Laserfiche WebLink
STATE OF CALIFORNIA <br /> DEPARTMENT OF INDUSTRIAL RELATIONS <br /> DIVISION OF OCCUPATIONAL SAFETY AND HEALTH <br /> No: 2011-909620 <br /> ANNUAL PERMIT <br /> Permit Issued To <br /> (Insert Contractor/Project Administrator's Name, Address <br /> and Telephone No.) No. <br /> Environ Strategy Consultants I Date 3/16/2011 <br /> Attn: Safety Mgr or Stewart Clay Jr. <br /> 1 Technology Dr Ste B123 Region 3 <br /> Irvine CA 92618-5335 District 1 <br /> Tel. (714) 558-4451 <br /> ( (949)486-0884 <br /> Type of Permit T1-ANNUAL TRENCH/EXCAVATION <br /> Pursuant to Labor Code Sections 6500 and 6502,this Permit is issued to the above-named employer for the projects described below. <br /> State Contractor's License Number 762796 Permit Valid through March 15, 2012 <br /> Description of Project Location Address City and County Antici ated Dates <br /> Startin Completion <br /> Various <br /> Conditions of Issuance: Statewide Mar 16, 2011 Mar 15,2012 <br /> This Permit is issued upon the following conditions: <br /> 1. That the work is performed by the same employer. If this is an annual permit the appropriate District Office shall <br /> be notified, in writing, of dates and location of job site prior to commencement. <br /> 2. The employer will comply with all occupational safety and health standards or orders applicable to the above <br /> projects, and any other lawful orders of the Division. <br /> 3. That if any unforeseen condition causes deviation from the plans or statements contained in the Permit Application <br /> Form the employer will notify the Division immediately. <br /> 4. Any variation from the specification and assertions of the Permit Application Form or violation of safety orders may <br /> be cause to revoke the permit. <br /> 5. This permit shall be posted at or near each place of employment as provided in 8 CCR 341.4 <br /> =Received Received By Investigated by <br /> Ir. Permit Unit Saf ine Date <br /> ❑ Cash Amount Date 3/16(2011 <br /> Approved by <br /> ® Check 16241 $10().00 3/16/11 District Manager/Permit Unit Date <br />