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STATE OF CALIFORNIA•DEPARTMENT OF TPJkNSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV 2198) <br /> [:P�errrniit No5-6TK-0849 <br /> • In compliance with (Check one) DLWCo/FhafPM <br /> ® Your application of OCTOBER 24, 200-5 10-SJ-580-13 539 <br /> ❑ <br /> Utility Notice No of NOVEMBER 2,2005 <br /> ❑ Fee Pard D�Sd <br /> Agreement No of <br /> $ $246 <br /> ❑ R/W Contract No of Performance Bond Amount(1) Payment Bond Amount <br /> $ $ <br /> Bond company <br /> TO Bond Number(1) Bond Number(2) <br /> ATLANTIC RICHFIELD COMPANY ~� <br /> CIO STRATUS ENVIRONMENTAL, INC <br /> 3330 CAMERON PARK DRIVE, SUITE 550 <br /> CAMERON PARK, CA 95682 <br /> ATTN SCOTT BITTINGER <br /> TEL (530) 676-2062 <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to . PERMITTEE <br /> • Conduct traffic control, place, maintain, and remove temporary construction warning Signs <br /> work to be done along Interstate 580 eastbound and westbound off ramp to Patterson Pass Road <br /> in the Town Tracy in San Joaquin County Traffic control shall be done in Conformance with <br /> Caltrans Standard and approved by the Caltrans Permit Field Engineer. A copy of tins <br /> permit shall be placed in velucles involved in doing thus work Permittee shall notify the permit <br /> field engineer in the area before doing any work <br /> In accordance with General Provision No 6, SEVEN WORKING DAYS PRIOR to the start of <br /> this work, Pernuttee shall notify the State Representative MARCEL DE LA CRUZ, P.O Box <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 ® Na Utility Maintenance Provisions <br /> ® Yes ❑ No Review <br /> ® Yes ❑ No speaal Provisions T ® Yes ❑ No Inspection <br /> ❑ Yes ® No A Cal-OSHA permit required prior to beginning work, ® Yes ❑ No Field Work <br /> # (If any Caltrans effort expended) <br /> ❑ Yes ® No Tehei(formation in the environmental documentation has been reviewed and is considered prior to approval of this <br /> This permit is void unless the work is complete before MAY 31, 2006 <br /> This permit is to be strictly construed and no other work other than specifically mentioned as hereby authorized <br /> No project work shall be commenced until all other necessa ermits and environmental clearances have been obtained <br /> 1 -Permittee APPROVED <br /> 1 -File <br /> �arcel be La Cruz <br /> KOME AJISE, District Director <br /> BY/� <br /> Betty Tamae — ,� <br /> ALEX MENOR, District 0­.' En Ineer <br /> FM 91 1436 <br />