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FIELD DOCUMENTS
Environmental Health - Public
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120 (STATE ROUTE 120)
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2900 - Site Mitigation Program
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PR0516706
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Last modified
11/19/2024 4:01:08 PM
Creation date
5/13/2020 3:27:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516706
PE
2950
FACILITY_ID
FA0012748
FACILITY_NAME
CALTRANS RIGHT OF WAY
STREET_NUMBER
0
STREET_NAME
STATE ROUTE 120
City
MANTECA
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
HWY 120
QC Status
Approved
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EHD - Public
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STATE OF CALIFORNIA• DEPARTMENI TRANSPORTATION <br /> ENCROACHMENT PERMIT <br /> TR-0120(REV.2/98) Permit No. <br /> 1000-NSV-1193 <br /> Dist/Co/Rte/PM <br /> In compliance with (Check one): 10-SJ-120-6.7/7.0 <br /> ® Your application of DECEMBER 19, 2000 <br /> Date <br /> ❑ Utility Notice No. of DECEMBER 28, 2000 <br /> Fee Paid Deposit <br /> ❑ Agreement No. of $ EXEMPT $ <br /> Performance Bond Amount(1) Payment Bond Amount(2) <br /> ❑ RNV Contract No. of $ $ <br /> Bond Company <br /> Bond Number(1) Bond Number(2) <br /> TO: <br /> IT CORPORATION <br /> 1433 NORTH MARKET BOULEVARD, SUITE#1 <br /> SACRAMENTO, CA 95834 <br /> ATTN: DON BRANSFORD <br /> TEL : (916) 928-3300 <br /> I I <br /> PERMITTEE <br /> and subject to the following, PERMISSION IS HEREBY GRANTED to: <br /> Advance approximately 60 soil borings using hand-held auger sampling equipment, collect soil samples, locate borings with <br /> GPS and backfill borings at various locations from PM 6.7 to PM 7.0 on State Route 120 right of way in San Joaquin County <br /> as shown in the attached Location Map/Vicinity Map. This work shall be done in accordance with Caltrans Contract Number <br /> 43AO012 and Task Order Number 10-OA75OK-5U. All work shall be done without interference to public traffic. A traffic <br /> control plan shall be submitted to the State representative before doing any work. The purpose of this survey is to evaluate <br /> the absence or presence of aerially deposited lead, heavy metals and agricultural chemicals in the soil in unpaved portions <br /> of State Route 120 right of way. . <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 /> Failure on the permittee's part to comply with any provision will be cause for revocation of this permit. <br /> The following attachments are also included as part of this permit In addition to fee,the permittee will be billed <br /> (Check applicable): actual costs for: <br /> ® Yes ❑ No General Provisions ❑ Yes ® No Review <br /> ❑ Yes ® No Utility Maintenance Provisions ❑ Yes ® No Inspection <br /> ® Yes ❑ No Special Provisions T ® Yes ❑ No Field Work <br /> ❑ Yes ® No A Cal-OSHA permit required prior to beginning work; <br /> # (If any Caltrans effort expended) <br /> ❑ Yes ® No The information in the environmental documentation has been reviewed and is considered prior to approval of this <br /> _ permit. <br /> This permit is void unless the work is complete before JUNE 30, 2001. <br /> This permit is to be strictly construed and no other work other than specifically mentioned is hereby authorized. <br /> No project work shall be commenced until all other necessary permits and environmental clearances have been obtained. <br /> 1 -Permittee APPROVED: <br /> 1 -File <br /> 3-M.DE LA CRUZ <br /> MARK LEJA, District Director <br /> BY: <br /> PS.VENKAT FRANKLIN L. WEISHAAR, JR., District Permit Engineer <br /> FM 91 1436 <br />
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