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WP0042271
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COLLIER
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10897
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042271
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Entry Properties
Last modified
12/27/2021 2:44:27 PM
Creation date
10/27/2021 1:32:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042271
PE
4378
STREET_NUMBER
10897
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
00714029
ENTERED_DATE
7/12/2021 12:00:00 AM
SITE_LOCATION
10897 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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Address: 10897 Collier Road, Acampo <br />ID: WP0042271 <br />California Rock & Ready Mix <br />i )Qd1200 E. Turner Rd. • Lodi, CA 95240 134131 <br />(209) 368-5351 Fax (209) 368-5824 <br />NAME L4 _1 �/%� S DATE �I" 4/ <br />ADDRESS PHONE h1CT <br />JOB SITE �A� VLt o(. <br />TIME AM ❑ <br />OUT 12- X30 I PM ❑ <br />QTY. <br />TIME AM ❑ <br />IN PM ❑ <br />DESCRIPTION <br />3 �CUccC <br />FROM DATE ISSUED <br />I <br />-_ r s <br />l6 <br />CK NO. TRAILERl�l <br />Ilon <br />PRICE AMOUNT <br />�� <br />to <br />+rar�win� <br />Z.Z.. <br />Z3 <br />EQUIPMENT RENTED PRICElDAY SUB -TOTAL <br />CAUT N HAND TROWEL <br />Freshly mixed c ment, mortar, HAND FLOAT <br />SALES T"" <br />concrete or grout may cause skin EDGER <br />in1Wry. Avoid contact with skin <br />where possible and wash exposed TRAILER <br />skin areas promptly with water. It <br />any cement mixtures get into eyes, <br />rinse immediately and repeatedly <br />with water andyet prom t medical IPV b; <br />OF CHILDREN OUT O� REACH <br />Iran�actio,. <br />Ji <br />SALES & RENTAL AGREI WVQ' <br />I leaned atter use leasee egrets to pay a Sso c C�'Z <br />• If the equipment is not proper y c <br />• It the equipment is used more Than two tours, lee of $25 per hour on wast <br />charged. <br />• The lessee acknowledges that the above equipment has been dellvered to h <br />consideration he agrees to pay the rental charge and sign this agre�dnlon as 1N <br />mortgage the leased equipment and to return the game In as good <br />• The lessee acltnowledges that he has Inspected said traller, trailer hitch and at <br />and that he has found the trailer and hook-up sate and secure and the other r <br />agreeing to assume all reaponsibillry for said leased equipment while ills In Into cu <br />• eady <br />The lessee further agrees to indemnify and saveCalllornln Or e R't°et maROccur <br />pence arising Irom any injury or damW. agenriv 10 IInP heoeventt of any itcddent, the let <br />LO Pay al <br />gyres <br />accor'd�ny to cat <br />lnccchani nyceera� <br />v <br />Naseem Ahmed, Registered Environmental Health Specialist <br />.� In diimelor <br />Z G <br />mixr7— Z —7 <br />
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