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WP0043043
EnvironmentalHealth
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9417
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043043
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Last modified
8/12/2024 8:52:53 AM
Creation date
4/8/2024 4:27:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043043
PE
4366
STREET_NUMBER
9417
Direction
E
STREET_NAME
SOUTH ORCHARD
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01721025
ENTERED_DATE
3/3/2022 12:00:00 AM
SITE_LOCATION
9417 E SOUTH ORCHARD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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• ock & ReadY Nl1X 9 <br /> Califol E.Tu R , Lodi, CA 95240 14265 <br /> 1200 E.Turner RdFax(209) 36g_5524 <br /> mac) (2O9) 368-5351 <br /> C DATE — <br /> cJ 29 "tI <br /> NAME ` C� PHONE <br /> 1Y& <br /> ADDRESS TRAILER NO. <br /> �j G�` AM� TRUCK NO. <br /> JOB SITE r, AM 13 PM PM ❑ AMOUNT <br /> !' TIME 50 <br /> PM C3 IN PRICE <br /> OUT DESCRIPTION <br /> Q r <br /> L <br /> EQUIPMENT RENTED F <br /> HAND TROWEL <br /> CAUTIONrnortar, HAND FLOAT <br /> Freshly mixed cement, EDGER <br /> concrete or rout may cause Skin <br /> n urY ossible contact d wash with <br /> exp <br /> I osed TRAILER <br /> W here <br /> possible <br /> with water. 11 b 0pp16Z <br /> skin areas p et into eyes, Batch <br /> any <br /> immediate yea gd repeatedly <br /> et prompt medical QPPfVd' Online <br /> with t water KEW OUT OF REACH MpZCN M <br /> OF CH LDREN. GVVZ COde <br /> & RENTAL AGRE <br /> SALES a a$51) total amount <br /> lessee agrees to pay aav above <br /> lee of 525 per hour on wet 1 agree to i»uer agreement <br /> •It the equipment is not prop'or cleaned after use, to card voucher) <br /> ui merit is used more than two hours, credit <br /> according <br /> •I1 the eq P has been delivered to tMerchant agreement i.f <br /> es that the above equipmenta and sign this agreement.The <br /> charged. condition as <br /> .The lessee ackno agrees <br /> 90 pay the rental charge in as good co <br /> consideration he ag hied said trailer,trailer hitch and <br /> mortgage the leased equipment and to return the same secure and the <br /> Thees that he has insF-- sate and _ ------- <br /> The lessee acknowledges lound he trailer and hook-UP ui ment while it is in his - ------------------- <br /> and <br /> --- <br /> and that he hasequip <br /> Rock h Rear �___.___-_-- <br /> to assume all responsibility for said leased eq p that may Ochi <br /> agreeing to indemnity and sageCalifornia oerty <br /> •The lessee further agreesinjury,,,damage to his p accident,the Cop, <br /> eing in his custody.In the event of any Me1chant <br /> pense arising from any <br /> f ira <br /> proximate result k S,its <br /> Mixg the use- <br /> California Rock I with all laws of the stand all ci'tati ns a doper TNRNK YO AGR1N <br /> •The lessee agrees to comp Y theft,confiscation, PLEASE COME <br /> sume all responsibility lot fire, <br /> possession. damage encountered while Galito' <br /> We are not responsible for any a all tow charge <br /> or working in the area the customer re nested. <br /> materials customer has ordered.Customer will p <br /> while dumping <br /> G ATURE <br />
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