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WP0043134
EnvironmentalHealth
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JACK TONE
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1551
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043134
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Entry Properties
Last modified
4/21/2022 2:51:37 PM
Creation date
4/21/2022 2:23:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043134
PE
4373
STREET_NUMBER
1551
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
22811015
ENTERED_DATE
3/30/2022 12:00:00 AM
SITE_LOCATION
1551 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2022
Tags
EHD - Public
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California Rock & Ready Mix <br />1200 E. Turner Rd. • Lodi, CA 95240 140960 <br />(209) 368-5351 • Fax (209) 368-5824 <br />5 1 rz,e DATE 4-/ <br />ADDRESS I 5 5 1 A...) PHONE S54(' <br />JOB SITE I, <br />TIME 1 . <br />AM 0 <br />OUT Ca., I PM 0 <br />TIME AM 0 <br />IN PM 0 <br />TRUCK NO. TRAILER NO. <br />QTY. DESCRIPTION PRICE AMOUNT <br />r CC) $ Sc' I <br />C . r --4 ---5'. , I <br />i-7.2.,- •,!,._ <br />\ <br />/ <br />---N\ <br />,- <br />/ <br />\\,....______ CAUTION <br />Freshly mixed cement, mortar, <br />concrete or grout may cause skin <br />injury. Avoid contact with skin <br />where possible and wash exposed <br />skin areas promptly with water If <br />any cement mixtures get into eyes, <br />rinse immediately and repeatedly <br />OF CHILDREN. <br />EQU JPMT RENTED FRICE/DAY SUB-TOTAL <br />-- 'HAND TROWEL <br />SALES TAX 5 i - HAND FLOAT <br />EDGER EQUIPMENT <br />RENTAL TRAILER CLEANING <br />CHARGE <br />with water and _get prompt medical <br />attention. KEEP OUT OF REACH <br />TOTAL i -Teti <br />SALES & RENTAL AGREEMENT <br />If the equipment is not properly cleaned after use, lessee agrees to k,ay a $50 cleaning charge. <br />If the equipment is used more than two hours, fee of $25 per hour on weekdays and $35 per hour on weekends, will be <br />charged. <br />The lessee acknowledges :,i;rat 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 ,:lnd sign this agreement. The lessee ,',urther 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 i•clsponsibility for said leased equipment while it is in his custody. <br />The lessee further agrees to indemnify and saveCalifornia 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 is. <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 if our truck or equipment gets stuck <br />while dumping or working in the area the customer requested. <br />SIGNATURE <br />X <br />LICENSE
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