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WP0043012
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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9490
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043012
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Entry Properties
Last modified
7/15/2026 9:04:03 AM
Creation date
4/8/2024 4:24:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043012
PE
4380 - PUMP PERMIT - NEW
STREET_NUMBER
9490
Direction
E
STREET_NAME
SCHMIEDT
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05111004
CURRENT_STATUS
Closed
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
9490 E SCHMIEDT RD LODI 95240-
Tags
EHD - Public
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Californi <br /> 1200 E. T k & Ready <br /> (209 368-5351 �:,..r, zi�i240 <br /> I l Fax(209)368-5824 140636 <br /> NAME t <br /> Ss ��ADDRESS r DATE —,L-L <br /> JOB TIM SITE <br /> lE . PHONE L 2 i 1tc_ <br /> E <br /> OUT t Zr3O AM O TIME AM❑ Tau K <br /> QTY. PM❑ IN PM nAIL N <br /> DESCRIPTION <br /> c>, PRICE AAAp <br /> 3 <br /> WIX <br /> td 144636 <br /> -AMAAMW 3 G tit <br /> UISp <br /> ---- - Entry&thod;Manual ,E �t I L(C- <br /> EQUIPMENTRENTED PI <br /> CAUTION HAND TROWEL Total <br /> - I Freshly mixed Cement, mortar, HAND FLOAT l r 136.63 K NO. RAI N <br /> Concrete or grout may cause skin <br /> in)ury. Avoid Contact with Skin EDGER <br /> whhere possible and wash exposed M PRICE AMOUNT <br /> skin areas promptly with water. If TRAILER 03�c1 any cement mixtures get into eyes, Cl <br /> rinse immediately and repeatedly <br /> with water and et prompt medical Inv p; <br /> attention. KEVOUT OF REACH �Auar Code: BSA <br /> OF CHILDREN. Transaction ID: 5609 <br /> Aaervd: Online Batch�: l�Ull� <br /> SALES& RENTAL AGR UV2 Code: 11AiCH M <br /> •If the equipment is not property cleaned ahe,use.ier.nix,ugleoil to pay a S <br /> •II the equipment is used more than jwo hours.toe of$25 per hour on v <br /> charged. <br /> •The lessee acknifUtedrges that the above equipment has been delivered 1 °Yf j° to Nev eiw.e total consideration he agrees pay the rental charge and sign thisagreementc ortdilbn tliercty�I r�ro _4 <br /> mod isx,er.e9r Ott <br /> the leased equipment and to return the same in a6 <br /> •The lemeo acknowledges Nat he has Inspected said trailer,trailer hitch a [f tied N voucher) <br /> and that he has found the trailer and hookup safe and secure and the o <br /> agreeing to assume all responsibility for said leased equipment white It Is in <br /> '--' - •The lessee further agrees to indomroty and save Californla Rock d 11 <br /> pense arising Irorn any injury or damage to his p6nion or property that may <br /> _ proximate result of its being In his custody In me event of any acndent, <br /> California Rock✓ti Ready Mia. <br /> •The tossoe agrees to coney with all taws of the State covering the use <br /> sumo all responsibility for fire.theft, confiscation.and all citations and M—ch0�.�1crA <br /> possession ant Co..Co <br /> we are not responsible for any damage encountered while G TW& VGU �s pWp(U 11tYt WaC• v`N'n� <br /> materials customer has ordered. Customer will pay all tow r PLEASE CUTE AGAIN <br /> 1lpIng or working In the area the customer requested rotten 1D: <br /> 4d; �n�1ne ktcA MON <br /> Code: �ifN M <br /> It uw eWe„u „ .,._.-.. . <br /> •II the equipment is used more than two bows,tee r aea w,,ww wi <br /> charged l a ed 1 air,,,, to pay abwe total a•amt <br /> The lessee acknoWedqus that the above squlprnent has been ds�aril xcordtnv to crd tss ter mrrvrrnt <br /> ,gin <br /> consdefahon he agrees to L`aY the rental charge and skjn to c,y,csba ltterchent avr"_,,t if cttdlt voucher) <br /> mortgage the leased equipment and to return the same maser ira6er mice <br /> jThe lessee a kna^ledges that he h utspaeted said d sere and e° <br /> no that he has and found the trailer hookup Sal°°° Is <br /> wtme It's I <br /> -.-I In assume all rasponsibibly ter said i<`-i'', �fao ill•R�.aMmsy It <br />
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