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WP0042526
Environmental Health - Public
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EHD Program Facility Records by Street Name
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26398
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042526
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Last modified
7/20/2022 1:39:49 PM
Creation date
3/16/2022 9:50:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042526
PE
4378
STREET_NUMBER
26398
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
ACAMPO
Zip
95220-
APN
00520026
ENTERED_DATE
9/9/2021 12:00:00 AM
SITE_LOCATION
26398 N CHEROKEE LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2021
Tags
EHD - Public
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California Rock & Ready Mix <br /> 1200 E. Turner Rd. • Lodi, CA 95240 135494 <br /> (209) 368-5351 • Fax (209) 368-5824 <br /> NAME DATE <br /> ADDRESS PHONE <br /> JOB SITE <br /> TIME AM ❑ TIME AM ❑ TRUCK NO. TRAILER NO. <br /> OUT PM ❑ IN PM ❑ <br /> OTY. DESCRIPTION PRICE AMOUNT <br /> 10 <br /> EQUIPMENT RENTED PRICE/DAY SUB-TOTAL <br /> CAUTION HAND 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 et prompt medical <br /> attention. KEV OUT OF REACH <br /> OF CHILDREN. TOTAL 17U+ <br /> SALES & RENTAL AGREEMENT f, <br /> •If the equipment is not properly cleaned after use,lessee agrees to pay a$50 cleaning charge. <br /> •If the equipment is used more than two hours,fee of$25 per hour on weekdays and$35 per hour on weekends.will be <br /> charged. <br /> •The lessee acknowledges that the above equipment has been delivered to his custody and control for his own use,and in '. <br /> consideration he agrees to pay the rental charge and sign this agreement.The lessee further agrees not to sell,loan,trublet 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 saveCalifornia 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 1h <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 to 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 Rork&c Ready Mix is delivering <br /> materials customer has ordered. Customer will pay all tow charges if our truck or equipment gets stuck <br /> while dumping or working in the area the customer requested. <br /> SIGNAIU E LICENSE <br /> X <br />
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