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SAN FRANCISCO FRENCxx j&READ,STOCKTON, CA SE(-,,f? Project No. 50090-011-03 <br /> (ATTACHMENT 3) <br /> SECOR <br /> UTILITY CLEARANCE LOG <br /> } <br /> Date: <br /> "One-call" confirmation number and date contacted: <br /> "One-call" expiration date: <br /> Subcontractor locating firm and invoice number: <br /> Facility contact person&telephone number: <br /> Facility drawings reviewed: <br /> Verbal/written sign-off of clearance by facility contact: <br /> Pressurized lines/shut-off valves identified:* <br /> Underground utilities/lines identified:* <br /> Underground utilities/lines marked on-site by: <br /> Overhead utilities/lines identified:* <br /> Overhead utilities/marked on-site by: <br /> *Mark on copy of facility drawing or include in site sketch (Attachment 5). <br /> Clearance contact: <br /> Name(SECOR employee only) Signature Date <br /> Clearance Reviewed by: <br /> Name(SECOR Project Manager) Signature Date <br /> HAWMSTOCKTO NUdNCOLNIHS <br />