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Q R A i C urCAUF'ORKA. woos <br /> OF-PAFrnwEw op <br /> DPASIONfitATIC <br /> OCCUPA�p q��FETY 4N' <br /> ALTH <br /> pQrrnit lssu9d To PERMIT No: 2004'900287 <br /> (insert Empbyees Name.Address and Telephone No.) <br /> No. <br /> Fparadiso Mechanical Inc Date 11l17mm <br /> 2800 Williams St <br /> San Leandro CA 94577-3153 Region i <br /> DWtt 4 <br /> ieto)eta r Tel. (510) 822-201@ <br /> r'M of Permit T1-ANNUAL TRENCWEXCAVATION J <br /> pursuant to Labor Code 8ectlorw 8600 and aSG2,this Permit is fwd to 1*above.ne�"P�for the <br /> S"contrrYor1,Li�eru,e Number p"*ft deeLxbedDOMbt»bw <br /> 877909 P"*v.�through <br /> +bn a Project 677909 <br /> 31, 2004 <br /> lot ion Addrsaa City and county Data <br /> 10 on <br /> Various Statewide <br /> 111r2o04 1?J91/2004 <br /> or Issue data <br /> Whichever I: <br /> later. <br /> hh Permit <br /> Is'owed upon tlho follow)ng condid.n. <br /> That the work is performed by the same employer. If this Is an annual permit the appropriate DI <br /> notified, In writing, of dates and location of Job site prior to commencement, <br /> District Office shall <br /> The employer will comply with all occupational safety and health standards or orders applicable to the above <br /> Octs, and any other lawful order# of the Division, <br /> rhet If any unforeseen condition causes devfation from the plana or statements contained In the Permit Application <br /> m the employer will notify the Division immediately. <br /> ,ny venation from the specification and assertlons of the Permit Application Form or violation <br /> ause to revoke the permit. <br /> of safety orders may <br /> lis permit shall be posted at or near each place of employment as provided In 8 CCR 341.4 <br /> Ned Fon By <br /> J Akin, rano Permit Unit InwA&sa+ed by <br /> Lift Amount papa J.-Satort# <br /> w* 42509 $100.00 11/17A3 ' 0L1°d by Drs 11/15�pp0 <br /> Manner/Pa lhpt p I <br />