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WP0042451
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042451
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Last modified
10/24/2022 3:10:34 PM
Creation date
10/24/2022 2:59:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042451
PE
4380
STREET_NUMBER
16340
Direction
N
STREET_NAME
LOCUST TREE
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05113003
ENTERED_DATE
8/20/2021 12:00:00 AM
SITE_LOCATION
16340 N LOCUST TREE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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California Rock & Ready Mix <br />1200 E. Turner Rd. • Lodi, CA 95240 138263 <br />(209) 368-5351 • Fax (209) 368-5824 22 l <br />NAME /w L i S DATE If c J1 22 <br />ADDRESS I `✓ `y� �V ty ` e PHONE O YC' <br />Inn CITE <br />TIME <br />OUT - �G <br />AM ❑ <br />PM [I <br />TIME AM ❑TRUCK <br />IN PM ❑ <br />NO. <br />TRAILER NO. <br />QTY. <br />DESCRIPTION <br />PRICE <br />AMOUNT <br />.y <br />O <br />C7 <br />GIUIPMENTRENTED PRICE DAY SUB -TOTAL <br />CAUT�ON " <br />Freshly mixed c ment, mortar, HAND FLOAT <br />concrete or grout may cause skin EDGER <br />injury. Avoid contact with skin <br />where possible and wash exposed TRAILER <br />skin areas promptly with water. If <br />any cement mixtures get Into eyes, <br />rinse Immediately and repeatedly <br />with water and get prompt medical <br />attention. KEEP OUT OF REACH <br />OF CHILDREN. <br />SALES & RENTAL AGF <br />• If the equipment is not properly cleaned after use, lessee agrees to pay a' <br />It the equipment is used more than two hours, fee of $25 per hour on <br />charged. <br />• The lessee acknowledges that the above equipment has been deliverer <br />consideration he agrees to pay the rental charge and sign this agreement <br />mortgage the leased equip: ent and to return the same in as good condilif <br />• The lessee acknowledges that he has inspected said trailer, trailer hitct <br />and that he has found the trailer and hook-up safe and secure and the otl <br />agreeing to assume all responsibility for said leased equipment while it is in h <br />• The lessee further agrees to indemnify and saveCalifornia Rock & Re <br />pense arising from any injury or damage to his person or property that may o <br />proximate I,^_sult of its being in his custody. In the event of any accident, r <br />California Rock & Ready Mix. <br />• The lessee agrees to comply with all laws of the State covering the use of <br />sume all responsibility for fire, theft, confiscation, and all citations and p <br />possession. <br />We are not responsible for any damage encountered while Cal <br />materials customer has ordered. Customer will pay all tow ch; <br />while dumping or working in the area the customer requested. <br />SIGNATU E <br />X <br />(Merchant asreement it creon <br />Merchant copy <br />THANK YOU <br />PLEASE COME AGAIN <br />
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