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0 <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF INDUSTRIAL RELATIONS <br /> DIVISION OF OCCUPATIONAL SAFETY AND HEALTH <br /> No: 2011-905950 <br /> ANNUAL PERMIT <br /> Permit Issued To <br /> (Insert Contractor/Project Administrator's Name, Address <br /> and Telephone No.) No. <br /> URS Corporation I Date 3/17/2011 <br /> Attn: Safety Mgr or Bill Peck <br /> 2020 E First St Ste 400 Region 3 <br /> Santa Ana CA 92705-4015 District 1 <br /> Tel. (714) 55$-4451 <br /> (714)835-6886 <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 N/A Permit Valid through March 16, 2012 <br /> Description of Project Location Address City and County Anticipated Dates <br /> Starting Com letion <br /> Various <br /> Conditions of Issuance: Statewide <br /> Mar 17, 2011 Mar 16, 2012 <br /> This Permit is issued upon the following conditions: <br /> 1. That the work is performed by the same employer. If this is an annual permit the appropriate District Office shall <br /> be notified, in 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 <br /> projects, and any 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 <br /> Form the employer will notify the Division immediately. <br /> 4. Any variation from the specification and assertions of the Permit Application Form or violation of safety orders may <br /> be cause to revoke the permit. <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 /> Bill Peck Permit Unit X47afr4ine Date <br /> ❑ Cash Amount Date 3/17/2011 <br /> ® Check 13413 ($100.00 3/17/11 Approved by <br /> District Manager/Permit Unit Date <br />