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SR0077279
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4200/4300 - Liquid Waste/Water Well Permits
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SR0077279
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Entry Properties
Last modified
6/27/2018 2:02:04 PM
Creation date
6/25/2018 3:08:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0077279
PE
4366
FACILITY_NAME
MAKHMOUD, NASIR & VALENTINA
STREET_NUMBER
21644
Direction
S
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21219062
ENTERED_DATE
6/25/2018
SITE_LOCATION
21644 S CORRAL HOLLOW RD
RECEIVED_DATE
4/21/2017
P_LOCATION
99
P_DISTRICT
005
Tags
EHD - Public
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NMI & Ready Mix <br />IF Re qW. odi, CA 95240 82937 <br />(209 368-5351 <br />Fax (209) 368-5824 <br />> I l l <br />NAME of fl( `v�c s! <br />t [C <br />II DATE <br />ADDRESS`— 1 rtCJ��L� j�J S S l <br />PHONE <br />J!T1 <br />SITE C Ct L F <br />MET 2 �� (� M ❑ TIME qM p TRUCK NO. TRAILER NO. <br />PM ❑ IN PM ❑ <br />QTY. --- <br />�f. Lr.[ <br />CAUTION <br />Freshly mixed cement, mortar, <br />concrete or grout may cause skin <br />injury. Avoid contact with skin <br />where possible and wash exposed <br />skin areas promptly with water. If <br />any cement mixtures get Into eyes, <br />rinse immediately and repeatedly <br />with water and get prompt medical <br />attention. KEEL OUT OF REACH <br />OF CHILDREN. <br />N <br />v r' - <br />EQUIPMENT RENTED PRICEDAY <br />HAND TROWEL <br />HAND F40AT <br />EDGER <br />TRAILER <br />PRICE I AMOUNT <br />SUB -TOTAL <br />SAL AS TE X <br />EQUIPMENT <br />RENTAL <br />CLEANING <br />SALES & RENTAL AGREEMENT <br />:� L <br />TOTAL 7 <br />• If the equipment is not properly cleaned after use, lessee agrees to pay a $50 cleaning charge. <br />• If the equipment is used more than two hours, fee of $25 per hour on weekdays and $35 per hftr on weekends, will be <br />charged. <br />• The lessee acknowledges that the above equipment has been delivered to his custody and control for his own use, and in <br />consideration he agrees to pay the rental charge and sign this agreement. The lessee further agrees not to sell, loan, sublet or <br />mortgage the leased equipment and to return the same in as good condition as when received. <br />• The lessee acknowledges that he has inspected said trailer, trailer hitch and safety chain, and the other items of equipment, <br />and that he has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same <br />agreeing to assume all responsibility for said leased equipment while it is in his custody. <br />• The lessee further agrees to Indemnify and save California Rock & Ready Mix harmless from any liability, claim or ex- <br />pense arising from any injury or damage to his person or property that may occur while said equipment is in his custody or as a <br />proximate result of its being in his custody. In the event of any accident, the lessee agrees to make a written report to <br />California Rock & Ready Mix. <br />• The lessee agrees to comply with all laws of the State covering the use of trailers, to travel within the speed limit. and to as- <br />sume all responsibility for fire, theft, confiscation, and all citations and penalties incurred against said trailer while in his <br />possession. <br />We are not responsible for any damage encountered while California Rock & Ready Mix Is delivering <br />materials customer has ordered. Customer will pay ay tow charges If our truck or equipment gets stuck <br />while dumping or working In the area the customer requested. <br />�i4 <br />t` C <br />
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