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WP0040044
Environmental Health - Public
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18961
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040044
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Last modified
9/30/2019 8:41:11 AM
Creation date
9/30/2019 8:35:35 AM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040044
PE
4369
STREET_NUMBER
18961
Direction
N
STREET_NAME
TRETHEWAY
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
05116013
ENTERED_DATE
9/4/2019 12:00:00 AM
SITE_LOCATION
18961 N TRETHEWAY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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= a ornia KOC . Keaay _m 1 <br /> 0267 <br /> (209) 368-53 1 Fax (209) 368-58,24 ° <br /> N <br /> ✓( DATE <br /> AME <br /> 'J <br /> 1 �yO� / LC LV—' PHONE <br /> ADDRESS f <br /> ct e c <br /> 108 SITE - �-' <br /> TRAILER NO. <br /> TIME AM ❑ TIME AM ❑ TRUCK NO. <br /> OUT /—' 0 C/ PM ❑ IN PM ❑ PRICE AMOUNT <br /> QTY. DESCRIPTION <br /> 3 s C' <br /> 5 EQUIPMENT RENTED PRICE/DAY SUB-TOTAL <br /> CAUTIONHAND TROWEL <br /> Freshly mixed cement, mortar, HAND FLOAT SALES TAX <br /> concrete or grout may cause skin EDGER EQUIPMENT <br /> inJury. Avoid contact with skin RENTAL <br /> where possible and wash exposed TRAILER <br /> skin areas promptly with water. If CLEANING <br /> any cement mixtures get Into eyes, CHARGE <br /> rinse Immediately and repeatedly <br /> with water and get prompt medical <br /> attention. KEEP OUT OF REACH <br /> OF CHILDREN. TOTAL <br /> SALES & RENTAL AGREEMENT /// 01-31, <br /> •If the equipment is not properly cleaned after use, lessee agrees to pay a S50 cleaning charge ` <br /> • If the equipment is used more than two hours, fee of 525 per hour on weekdays and 535 per hour on weekends, will be <br /> charged. <br /> • The lessee acknowledges that the above equipment has been deliverer to his custody and control for his own use, and m <br /> consideration he agrees to pay the rental charge and sign this agreement.The lessee further agrees not to sell,loan,sublet or <br /> mortgage the leased equipment and to return the same in as good condition as when received. <br /> • The lessee acknowledges that he has inspected said trailer, trailer hitch and safety chain, and the other items of equipment, <br /> and that he has found the trailer and hook-up safe and secure and the other equipment serviceable and he accepts same <br /> agreeing to assume all responsibility for said leased equipment while it is in his custody. <br /> • The lessee further agrees to indemnify and saveCatifornia Rock & Ready Mix harmless from any liability, claim or ex- <br /> pense arising from any injury or damage to his person or property that may occur while said equipment is in his custody or as a <br /> proximate result of its being in his custody. In the event of any accident. the lessee agrees to make a written report to <br /> California Rock& Ready Mix. <br /> • The Lessee agrees to comply with all laws of the State covering the use of trailers, to travel within the speed limit, and 10 as- <br /> sume all responsibility for fire. theft, confiscation, and all citations and penalties incurred against said trailer while in his <br /> Possession <br /> We are not responsible for any damage encountered while California Rock & Ready Mix is delivering <br /> materials customer has ordered. Customer will pay all tow charges if our truck or equipment gets stuck <br /> r'hife dumping or working in the area the customer requested. <br /> u;I)_- (jG_ UCEI iSE <br /> X <br />
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