Laserfiche WebLink
Address: 2960 Woodbridge Rd, Woodbridge Permit: WP0044023 <br /> Well loL,. Well Prouted with sand cement mix from 100' to surface. <br /> ray, lcvz1) <br /> NAME �F y DATE Z <br /> 44�� {' ( p x <br /> / Ltj C) e- tLl�� Gl // <br /> ADDRESS V 2��(�� � ^ \ � P�NE �'?/l l <br /> JOB SITE \ <br /> TIME 1 AM ❑ TIME AM ❑ TRUCK NO. TRAILER No. <br /> OUT t?�l 1, PM ❑ IN PM ❑ PRICE AMOUNT <br /> QTY. DESCRIPTION _ <br /> n7 <br /> EQUIPMENT RENTED PRICE/DAY SUB-TOTAL r Y <br /> 7 <br /> HAND TROWEL <br /> C UTION HAND FLOAT -- <br /> Freshly mixe cemencauseeskir <br /> grout may EDGER <br /> concrete ef.d contact with exposed in'1ury. Avoi TRAILER <br /> wYtere possible and wwtth water. If <br /> skin areas Promptly et into eyes, <br /> any cement mixtures 9 eatedly <br /> rinse immediately and <br /> d re medical <br /> with water and et p p <br /> OF CHILDREN OUT OF REACH <br /> SALES& RENTAL AGRI <br /> •if tho equipment Is not properly cleaned after use,lessee agrees to pay a 55( <br /> •If the equipment is used more than two hours,fee of$25 per hour on we <br /> charged. <br /> •The lasso.acknowledges that the above equipment has been delivered to - �4d GbOO J1Lr�4 <br /> consideration he agrees to pay the rental charge and sign this agreement.a,, 48730397 6 <br /> mortgage the leased equipment and to return the same In as nr• and sa Ref nslD; �632 <br /> •The les=ce acknowledges that he has inspected se Iuld. y <br /> .. ... •.miler and heck-up safe an m intsecurwhile it,is in:hs nu: <br /> •"' ;aid leased eq P cmo;fY an saveacknowledges <br /> ag'-, g to r,ssun:e all res;,�:�s�b..�rr that may occur s dnd <br /> •The lessee lurther agrees to damage to his person for propee tY Rock h y poo es d}lo I a{r p L g00d f ar <br /> parse arising from any Injury re C e 1 l� C <br /> proximate result of its being In his custody.In the event of sMix. he use of trailer. C Qbl] a 1 Ons dho l de yr' S <br /> California Rocok s to with all laws of the Slate c•overtng anallia �� }1e D awi t}1 1 Sslley' <br /> •The lessee agrees agpeeKell <br /> sums all responsibilityafiresto for tiro,theft,confiscation,and all dlallons en P <br /> fp�ssesslon. damage encountered while Cnllforne are not responsible for anyp alltow chargit <br /> fis <br /> aterials cus^o^working Inos atea area the custlolmea�e nested. <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />