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Site Address: 15571 N. HOERL RD Date: 5/7/2018 California Rock & Ready Mix 1200 E. Turner Rd. • Lodi, CA 95240 (209) 368-5351 a Fax (209) 368-5824 94Q 15 NAME DATE f V ADDRESS PHONE JOB SITE TIME AM ❑ TIME AM ❑ I T UCK NO Rn OUT PM ❑ IN PM ❑ SUB -TOTAL SALES TAX atlentic, KEEP OUT O - REACH 71f OF CHILDREN. TOTAL %) 1? SALES & RENTAL AGREEMENT • . I numpnem is ml mopenv riearuvl sitar use. lessc« ogre n in oar a a5o d=song charpr. IM etnror I is used mae Uwn two IKKxs los M 525 rar hots on wMkMys end S35 Db teiut en weeaeMe, wH k q A • ag Tt b see a w Ndges Rtnt Die above Bqulpn co ern has Geon deM•eiM it Ins ttrsbdy and coned tot his pan use, lard n neklerobon hs agree. to pay the wmal charge and sign thh egelmenl The lessee 1•wmer rees hoa to sae ban. sublet a mco,ge the leased ",, pmem and tow n aw s inre in as g"'od condition as when reCei • The lassos al'Mrinwlengos that he has I-�sPeclei saH Iraaei Imdm hath nrld salary dwln end "mho, 1— M erpnprrwnt sort Thal Ire R s ItKtM the Irneel nnA hooA vP sale and secwn nM the ndwt eglgrmam eeNketmtn and he actepls carne -The to lump • as resp to inner lot mi leased California Rock a is ht las cestddY • Ttw lessee lemrer ap.ees to aMemnify and save Ca111oraia Rock i Heady Mh nartnle» Irat1 any ltawfny, dam or ez peneP arlskq Irrnn a11Y aaury m d'I, n10gP Ill 1116 Pe150rt a propeM Ihal may OCcllt w1s10 S3k1 egaptuml Is h N9 [uslody d Ae i pro.�mafe rnsoa or Its being In las ruslwly In the evatu d any accidert. n,e levee agtem to mate a Mitten reptKt m CAlifla,mla lies k a ITerrdy Mh. • The bweeea agoes to Wly with all law%m me state covehtlg me use of besets to hare' "'hill the spneA IIr"' and toos- some e l rBsodlvhillly Int tire. Un"r conks.hon, and all end PenJtho- ncorl"d -gond I" ha -W while m V. ptwsesstoo We are not responsible for any damage encountered while Calltdn I" Hoch 6 Heady Mit Is delivering materials customer has ordered. Cuslomer will pay all tow charges it our truck or equipment gets stuck while dumoma m working in the area the customer requested. X Naseem Ahmed, Environmental Health Specialist Record ID VVP0038023 Page 2 of 5 EUDIPMEHT RENTED CAUTION HAND TROWEL Freshly mixed cement, mndar, HAND FLOAT concrele or rout may cause skm injury. Avdd contact with skin EDGER where posslDle and wash exposed TRAILER skin areas promptly with wales 11 any cement mixtures gel imo ayes, nnse lmmadately ami repeilledty with water and Rel prompt medical SUB -TOTAL SALES TAX atlentic, KEEP OUT O - REACH 71f OF CHILDREN. TOTAL %) 1? SALES & RENTAL AGREEMENT • . I numpnem is ml mopenv riearuvl sitar use. lessc« ogre n in oar a a5o d=song charpr. IM etnror I is used mae Uwn two IKKxs los M 525 rar hots on wMkMys end S35 Db teiut en weeaeMe, wH k q A • ag Tt b see a w Ndges Rtnt Die above Bqulpn co ern has Geon deM•eiM it Ins ttrsbdy and coned tot his pan use, lard n neklerobon hs agree. to pay the wmal charge and sign thh egelmenl The lessee 1•wmer rees hoa to sae ban. sublet a mco,ge the leased ",, pmem and tow n aw s inre in as g"'od condition as when reCei • The lassos al'Mrinwlengos that he has I-�sPeclei saH Iraaei Imdm hath nrld salary dwln end "mho, 1— M erpnprrwnt sort Thal Ire R s ItKtM the Irneel nnA hooA vP sale and secwn nM the ndwt eglgrmam eeNketmtn and he actepls carne -The to lump • as resp to inner lot mi leased California Rock a is ht las cestddY • Ttw lessee lemrer ap.ees to aMemnify and save Ca111oraia Rock i Heady Mh nartnle» Irat1 any ltawfny, dam or ez peneP arlskq Irrnn a11Y aaury m d'I, n10gP Ill 1116 Pe150rt a propeM Ihal may OCcllt w1s10 S3k1 egaptuml Is h N9 [uslody d Ae i pro.�mafe rnsoa or Its being In las ruslwly In the evatu d any accidert. n,e levee agtem to mate a Mitten reptKt m CAlifla,mla lies k a ITerrdy Mh. • The bweeea agoes to Wly with all law%m me state covehtlg me use of besets to hare' "'hill the spneA IIr"' and toos- some e l rBsodlvhillly Int tire. Un"r conks.hon, and all end PenJtho- ncorl"d -gond I" ha -W while m V. ptwsesstoo We are not responsible for any damage encountered while Calltdn I" Hoch 6 Heady Mit Is delivering materials customer has ordered. Cuslomer will pay all tow charges it our truck or equipment gets stuck while dumoma m working in the area the customer requested. X Naseem Ahmed, Environmental Health Specialist Record ID VVP0038023 Page 2 of 5