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WP0041640
EnvironmentalHealth
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HARNEY
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5433
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041640
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Entry Properties
Last modified
7/20/2022 1:42:15 PM
Creation date
3/16/2022 10:45:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041640
PE
4366
STREET_NUMBER
5433
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240-
APN
06104027
ENTERED_DATE
1/26/2021 12:00:00 AM
SITE_LOCATION
5433 E HARNEY LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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is Rock & Ready (Nix <br /> cal•�forp <br /> 1200 E.Turner Rd . Lodi, CA 95240 130872 <br /> Q GV (209) 368-5351 F� (209) 368.5524 <br /> �' • � <br /> DATE <br /> NAME C // �G'�,/� <br /> � V� PHONE <br /> ADDRESS <br /> CC {y , S <br /> �t TRUCK NO. TRAILER NO. <br /> J013 SITE TIME AM <br /> TIME AM 0 PM ❑ <br /> OUT Z I' PM 0 IN PRICE AMOUNT <br /> DESCRIPTION ) ) <br /> L tL <br /> i <br /> l W <br /> f. <br /> V <br /> I <br /> QuIPMENT RENTED <br /> HAND TROWEL <br /> CAUTI Nt, mortar, HAND FLOAT <br /> Freshly mixed ce <br /> concrete or.grout ma <br /> cause Skin <br /> EDGER <br /> iryonta with skin <br /> Where possible and wash exposeTRAILER <br /> romptly with.water. It <br /> skin areas p et Into eyes, <br /> any cement mixturea 9d repeatedly <br /> rinse Immediately mO REACH <br /> t medical <br /> with water and get p ro <br /> attention. KEEP OUT <br /> OF CHILDREN. <br /> SALES & RENTAL o r.. <br /> ro eel cleaned after use,lessee agrees tpay CVV2 Code: N 10 n <br /> •It the equipment is not p P Y <br /> e <br /> • used more than two hours,fee of SZ Per hour <br /> If the equipment is <br /> charged. equipment has been delive <br /> a the rental charge and sig:this agreeme <br /> .The lessee acknowledges that the above eq <br /> consideration he ag <br /> reesto pay good cont 1 agree to vav above total amount <br /> the leased equipment and to return <br /> said(trailer,trailer hi according to card issuer agreement <br /> -Temortgagesafe and secure and (Merchant agreement if credit voucher) <br /> •The lessee acknowledges that <br /> and hook-up s while it <br /> and lhM he has found onsibllity for said leased equipment <br /> agreeing to assume all resp and.saveCalifornle Rock <br /> at <br /> rees to indemnity damn to hs person or property <br /> •The lessee further ag . damage In the event of any accil <br /> proxi arising from any i ei�'in his custody. y ------ <br /> proximate result of Its being n----------------------------------- <br /> the <br /> California Rock 8 Ready Mix. <br /> •The lessee agrees to comply with all laws of the Sand all citations <br /> sume all responsibility for tire,theft, confiscation, Merchant. Cour <br /> possession. a encountered whit <br /> responsible for any <br /> damage a all tc TfiANk YOU <br /> We are not resp Customer will pay <br /> materials customer has ordered. PLEASE COME RGAIN <br /> while dumping or working in the area the customer re Ue` <br /> I TURE <br /> X <br />
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