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WP0038783
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038783
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Entry Properties
Last modified
9/25/2018 3:03:04 PM
Creation date
9/25/2018 3:01:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038783
PE
4374
STREET_NUMBER
8477
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00705010
ENTERED_DATE
9/17/2018 12:00:00 AM
SITE_LOCATION
8477 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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DAfonskaia
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EHD - Public
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�,,,California Rock & Ready Mix <br />1200 E. Turner Rd. • Lodi, CA 95240 98 29 <br />(209) 368-5351 • Fax (209) 368-5824 <br />DVV <br />NAME p DATE <br />ADDRESS 88477 E �� `� PHONE55;7' �G <br />fL I -57 <br />/ <br />Ir1RC F�1 JVG� <br />TIME. AM ❑ <br />OUT PM ❑ <br />TIME <br />IN <br />AM ❑ <br />PM ❑ <br />TRUCK NO. <br />TR LE NO. <br />QTY. DESCRIPTION <br />PRICE <br />AMOUNT <br />3 <br />16 <br />�v�r <br />t <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 />Mere <br />areas promptly with water. If <br />any cement mixtures get Into eyes, <br />rinse immediately and repeatedly <br />with water and et prompt medical <br />attention. KEE� OUT OF REACH <br />OF CHILDREN. <br />EQUIPMENT RENTED <br />PRICE/DAY <br />SUB -TOTAL <br />HAND TROWEL <br />SALES TAX <br />HAND FLOAT <br />EDGER <br />EQUIPMENT <br />RENTAL <br />TRAILER <br />CLEANING <br />CHARGE <br />TOTAL <br />SALES & RENTAL AGREEMENT <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 hour 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 hisuustody. <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 all tow charges if our truck or equipment gets stuck <br />while dumpingor working in the area the customer requested. <br />(GNAT RE <br />LICENSE <br />X <br />lid <br />
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