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WP0043706
EnvironmentalHealth
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COLLIER
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043706
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Entry Properties
Last modified
7/20/2023 5:38:01 PM
Creation date
2/13/2023 1:56:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043706
PE
4366
STREET_NUMBER
18383
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02114007
ENTERED_DATE
8/31/2022 12:00:00 AM
SITE_LOCATION
18383 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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------------ <br /> California Rock & Read Mi <br /> 1200 E. Turner Rd. a y MX <br /> (209) 368-5351 Fax (209) 36855824 146510 <br /> N �s Ize <br /> NAME ( � 7�'pw7 4,`�`' <br /> DATEG 72 <br /> -7 <br /> C/,�(/Br GG✓c7 � 'l i` /� HONE <br /> � ' <br /> �� / �`JADDRESS 6� <br /> JOBSITE <br /> TIME �7 AM ME <br /> OUT I G�r Z 3U PM ❑ElTTIME A E] TRUCK NO. TRAILER NO. <br /> QTY. IN PM ❑ <br /> DESCRIPTION PRICE AMOUNT <br /> EQUIPMENT RENTED PF <br /> Freshly mCAUTION HAND TROWEL <br /> Concrete or grout mayncau eskin' <br /> tar HAND FLOAT <br /> in ury. Avoid contact with skin EDGER <br /> kinrareasspromptllyle and wwith Watered <br /> any cement mixtures get into eyesrins , TRAILER <br /> with ewater andtelet and or mediccal <br /> attention. KEE�OUT OF REACH <br /> OF CHILDREN. <br /> SALES & RENTAL AGRI <br /> •If the equipment is not properly cleaned after use,lessen agrees to pay a S� <br /> •If the equipment is used more than two hours,fee of eag per hour on yr <br /> charged. <br /> -The lessee acknowledges that the above equipment has been delivered to hi v � <br /> consideration he agrees to pay the rental charge and sign this,igreement.The If <br /> mortgage the leased equipment and to return the same in as good condition as w <br /> •The lessee acknowledges that he has inspected said trailer,trailer hitch and s: <br /> and that he has found the trailer and hook-up safe and secure and the other <br /> agreeing to assume all responsibility for said leased equipment while it is in his cc I agree to par above total amount <br /> •The lessee further agrees to indemnify and save California Rock&Read according to card issuer agreement <br /> pence arising from any injury or damage to his person or pro r (Merchant agreement if credit voucher) <br /> proximate result of its being in his custody.In the even of any that may occur <br /> California Rock&Ready Mix- y accident,the Ie <br /> 4 •The lessee agrees to comply with all laws of the State covering the use of trails <br /> sume all responsibility for fire, theft, confiscation, and all 01tions and penalty <br /> Possession. <br /> Edum <br /> nsible for any damage encountered while Califon <br /> er has ordered. Customer will pay all tow charges <br /> working in the area the customer requested. Merchant Copy <br /> THANK YOU <br /> PLEASE COME AGAIN <br />
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