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WP0038009
EnvironmentalHealth
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PELTIER
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038009
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Entry Properties
Last modified
4/11/2019 9:24:51 AM
Creation date
4/11/2019 8:55:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038009
PE
4378
STREET_NUMBER
8477
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00705010
ENTERED_DATE
3/5/2018 12:00:00 AM
SITE_LOCATION
8477 E PELTIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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• � .---.. �. ■ ■vuuy Ir/IJP <br /> - • -� 120q E, Tur*ner rid. . <br /> Lodi CA 95240 <br /> i (los) 368-5351 • Fax (209) ,368.582492945 <br /> , <br /> NAME <br /> DATE f <br /> ADDRESS � C_-1 -77 f �r �' '� r -� <br /> C <br /> PHONE <br /> JOS SITE { V%j <br /> TIME. M ❑ TIME AM ❑ TRUCK NO TRAILER NO. <br /> 0 UT PM ❑ IN PM ❑ <br /> QTY. DESCRIPTION PRICE AMOUNT <br /> 3 5 cc t- <br /> 57-C <br /> EQUIPMENT RENTED PRICEIDAYSUBTOTAL <br /> CAUTION HAND TROWEL � <br /> Freshly mixed cement, mortar, HAND FLOAT SALES TAX <br /> concrete. ortg <br /> ronct ce <br /> in ur' oddcoawthskin EDGER E()UIPMENTViereossible <br /> and wash exposed TRAILER RENTAL <br /> skin areas promptly with water. If CLEANING <br /> any cement mixtures get into eyes, <br /> rinse immediately and into <br /> CHARGE <br /> with water and get prompt medical <br /> attention. KEEP- OUT OF REACH <br /> OF CHILDREN. <br /> TOTAL <br /> SALES & RENTAL AGREEMENT 1! <br /> ent is not properly cleaned after use, lessee agrees toa if q L! � / <br /> nt is used more than two hours, fee of S25 per hour on �cleaning charge. fff j <br /> ekdjys and S35 per hour on weekends, will be rr✓ <br /> uwledges that the above equipment has be <br /> en .®reel to pay the rental charge and sign this agieetmenetdTthuhis stody and control for his own use, and in <br /> e lessee further agrees not to sell <br /> d equipment and to return the same in as good condition as when received. <br /> wledges that he has inspected said trader, trailer hitch and safetyloan, sublet or <br /> tend the trailer and hook-up sate and secure and the other e <br /> eat!responsibility I r chain; and the other items of equipment, <br /> +cher a re Y o said leased equipment while it is in his Custody ent ser�;ceabte and he ac <br /> g -es to indemnify and saveCalliornia Rock & p accepts same <br /> m any olury or damage to his person r Ready Mix <br /> t Of Its being a property harmless from any liability, <br /> 9 in his custody In the eva_nt of an Y that may occur while said equi rnent is in his Custody <br /> claim or ex <br /> �s RAY Mix. y accident, the p or as a <br /> rem to Orn ! e lessee agrees to make a 11ilten report to <br /> c P e with all la,v"of the State covering r <br /> 3ifJttlt I +' <br /> Y Or hie theft, Cr;nfiscation and alt g .he use of trailers, t <br /> Citattr_�ns and o travel within the segAd limit, grad tri as• <br /> penalties incurred agauisi Said trail's while +n h s <br /> Pffr an., �__ <br />
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