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Environmental Health - Public
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3500 - Local Oversight Program
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PR0545795
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Last modified
6/15/2020 2:51:48 PM
Creation date
6/15/2020 2:40:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545795
PE
3528
FACILITY_ID
FA0002952
FACILITY_NAME
LAMMERSVILLE SCHOOL
STREET_NUMBER
16555
STREET_NAME
VON SOSTEN
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20914009
CURRENT_STATUS
02
SITE_LOCATION
16555 VON SOSTEN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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o�'�uiM c E.P. No. 97-199-SW <br /> Ui�60 <br /> '�� COUNTY OF SA JOAQUIN 6/5/97 <br /> DEPARTMENT OF P BLIC WORKS (Date Issued) <br /> RID,Box 1810 - 1810 E. ELTON AVENUE <br /> STOCKFON,CAUFOR 95201 9/15/98 <br /> 12091 a68• <br /> ENCROACHME T PERMIT (Expiration Date) <br /> HENRY M. HIRA'i'A 11005 <br /> DIOCCTOP <br /> (Job No. ) <br /> To: Advanced Geo Enviromental Encroachment type: Bell. Hole <br /> 1$03 W. March Ln. "A" <br /> Stockton, CA 95209 cation: e/s Hansen Rd. 300-500' <br /> n/o VonSonston Rd. <br /> In compliance with your request of /5 , 19 97 permission is her `iy <br /> granted to do work in County right of way as shown on attached application and subject to <br /> all the terms, conditions and restrictions written below or printed as general or special <br /> provisions on any part of this form. See reverse side and attached sheet, if any. <br /> Trench excavations for service connections will not be permitted within ten feet (10') <br /> of pavement centerline unless otherwise approved by the Director. Surface of trench patches <br /> shall match in kind and be smooth and even with that of abutting surface. Special attention <br /> shall be given to depth of utilities through roadside area in anticipation of future drain- <br /> age facilities, road profile and/or frontage development. All underground utility facili- <br /> ties are to be established and accurately dimensioned on sketches from surveyed centerline <br /> of road right of way, not from right of way (border) lines. <br /> The Department of Public Works, Field Inspection Section shall receive a notice at <br /> least forty-eight (48) hours prior to beginning any work within the County right of way. <br /> All work performed under this permit shall conform to the rules and regulations pertain- <br /> ing to safety established by the California Division of Industrial Safety and Cal-OSHA. <br /> i <br /> The jobsite shall be kept in a safe condition at all times by the daily removal of <br /> any excess dirt or debris which might be a hazard to either pedestrian or automobile <br /> traffic_ All necessary traffic convenience and varning devices and personnel shall be <br /> provided, placed and maintained by and at the soLe expense of the Permittee in accordance <br /> with the latest edition of the CALTRANS Manual o7 Traffic Control. <br /> After completion of the work permitted here n, all debris, lumber, barricades, or any <br /> excess material shall be removed and the jobsite left in a neat workmanlike manner. <br /> Immediately following completion of construction permitted herein, Permittee shall fill <br /> out and mail notice of completion provided by Grantor. <br /> Est. Permit Fee: $ <br /> 14ENRY M. IiIRATA, Director <br /> FORMS: SS/WW,R-29 _ Department of Public Works <br /> WHITE - Permittee - <br /> GOLDENROD - PWD Central File Permit Section <br /> YELLOW - Field Inspection <br /> f <br /> PINK - Permit Section PW 27 <br />
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