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STATEFO CALIFORNIA <br /> DEPARTMENT OF INDUSTRIAL RELATIONS <br /> DIVISION OF OCCUPATIONAL SAFETY AND HEALTH <br /> No: 2017-903136 <br /> ANNUAL PERMIT <br /> Permit Issued To <br /> (Insert Contractor/Project Administrator's Name, Address <br /> and Telephone No.) No. <br /> Wendt & Sons Construction Inc dba Wendt Date 7/7/2017 <br /> Construction <br /> Attn: Safety Mgr or Ken Wendt Region 2 <br /> PO Box 1403 District 4 <br /> Lodi CA 95241-1403 Tei (209) 545-7310 <br /> (209)547-9310 <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 Permit Valid through <br /> 723360 July 07, 2018 <br /> Description of Project Location Address City and County Anticipated Dates <br /> Starting Completion <br /> Various <br /> Conditions of Issuance: Statewide Jul 7, 2017 Jul 07, 2018 <br /> W E N D T <br /> JUL 06 201 <br /> This Permit is issued upon the following conditions: R E C E I V E 0 <br /> 1.That the work is performed by the same employer. If this is an annual permit the appropriate District Office shall be notified, in <br /> 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 projects, and any <br /> 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 Form the <br /> employer will notify the Division itmediately. <br /> IiI <br /> 4.Any variation from the specific2tion and assertions of the Permit Application Form or violation of safety orders may be cause <br /> to revoke the permit. <br /> i <br /> 5.This permit shall be posted at Or near each place of employment as provided in 8 CCR 341.4 <br /> Received From Received By <br /> Investigated by <br /> Ken Wendt Permit Unit Sa iy En ineer Date <br /> ❑ Cash Amount Date 7/7/2017 <br /> ® Check 51085 Approved by <br /> $100.00 7/7/17 District Manager/Permit Unit Date <br />