> 3-M_HOMAA <br /> Mark a, District DhwAm <br /> BY: J s <br /> •'Y'.'Ll�'t—�. <br /> Pau F Weishaar, Jr., District Permit Engineer <br /> Page i of 3 <br />
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