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Site Address: 11444 Benndorf Rd, Acampo CA 95220 Record ID: WP0042583 <br /> Date: 10/20/2021 <br /> PHOTO# 1 New Well. Grouted from 100ft usin 10.3 sand cement. <br /> lot rTr <br /> California Roc{. & Ready Mix <br /> 136209 ryl ,� <br /> 1200 E.Turner Rd. • Lodi,CA 95240 <br /> (209)368.5351 • Fax(209)368-5824 <br /> S 1 DATE G 2D1Z� <br /> NAME r <br /> l YeK(�.G� PHONE <br /> ADDRESS <br /> ,)OB SITE G" U AM 0 LICK NO RAIL, r <br /> TIME AM TIME <br /> YiPM❑ IN PM ClOUT PRICE AMOUNT <br /> QTY DESCRIPTION <br /> l <br /> 3 <br /> Say <br /> EQUIPMENTFEME, PP.ICEasY SUBTOTAL <br /> 7 <br /> HAND TRUwEL SALES TAX -7( <br /> C Te d. mortar. HAND FLOAT EQUIPMENT <br /> Freshly i ad c cause sfUI, EDGER RENTAL <br /> npnNew or —1 may In skln ' <br /> ��n�UrY Ayoi oolaut sed TRAILER CLEANING <br /> whererPossible and wa,wale( II CHARGE 1, <br /> spin a bas P"nn'Y el into eyes <br /> a y cetment dndmr s g andatedl <br /> n'Ihawao a dreg© icel <br /> I Ppa�od <br /> attention.KEEP OUTromOF REACH TOTAL <br /> OF CHILDREN. <br /> SALES&RENTAL AGREEMENTn <br /> Ile an raI pngre,h d»»ned aner use.Iessae egroos m MY°S`A dcenuq rr`nra° a n wl <br /> i Mw on weakNYs +I S'f5 Mn <br /> In.1.a m!iur ua es to ver hi a-- <br /> inal duti'n"spn Nis»y osmoM The �° I��tl,Oero a o110 sen.IOen�saalel m. <br /> Doran-^ dv,m�end me a-Im-oma of aavro^1B <br /> mortgage me leased eaulpmma and to reNm the same In as gondb �oM-alaN _ in and no I."400n. <br /> •The lessee acknowledgos that M has Inslseclad sal,tools,ImI I eo <br /> and in.,In.has f—d Ina Im-er nntl no^°w bale am a. wa aM Ills In nle CUs n Imm nnY NnM-n).cl-Im el eY' <br /> agreeing to e.as—o"hesponsibiliy m,sell i.—d apsnpmoi MIs nnlmlosa <br /> .Theleseao Nnhora Io n�ih1Orbse 9onrorr tnoo-M Inallm-IRMC,a whao said eA-,q�wl�h apo,tos <br /> panso adsrng 1—any iMury or g° Nm-.and fo sr <br /> proxlmale r-sua of its being In his cuslodY In ma"am of any-Celaanl.Ina los f>°agr I w Wn Na slNf-d <br /> Ca"if._j.R_k d fleadY Ilk Ina use of Valk) ..I.rted-ga�cl salU hada,whna In nh <br /> •The lessee-grass In campy wdh an law-d me SI and" ,q <br /> 6Ume all respons,liddy for lue,Nelt cnnNW.alun,and aA olariane eM sM^a <br /> p056-sbbn. nl 01{elUCk <br /> II low""ergs-It our truck or equlpme 9 <br /> We are not reaponslble for any damage encountereU while['nlllornla Nnrls A IMadv Nla Ic de11vM n <br /> material e oust omer has ordered.Cuatomar will pay° L, - <br /> µfilla dum In or workln In VIe area the cuelomer ra ue{led. <br /> Francisco Garcia Ruiz, Environmental Health Specialist Trainee Page 1 of 2 <br />