Saturday, November 22, 2008
Street Construction During Peak Commuting Hours
City of San Jose - Public Works Emergency Exception Report Form
Company Name
Address
City
State
Zip code
Contact Person
Phone
Extension
Date(s) of occurrence
Construction Supervisor
Location of Lane Closure
Street (e.g. First Street)
Limits (e.g. from_to_)
Direction (e.g. NB, EB)
Nature/Cause of Emergency
The Work that was performed
Date and time frame that lane was closed
Lane Closure
Department of Public Works 200 East Santa Clara Street, San Jose, CA 95113 tel. (408) 535-8300
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