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3500 - Local Oversight Program
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PR0545342
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Last modified
2/12/2020 10:31:20 AM
Creation date
2/12/2020 8:52:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545342
PE
3528
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
02
SITE_LOCATION
1301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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10/31/2001 17;34 2054671118 AGE STOCKTON PAGE 02 <br /> STATE OF CALIFORNIA•pEpAK_,ENT or TRANSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(IE-2!98) yQp�$ Y- i9 <br /> aisrrcorKte m <br /> In compliance with (Check one): 104.11-12-16.4 <br /> Your appiirarion of oOTQBER 8,,2001 <br /> Utility Notice No. of OGT©BER 29,2001 <br /> Fere Paid UePoalt <br /> ] AgreernW ND. Of i aU <br /> L . <br /> L.1 Wca Bond Amxmt() Payment Bond Amount <br /> 'P+erf (2 <br /> 1—i RrW Cantrect No. of $ <br /> Bane!carmww <br /> BendM (1) I7IId N4undar k <br /> TO: <br /> AI)VANCED GEOENVIRONMENTAL, INC. <br /> 837 SHAW RROAD <br /> STOCKTON, CA 95215 <br /> ATT'N: CALVIN LEE <br /> TEL : (208)+467-1006 <br /> — ,PERMITTEE <br /> and subject to the following,plFRIllilWKM IS 4iEREUY GRANTED to: <br /> SoTe a 2" diameter paired holes to a depth of 100' to get samples and test soil properties along the bike <br /> lana of State Highway 12 right of way directly across Flame Mini-Mart west of Ham Lane in the City of <br /> Lodl- Traffic control shall be approved by the Stat Representative prior to the start of work- <br /> Abandonment.of ddiled doles shall be in compliance with t rie Departsnertt of Water Resources Standards. <br /> 1n accordance with General Provision No. 5, -rW0 W01 Klmo DAYS PRIOR to the star# of this work, <br /> permitles shall Inatify the State representativa MARCS DE LA CRUZ, P.O, Box 2448 St=ktbn, CA <br /> 95201, (209) 948..3658. All work under this permit must meet with the approval of ft State <br /> representative. <br /> Failure on ttre permittee's part to comply with any provision will be cause for rev bon of this permit <br /> IMMEDIATELY FOLLOWING GOMPLEnoN OF WORK PERMIT 0 HEREIN, PERMITTEE SHAM FILL OUT AND MAIL <br /> Irt The i4nowing awchments are also included as pad of this permit actual cors to tee,the permittee rrlii ba bilked <br /> ei C09k5 for, <br /> ([freak 8 pplisarWea: <br /> GhYes 0 No General Provislorts Yes ❑ No Review <br /> ❑ yes ® No Utility Maintonarice Provisions Yes ❑ No Inspectiort <br /> Yes No special Provisions T Yes No Field Work <br /> © <br /> Yes No A Cal-OSHA permit requimd prior to beginnl work;� elf any Caltrans affort expsncled) <br /> Tine Inrarrngtrnrr ift the amrironrrrnntal doculn motion h"Herr WVTO ed and Is considered prior to approval of Ulb <br /> 'Yes � No arrrrit. <br /> TNN pertriit Is void unkm the is eampleted bubre AARI�30,24112. <br /> This permit is to be•strictly oopstrued and no other wDrk other than swiiiamy rasmanad is"mby authorSzed. <br /> No ro ect urr}r1r shall be COM011cad urtl a31 other=EJ <br /> and <br /> APP .remm2n—M dearsnces have b9en oblained. <br /> 1-P$nrilltee <br /> 1-File <br /> 1-M.DE LA CRUZ p"tstri Director <br /> s r: <br /> data RAN IN L.WEISHAAR .1R.,District Permit Err 1rieer <br /> Fid 91 1436 <br />
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