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' STATE OF CALIFORNIA•DEPARTMENT OF TRANSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV.2/98) <br /> Permit No. <br /> 1002-NS V-0113 <br /> In compliance with (Check one): Disvco/Rte/PM <br /> 10-SJ-120-9.4/16.6 <br /> ® Your application of FEBRUARY 5,2002 <br /> Date <br /> EJUtility Notice No. of February 25,2002 <br /> ❑' Agreement No. Of Fee Paid Deposit <br /> $ EXEMPT $ <br /> ❑ I Contract No. Pedormanoe Bond Amount(1) Payment Bond Amount(2) <br /> Of <br /> —__ $ $ <br /> ' Bond Company <br /> TO: Bond Number(1) Bond Number(2) <br /> IT CORPORATION <br /> 1326 NORTH MARKET BOULEVARD <br /> SACRAMMENTO, CA 95834 <br /> ATTN: MARTH ADAMS <br /> TEL : (916) 565-4183 <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: PERMITTEE <br /> Direct push drill six borings (approximately <br /> one groundwater samples illbe ob a ed from each bor ng Backfilbling tobeac om lished roximately b feet deep). Seven soil and <br /> ' conducted in accordance with Caltrans Contract No.#43AO078 for hazardous waste site assessments, task No.* 10ork is �- <br /> OE7401-me. Caltrans contact(contract matters) is Mr. Michael Robinson, (209) 948-7399. <br /> In accordance with General Provision No. 6, TWO WORKING DAYS PRIOR to the start of this work, Permittee shall <br /> notify the State representative MARCEL DE LA CRUZ, P.O. Box 2048 Stockton, CA 95201, (209) 948-3656. All work <br /> under this permit must meet with the approval of the State representative. <br /> A pre job conference with the Permittee, contractor, and State representative is required prior to start of work. <br /> Permittee shall contact the State representative and arrange the meeting. This meeting may be waived at the direction <br /> of the State representative. <br /> 1 <br /> The following attachments are also included as part of this permit <br /> ' (Check applicable): In addition to fee,the permittee will be billed <br /> ® Yes ❑ No General Provisions actual costs for: <br /> ❑ Yes ® No Utility Maintenance Provisions ❑ Yes ® No Review <br /> ® Yes ❑ No Special Provisions T <br /> ❑ Yes ® No Inspection <br /> EJYes ® NO A Cal-OSHA permit required prior to beginning work; ® Yes F] No Field Work <br /> ' (If any Caltrans effort expended) <br /> ❑ Yes ® I l0 The information in the environmental documentation has been reviewed and is considered prior 10 approval of this <br /> ermit. <br /> This permit is void unless the work is complete before PER CONTRACT SCHEDULE <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No ro ect work shall be commenced until all other necessa ermits and environmental clearances have been obtained. <br /> 1 -Pemllttee APPROVED: <br /> 1 -File <br /> ' 3—M.De La Cruz <br /> MARK L A, District Direct r <br /> BY: <br />' SW FRANKLIN L. WEISHAAR, JR. District Permit Engineer <br /> FM a1 1436 <br />