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Address: 2960 Woodbridge Rd, Woodbridge Permit: WP0044023 <br /> Well log. Well grouted with sand cement mix from 100' to surfac <br /> rax tcvZI) B03-CliriL4 - <br /> NANAP � � I 4�.J 7 DATE f Z 7 <br /> ADDRESS �-�( �� ylJ G I IL1 t\'-4 PHONE <br /> JOB SITE L(.' .k <br /> TIME AM ❑ TIME AM ❑ TRUCK NO. TRAILER NO. <br /> OUT I,, �7 f' PM ❑ IN PM ❑ - <br /> QTY. DESCRIPTION PRICE Ah10UNT <br /> I <br /> n� <br /> EDUIPM ENT RENTED PRICFJDAY SUB-TOTAL r r <br /> HAND TROWEL <br /> C UTION HAND FLOAT <br /> Freshly mixe cement, mortar, <br /> grout may cause skin EDGER <br /> concrete or <br /> contact with osein <br /> In Ury- Avot TRAILER <br /> were possible and was <br /> water. If <br /> skin areas promptly et Into eyes, <br /> any cement mixtures 9d repeatedly <br /> rinse immediately rem t medical <br /> with water and get p <br /> attention. KEEP OUT O REACH <br /> OF CNiLDREN. <br /> SALES& RENTAL AGRE <br /> •If the equipment is not Property cleaned after use,lessee agrees to pay a S5c <br /> •II the equipment is used more than two hours,fee of S25 per hour on we _ <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered to boo 664 <br /> consitleration he agrees to Day the rental charge and sign this agreemJnt�Tn! _ 34��3039 <br /> mortgage the leased equipment and to return the sme in as^.�� hitch and sa #• 46 <br /> n le.sre a i,nowledgos that he has Inspect ..other a R f I D' 32 <br /> nder and 1,nok-up safe ano sect e r ;.i„is eu: <br /> •:aid leased equipment wh l w.ti Ready l der acknowl edye5 <br /> ag ele s, further <br /> that may occurs go <br /> ant <br /> •The lessee funhor agrees to indemn,lydamage <br /> and sae(onlOrpronpeM1Ro �• of 5e f DY't}Injury or damage to his p accident,the les Gayt1110. <br /> pease arising fromresult <br /> o any 1 ry la the event of snY re Oe 1 t. <br /> proximate result of its being in his custody. a 1�dT't11101 der 5 <br /> (.allfornfa Rock&Ready Mix. enellie },11 file wl{11 155Lker, <br /> •The lessee agrees to comply with all laws of the State.severing the ueo of trailer: <br /> sume all responsibility for fire,theft,confiscation,end all citations end P Odyre eMleDt <br /> possession. <br /> damage encountered while Cn charges <br /> : <br /> We are not responsible for any <br /> pay <br /> all tow charges it <br /> mastomer <br /> terials customer <br /> working In the area the uetolmee�e nested. <br /> v <br /> Naseem Ahmed, Registered Environmental Health Specialist <br />