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WP0039817
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4200/4300 - Liquid Waste/Water Well Permits
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WP0039817
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Entry Properties
Last modified
9/6/2019 4:22:46 PM
Creation date
9/6/2019 3:29:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0039817
PE
4373
STREET_NUMBER
4664
Direction
E
STREET_NAME
CLARKSDALE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01709047
ENTERED_DATE
7/12/2019 12:00:00 AM
SITE_LOCATION
4664 E CLARKSDALE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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'v c_n <br /> O CD <br /> California R 0 CL <br /> ockCL <br /> 1200 E. & Ready Mix CD <br /> Turner Rd. Fod�• CA 95240 _L (n <br /> (209) 368-5351 Fax (209) 368-5824 1 z c <br /> �corn <br /> NAME M .A <br /> o�T <br /> OM <br /> ADDRESS .y <br /> PHONE Z –� <br /> JOB SITE N <br /> C1 <br /> TIME AM [ITIME AM 0 TRUCK NO. TRAILER NO <br /> OUT `;"PM ❑ IN ' PM E] Q <br /> 71 <br /> QTY. DESCRIPTION D <br /> ,._ <br /> PRICE AMOUNT v <br /> 3 <br /> 0 <br /> --------_— = m <br /> n <br /> 0 <br /> 0 <br /> 0----- —— w <br /> C/) C? <br /> C v <br /> – <br /> =r r <br /> iD <br /> m EQUIPMENT RENT PRICE'DAY SUB-TOTAL <br /> Freshly CAUTION HAND TROVVEL <br /> C Conncrete or g Cement, mortar, HAND FLOAT SALES TAX <br /> M 'where Avoid rOrorl act cw the skin EDGER EQUIPMENT <br /> � sin areas p��m nd Wash exposed TRAILER RENTAL <br /> Tse cementwiths get into eyesr. CLEANING <br /> fentioner and pnomrptprnedicdal _- CHARGE <br /> F CHILDREN OUT OF REACH <br /> TOTAL _ <br /> SALES 8r RENTAL AGREEMENT <br /> eg <br /> 4r rw�proporly el•armA gnat usg +ease .9—K.pn i•a Sfif)rl. rNnirg ch¢rpe, <br /> ZI4T . -119Yd-lTOl6 t/W.l fWG t)nLlr6 0.01S2546 <br /> PeY,fi0}If d'. j�'9$ym h 1 <br /> he lessee acknowle g _ irrr,' enr <br /> onsideration he agrees to pay the rental charge and sign this a „ <br /> mortgage the leased equipment and to return the same in as good condition asw en <br /> Read <br /> •The lessee acknowledges that he has inspected said trailer,bailer hitch and safety chain,and the other items of equipmen, <br /> and that he has found the trailer and hook-up safe and secure and the other equipment serviceable and lie 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 saveCalifornia Rock a Ready Mix harmless from any liaoillly,claim or ex- <br /> pense arising from any injury or damage to his person or property that may occur while sald 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 Ira I within the speed limit,and to as- <br /> sume all responsibility for fire, theft, confiscation, and all citations and penalties incurred againsi said trailer while in his <br /> possession. <br /> We are not responsible for any damage encountered while Calitornia Rock&Rr+ady nti% is delivering <br /> materials customer has ordered. Customer will pay all tow charges if our truck or equipment gels stuck <br /> while dumping or working in the area the customer requested. L1LFNSE <br /> CiIJATURE ,F <br /> X 0 0 <br /> io <br /> 0 <br /> N <br /> ,rr <br />
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