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WP0042819
EnvironmentalHealth
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HARNEY
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042819
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Entry Properties
Last modified
1/31/2022 2:15:56 PM
Creation date
12/30/2021 11:25:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042819
PE
4373
STREET_NUMBER
130
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
05813025
ENTERED_DATE
12/8/2021 12:00:00 AM
SITE_LOCATION
130 E HARNEY LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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California Rock & Ready Mix <br />1200 E. Turner Rd. • Lodi, CA 95240 <br />(209) 368-5351 Fax (209) 368-5824 137804 <br />NAME G' � Sfi <br />DATE Z Z <br />ADDRESS CRL{G1C1� <br />PHONE <br />JOB SITE L i <br />;TIME AM ❑ TIMEUT AM ❑ TRUCK NO. TRAILER NO. <br />PM ❑ IN PM ❑ <br />OTY. DESCRIPTION <br />PRICE AMOUNT <br />ll+ 3 c,..;; <br />Freshly mCixed AUTeONt, mortar, <br />concrete or grout may cause skin <br />injury. Avoid contact with skin <br />wheskiinrareassprlompty with watered <br />anIf <br />y cement mixtures get into eyesrinse, <br />with water anidtpet promr mediccal <br />attention. KEEFOUT OF REACH <br />OF CHILDREN. <br />EQUIPMENT RENTED PRICE/DAY <br />HAN SUB -TOTAL <br />CLEANING <br />I ___] TOTA L <br />SALES & RENTAL AGREEMENT <br />• if the equipment is not properly cleaned after uselessee agrees to pay a $50 cleaning charge. <br />• If the equipment is used more than two hou, <br />charged. rs, fee of $25 per hour on weekdays and $35 per hour on weekends, will be <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 his custody. <br />• The lessee further agrees to indemnify and save California Rock & Ready Mix harmless from any liability, claim or ex. <br />Parise 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 i/ our truck or equipment gets stuck <br />while dumping or working in the area the customer reouesto t <br />nlnT ipc <br />FLOAT <br />SALES TAX <br />iTROWEL <br />ER <br />EQUIPMENT <br />ILER <br />RENTAL <br />CLEANING <br />I ___] TOTA L <br />SALES & RENTAL AGREEMENT <br />• if the equipment is not properly cleaned after uselessee agrees to pay a $50 cleaning charge. <br />• If the equipment is used more than two hou, <br />charged. rs, fee of $25 per hour on weekdays and $35 per hour on weekends, will be <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 his custody. <br />• The lessee further agrees to indemnify and save California Rock & Ready Mix harmless from any liability, claim or ex. <br />Parise 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 i/ our truck or equipment gets stuck <br />while dumping or working in the area the customer reouesto t <br />nlnT ipc <br />
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