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WP0041792
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041792
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Entry Properties
Last modified
2/12/2026 9:48:06 AM
Creation date
3/16/2022 9:48:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041792
PE
4366 - WELL DOMESTIC - </= 2 ACRE FT/YEAR
STREET_NUMBER
18120
Direction
E
STREET_NAME
STAMPEDE
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
01933001
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
18120 E STAMPEDE RD CLEMENTS 95227-
Tags
EHD - Public
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California Rock & Ready Mix <br /> 1200 E. Turner Rd. • Lodi, CA 95240 <br /> (20 ) 368-5351 - Fax (209) 368-5824 129248 <br /> l l <br /> NAME `tl <br /> DATE <br /> ADDRESS �� ,�7e LC/ i <br /> PHONE ✓C� J <br /> JOB SITE <br /> TIME AM TIME <br /> � DUT Z JZ ,3�1: <br /> � ElAM ❑ TRUCK NO. TRAILER NO. <br /> PM ❑ IN PM ❑ <br /> QTY. DESCRIPTION <br /> L PRICE AMOUNT <br /> � • 3 5 L(. Cr <br /> �f <br /> EQUIPMENT RENTED PRICE/DAY <br /> CAUTION HAND TROWEL SUB-TOTAL <br /> Freshly mixed cement, mortar, HAND FLOAT SALES TAX <br /> concrete or grout may cause skin <br /> injury. Avoid contact with skin EDGER EQUIPMENT <br /> skiinrareasspromptlywwitth watered <br /> if TRAILER RENTAL <br /> any cement mixtures get into eyes, CLEANING <br /> withewa Immediately <br /> reanldtelei and onrptPmedical CHARGE <br /> attention. KEEIT OUT OF REACH <br /> OF CHILDREN, <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 S25 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 inspetrted 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 /> 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 fi:a, theft, confiscation, and all citations and penalties incurred against said trailer while in his <br /> possession. <br /> Ewh <br /> t responsible for any damage encountered while California Rock&Ready Mix Is delivering <br /> customer has ordered.Customer will pay all tow charges if our truck or equipment gets stuck <br /> ping or working in the area the customer re nested. <br /> LICENSE <br />
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